AMA: Difference between revisions
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* I think this might be changing to "Left Post Initial Treatment" after the email from 2025-02-20. [[User:Ttenbergen|Ttenbergen]] 11:00, 20 February 2025 (CST) | * I think this might be changing to "Left Post Initial Treatment" after the email from 2025-02-20. [[User:Ttenbergen|Ttenbergen]] 11:00, 20 February 2025 (CST) | ||
* Did you see that change? Is it the new value now? I don't think we enter that actual value, so we would just need to list the new one that collectors would see now. [[User:Ttenbergen|Ttenbergen]] 13:45, 7 July 2025 (CDT) | * Did you see that change? Is it the new value now? I don't think we enter that actual value, so we would just need to list the new one that collectors would see now. [[User:Ttenbergen|Ttenbergen]] 13:45, 7 July 2025 (CDT) | ||
* I think it is still the same as the original "ED Reg/Triaged/Assess LAMA" | * I think it is still the same as the original "ED Reg/Triaged/Assess LAMA"... [[User:Lkaita|Lisa Kaita]] 21:59, 10 July 2025 (CDT) | ||
* This might be a new one that will show up as they are experimenting with different treatment modes in the ER, seeing patients for initial treatment in alternative spaces when there are no rooms available in the back. I think they are doing this at STB now, or will start in the next little while. [[User:Ttenbergen|Ttenbergen]] 22:55, 11 July 2025 (CDT) | |||
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* on wards/units: "Left Against Medical Advice" | * on wards/units: "Left Against Medical Advice" | ||
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* "...for the wards we have seen something similar to did not return from pass... [[User:Lkaita|Lisa Kaita]] 21:59, 10 July 2025 (CDT)" | |||
** next time we come across it, can we list that here? I could totally see some people deciding to code this and others not. [[User:Ttenbergen|Ttenbergen]] 22:55, 11 July 2025 (CDT) | |||
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=== Data entry === | === Data entry === | ||
Revision as of 22:55, 11 July 2025
Special collection and reporting instructions apply for patients who leave against medical advice (AMA).
Collection
identification in records
in Cognos
- while in ER: "ED Reg/Triaged/Assess LAMA"
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- on wards/units: "Left Against Medical Advice"
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Data entry
- Dispo:
- enter "AMA (left against medical advice)" (can type AMA in dropdown)
- AMA should be entered whether the patient follows the WRHA AMA process (signing form etc) or just goes AWOL
- Dispo DtTm:
- The Dispo DtTm field is when the person left AMA, or was noted to be gone and assumed AMA. If a bed is "held" and the patient indeed returns, goes back into that bed without being readmitted (because the bed was held), then this isn't to be considered to be an AMA. This follows the same kind of reasoning as Visits to temporary locations.
- BedHeldEnd DtTm:
- time bed was released
Reporting and Indicators
AMA affects the following:
- Patients who left AMA are excluded in Readmission Rate to ICU and Readmission to MedWard
- AMA is being counted as HOME in reporting for the location the patient went after discharge
- Any Reports or Indicators that use BedHeldEnd DtTm
- AMA as itself for specific request
See also
Related articles
| Related articles: |