Transfer Delay (Critical Care): Difference between revisions

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== Meaning of Transfer Delays (to a lower level of care)==

*This is especially relevant given the start on October 1, 2020 of the the "patient transfer" project, where within a single hospital, patients who move from location to location at the same level of care (e.g. ICU or ward) have a single database record, but we keep track of [[Boarding Loc]] and [[Service tmp entry]] as they move from place to place.

*As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. ~~colletors~~ should not "carry over" knowledge about transfer readiness at prior boarding locs).

*As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. collectors should not "carry over" knowledge about transfer readiness at prior boarding locs).

*BUT, when calculating "wasted days", Julie will only use the '''FIRST''' transfer ready date/time:

**example 1: Mr. Jones spent 7 days in MICU and then directly transferred to SICU where he stayed another 7 days. On MICU day 3 a progress note said he was ready to go to ward, but he didn't. At no time during his SICU stay did any notes indicate transfer readiness. Julie will calculate this as 4 wasted MICU days, and 7 wasted SICU days.

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 == Meaning of Transfer Delays (to a lower level of care)==
 *This is especially relevant given the start on October 1, 2020 of the the "patient transfer" project, where within a single hospital, patients who move from location to location at the same level of care (e.g. ICU or ward) have a single database record, but we keep track of [[Boarding Loc]] and [[Service tmp entry]]  as they move from place to place.
-*As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. colletors should not "carry over" knowledge about transfer readiness at prior boarding locs).
+*As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. collectors should not "carry over" knowledge about transfer readiness at prior boarding locs).
 *BUT, when calculating "wasted days", Julie will only use the '''FIRST''' transfer ready date/time:
 **example 1:  Mr. Jones spent 7 days in MICU and then directly transferred to SICU where he stayed another 7 days.  On MICU day 3 a progress note said he was ready to go to ward, but he didn't.  At no time during his SICU stay did any notes indicate transfer readiness.  Julie will calculate this as 4 wasted MICU days, and 7 wasted SICU days.