LOS Per Service: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
mNo edit summary
 
(23 intermediate revisions by 2 users not shown)
Line 1: Line 1:
{{Reporting Indicators
{{Reporting Indicators
| description = ICU days (Median)
| description = ICU days (Mean and/or Median)
| indicator_name = {{PAGENAME}}
| indicator_name = {{PAGENAME}}
| created_raw = Created
| created_raw = Created
| program = Critical Care
| program = Critical Care
| indicator_start_date =  
| indicator_start_date = 1988-07-11
| indicator_end_date =  
| indicator_end_date = 2300-01-01
}}
}}
 
Usually used in aggregate form as "per location" and/or "per timeframe", e.g. month/quarter/year x Ward/Unit x Hospital.
===QI domain===
===QI domain===
*[[QualityDomain::Efficient]]
*[[QualityDomain::Efficient]]
   
   
==Significance==
==Significance==
Length of stay is an important measure for utilization purposes and is frequently used as a measure of ICU resource use.  LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.
Length of stay (LOS) is an important measure for utilization purposes and is frequently used as a measure of ICU resource use.  LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.


==Sampling Plan / Procedure==
==Sampling Plan / Procedure==
{{Discuss | who=Julie | question= Right now this is slightly inconsistent with [[Definition of an ICU admission]] which doesn't explicitly exclude the ER pts. I have flagged that page for task review. Once that is done, can we just use that definition here as well to ensure consistency? }}
All ICU admissions  - see  [[Definition of a Critical Care Laptop Admission]] .
 
If transfers occur within ICU’s within the same facility  eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.


All ICU admissions. Admissions from Emergency Department are considered an ICU admission when patient physically arrives in the ICU. If transfers occur within ICU’s within the same facility  eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.
===Inclusion Criteria===
===Inclusion Criteria===
Include all admissions to ICU. Include all patients physically present in a bed under the direct control of the reporting ICU or patients admitted to the care of the ICU but not physically present in an ICU bed. {{discuss | who=Julie | question= need to confirm the last part? }}
Include all admissions to ICU being taken care by the same service wherever the patients are physically present (in a bed in the unit or in a borrowed bed in another location).  See [[Definition of a Critical Care Laptop Admission]] for further information about which patients are included.  


===Exclusion Criteria===
===Exclusion Criteria===
None
None
===Frequency===
===Frequency===
{{Discuss | who = Julie | question =
* Reported when patient had been discharged out of ICU.
* Collected at time of ICU discharge;
* Reported on a monthly or quarterly basis as an average and median value  
** that's not technically true, right? It's collected whenever. Are you actually talking about when it's reported here then? That it is only reported after discharge? Is that true, are we excluding pts who are still admitted in this? Or am I misunderstanding the whole thing? Ttenbergen 19:34, 2019 August 13 (CDT)}}
* Reported as total value when used as denominator in the calculation of other indicators.
 
reported on a monthly or quarterly basis as an average and median value or the total value is used as part in the calculation of other indicators.


==Definition and Derivation==
==Definition and Derivation==
* ICU Length of stay (ICU_LOS) = ICU discharge date/time – ICU admit date/time (expressed in days)
* ICU LOS = ICU discharge date/time – ICU admit date/time (expressed in days) where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[Admit DtTm]]
where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[Arrive_DtTm]]
* Average ICU LOS (in days to 1 decimal place)
* Average ICU_LOS (in days to 1 decimal place)
* Median ICU LOS (in days to 1 decimal place)
* Median ICU_LOS (in days to 1 decimal place)
* Total ICU LOS (in days to 1 decimal place)
* Total ICU_LOS (in days to 1 decimal place)
===Numerator===
===Numerator===
For Average ICU_LOS,  the numerator is Sum of Length of ICU stay of all discharges
For Average ICU LOS,  the numerator is Sum of Length of ICU stay of all discharges
===Denominator===
===Denominator===
For Average ICU_LOS, the denominator is Number of discharges
For Average ICU LOS, the denominator is Number of discharges


==Data Sources==
==Data Sources==
* [[Arrive DtTm]] and [[Dispo DtTm]]
* [[Admit DtTm]] and [[Dispo DtTm]]
* Can also be taken from the query [[Created_variables_common]] of [[CFE]]
* Can also be taken from the [[Created_Variables_CC 2021 table]] of [[CFE]]


==SAS Program==
==SAS Program==
The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )
The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and datetimes.sas


==Report Users==
==Report Users==
* Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
* Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
* Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)
* Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)
* Critical Care Quality Officer for HSC Op-Plan (HSC only)


== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}


[[Category: Length of stay]]
[[Category:Length of stay]]
[[Category:Created Variables]]

Latest revision as of 15:08, 2023 April 19

ICU days (Mean and/or Median)

Indicators
Indicator: LOS Per Service
Created/Raw: Created
Program: Critical Care
Start Date: 1988-07-11
End Date: 2300-01-01
Reports: Critical Care Program Quality Indicator Report, Directors Quarterly and Annual Report (Critical Care)


  • Cargo


  • SMW:
  • Categories
  • Default form:

Usually used in aggregate form as "per location" and/or "per timeframe", e.g. month/quarter/year x Ward/Unit x Hospital.

QI domain

  • Efficient

Significance

Length of stay (LOS) is an important measure for utilization purposes and is frequently used as a measure of ICU resource use. LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.

Sampling Plan / Procedure

All ICU admissions - see Definition of a Critical Care Laptop Admission .

If transfers occur within ICU’s within the same facility eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.

Inclusion Criteria

Include all admissions to ICU being taken care by the same service wherever the patients are physically present (in a bed in the unit or in a borrowed bed in another location). See Definition of a Critical Care Laptop Admission for further information about which patients are included.

Exclusion Criteria

None

Frequency

  • Reported when patient had been discharged out of ICU.
  • Reported on a monthly or quarterly basis as an average and median value
  • Reported as total value when used as denominator in the calculation of other indicators.

Definition and Derivation

  • ICU LOS = ICU discharge date/time – ICU admit date/time (expressed in days) where ICU discharge date/time = Dispo_DtTm and ICU admit date/time = Admit DtTm
  • Average ICU LOS (in days to 1 decimal place)
  • Median ICU LOS (in days to 1 decimal place)
  • Total ICU LOS (in days to 1 decimal place)

Numerator

For Average ICU LOS, the numerator is Sum of Length of ICU stay of all discharges

Denominator

For Average ICU LOS, the denominator is Number of discharges

Data Sources

SAS Program

The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and datetimes.sas

Report Users

  • Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
  • Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)

Related articles

Related articles: