Multiple Encounter: Difference between revisions
TOstryzniuk (talk | contribs) |
Ttenbergen (talk | contribs) mNo edit summary |
||
| Line 6: | Line 6: | ||
What are the fields that have to match to consider two encounters the same patient? | What are the fields that have to match to consider two encounters the same patient? | ||
== Continuous Hospital Stay == | |||
The [[statistician]] uses data from [[Admit From & Discharged To]], [[Med Var 1 - Admit-from Ward]] and [[Med Var 2 - Discharge-to Ward]] to | |||
* link profiles from one ward to another when both wards are within the database program | |||
* detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward. | |||
== Readmissions == | == Readmissions == | ||
Revision as of 14:07, 2011 October 13
Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report in <in which, monthly, quarterly, annual or all?>
Multiple Encounters
<details> What is the cut-off for continuous stay detection when moving between ICUs and/or wards? E.g. if patient is discharged from one ward at 0800, how late can he arrive at the next ward and still be considered a continuous stay?
What are the fields that have to match to consider two encounters the same patient?
Continuous Hospital Stay
The statistician uses data from Admit From & Discharged To, Med Var 1 - Admit-from Ward and Med Var 2 - Discharge-to Ward to
- link profiles from one ward to another when both wards are within the database program
- detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward.
Readmissions
For our purposes, readmissions are admissions of patients who were recorded by our database recently.
ICU Definition
For ICU, a readmission is a patient where
- (admit date/time) - (most recent ICU discharge date/time) <= 72 hours
- is not admitted for planned and scheduled surgery
- might be readmitted from Ward or outside hospital
Discussion
- why are we considering the most recent ICU discharge date/time only?Ttenbergen 11:36, 28 May 2008 (CDT)
Medicine Definition
For medicine, a readmission is a patient where
- (admit date/time) - (most recent discharge date/time) <= 7 days after their most recent discharge time
- is admitted from outside hospital
- (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program <when?>)
Discussion
- is the detection of med readmits for pts discharged from med previously only, or does it include pts who went home directly from ICU?