ECIP: Difference between revisions

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* As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
* As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
**  If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
**  If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
*On the online  Bed Board  (https://whiteboard.manitoba-ehealth.ca/whiteboard/icu), there is a column OFF_service Patients which means any patient overflowing to either Resuscitation room in ED, PACU/PARR, ICCS, etc. and entry is real time.  For HSC SICU, the common overflow  location is PACU (haven’t seen any at ER).  Only  GRA ICU shows overflows in ER. This may give us a clue for possible ECIP but not sure how DC will crosscheck the online bed board if the timing won't synchronized.  maybe we just have to ignore  SICU ECIP if there is such a thing. --[[User:JMojica|JMojica]] 16:27, 2020 October 6 (CDT)
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Revision as of 16:27, 2020 October 6

Emergency Critical Care InPatient.

ECIPs related to MICUs / under one of the Critical Care services

A critical care / MICU ECIP is a patient who was under the care of a Critical Care service in the ER and never made it to the MICU (see EMIP for scenarios). See Cognos_SubServices table in CCMDB.accdb for list.

  • Actually I am not sure if "* Critical Care / *" would always be MICU, the list includes "HSC Critical Care / Orthopedics" and "HSC Critical Care / Plastics", what does that even mean? Ttenbergen 15:36, 2020 October 6 (CDT)
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Such a patient will show up in the Cognos Report Integrator listings just like an EMIP patient.

  • How are these entered when they are found?
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ECIPs related to SICUs / not under one of the Critical Care services

A surgical / SICU ECIP is a patient who...

  • what would even be the actual definition of a surgical / SICU ECIP? There is no surgical equivalent to a "Critical Care service" it seems. Ttenbergen 15:36, 2020 October 6 (CDT)
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A patient who is not under the care of one of the Critical Care services (see Cognos_SubServices table in CCMDB.accdb for list) may show up in the Cognos Report Integrator listings if they were under one of a set of services we identified (see "* Surgery /*" in Cognos_SubServices table in CCMDB.accdb for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.

  • As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
    • If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
  • On the online Bed Board (https://whiteboard.manitoba-ehealth.ca/whiteboard/icu), there is a column OFF_service Patients which means any patient overflowing to either Resuscitation room in ED, PACU/PARR, ICCS, etc. and entry is real time. For HSC SICU, the common overflow location is PACU (haven’t seen any at ER). Only GRA ICU shows overflows in ER. This may give us a clue for possible ECIP but not sure how DC will crosscheck the online bed board if the timing won't synchronized. maybe we just have to ignore SICU ECIP if there is such a thing. --JMojica 16:27, 2020 October 6 (CDT)


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Collecting this info under Boarding Loc

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ECIPs in other locations

2020 Feb 18: Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER. I think he was not clear about what this is suppose to be. Not resolved.

    • So where else would these be? We already collect the PACU ones as boarding, but are there other locations at HSC? Eg does someone get accepted on H6 and then remains there instead of coming to the unit? Ttenbergen 15:36, 2020 October 6 (CDT)
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How to identify ECIPs in Cognos EPR Report

As EMIP, but with a Critical Care service.

How to identify critical care /MICU ECIPs in EPR Reports

EPR reports:

Admission Register

  • choose facility
  • choose dates needed
  • choose ER as unit
  • will list all inpatient clients in ER however, you can see which ones are under Critical Care Service
  • see below to cross reference which patients under critical care were discharged or transferred to another location, within your hospital, other than ICU
  • this list will also show you patients that are currently admitted in the ER under critical care service (if you are running a report with the most current date/time)

Discharge Register

  • choose facility
  • choose dates needed
  • choose ER as unit
  • choose attending providers "all"
  • will list all inpatients, look for those patients under critical care service, that were discharged to another facility or expired

Transfer Register

  • choose facility
  • choose dates needed
  • choose ER as unit
  • choose "from location" under "unit filters on"
  • choose "between unit transfers only" under "transfer type"
  • will list all inpatients, look for those patients under critical care service, that went to a location other than ICU

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