Dispo field

The Dispo field contains information about what happens to the patient at the end of their admission.

Collection Instruction

For each patient,

• enter the location that most closely matches
  • consider bed borrows

Alternatively,

• for patients who expire, one of
  • "Died - Organ_Donor" (follow definitions in that article)
  • "Died - NOT Organ Donor"
• for patients who leave against medical advice, enter "AMA (left against medical advice)" (type "AMA" to open up drop down where you want it)

If you know the location exactly, you can type it. Otherwise press the "?" button to take you to the S dispo chooser‎ to help filter options if desired.

For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.

Discharge to ER

If a patient is discharged to another ER, put discharge to home. Then email Pagasa to tell her which ER the pt was discharged to. We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate discharges to ER we will make the option available. (discussed with Julie and Trish) Ttenbergen 16:04, 2016 September 1 (CDT)

See Also

• Operating room visits

Question: discharge to recovery/detox centre

• I have a patient discharged to Aurora Recovery Centre in Gimili (detox centre). The patient is from Ontario. What do I put as Dispo? It does not really fit into what is already in the dispo field (i.e. - not home (they are from ON), not another hospital, the location IS known). Suggestions?... Mschaffer 12:53, 2016 September 27 (CDT)
  • we have one 'Out-of-WPG - unknown' and OTHER should be added to it (Tina, pls add). I think that is the best choice where Aurora Recovery Centre is included under OTHER. JMojica 09:51, 2016 September 28 (CDT)

Data Use

• Mortality Rate
• Intra or Inter Transfer Rate
• Discharges out of hospital
• Organ donor rate
• AMA Rate
• Linking admissions

Template:CCMDB Data Integrity Checks

• Can not be blank
• location_NE_dispo() - Service/Location field can't be same as Dispo field

Following might still need to be implemented:

• Check organ donors must be dead - this is a dx cross check - can it wait for ICD10? Template:ICD10 Actually, I don't think this dx will be available in ICD10, since it's not a diagnosis. So, likely it will only be coded in dispo field once ICD10 is in place, at which point this comment could go. Ttenbergen 09:56, 2016 June 16 (CDT)

Implementation

The field is populated with options from the s_dispo table.

Legacy

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

It a combination of our previous

• Discharge To
• Var 2 - Discharge-to Ward
• ICU Var 6 - AMA
• Survive / Expired

Related articles:

• Organ Donor/Braindead

Very early missing Discharge-tos

There are 6762 very old ICU records who are listed as survived but don’t have a discharge-to. This is from HSC-only days when there simply were no checks. We will leave these be, just documenting here.

This will become relevant to the Dispo field when data is brought across from the old discharge to field.