Definition of a Medicine Program Admission: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older editNewer edit →
Ttenbergen (talk | contribs)
CCMDB_legit, admin, approved, Bureaucrats, Interface administrators, Administrators (Semantic MediaWiki), Curators (Semantic MediaWiki), Administrators
92,599 edits
→Include Neuro and Nephrology patients: If you have more, please add. Taken out discussion because it has been up for long time and all should have replied by now.
Line 6: Line 6:
Collection for medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]].
Collection for medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]].


=== Include Neuro and Nephrology patients ===
=== Inclusion of some pt not attended by Internal Medicine Attendings ===
We collect all the neuro patients per Dan Roberts instructions.--[[User:CMarks|CMarks]] 13:42, 2015 July 8 (CDT), [[User:CMarks|CMarks]] 11:21, 2015 July 25 (CDT)
Generally we only include pts under Internal Medicine Attendings, but the following are exceptions where we collect even though pt is under other physician:
See also [[HSC Medicine Collection Guide]].
* all neuro patients (per Dan Roberts, see also [[HSC Medicine Collection Guide]])
*I admit many to D5 under service of nephrology, neurology, oncology -[ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja(who won't handle the HD population).--[[User:Llemoine|Llemoine]] 07:51, 2016 October 7 (CDT)
* many to D5 under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja(who won't handle the HD population))
*At SBGH Nephrology does admit to B5 and will on occasion take over a patient when they are transferred off service to 6AS.


{{discussion}}
=== Confirm, exclude the following ===
*Does something similar happen at STB or other hospitals? Ttenbergen 14:04, 2016 October 6 (CDT)
* Oncology where they admit a pt just for [[High dose chemotherapy as primary admit]]
**I do not do medicine all the time but I have never seen a pt under neurology or nephrology service admitted to the medicine wards here.  However they can be the sending service and they can be consulted. --[[User:LKolesar|LKolesar]] 14:12, 2016 October 6 (CDT)
*** Anything similar for other subspecialties? Ttenbergen 14:15, 2016 October 6 (CDT)
****Yes, any specialialty can send a pt to medicine (like surgery, cardiology, etc), but from what I see, they are always admitted under the medicine service.  The only exception I have seen is Oncology where they admit a pt just for [[High dose chemotherapy as primary admit]] but our database does not include these patients (they are considered a bed borrow).  --[[User:LKolesar|LKolesar]] 07:32, 2016 October 7 (CDT)
*****At SBGH Nephrology does admit to B5 and will on occasion take over a patient when they are transferred off service to 6AS.
At GGH all admissions are under medicine service [[User:Lkaita|Lisa Kaita]] 10:28, 2017 April 27 (CDT)
* [[STB E5]] -  interventional radiology will admit a patient for an overnight procedure, not following these
* [[STB E5]] -  interventional radiology will admit a patient for an overnight procedure, not following these
* [[STB E6]] - Occasionally Oncology patients are admitted for the prime reason of receiving Chemo
* [[STB E6]] - Occasionally Oncology patients are admitted for the [[High dose chemotherapy as primary admit]]


=== there is no minimum stay requirement ===
=== there is no minimum stay requirement ===

Revision as of 16:02, 27 April 2017

For Critical Care, see Definition of an ICU_admission

The definition of a "Medicine patient" for the Regional Medicine Database is:

  • admitted under a Medicine service attending physician. If patient doesn't meet this definition then we don't collect data and enter into the Medicine database.

Collection for medicine patients starts at Accept DtTm ie possibly while in ER.

Inclusion of some pt not attended by Internal Medicine Attendings

Generally we only include pts under Internal Medicine Attendings, but the following are exceptions where we collect even though pt is under other physician:

  • all neuro patients (per Dan Roberts, see also HSC Medicine Collection Guide)
  • many to D5 under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja(who won't handle the HD population))
  • At SBGH Nephrology does admit to B5 and will on occasion take over a patient when they are transferred off service to 6AS.

Confirm, exclude the following

there is no minimum stay requirement

There is no minimum stay requirement, if you can identify the admission, definitely include even short stay patients. (there was confusion about excluding short stays in the past)

Special cases

See Category:Overflow for various special cases, and whether they would be included or not.

Retrieved from "https://ccmdb.kuality.ca/index.php?title=Definition_of_a_Medicine_Program_Admission&oldid=54980"