Night Time Discharges
The proportion of patients where Dispo is a ward or step-down and where where Dispo DtTm is between 22:00 and 06:59
| Indicators | |
| Indicator: | Night Time Discharge Rate |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | April 1, 2007 |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital.
QI domain
- Timely
- Efficient
- Safe
Reported as
Percent of discharges to ward per period of time.
Significance
Discharge from ICU at night occurs because of either the delay of an elective discharge, an unplanned discharge is forced due to inadequate ICU capacity. Night time discharges have been associated with adverse outcomes.
Sampling Plan / Procedure
Inclusion Criteria
100% of all survived ICU patients discharged to ward
Exclusion Criteria
Survived ICU patients who are not discharged to ward (e.g. OR, Home/PCH, other ICU)
Frequency
Month, quarterly or yearly with time reference based on ICU discharge dates.
Definition and Derivation
The proportion of patients discharged to the ward or step-down where discharge occurred between 22:00 and 06:59
Numerator
Num = Number of survived discharges to ward that occurred between 22:00 and 06:59
Denominator
Denom = Number of survived discharges to ward
Formula
Night Time Discharge Rate (%) = Num / Denom * 100
Example
- Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
- Total survived discharges to ward that occurred between 22:00 and 06:59 = 21
- Total survived discharges to ward = 102
- Night Time Discharge Rate(%) = 21 / 102 * 100= 20.6 %
Data Sources
The following fields from L_Log table are used :
- Discharge time (Hour) from Dispo DtTm field
- Dispo field
SAS Program
X:\Julie\SAS_CFE\CFE_macros\datetimes.sas
Report Users
- Critical Care Directors and Site Managers
- Critical Care Quality Improvement Team
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