Definition of a Critical Care Laptop Admission: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
LKolesar (talk | contribs)
Cleaning up short-stay stuff, THANKS LAURA for getting me the link to the LOS article I will also clean up. Also, question for Julie/Trish re definition.
Line 1: Line 1:
The definition of an "ICU patient" for the Regional ICU Database is:  
The definition of an "ICU patient" for the Regional ICU Database is:  
*admitted under an ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.   
*admitted under an ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.   
== Problem with definition at STB ==
{{discussion}}
*This definition may work for some ICU's (closed units), however, at STB in ICMS we have Cardiologists who also admit to this ICU and who attend the patient.  (This may change when the new CCU opens which is planned for late June 2016 because they will be accepting intubated patients and IABP patients in the new CCU, so they may not need to put their patients into ICMS very often then).  --[[User:LKolesar|LKolesar]] 12:40, 2016 May 19 (CDT)
*This definition may work for some ICU's (closed units), however, at STB in ICMS we have Cardiologists who also admit to this ICU and who attend the patient.  (This may change when the new CCU opens which is planned for late June 2016 because they will be accepting intubated patients and IABP patients in the new CCU, so they may not need to put their patients into ICMS very often then).  --[[User:LKolesar|LKolesar]] 12:40, 2016 May 19 (CDT)
 
** Trish, Julie, do we need to adjust the definition? Ttenbergen 10:43, 2016 June 8 (CDT)
== Short stay ICU patients ==
There might be some inconsistency.
 
I remember reading somewhere that we don't include short stay ICU patients but now can't find it. Could someone link to that location pls?
On the other side, I just transferred the following from the Arrest Category because it belongs here, really:
"As of October 24, 2011 all patients that arrive in the ICU in the process of [[:Category: Arrest | resuscitation]] should be included in the database, even if they are there for a [[LOS | short lenght of time]] and subsequently pass away.  This has been recommended by the [[ICU Database Task Group]] and approved by [[Dr. Dan Roberts]] from the [[:Category:Steering Committee | Steering Committee]]. Do the best you can to formulate an apache score either with vital signs & labs during the resuscitation, if available, or the vital signs & labs just before the arrest if available. --[[User:LKolesar|LKolesar]] 08:41, 25 October 2011 (CDT
**The link below has the old standard in legacy that we used to not include short stay resuscitation patients but this changed later: 
**http://ccmdb.kuality.ca/index.php?title=LOS  (look under "legacy" in this link)--[[User:LKolesar|LKolesar]] 06:53, 2016 June 7 (CDT)


== Beds borrowed in ICU are '''not''' ICU admissions ==
== Beds borrowed in ICU are '''not''' ICU admissions ==
Line 18: Line 13:
* [[Definition of a Medicine Service admission]].
* [[Definition of a Medicine Service admission]].
* also see: [[Identifying ICU admissions]]
* also see: [[Identifying ICU admissions]]
== Legacy ==
We used to exclude short stay patients (e.g. resuscitation failed and patient died after a few minutes in ICU). As of October 24, 2011 all patients that arrive in the ICU in the process of [[:Category: Arrest | resuscitation]] should be included in the database, even if they are there for a [[LOS | short lenght of time]] and subsequently pass away.  This has been recommended by the [[ICU Database Task Group]] and approved by [[Dr. Dan Roberts]] from the [[:Category:Steering Committee | Steering Committee]].


[[Category: Critical Care Element]]
[[Category: Critical Care Element]]

Revision as of 09:43, 8 June 2016

The definition of an "ICU patient" for the Regional ICU Database is:

  • admitted under an ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.

Problem with definition at STB

Template:Discussion

  • This definition may work for some ICU's (closed units), however, at STB in ICMS we have Cardiologists who also admit to this ICU and who attend the patient. (This may change when the new CCU opens which is planned for late June 2016 because they will be accepting intubated patients and IABP patients in the new CCU, so they may not need to put their patients into ICMS very often then). --LKolesar 12:40, 2016 May 19 (CDT)
    • Trish, Julie, do we need to adjust the definition? Ttenbergen 10:43, 2016 June 8 (CDT)

Beds borrowed in ICU are not ICU admissions

See bed borrow

Related Articles

Legacy

We used to exclude short stay patients (e.g. resuscitation failed and patient died after a few minutes in ICU). As of October 24, 2011 all patients that arrive in the ICU in the process of resuscitation should be included in the database, even if they are there for a short lenght of time and subsequently pass away. This has been recommended by the ICU Database Task Group and approved by Dr. Dan Roberts from the Steering Committee.