Swap Locations: Difference between revisions

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== The problem ==

Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly.

Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly. If we engage in this manual sense-making, we can not use not use the [[Cognos EPR Report]] tools cleanly so would need to define how we deal with these patients.

=== Proposed consistent approach ===

{{DiscussTask |

* Allan, Julie and Tina had discussed this at a different meeting and decided we should just collect the swing beds as if they were already on the unit. The assumption was that they would only be in a swing bed for a few hours at most. Steph pointed out that some of the cardiac pts are listed as in a swing bed for the whole duration of their OR stay (whereas others are listed as in OR). So it appears that the amount of time pts spend in swing beds can be considerable. We decided to hold off on this discussion and bring it forward at the next task meeting. [[User:Ttenbergen|Ttenbergen]] 11:28, 2020 December 8 (CST)

}}

=== Current state ===

<quote>...because cognos Is often using the swing bed as a legitimate date and time, we are getting incorrect information. I find that more often than not (not necessarily every single time), the swing bed entry is usually when the patient is still physically located in er, and has not yet, actually physically been moved up to the ward. The er needs to use that location to admit another patient. Therefore, they will put a “swing bed” entry in. because the swing bed entry is listed right after the er entry, cognos picks that up, and uses that as the admit to unit start date and time. This date and time, is, in actual fact wrong. The actual ward unit start time, is the next entry in the location history that does not have the swing bed tag as the location. (Debbie)</quote>

Clarifications:

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The use of swap or swing locations makes it hard to follow patients in [[Cognos Report Integrator]], so we need to find out more about how these are used.

=== Swing beds in [[Cognos EPR Report]] ===

We have swing beds listed and would be able to extract their dates and times.

=== possible solution: exclude by filter ===

@@ Line 9: / Line 9: @@
 == The problem ==
-Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly.
+Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly. If we engage in this manual sense-making, we can not use not use the [[Cognos EPR Report]] tools cleanly so would need to define how we deal with these patients.
+=== Proposed consistent approach ===
 {{DiscussTask |
 * Allan, Julie and Tina had discussed this at a different meeting and decided we should just collect the swing beds as if they were already on the unit. The assumption was that they would only be in a swing bed for a few hours at most. Steph pointed out that some of the cardiac pts are listed as in a swing bed for the whole duration of their OR stay (whereas others are listed as in OR). So it appears that the amount of time pts spend in swing beds can be considerable. We decided to hold off on this discussion and bring it forward at the next task meeting. [[User:Ttenbergen|Ttenbergen]] 11:28, 2020 December 8 (CST)
 }}
+=== Current state ===
 <quote>...because cognos Is often using the swing bed as a legitimate date and time, we are getting incorrect information. I find that more often than not (not necessarily every single time), the swing bed entry is usually when the patient is still physically located in er, and has not yet, actually physically been moved up to the ward. The er needs to use that location to admit another patient. Therefore, they will put a “swing bed” entry in. because the swing bed entry is listed right after the er entry, cognos picks that up, and uses that as the admit to unit start date and time. This date and time, is, in actual fact wrong. The actual ward unit start time, is the next entry in the location history that does not have the swing bed tag as the location. (Debbie)</quote>
 Clarifications:
@@ Line 45: / Line 47: @@
 The use of swap or swing locations makes it hard to follow patients in [[Cognos Report Integrator]], so we need to find out more about how these are used.
+=== Swing beds in [[Cognos EPR Report]] ===
+We have swing beds listed and would be able to extract their dates and times.
 === possible solution: exclude by filter ===