LOS Per Service: Difference between revisions

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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.
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.  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.


===Exclusion Criteria===
===Exclusion Criteria===

Revision as of 15:30, 2020 March 20

ICU days (Median)

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


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  • Categories
  • Default form:

QI domain

  • Efficient

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.

Sampling Plan / Procedure

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?

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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

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.

Exclusion Criteria

None

Frequency

  • Collected at time of ICU discharge;
    • 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)
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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

  • ICU Length of stay (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 = Arrive_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 or datetime_short.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)
  • Critical Care Quality Officer for HSC Op-Plan (HSC only)

Related articles

Related articles: