Continuous Stay: Difference between revisions

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m Continuous stay regional: moving here to not confuse collectors with this
m clean-up and question
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This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  
This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  


== Continuous stay at one hospital ==
== Definition ==
As per [[Transfer time rule]] a stay at one hospital is considered continuous if the difference between discharge dttm on one ward/unit and admit dttm at the next is '''at least 5 minutes'''.
 
=== Identification ===
A pair of records for the same patient is a continuous stay if:  
A pair of records for the same patient is a continuous stay if:  
* consider the record with the earlier admit dttm as the "first" and the other the "second"
* discharge1 and admit2 are 5[[Transfer time rule|*]] minutes - '''''x''''' minutes apart in the same hospital
* discharge1 and admit2 are 30[[Transfer time rule|*]] minutes - 48 hrs apart in different hospitals
* the combination of [[Admit From & Discharged To|discharge-to]] and [[Med Var 2 - Discharge-to Ward]] field in the first the [[location field]] in the second match
* the combination of [[Admit From & Discharged To|discharge-to]] and [[Med Var 2 - Discharge-to Ward]] field in the first the [[location field]] in the second match
* the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
* the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
* see [[Transfer time rule]] re the acceptable differences between discharge and admit time to consider as continuous stay
* detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward.
** still outstanding Ttenbergen 22:22, 2014 May 20 (CDT)
=== ICU ===
== Continuous stay regional ==


== dumping here for now ==
=== Continuous encounter with intermission at non-collected ward ===
If all of
* [[discharge-to]] and [[admit-from]] are both <local hospital>
* [[Var 2]] on the first record is the same as [[Var 1]] on the second
* the two vars are not a collected ward
then this is likely a continuous stay.


*For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU  between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer.
=== Continuous encounter with intermission in OR ===
For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU  between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer.
{{discussion}}
* would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement [[Encounter processing]] like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST)


===Transfers to another hospital with admission to a non-data collection ward===
Both medicine and ICU collectors record the time the patient physically left your unit.Dr Garland May 9,2013


[[Category:Multiple Encounter linking]]
[[Category:Multiple Encounter linking]]
[[Category:Statistical Analysis]]
[[Category:Statistical Analysis]]

Revision as of 12:06, 22 January 2015

This article is about Multiple Encounter patients who have not been discharged in between encounters.

Definition

A pair of records for the same patient is a continuous stay if:

Continuous encounter with intermission at non-collected ward

If all of

then this is likely a continuous stay.

Continuous encounter with intermission in OR

For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer. Template:Discussion

  • would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement Encounter processing like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST)