Admit Procedure: Difference between revisions
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*While causally-related procedures will ''usually'' be invasive procedures, they do not NEED to be -- e.g. if a person is admitted for expressly '''[[Isolation, infectious]]''', this could be in this bin. | *While causally-related procedures will ''usually'' be invasive procedures, they do not NEED to be -- e.g. if a person is admitted for expressly '''[[Isolation, infectious]]''', this could be in this bin. | ||
*And on occasion, even a diagnostic procedure could be causative --- e.g. a contrast-enhanced X-ray where the contrast caused anaphylaxis that led to ICU admission. But this kind of example is the only kind of situation in which a non-invasive diagnostic procedure should be in this bin. So, things we count, such as CXRs and blood gases, would NOT be in this bin, unless somehow they actually '''CAUSED''' a problem that led to admission (e.g. blood gas puncture injured the artery, leading to a huge bleed for which they went to ICU). | *And on occasion, even a diagnostic procedure could be causative --- e.g. a contrast-enhanced X-ray where the contrast caused anaphylaxis that led to ICU admission. But this kind of example is the only kind of situation in which a non-invasive diagnostic procedure should be in this bin. So, things we count, such as CXRs and blood gases, would NOT be in this bin, unless somehow they actually '''CAUSED''' a problem that led to admission (e.g. blood gas puncture injured the artery, leading to a huge bleed for which they went to ICU). | ||
*{{Discussion}} To clarify, does this hold true for Medicine collection as well? | |||
Not to include as admit procedures CXR's | |||
and blood gases unless a problem was caused by the procedure itself that led to admission on a medicine unit? These items | |||
are not counted with Medicine collection. | |||
{{Collapsable | {{Collapsable |
Revision as of 10:51, 4 October 2018
This page explains when a CCI Procedure that is part of CCI Collection would be coded with Px Type Admit. The other option for type is Acquired Procedure.
Collection Instructions
- Code a procedure as Px_Type admit if it was:
- (a) Performed within 24 hrs BEFORE the Arrive DtTm AND
- (b) Was causally related to the admission -- this is a judgement call, see section and examples below
- It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.
- VERY IMPORANT DISTICTION: A procedure that simply identified the presence of a problem should not be considered to have caused the problem, and so should not be put into this category.
- While causally-related procedures will usually be invasive procedures, they do not NEED to be -- e.g. if a person is admitted for expressly Isolation, infectious, this could be in this bin.
- And on occasion, even a diagnostic procedure could be causative --- e.g. a contrast-enhanced X-ray where the contrast caused anaphylaxis that led to ICU admission. But this kind of example is the only kind of situation in which a non-invasive diagnostic procedure should be in this bin. So, things we count, such as CXRs and blood gases, would NOT be in this bin, unless somehow they actually CAUSED a problem that led to admission (e.g. blood gas puncture injured the artery, leading to a huge bleed for which they went to ICU).
- Template:Discussion To clarify, does this hold true for Medicine collection as well?
Not to include as admit procedures CXR's and blood gases unless a problem was caused by the procedure itself that led to admission on a medicine unit? These items are not counted with Medicine collection.
example of causally related procedures |
|
example of procedure not causally related |
|
Moved patients
A procedure might be coded as an acquired on one ward and an admit on the next - the same as above applies.
example of procedures for moved patient |
|
Why within 24 hrs?
This was an arbitrary decision because we needed a cut-off.