Project Borrow arrive

Projects
Active?:	active
Program:	CC
Requestor:	Critical Care program (Allan Garland)
Collection start:
Collection end:

This project tracks where and when a patient arrives into a "borrowed bed".

A "borrowed bed" is when a patient is not physically located in the place designated by the Service/Location.

• Critical Care will track all instances of bed borrows
• Medicine is not included in this project.

This new project replaces:

• ACCU borrow
• ICUotherService

Data Collection Instructions

In TMP, a "no borrow" entry will automatically be added to every new Critical Care patient's record.

If the patient never ends up in a "borrowed bed" during their stay then, leave the default in Item as no borrow and also put a check mark in the checkbox. (this is to verify that there was no bed borrow, otherwise no one is sure is missed or not). If the patient does end up in a "borrowed bed", change the item to the location of the borrow and enter the rest as per below: #How to enter this.

Add a new tmp entry for every additional move/borrow within your centre that a patient makes during their stay at your Service/Location; including moves from borrowed location to your actual unit.

How to enter this

• Use tmp fields:
  • Project: Borrow arrive
  • Item: no borrow is the default (check off the box under column B for all patients not borrowing a bed).
  • Item: borrow arrive (select the ward/unit where the bed was borrowed):
    • CON - recovery
    • GRA - recovery
    • HSC - recovery
    • HSC_CCU
    • HSC_IICU
    • HSC_MICU
    • HSC_SICU
    • OAK - recovery
    • STB - recovery
    • STB_CCU
    • STB_CICU
    • STB_MICU
      • If a location borrowed from is not available in the drop down, email Tina and Trish to have them added.
  • Enter start_dt: arrival date at borrowed bed, under column E.
  • Enter start_tm: arrival time at borrowed bed, under column M.

• If the patient moves back to their "home unit", make another borrow arrive entry and select your home unit. Enter the date/time for this move, as above.

• Dispo Tab
  • Service/Location field enter: home ward/unit

Special Case - original arrival is in "borrowed bed"

If pt is admitted to your physician service but the original location is from an off-ward bed, code that location with borrow date and time = Arrive DtTm

Special Case - PACU

If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a borrow. (i.e. <hosp> - recovery, e.g. "HSC - recovery").

Special Case - From ER

Not included in this project.

• The time spent/waiting in ER is done using Arrive DtTm vs Accept DtTm.

Special Case - Parked

Not included.

• For patients who are Parked in ER, no need an entry for these, since the ER delay will take care of them.

Start/End Dates

• Start: 2018-07-19
• End: there is no planned end date

Data / Implementation comments

Review date: August 1.18

this data may eventually replace: ACCU borrow and ICUotherService

Template:CCMDB Data Integrity Checks

(start_dt, start_tm) outside of admission time

If

• (start_dt, start_tm) < Arrive_DtTm

or

• Dispo_DtTm <= (start_dt, start_tm)

then give a hard error. This can't be.

Implemented as query ___not___yet___implemented___.

can't have two entries that are the same

Can't have two identical entries.

Implemented as query ___not___yet___implemented___.

can't borrow on own unit

This is allowed because this is how we would code a patient moving back to home unit. No check! Just leaving it here in case.

Data Use

Critical care program wants to know this to better understand patient flow and bed utilization.

SAS Program

The SAS program calculates the time spent in a borrowed bed at each ICU stay and summarize the total bed-days in a given interval that are taken up by boarders from elsewhere and how much a certain unit is boarding elsewhere.

Time spent in borrowed bed = Next Arrival Date_time - First Arrival Date_time

where Next Arrival Date_time = Dispo Date_time if there is no more next arrival date_time.

The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas

Background

Will replace Off ward field to provide more meaningful data.

We used to collect Moves for Medicine but this was too much work because there are too many administrative moves. Also, the data wasn't being used.

Related articles