LOS Per Service
ICU days (Median)
| Indicators | |
| Indicator: | LOS Per Service |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report, Directors Quarterly and Annual Report (Critical Care) |
QI domain
- Efficient
Significance
Length of stay is an important measure for utilization purposes and is frequently used as a measure of ICU resource use. LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.
Sampling Plan / Procedure
All ICU admissions - see Definition of a Critical Care Laptop Admission .
If transfers occur within ICU’s within the same facility eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.
Inclusion Criteria
Include all admissions to ICU being taken care by the same service wherever the patients are physically present (in a bed in the unit or in a borrowed bed in another location). See Definition of a Critical Care Laptop Admission for further information about which patients are included.
Exclusion Criteria
None
Frequency
- Reported when patient had been discharged out of ICU.
- Reported on a monthly or quarterly basis as an average and median value
- Reported as total value when used as denominator in the calculation of other indicators.
Definition and Derivation
- ICU Length of stay (ICU_LOS) = ICU discharge date/time – ICU admit date/time (expressed in days) where ICU discharge date/time = Dispo_DtTm and ICU admit date/time = Admit DtTm
- Average ICU_LOS (in days to 1 decimal place)
- Median ICU_LOS (in days to 1 decimal place)
- Total ICU_LOS (in days to 1 decimal place)
Numerator
For Average ICU_LOS, the numerator is Sum of Length of ICU stay of all discharges
Denominator
For Average ICU_LOS, the denominator is Number of discharges
Data Sources
- Arrive DtTm and Dispo DtTm
- Can also be taken from the Created_Variables_CC table of CFE
SAS Program
The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )
Report Users
- Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
- Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)
- Critical Care Quality Officer for HSC Op-Plan (HSC only)