Registry Patient Type

Collection of this element was discontinued around 23 April 2009 because consistent classification of patients was not possible.

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

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)

HSC and STB only: see #Note for HSC and STB only everywhere else: MI Rhythm Unstable angina / ACS CHF post angio or plasty (stable Pacemaker insertions (temp or permanent)

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".

New for STB as of October 1, 2010

Registry Patient Type for cardiac patients only will be determined by the service. Cardiac type means that Cardiology service is looking after the patient. If MICU takes over the patient, then Medical patient type will apply in these cases only. --LKolesar 11:15, 21 October 2010 (CDT)

• Example:
  • CCU patient in MICU bed under cardiac physician service care:
  • Hosp_Loc: STB_MICU
  • Reg Pt Type: C
• This patient gets transferred to STB ICU Medicine service care physician but stays in same STB_MICU/SICU bed. Discharge to: BM
  • New profile
  • Admit From: BM
  • Hosp_Loc: STB_MICU
  • Reg Pt type: M

• I find for some patients it can be difficult to categorize into patient type. For example, a cardiac surgery patient that is transferred to MICU because of post op complications? Should this be medical, surgical or cardiac??? Under service type, the patient would be medical but they are a post op patient which will ultimately be transferred to a surgical ward. We need to clarify these patient type definitions if we plan to keep them. --LKolesar 11:25, 21 October 2010 (CDT)

• • I will ask Betty Lou and Randy. --TOstryzniuk 14:00, 28 October 2010 (CDT)

Why is this data still on reports if no longer collected?

• Julie, we are going to stop patient type for all sites except for STB MICU/SICU on Jan 1.11......any thoughts, concerns, options? thank you.--TOstryzniuk 13:39, 28 October 2010 (CDT)
  • we will not stop collecting this element on Jan 1.11 because Julie is still reporting patient Registry Types and ICU's are requesting this information. The only quidelines that will change for Reg Pt Type is for STB MICU/SICU. SEE: New for STB as of October 1, 2010 above--TOstryzniuk 13:52, 28 October 2010 (CDT)