Arrive DtTm field: Difference between revisions

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(→‎Collection Instruction: summary; please make sure this makes sense now.)
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For each patient enter the date and time when the patient '''physically arrived''' on the ward.
For each patient enter the date and time when the patient '''physically arrived''' on the ward.


If the [[Accept DtTm field|Accept DtTm]] > [[Arrive DtTm field|Arrive DtTm]], make accept = arrive.
For [[off ward field | off ward]] patients,
* if the patient never does arrive on your unit, then the [[Arrive DtTm]] will be the same time as the [[Accept DtTm]]
* if the patient does arrive on your unit, then the [[Arrive DtTm]] will be the physical arrival on the unit, while the [[Accept DtTm]] will be when the service accepted care of the patient


=== patient who overflow to other units ===
If the [[Accept DtTm]] > [[Arrive DtTm]], make accept = arrive.
{{discussion}}
* Has there been a decision about the arrive date/time for ICU patients who overflow outside their units?--[[User:Jpeterson|Jpeterson]] 10:20, 2016 June 13 (CDT)
**This is my understanding: If the patient never does arrive on your unit, then the arrive date and time will be the same time as the accept date and time. If the patient does arrive on your unit, then the arrive time will be the physical arrival on the unit, while the accept time will be when the service accepted care of the patient.-[[User:Mlagadi|Mlagadi]] 15:18, 2016 June 14 (CDT)
 
ICU
*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 & [[Arrive DtTm field]] 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)
**There apparently is a discrepancy between some of the data collectors for the discharge/admit time of a patient who has a code on the ward and then admitted to the ICU. After a discussion with Trish, the time of admission to the ICU should be when the patient arrives in the ICU after the code.--[[User:Jpeterson|Jpeterson]] 13:03, 2016 May 13 (CDT)
***That is the way I have always done it, usually first vital signs unless clear charting otherwise.[[User:GHall|GHall]] 13:44, 2016 May 13 (CDT)
****now that we have an [[Accept DtTm field]], in the EPR, if you are able to find documentation when an ICU service accepted the patient prior to arrival to your unit, then you can fill in this field.  If there is no clear ICU acceptance date/time ''OR'' the patient stayed for example: in the PACU under ICU physican's care, but never moved into the ICU, then the '''Admit Data and time field''' + ([[Accept DtTm field]] + [[Arrive DtTm field]] will all be the SAME.--[[User:TOstryzniuk|Trish Ostryzniuk]] 14:57, 2016 May 13 (CDT)
*****great input everyone![[User:TOstryzniuk|Trish Ostryzniuk]] 14:57, 2016 May 13 (CDT)


== Data Use ==
== Data Use ==

Revision as of 17:09, 2016 June 23

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.

The Arrive DtTm field contains the date and time that a patient physically arrived on unit (Service/Location field).

Collection Instruction

For each patient enter the date and time when the patient physically arrived on the ward.

For off ward patients,

  • if the patient never does arrive on your unit, then the Arrive DtTm will be the same time as the Accept DtTm
  • if the patient does arrive on your unit, then the Arrive DtTm will be the physical arrival on the unit, while the Accept DtTm will be when the service accepted care of the patient

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

Data Use

Many things, need to pull them together Ttenbergen 12:59, 2016 March 21 (CDT)

Template:CCMDB Data Integrity Checks

Implemented:

Still needs confirmation/implementation:

  • function Panelling_admit_transfer_same(Pat_ID) - function is called as part of ADT_Chronological() and of Dx_Checker()
    • needs to be updated to check DISPO fields instead and be called by ADT Chronological
    • need to eliminate part of DISPO_chronological that breaks correct entry.


  • Minimal Data Set - or at least the date part is, will need instructions for that.

Implementation

no comments

Legacy

For Medicine this concept is related to old ER Wait date an time.

For ICU this concept is related to the old Admit date and time.

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