Boarding Loc: Difference between revisions
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* we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as the STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA - ER. For now, collectors please use "GRA - ER", and when the last "GRA_ER" is gone I will get rid of the option and we can consolidate them. Ttenbergen 19:26, 2020 October 15 (CDT) | * we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as the STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA - ER. For now, collectors please use "GRA - ER", and when the last "GRA_ER" is gone I will get rid of the option and we can consolidate them. Ttenbergen 19:26, 2020 October 15 (CDT) | ||
** we have two 5N entries as well: GRA - N5 and GRA_5N. As previously discussed we've been using GRA - N5 but let us know if that changes [[User:Surbanski|Surbanski]] 08:23, 2020 October 16 (CDT) | |||
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Revision as of 07:23, 16 October 2020
| Projects | |
| Active?: | active |
| Program: | CC and Med |
| Requestor: | internal |
| Collection start: | 2019-Sep-20 |
| Collection end: | |
This isn't so much a project as way to track how patients physically move around the hospital. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry for information about it and why we needed to change it to this model.
This project tracks where and when a patient arrives into a new physical location.
Data Collection Instructions
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In TMP, a "no borrow" entry will automatically be added to every new Critical Care or Medicine 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: Boarding Loc
- Item: no location entered is the default (that entry will not be allowed in a complete record)
- change the original entry to the first location the patient was during the admission in this record, e.g. ER, specific medicine ward etc
- for any physical move to another unit, enter an additional boarding loc entry
- Enter start_dt: arrival date at borrowed bed, under column E.
- Enter start_tm: arrival time at borrowed bed, under column M.
- checkbox: not used for this project
- comment field:
- see #Special Case - moving from one borrowed ward bed to another
- There are now additional circumstances where we use comment field for Borrow Loc, to do with COVID moves. Documented in pages in Category:2020 COVID unit transition and some info below in #COVID
APACHE
The APACHE elements time frame will start in the off-ward bed location.
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TISS
TISS starts from the off-ward bed.
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Special Case - Parked
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- For patients who are Parked in ER, no need an entry for these, since the ER delay will take care of them.
Special Case - EMIP/ECIP
Special Case - CAU
Template:Guideline CAU vs Boarding Loc vs EMIP
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If the patient ends up moving to a ward from CAU, why would we treat the CAU as a boarding loc? We don’t collect data on CAU patients so wouldn’t it be a new profile? I know at one time the CAU was considered an extension of the ER, but I believe that may have changed now, as I believe all of the CAU’s are located away from the ER’s and are considered an inpatient location, under family medicine service. e.g at HSC the CAU is now located on WRS3, At Grace it is located in the old ER and are under a grace HMO. At SBGH I think CAU is located on 6AS. I will double check with our admitting girls. If it is an inpatient location then this would not be an EMIP
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Special Case - COVID
See 2020-10 COVID unit collection.
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During the COVID-19 pandemic there were a lot of movements of entire wards (see Category:2020 COVID unit transition for related pages). The Boarding Loc project was a convenient place to store this information, so we added some specific locations for this purpose:
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Start/End Dates
- Start: 2019-Sep-01: new admissions on and after this date.
- End: there is no planned end date
Loose ends
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Which if any of Project_Borrow_arrive#Data_Integrity_Checks_.28SMW.29 will need to be moved over to this instead? |
Data Integrity Checks (automatic list)
Data Use
Critical care and Medicine programs want 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.
- Time spent in borrowed bed = Next Arrival Date_time - First Arrival Date_time
The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas
Background
See Bed borrow as aggregator page for other boarding and borrow related concepts.
The concept is similar to EMIPs but we will keep the EMIP separate from this project. The current EMIP will stay the same.--JMojica 10:37, 2019 September 20 (CDT)