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| We track the time medicine patients spend in the ER before being admitted to a medicine ward bed. | | {{LegacyContent |
| | |explanation=Now calculated from [[Boarding Loc]] entries |
| | |successor=[[ER Delay]] |
| | |content= |
| | We used to track the track the time accepted medicine patients spent in the ER before physically arriving on the ward/unit in the tmp file. See [[ER Delay]] for how this is tracked now. |
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| == Purposes of collecting "ER Wait" data: ==
| | Review article history for legacy info, deleted to avoid confusion. |
| To assess the "time delay" from when a patient is first accepted to Medicine Service while in the site's own ER (emergency room) to when the patient actually arrives in a medicine ward bed of the same hospital. (This is done in conjunction with [[Admit date and time | admit time]]).
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| | == Legacy Info == |
| | *Start Date: June 4, 2011 |
| | **NOTE: September 1, 2007 ER Wait was included with Moves Tmp Project Data for Medicine |
| | *Change Date: July 1, 2016 |
| | **old TMP Project ER wait data from June 4, 2011 to Jun 30, 2016 for Medicine profiles, was migrated into the ''Accept DtTm field'' |
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| == Collection Guideline ==
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| For every patient admitted from the ER, enter date and time arrived to medicine ward bed
| | [[Category: Legacy Data]] |
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| *Any patient admitted '''from the ER''' must have one ER Wait date/time entered into tmp file. It does not matter if first bed moved to into an in-service or off-service bed.
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| *project: '''ER_Wait'''
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| *as appropriate one of the following items
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| **'''ER admission''' - is a patient who is admitted '''TO a medicine service physician ''' '''FROM a '''ER physician service.
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| **'''[[Direct admit|Direct Admission]]''' - A direct admission means direct admission '''TO medicine physician service''' but for some reason parked in ER before going to a ward bed. These patients are NOT admitted under a ER physician service prior to being accepted to medicine service. (NOTE: Inter-facility transfers in the region, e.g. ward to another hospital's ward, are not included in this project.)
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| *the date & time arrived in med ward bed from the unit log or nurses note.
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| ===TMP file entry===
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| *PROJECT:
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| **ER_Wait
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| *ITEM:
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| **ER Admit (NOTE: For Medicine this is the '''ward arrival''' date and time)
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| **direct admit
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| *Column E: Date (arrived on ward bed)
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| *Column M: time (arrived to ward bed)
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| {{Discussion}}
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| *The Item label, in TMP, for this project would prefer it to be changed to: ''' ward arrival''' rather than ER Admit. This is more intuitive label.-[[User:TOstryzniuk|Trish Ostryzniuk]] 18:23, 2015 December 8 (CST)
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| == Collection Parameters ==
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| *Start and stop date
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| **Start Date: June 4, 2011
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| **Stop Date: none
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| *Data is sent when complete and upon final check.
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| *Data is saved in L_TmpV2 under Project 'ER_Wait' of the centralized_data.mdb
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| *Prior ER Wait data
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| **From Sept 1, 2007 to June 3, 2011, ER wait is under the Project 'Moves' ([[Moves for Medicine]]).
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| **Note that the collection guideline of the Project 'Moves' is different from the Project ER_Wait.
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| == Reporting and Analysis ==
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| *ER Wait is calculated as the difference between the Arrival in Ward Date_time - Admit Date_Time
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| *The SAS Program to read the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_ERWait.sas
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| =={{Data Integrity Checks}}==
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| === ER Wait and from-ER consistency ===
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| * uses the following queries
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| ** s_tmp_ER_Wait_has_tmp_not_from_ER - error if ER wait entry but is not from ER
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| ** s_tmp_ER_Wait_from_ER_no_ER_Wait - error if from ER but has no ER wait entry
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| ** s_tmp_ER_Wait_chronological - error if tmp date/time is null or is <= admit date/time
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| ** s_tmp_ER_Wait_long_delay - gives error if delay is > 3 days
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| == Data Structure ==
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| We capture ER Wait (moves) in [[L_TmpV2]].
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| The data is sent to and stored in [[TmpV2_1.mdb]].
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| [[Category: Medicine Elements]]
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| [[Category: L_TmpV2 Data]]
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| [[Category: All Projects Medicine Only]]
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| [[Category: Multiple Encounter linking]]
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| [[Category: Dispo]]
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