AcceptDateSource: Difference between revisions

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==Collection instructions==

For each patient admitted from the ER, enter one or more lines for this project.

**clarification: we are not collecting on pts who are direct admits but stop in ER? (Judy K.)

Enter '''one line for each document''' you came across that you could have used as source for the [[Accept DtTm]], enter the source/document:

Line 16:

Line 14:

** If '''multiple times''' are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item. [[User:JMojica|JMojica]] 10:29, 2017 January 31 (CST)

* '''coment/column Q'''': comment if item is "Guess" or "Other"

=== Options for "Item" ===

Use one of the following for the "Item":

* ER form-Request for Admit to inpatient unit

{| class="wikitable sortable"

* Inpatient ~~summary sheet (~~pink ~~sheet)~~

|-

* Dr. order

!| item

* Standard ICU ~~order sheet~~

!| description

* ICU ~~admission notes~~

!| sort order

* ICU ~~consult~~

|-

* HX & Physic note

|| ER form-Request for Admit to inpatient unit || || 1

* ER Dr note-ICU accepted the patient

|-

* EPR - see [[#location of accept dttm in EPR]]

|| Inpatient Summary Sheet || whatever colour, white at HSC or pink at Conc, Gra || 2

* Guess - no documentation

|-

* Other - enter in comment what it is

|| Dr. order || written order that our service physician order accepting the patient || 3

|-

|| Standard Order Sheet || ICU or Medicine || 4

|-

|| Admission Notes || ICU or Medicine || 5

|-

|| Consult Form || only consult to ICU or Medicine Services || 6

|-

|| HX & Physic note || || 7

|-

|| ER Dr note || note that ICU/med service accepted the patient || 8

|-

|| EPR - see wiki for field to use || see [[#location of accept dttm in EPR]] || 9

|-

|| Inpatient Demographic Sheet || || 9.5

|-

|| Guess - no documentation || || 10

|-

|| Other || enter in comment what it is || 11

|}

=== Clean-up Required ===

Pagasa will need to use the SQL code I sent to change any of those entered as "other" that would meet the definitions of the new options.

Specifically, what was initially entered as "other" with comment "WIDS – white inpatient demographic sheet (Vic site)" needs to be changed to '''Inpatient Demographic Sheet'''

When done this section can be deleted.

~~{{discussion}}~~

=== standard vs drs orders ===

*~~WIDS – white inpatient demographic~~ sheet ~~(Vic site)also white at hsc~~

* ... However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.

** ~~Is this a common place for this info~~ to be documented ~~at the Vic?YES every chart at the Vic has this~~. ~~Is it used elsewehre? Ttenbergen 10~~:01, 2017 ~~January 31~~ (CST)

** good point. We are trying to find out how things are documented though, so for now let's treat them differently, but thanks for letting us know that we can combine them. (discussed w Tina and Julie) [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)

*~~Can~~ the ~~drop down in the temp file just say inpatient summary sheet (because the color~~ could be ~~pink or white~~?)[[User:~~GHall~~|~~GHall~~]] 10:57, 2017 ~~January 31~~ (CST)

=== ICU vs Medicine ===

*~~Can the drop down in temp file just say standard order sheet instead of~~ ICU ~~standard orders because some~~ medicine ~~wards have standard orders~~[[User:~~GHall~~|~~GHall~~]] 11:02, 2017 ~~January 31~~ (CST)

* We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)

** We have changed anything that was specific to ICU so it could be medicine as well. Thanks, good point! [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)

== Preliminary documentation info ==

@@ Line 3: / Line 3: @@
 ==Collection instructions==
 For each patient admitted from the ER, enter one or more lines for this project.
-**clarification: we are not collecting on pts who are direct admits but stop in ER? (Judy K.)
 Enter '''one line for each document''' you came across that you could have used as source for the [[Accept DtTm]], enter the source/document:
@@ Line 16: / Line 14: @@
 ** If '''multiple times''' are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item.  [[User:JMojica|JMojica]] 10:29, 2017 January 31 (CST)
 * '''coment/column Q'''': comment if item is "Guess" or "Other"
 === Options for "Item" ===
 Use one of the following for the "Item":
-* ER form-Request for Admit to inpatient unit
+{| class="wikitable sortable"
-* Inpatient summary sheet (pink sheet)
+|-
-* Dr. order
+!| item
-* Standard ICU order sheet
+!| description
-* ICU admission notes
+!| sort order
-* ICU consult
+|-
-* HX & Physic note
+|| ER form-Request for Admit to inpatient unit ||  || 1
-* ER Dr note-ICU accepted the patient
+|-
-* EPR - see [[#location of accept dttm in EPR]]
+|| Inpatient Summary Sheet || whatever colour, white at HSC or pink at Conc, Gra || 2
-* Guess - no documentation
+|-
-* Other - enter in comment what it is
+|| Dr. order || written order that our service physician order accepting the patient || 3
+|-
+|| Standard Order Sheet || ICU or Medicine || 4
+|-
+|| Admission Notes || ICU or Medicine || 5
+|-
+|| Consult Form || only consult to ICU or Medicine Services || 6
+|-
+|| HX & Physic note || || 7
+|-
+|| ER Dr note || note that ICU/med service accepted the patient || 8
+|-
+|| EPR - see wiki for field to use || see [[#location of accept dttm in EPR]] || 9
+|-
+|| Inpatient Demographic Sheet ||  || 9.5
+|-
+|| Guess - no documentation || || 10
+|-
+|| Other || enter in comment what it is || 11
+|}
+=== Clean-up Required ===
+{{Discussion}}
+Pagasa will need to use the SQL code I sent to change any of those entered as "other" that would meet the definitions of the new options.
+Specifically, what was initially entered as "other" with comment "WIDS – white inpatient demographic sheet (Vic site)" needs to be changed to '''Inpatient Demographic Sheet'''
+When done this section can be deleted.
-{{discussion}}
+=== standard vs drs orders ===
-*WIDS – white inpatient demographic sheet (Vic site)also white at hsc
+* ... However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.
-** Is this a common place for this info to be documented at the Vic?YES every chart at the Vic has this.  Is it used elsewehre? Ttenbergen 10:01, 2017 January 31 (CST)
+** good point. We are trying to find out how things are documented though, so for now let's treat them differently, but thanks for letting us know that we can combine them. (discussed w Tina and Julie) [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)
-*Can the drop down in the temp file just say inpatient summary sheet (because the color could be pink or white?)[[User:GHall|GHall]] 10:57, 2017 January 31 (CST)
+=== ICU vs Medicine ===
-*Can the drop down in temp file just say standard order sheet instead of ICU standard orders because some medicine wards have standard orders[[User:GHall|GHall]] 11:02, 2017 January 31 (CST)
+* We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)
+** We have changed anything that was specific to ICU so it could be medicine as well. Thanks, good point! [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)
 == Preliminary documentation info ==