Admit date and time: Difference between revisions

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We track '''Admit date and time''' for patients as part of our [[Minimal Data Set]], i.e. this his high-priority data that needs to be collected ASAP.  
The concept of "Admit date and time" is not as simple as it might seem due to the way we use it in reporting, and how it has been stored over time.  


The admit date is part of the [[Minimal Data Set]] and therefore a '''required field''' - you will not be able to send any records (even correct ones) if it is not filled out for any patient.
== Current definition as of 2021-04-21 ==
The most recent version is [[Admit DtTm]] as derived by [[Created_AdmitDtTm query]]


=== Definition for ICU ===
== Previous definitions ==
The admit date and time is when the patient '''actually arrives in the ICU'''.
{{LegacyContent
*For the ICU's the most accurate place to find this information is where the nurse first charted first vital signs on admission to the unit.
|explanation=[[Created_AdmitDtTm query]]
* If the admission time is 24:00/midnight use 00:01 hours as the admit time. (This is a change from the previous rule of using 23:59 hours as the admit time. The change corresponds with the transition to [[TISS28]] which does not have a 2 hour rule--change is effective 24:00 hours December 31, 2012) [[User:Mlaporte|Mlaporte]] 13:39, 2012 December 9 (EST)
|successor=[[Created_AdmitDtTm query]]
* See [[TISS 2 hour rule]] for admit and discharge date and time information that is specifically related to TISS.
* see [[Transfer time rule]] for info on expected differences between admit and previous discharge times when transferring
*I often have patients who are in PACU when accepted by SICU but have to stay in PACU as overflow.  I had been told when oriented to consider the time accepted by SICU as the admit time in these cases.  Should I be changing my practice to the time the patient actually comes to SICU, this sometimes never occurs as the bed space may never be found before the patient is discharged to the ward.--[[User:Jpeterson|Jpeterson]] 11:19, 2012 December 10 (EST)


=== Definition for Medicine ===
For Medicine, the '''admit date/time''' is when a patient was '''accepted''' to the '''medicine service'''.  See [[ER Wait]].


We do not use the actual arrival date/time to the ward as an admit time; if at all it is collected as described in [[ER Wait]].
|content=


Get the "accept to Medicine date/time" from one of the following in this order of preference:
''Arrive DtTm'' and ''Accept DtTm''
#physician's note accepting patient to their Service
#from the hospital admission sheet (e.g the white admission separation?/triage sheet at HSC)
#Often the actual time of admission is documented in the IPN (integrated progress note)) which is a hand written admission note by the nurse. We at HSC in medicine use this.--[[User:CMarks|CMarks]] 08:10, 26 January 2012 (CST)
** New form "Admission Request Form From Emergency Department" first line has Admit Order Written followed by date and time which is accurate.--[[User:CMarks|CMarks]] 08:54, 2015 January 29 (CST)


*FOR THOSE PATIENTS ADMITTED FROM E.R: 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.
The [[Admit date and time]] used to designate the time a patient was admitted to the ward/unit. For critical care it designated the time the patient physically arrived on the unit, the one for medicine when the patient was accepted to the medicine service.  
*FOR THOSE PATIENTS ADMITTED FROM ANOTHER WARD: use the date and time plus five minutes from the discharge date and time of the sending ward. [[User:DPageNewton|DPageNewton]] 15:17, 20 June 2011 (CDT)
* FROM ICU WITH A STOP IN DIALYSIS FOR TREATMENT: use the time they left ICU plus five minutes as the admit time to medicine. This was decided at the April 4,2013 task meeting.


====Source for this information - STB Medicine====
Collection instructions for this article were transferred to ''Arrive DtTm'' and ''Accept DtTm'' as appropriate and deleted from here to prevent accidental use of outdated information. See 2016-07-03 history of the article for old instructions, such as when this was encoded as field ''R_AdmDate''.  
*For Acute Care Medicine patients at STB - use the Doctors orders on the [[EPR]] as date/time accepted to Medicine Service.
*for Non Acute Care (C service) medicine patients at STB - use [[EPR]]'s registration tab/visit location/location history, for date/time accepted to medicine service.


==== For admissions from: '''ICU''', '''ambulatory''' or other '''medicine wards''' ====
== CCMDB Data Integrity Checks ==
For patients admitted directly from an ICU, ambulatory care or other wards the admission date/time is the date/time that they actually arrive to the medicine ward.(exception is if they have dialysis see above)
* Minimal_Data_Set#CCDMB_Data_Integrity_Checks for patients with Dispo DtTm before 2016-07-01
Also consider the [[Transfer time rule]].
 
== See also [[ER Wait]] ==
 
== {{CCMDB Data Integrity Checks}} ==
*[[Minimal_Data_Set#CCDMB_Data_Integrity_Checks]]


== Date and time formats ==
== Date and time formats ==
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== Data use ==
== Data use ==
Among other things, the times are used to generate statistics about  
Among other things, the times are used to generate statistics about  
* [[:Category: Length of stay | LOS]]
* [[LOS]]
* [[Multiple Encounter]]  
* [[Multiple Encounter]]
* [[Transfer Delay]]
* [[Transfer Delay]]
* [[bed occupancy]]
* [[Bed occupancy]]
 
== See Also ==
*[[Admit date and time]]
*[[Discharge date and time]]
*[[Transfer Ready date and time]]


== Legacy ==
== See also ==
This article was spun out from [[Interrelation between Admit, Discharge and Transfer Ready date and time]], see that article for any history missing from here.
* [[Admit date and time]]
* [[Discharge date and time]]
* [[Transfer Ready date and time]]
* [[Minimum data set]]
* [[ER Wait]]
}}


[[Category: Admit/Discharge]]
[[Category:Data structure]]
[[Category: Data Collection Guide]]
[[Category:Legacy Data structure]]
[[Category: Registry Data]]

Latest revision as of 16:21, 2022 September 1

The concept of "Admit date and time" is not as simple as it might seem due to the way we use it in reporting, and how it has been stored over time.

Current definition as of 2021-04-21

The most recent version is Admit DtTm as derived by Created_AdmitDtTm query

Previous definitions

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Arrive DtTm and Accept DtTm

The Admit date and time used to designate the time a patient was admitted to the ward/unit. For critical care it designated the time the patient physically arrived on the unit, the one for medicine when the patient was accepted to the medicine service.

Collection instructions for this article were transferred to Arrive DtTm and Accept DtTm as appropriate and deleted from here to prevent accidental use of outdated information. See 2016-07-03 history of the article for old instructions, such as when this was encoded as field R_AdmDate.

CCMDB Data Integrity Checks

  • Minimal_Data_Set#CCDMB_Data_Integrity_Checks for patients with Dispo DtTm before 2016-07-01

Date and time formats

see Date and Time Format

Data use

Among other things, the times are used to generate statistics about

See also

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