Service Sending to ICU

NOT ACTIVE YET as of 2015-Jun-18

Template:Discussion Collectors, are these instructions clear? Collection could start within the next few days... Ttenbergen 11:56, 2015 June 18 (CDT)

Purpose

To identify the "sending service" or "originating service" for those who came to ICU from a prior inpatient location (refer to Task Meeting Minutes April 13,2015). This is different to the "service of the attending" during the patient's stay in ICU.

Data Collection Instructions

For each patient who meets the following conditions:

• critical care patient
• was a prior inpatient before coming to ICU (even if arrived via temp location such as ER, procedure suite...)
• doesn't arrive from another ICU (ie not an inter or intra transfer)

add a single tmp entry with the following:

• project: Srv to ICU
• item: one of the following:
  • Medicine
  • Cardiology
  • Psych
  • Ob/Gyne
  • Family Medicine
  • General surgery (including ACSS and Trauma surgery)
  • Cardiac surgery
  • Thoracic surgery
  • Urologic surgery
  • Ortho surgery
  • Neurosurgery
  • Vascular surgery
  • Plastic surgery
• the other tmp fields are not used

other options required?

If other options are required, please comment here.

Someone suggested we might need "Emergency" but since this is only for patients coming from other inpatient locations we won't include it for now. Can add later if it becomes an issue.

Start/End Dates

• Start: not yet determined
• End: there is no planned end date

Template:CCMDB Data Integrity Checks

• each critical care pt from location where this entry is required has exactly one entry
  • only populated when the patient's immediate physical location prior to ICU are Wards, OR, PACU, and in some temporary locations.
    • ie when Admit from is in a certain subset? If not, how would we check this? Ttenbergen 12:25, 2015 May 28 (CDT)
      • we can add Not Applicable and therefore won't allow blanks.
        • sounds good... Ttenbergen 11:04, 2015 June 1 (CDT)

• if have more than one entry per patient, the last entry will be considered as final value.
  • why would there ever be more than one? Ttenbergen 12:25, 2015 May 28 (CDT)
    • if by accident DC did the entry twice and with different values.
      • will be taken care of by only allowing one of these per pt Ttenbergen 11:04, 2015 June 1 (CDT)

make this a regular field?

No because this is a request only from Critical Care Management and not from Medicine Management?

See also

• STB Cardiac Care patients
• Registry Patient Type

to do before go live

• does this fit in with all of STB Cardiac Care patients Template:Discussion
• This is a totally separate concept from the Cardiac service project. Cardiac service relates to the attending coverage while in ICMS. Sending service relates to patients previously admitted (at any hospital, I assume this includes the same hospital) who are sent to the ICU by a specific service. --LKolesar 07:32, 2015 June 19 (CDT)
• last-ish: clean up articles:
  • STB Cardiac Care patients and integrate with this one
  • STB_CCU_Collection_Guide
  • STB_CICU_Collection_Guide#ECMO_Patient_Type
  • STB Critical Care Collection Guide
  • Registry Patient Type
  • Any other articles? Template:Discussion

• "Once this tmp study section is active we can go back to making the pt type relate to the type of diagnosis." (Laura K)

• How about pt from ER after consult - is consult sufficient to "blame" consulted service? Ttenbergen 11:20, 2015 June 1 (CDT)