Bed borrow

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Revision as of 17:00, 2016 June 6 by Ttenbergen (talk | contribs) (m)
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A bed borrow is when a patient is located in one place while admitted under the physician of a different location.

more to come, this is being split out because it affects a bunch of things.

If a patient overflows into another unit, they are still patient of the unit where they are admitted and in the location on the laptop. Return to the unit is not a transfer.

Implication: mis-estimation of workload

Our decision to code borrowed beds according to their attending rather than to their physical location means we will underestimate work load in some places and overestimate it in others. There is no way to not have this problem in one direction or the other, so we decided on this one.

Background

The concept is important because it affects the Previous Location field, Service/Location field, Dispo field, various cross-checks, and concepts like EMIP, OVER, Definition of an ICU admission and Definition of a Medicine Service admission.

Some procedures like Cardioversion or hemodialysis can happen in a bed borrow situation.

According to HSC_Critical_Care_Collection_Guide#STB_CCU_transfers a bed there is sometimes borrowed before a pt is sent on to HSC CCU. Is that still true? Do we ever collect that pt while at STB_CCU?

The concept is the counterpart of an OVER - a patient who is counted as an OVER by one site would be seen as a bed borrow by the site where they actually are.