Avoidable Days (Critical Care): Difference between revisions
No edit summary |
|||
| Line 22: | Line 22: | ||
===Frequency=== | ===Frequency=== | ||
* Once the transfer | * Once the transfer order has been written and the allowable 4.0 hours has elapsed, compute [[Transfer Delay]] or the total time it takes for ICU patient to leave the unit. | ||
**If no time is indicated with the transfer | **If no time is indicated with the transfer order date a proxy time of 10:00 am for day shift and midnight for night shift will be used for calculation purposes. | ||
**If more than one transfer | **If more than one transfer order has been written, use the transfer order date & time closest to actual ICU transfer | ||
* To be completed at time of discharge from ICU, compute the total days spent in ICU (refer as [[LOS]]) | * To be completed at time of discharge from ICU, compute the total days spent in ICU (refer as [[LOS]]) | ||
* To be calculated and reported on a monthly, quarterly or yearly basis based on either ICU Admission Dates or ICU Discharge Dates. | * To be calculated and reported on a monthly, quarterly or yearly basis based on either ICU Admission Dates or ICU Discharge Dates. | ||
* For the Director reports, the discharge dates are used as the time of reference. | * For the Director reports, the discharge dates are used as the time of reference. | ||
==Definition and Derivation== | ==Definition and Derivation== | ||
Avoidable days is defined as the total time from date/time of transfer | Avoidable days is defined as the total time from date/time of transfer order to date/time transfer out of ICU (in hours) less 4.0 hours (and divided by 24 to give yield total avoidable days) | ||
{{Discussion}} | |||
What are we measuring, the time from the written order or the time from when they are stable enough to transfer. The later will require judgement from data collectors. Not all ICU's are great at writing the orders for transfer when the patients are obviously ready. This delay occurs for many reasons. | |||
===Numerator=== | ===Numerator=== | ||
Num = Total [[Transfer Delay]] in a given period | Num = Total [[Transfer Delay]] in a given period | ||
| Line 41: | Line 41: | ||
===Example=== | ===Example=== | ||
*Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017 | *Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017 | ||
*Total Avoidable Days of all patients with transfer | *Total Avoidable Days of all patients with transfer orders = 254.5 | ||
*Total LOS of all ICU discharges = 1175.3 | *Total LOS of all ICU discharges = 1175.3 | ||
*Avoidable Days (%) = 254.5 / 1175.3 * 100= 21.7% | *Avoidable Days (%) = 254.5 / 1175.3 * 100= 21.7% | ||