Night Time Discharges: Difference between revisions

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==Sampling Plan / Procedure==
==Sampling Plan / Procedure==
===Inclusion Criteria===
===Inclusion Criteria===
100% of all  ward patients discharged out of hospital
100% of all  survived ICU patients discharged to ward
===Exclusion Criteria===
===Exclusion Criteria===
Excluding patients who left against medical advice (AMA), palliative patients in the count of readmission.
 


===Frequency===
===Frequency===


==Definition and Derivation==
==Definition and Derivation==
Number of Med ward readmission within 7 days per 100 discharges to hospital
The proportion of patients discharged to the ward or step-down where discharge occurred between 22:00 and 06:59


===Numerator===
===Numerator===
Num = Number of ward re-admission  within 7 days after being discharged out
Num = Number of survived discharges to ward that occurred between 22:00 and 06:59
 
===Denominator===
===Denominator===
Denom =Total Number of discharges who left the hospital (e.g. went home/nursing home, outside city, province or country)
Denom = Number of survived discharges to ward
===Formula===
===Formula===
Readmission Rate(%) = Num / Denom * 100
Night Time Discharge Rate (%) = Num / Denom * 100
===Example===
===Example===
*Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
*Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
*Total readmission within 7 days after discharge to hospital= 5
*Total survived discharges to ward that occurred between 22:00 and 06:59 = 21
*Total discharges who left the hospital= 102
*Total survived discharges to ward = 102
*Readmission Rate(%)  = 5 / 102 * 100= 4.9 %
*Night Time Discharge Rate(%)  = 21 / 102 * 100= 20.6 %


==Data Sources==
==Data Sources==
The following fields from L_Log table - [[Accept_DtTm field]] or [[Arrive DtTm field]], [[Dispo DtTm field]], [[Dispo field]],  the Project [[Comfort Care]] from L_TmpV2 table and diagnosis code [[Palliative Service]] from L_DXs table are used.
The following fields from L_Log table - Discharge time (Hour) from [[Dispo DtTm field]] and [[Dispo field]] are used.


==SAS Program==
==SAS Program==
X:\Julie\SAS_CFE\CFE_macros\medreadm.sas
X:\Julie\SAS_CFE\CFE_macros\datetimes.sas


==Report Users==
==Report Users==
Medicine Directors and Site  Managers
Critical Care Directors and Site  Managers
 
Critical Care Quality Improvement Team


[[Category: Data Use]]
[[Category: Data Use]]
[[Category: Reporting]]
[[Category: Reporting]]
[[Category: Statistical Analysis]]
[[Category: Statistical Analysis]]
[[Category:Multiple Encounter linking]]

Revision as of 16:44, 2017 August 23

The proportion of patients discharged to the ward or step-down where discharge occurred between 22:00 and 06:59

Indicators
Indicator: Night Time Discharge Rate
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Critical Care Program Quality Indicator Report


  • Cargo


  • SMW:
  • Categories
  • Default form:

QI domain

  • Timely
  • Efficient
  • Safe

Reported as

Percent of discharges to ward

Significance

Discharge from ICU at night occurs because of either the delay of an elective discharge, an unplanned discharge is forced due to inadequate ICU capacity. Night time discharges have been associated with adverse outcomes.

Sampling Plan / Procedure

Inclusion Criteria

100% of all survived ICU patients discharged to ward

Exclusion Criteria

Frequency

Definition and Derivation

The proportion of patients discharged to the ward or step-down where discharge occurred between 22:00 and 06:59

Numerator

Num = Number of survived discharges to ward that occurred between 22:00 and 06:59

Denominator

Denom = Number of survived discharges to ward

Formula

Night Time Discharge Rate (%) = Num / Denom * 100

Example

  • Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
  • Total survived discharges to ward that occurred between 22:00 and 06:59 = 21
  • Total survived discharges to ward = 102
  • Night Time Discharge Rate(%) = 21 / 102 * 100= 20.6 %

Data Sources

The following fields from L_Log table - Discharge time (Hour) from Dispo DtTm field and Dispo field are used.

SAS Program

X:\Julie\SAS_CFE\CFE_macros\datetimes.sas

Report Users

Critical Care Directors and Site Managers Critical Care Quality Improvement Team