Registry Patient Type

• NOTE: The collection of this data elements is scheduled to be dropped. I will let you know when. PDA and ACCESS changes need to be made before this field is allowed to be sent as a blank.TOstryzniuk 18:58, 18 December 2008 (CST)

• • Requirement to enter this field has been eliminated in the newest version of Access. Pending "OK" from Trish to stop collecting. Ttenbergen 12:50, 23 April 2009 (CDT)

Medicine

The Patient Type on your registry page can take one of two values:

Patient TYPE-Medicine Registry

S=Surgical (MED)

●admit from OR & is under Medicine attending physician service's care

●admit from RR & is under Medicine attending physician service's care

NOTE: ►If there is surgical patient that is under a surgical services care who is in a medicine bed we exclude from the database. This is not a medical service patient

M=Medical (MED)

●A patient who is admitted under a medical service attending physician for medical reasons.

Critical Care

Note for HSC and STB only

Patients in MICU under MICU attending physician service are that are "cardiac" type patients should always be coded as "M" for medical whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as “S” and in Var 5 put "SM".

Patient TYPE-ICU

S=Surgical (ICU)

●admit from OR

●admit from RR

●all Trauma (fall, MVA, stabbing, etc)

●all burns

●all upper GI bleeds

●all intracerebral bleeds

●Pt who undergoes a surgery related to primary reason to ICU in the first 48 hrs of admission to ICU

●Pt admitted from SURGICAL WARD

●Pancreatitis admitted to SICU unit

M=Medical (ICU)

●Arrests

●Cardiogenic shock

●CCU patient - intubated

●pts that don't fall into Surgical or Cardiac categories

●Pancreatitis - M-medical (if surgery in 48 hrs then S-surgical)

C=Cardiac (ICU)

●MI

●Rhythm

●Unstable angina / ACS

●CHF

●post angio or plasty (stable

●Pacemaker insertions (temp or permanent)

Discussion

• I have eliminated the "how to" questions since we have decided to stop collecting this. Ttenbergen 12:50, 23 April 2009 (CDT)

• I don't know if all would be in agreement with me but these categories of patient type do not depend on the diagnosis at all but instead should reflect the service that the patient is admitted under (attending physician) only. LKolesar
  • That is an interesting question, and I guess it depends on the usage of this data. Julie? Ttenbergen 19:49, 6 May 2008 (CDT)

• I saw that you are considering removing the cardiac, medical, surgical labeling of the patients? I collect this for our program manager and director. They are quite interested in how many surgical admissions we have per month and how many of those are ventilated. It would help me to keep collecting this part of the data. (I follow the definitions given to determine this status.) Hope you have a great day, and a wonderful Christmas! Betty
  • Thanks Betty. I am glad to hear that you follow the guide!! It is also good to hear how your site is using the data. I would suggest that if your site is interested in this information that you advise your site Director or Manager to discuss with Betty Lou Rock. The reason that we have decided to drop this element is because the information being collected is not consistent and therefore not reliable. Collector are not necessarily following the criteria in the guidelines. The PDA drop down list also allows for the selection of the wrong patient type if not careful. Tina makes a good point in that we are not sure how sites are using this data. Are the current criteria still suitable and do do they meet the needs of how the data is being used? It would be great to have input about patient types from those who use the data (managers, directors). Improving the quality of the data being collected is an ongoing process and I know the collectors are doing the best they can to obtain good data. The decision to drop is not solely based on collection problems but criteria also that may no longer be suitable. Again, feedback from managers and directors who use the information would help guide these decisions also.TOstryzniuk 17:53, 18 December 2008 (CST)
  • If we are eliminating these categories, why are they still in access? I find that they are very confusing to the managers. The MICU manager asked me about the numbers in her annual report and thought that the cardiac meant cardiac surgery patients. These categories are arbitrarily assigned. A cardiac surgery patient that comes to MICU as a weaning problem could be considered medical, surgical or cardiac. Take your pick. The sooner we eliminate these categories the better. If someone wants to know how many sugical cases are in a particular time frame, Julie can obtain this data based upon the diagnosis which is much more accurate. Trish, why don't we eliminate this and what is the delay? --LKolesar 19:14, 30 May 2010 (CDT)