Accept DtTm field

The Accept DtTm field contains the date and time when the attending physician accepts a patient from the ER department ONLY. This is applicable for both ICU and Medicine Database Program

Collection Instruction

Only for patients admitted from the ER department enter the date/time that the service physician accepted the patient.

If there is no clear record of the accept date/time, enter the Arrive_DtTm field and then click the "set accept_DtTm to Arrive_DtTm" button to copy the DtTm across.

If the Accept DtTm > Arrive DtTm, make accept = arrive

• • Leave field blank for all other patients.--CMarks 15:18, 2016 July 25 (CDT)
    • For patients who have been accepted by medicine from another hospital but have a wait time in ER (who used to be called Direct Admissions), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time. --CMarks 15:36, 2016 August 25 (CDT)

Possible documentation locations

• admission/separation registers
• EPR
  • use the date and time from the "accepted to service" on the EPR orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.
• Physician Order sheet
• hospital admission sheet (e.g the white admission separation?/triage sheet at HSC)
• the IPN (integrated progress note)) which is a hand written admission note by the nurse. We at HSC in medicine use this.--CMarks 08:10, 26 January 2012 (CST)

When does collection start?

see

• Definition of an ICU admission
• Definition of a Medicine Service admission

Data Use

Patient flow

• medicine program: to monitor delays to move patient from ER to Med ward bed
• as pf July 2016 onward - ICU same purpose

Template:CCMDB Data Integrity Checks

• Function Dispo Chronological()
• Function long LOS()

Legacy

This field is part of the 2016 Time and Place changes.

For medicine this concept is related to admit date and time (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER.

For critical care this concept is related to Service Sending to ICU. (There is no comparable field in ICU for this in the old system).