Moves for Medicine

Within each hospital in the Winnipeg Region, we track, by date, time and location, all individual medicine patients who are accepted and cared for by Medicine service physicians, in the emergency department and in "off service" beds within the facility for the period of time until they arrive onto to an available Med Service bed.

• if anyone wants to take a crack and shortening the above verbosity, please do so.--TOstryzniuk 19:50, 4 February 2010 (CST)

Purposes of collecting "Move" data:

1. To assess the "time delay" from when a patient is first accepted to Medicine Service in the ER (emergency room) to when the patient actually arrives in a medicine ward bed. (This is done in conjunction with admit time).
2. To assess how much time an in-service medicine patient spends on off service wards while still under a medicine service physician's care.
3. To report more accurately, the "actual" bed occupancy of medicine service patients at each hospital in the Region.

Move Record Required

• Move TO date/time - patients who are admitted from ER.
• Move FROM/TO date/time -for patients that come and go to off-service ward but still under Medicine service.
  • When a patient is "MOVED" from the emergency department (ER), the "actual arrival date/time" to a medicine ward, is recorded as the first "MOVE" in the TMP file on the PDA or in ACCESS.

See Admit, Transfer and Discharge date and time#Definition for Medicine for how to collect the date/time used in the "admit date/time" field.

Move Record NOT Required

Admitted/transfers from:

• ICU (MICU, SICU, CCU, IICU)
• between hospitals in the Region may or may not need a move unless parked in ER while waiting for a med bed.??
• operating room (OR), recovery room (RR)
• other "non medicine physician services" (i.e. Surgical Service)
• ambulatory care

Start and stop date

• Start Date: September 1, 2007
• Stop Date: none

Collection Guideline

Where to enter data

• L_TmpV2, Temp. Studies tab on the laptop

Follow the Temporary study guidelines with the following information:

• Moves project
• For each patient move, enter the to ward as the item, and the date & time from the unit log or nurses note.

Legacy Data

• Collection was started September 1, 2007
• Collection of Moves data made tagging of “overflows” in variable slots Med Var 3 & Med Var 5 at the VIC redundant (Nov 1.07 stopped).

• we will review this within one year
  • attempted to bring this up at Steering Comittee meetings for review and analysis without success so far.--Ttenbergen 18:26, 16 September 2009 (CDT)
  • will review with the CTU transition team (Tina emailed Sept 16 09)Ttenbergen 18:26, 16 September 2009 (CDT)

Reporting and Analysis

As per email from Julie from 11 sept 09: Haven’t done any analysis on this, just the data checking which had stopped for sometime. Will re-visit.

Data Structure

We capture medicine ward patient movements (moves) in L_TmpV2. The data is sent to and stored in TmpV2_1.mdb.