Over Census at Midnight

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Percent of nights where ICU is at or over census

Indicators
Indicator: Over Census at Midnight
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Critical Care Program Quality Indicator Report


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Usually used in aggregate form as "per location" and/or "per timeframe", e.g. by day/month/quarter/year x Ward/Unit x Hospital.

QI domain

  • Timely

Significance

This measure captures the proportion of time where the ICU is functioning at or over capacity with respect to ICU beds. High occupancy indicates lack of critical care capacity or challenges with patient flow. A unit that has all their beds occupied will have difficulties admitting new patients in a timely fashion.

Sampling Plan / Procedure

Inclusion Criteria

All patients occupying a bed at midnight 00:00

Exclusion Criteria

Patients who left the unit before midnight 00:00

I think the inclusion and/or exclusion should include reference to Definition of a Critical Care Laptop Admission to be clear about which pts we don't include in the first place, e.g. pt in SICU still under surgeon's care]]. How would we best do that?

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Frequency

Monthly, quarterly or yearly based on calendar dates

Definition and Derivation

Daily night over census = 1 if the number of bed census at midnight >= Funded Beds. Otherwise, zero.

Percent of nights where ICU is at or over census based on occupied bed census each day at 00:00 and funded bed numbers

Numerator

Num = Sum of Daily night over census in a given period

Denominator

Denom = Number of calendar days on the same period

Formula

Percent of nights over census = Num / Denom

Data Sources

Admit DtTm, Dispo DtTm

SAS Program

S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\all_bed_occupancy.sas



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