Definition of a Medicine Laptop Admission: Difference between revisions

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*At '''STB Nephrology''' does admit to [[STB B5]] and will on occasion take over a patient when they are transferred off service to 6AS.
*At STB patients admitted under '''SBGH Internal Med/Nephrology''' are collected and included in the database.
** ''not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it?  
** ''not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it? Does the above answer this question?  
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Revision as of 13:17, 5 November 2020

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 internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).


Med and ICU will be same definition and can then be collapsed. This is also discussed in Change to start collection at accept rather than arrive time. Ttenbergen 11:48, 2020 October 27 (CDT)

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Clear out or reconcile EPR Reports, Discharge Register, Transfer Register, Definition of a Medicine Service admission, Definition of an ICU admission

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Special cases - Inclusion of extra patients

  • Allan to ask Nick Hajidiacos what he wants and why.
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This is about the inclusion of some pt not attended by Internal Medicine Attendings. Generally we only include pts under Internal Medicine Service, but the following are exceptions where we collect even though pt is under other physician:

  • all "HSC Internal Med / Neurology" patients that are admitted to HSC HOBS, once they are discharged/transferred out of HOBS, we no longer follow the patient. (per Dan Roberts, see also HSC Medicine Collection Guide)
  • all nephrology patients
  • many to D5 (Low Level of care hierarchy) 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))
    • not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it?
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  • At STB patients admitted under SBGH Internal Med/Nephrology are collected and included in the database.
    • not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it? Does the above answer this question?
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Special cases - Exclusion of medicine service patients

We don't collect the following as medicine patients

  • patients at any site admitted under the oncology service, e.g.
    • STB_Med - E6 Occasionally Medicine-Oncology service patients are admitted to receive Chemo treatments, these patients are not included in the data base
  • If I excluded all "SBGH Internal Med / Oncology", "HSC Oncology / Radiation", "HSC Oncology / Medicine", would we miss any that we care about? Somewhere else this was described as "who are here only for chemo" - are any of them here for reasons other than chemo that we would want to collect? Ttenbergen 16:39, 2020 November 2 (CST)
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  • patients admitted to HSC_H6 under respiratory service, or neurology service
  • I think we just don't collect any H6, right? Is the service relevant to that? Or do we board non-res-non-neuro pts on H6 and collect them?
    • H6 is also a medicine contingency ward, so we do follow some patients on H6 Lisa Kaita 10:59, 2020 November 4 (CST)
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  • STB_Med - interventional radiology will admit a patient for an overnight procedure, we are not following these
  • In Cognos I don't see a service that makes me think interventional radiology, but it might just be a service not included in the dump. Do these patients show up in Cognos, and if so, how do you decide that this is what they are and they should be excluded? Ttenbergen 16:39, 2020 November 2 (CST)
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