Definition of a Medicine Laptop Admission
For Critical Care, see Definition of an ICU_admission
The definition of a "Medicine patient" for the Regional Medicine Database is:
- admitted under a Medicine service attending physician. If patient doesn't meet this definition then we don't collect data and enter into the Medicine database.
Collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).
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Clear out or reconcile EPR Reports, Discharge Register, Transfer Register, Definition of a Medicine Service admission, Definition of an ICU admission |
Special cases - Inclusion of extra patients
This is about the inclusion of some pt not attended by Internal Medicine Attendings. Generally we only include pts under Internal Medicine Service, but the following are exceptions where we collect even though pt is under other physician:
- all "HSC Internal Med / Neurology" patients that are admitted to HSC HOBS, once they are discharged/transferred out of HOBS, we no longer follow the patient. (per Dan Roberts, see also HSC Medicine Collection Guide)
- all nephrology patients
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- At STB patients admitted under SBGH Internal Med/Nephrology are collected and included in the database.
Special cases - Exclusion STB Oncology patients
We don't collect Oncology patients at STB that are admitted only for chemotherapy. These are short stay patients with only nursing IPN entries. If these patients develop complications they are transferred to Internal medicine service for the duration of hospital stay. Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2020#ICU_Database_Task_Group_Meeting_.E2.80.93_November_18.2C_2020 Confirmed at Task Meeting.
These are excluded by excluding the following services from our Cognos Report Integrator:
- "SBGH Internal Med / Oncology"
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Special cases - Exclusion STB Interventional Radiology patients
- STB_Med - interventional radiology will admit a patient for an overnight procedure, we are not following these
- This is correct, we do NOT follow interventional radiology patients who stay overnight for procedures. Your first clue that it's not an internal medicine is the attending physician. The attending physician will be an interventional radiologist, not an internal medicine doc. DPageNewton 08:11, 2020 November 19 (CST)
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Special cases - Exclusion HSC H6 patients
- patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology"
- H6 is also a medicine contingency ward, so we do follow some patients on H6 Lisa Kaita 10:59, 2020 November 4 (CST)
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