ER Delay

Data Element (edit)
Field Name:	ER Delay
CCMDB Label:	not stated
CCMDB tab:	not stated
Table:	Created_Variables_Common table
Data type:	date
Length:	n/a
Program:	Med and CC
Created/Raw:	Created
Start Date:	1988-07-11
End Date:	2300-01-01
Sort Index:	8
Data Dependencies(Reports/Indicators/Data Elements):	Length of Time for Transfer from ED to ICU within same facility

The ER Delay is the difference between the pre-ER Boarding Loc and first post-ER Boarding Loc, for patients arriving from the ER.

• SMW

Legacy implementation right in the table

• Cargo

• Categories

• Forms

It's is calculated by Created_Variables_Common_maker query and stored in Created_Variables_Common table in CFE.

Data use

• Measure the time spent using ER bed/facilities/staff while already accepted under a Medicine or Critical Care Service.
• Measure the delay of movement of patient from ER bed to Medicine or Critical Care bed.

ER Delay Calculation

• Before Oct 2020
  • Non-EMIP / Non-ECIP : Arrive DtTm - Accept DtTm
  • EMIP/ECIP: Dispo DtTm - Accept DtTm
• Starting Oct 2020
  • Only one ER Boarding Loc: Dispo DtTm - first ER Boarding Loc start Dttm
  • At least two Boarding Loc: First NonER Boarding Loc start Dttm - first ER Boarding Loc start Dttm

Implemented as

ER_Delay: IIf([accept_dttm]<#2020-10-01# Or [dispo_dttm]<#2020-10-01#,

IIf([location_name] Like "*EMIP*",[Dispo_DtTm],[Arrive_DtTm])-[Accept_DtTm],

Nz([created_FirstNonER_BoardingLoc].[dttm],[Dispo_DtTm])-[created_FirstER_BoardingLoc].[dttm])

1 Discussed with Julie: ER end dttm needs to be: use first non ER, if null (this includes old records) then (if not Service/Location EMIP use arrive) else use dispo (ie for EMIPs)

added: no added date action: no action date

• Cargo

• Categories

Data Integrity Checks (automatic list)

	App	Status
Query s tmp Boarding Loc ER delay reasonable	CCMDB.accdb	implemented

related fields

• Boarding Loc DtTms
• LOS
• Transfer Delay

Reporting and Analysis

The SAS Program to read the data is in X:\Julie\SAS_CFE\CFE_macros\datetimes.sas

Legacy

• Used to be just the difference between the Accept DtTm and Arrive_DtTm for patients arriving from the ER.
• Used to be collected as ER Wait and before that as Moves for Medicine.