Change to start collection at accept rather than arrive time
Page to track required and completed tasks to move to collecting data from Accept DtTm. If and when any of these things are changed there would be further discussion and documentation. |
We have not started to actually do this, this page just tracks a discussion, anything that is implemented will be documented so.
This is actually related to PatientFollow Project - a lot of the things we need to work out for each are the same.
mixed bag, not yet broken out, copied from Task meetings
- For Medicine and ICU patients we begin our record when our service takes over care, NOT when the patient reaches their designated “home” location. This means that procedure codes, and counts of things (e.g. transfusions) will start when our service takes over, including any/all time spent on that service (e.g. time in ED or PACU, or other “boarding” location).
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Identification of patients - how do we make sure we capture everyone
Right now our process for identifying patients is poorly documented and defined. This needs to be brought to a useful current state before we change any of it.
- Identifying ICU admissions
- Identifying patients in boarding locations
- STB ICCS/CICU Cardiac Surgery patients will have an accept time starting when the pt. arrives in the ICU. If a Cardiac Surgery patient is accepted back to the ICU after they have already been transferred to the ward (CR4), then the accept time is when the ICU has agreed to take them to the ICU, and they are considered a boarded pt. from that time (TISS will be required for the boarded time)
If we use Cognos EPR Report exclusively we should be able to catch this, but while some sites use other methods those methods (which are not always documented) would need to be adjusted.
This ties into many things:
- Definition of a Medicine Service admission
- Definition of an ICU admission
- there may be more
TISS
ADLs
See question at ADL General Collection Information#Timeframe
GCS
See question at Glasgow Coma Scale.
Reporting
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