Night Time Discharges
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 |
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 ward patients discharged out of hospital
Exclusion Criteria
Excluding patients who left against medical advice (AMA), palliative patients in the count of readmission.
Frequency
Definition and Derivation
Number of Med ward readmission within 7 days per 100 discharges to hospital
Numerator
Num = Number of ward re-admission within 7 days after being discharged out
Denominator
Denom =Total Number of discharges who left the hospital (e.g. went home/nursing home, outside city, province or country)
Formula
Readmission Rate(%) = Num / Denom * 100
Example
- Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
- Total readmission within 7 days after discharge to hospital= 5
- Total discharges who left the hospital= 102
- Readmission Rate(%) = 5 / 102 * 100= 4.9 %
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.
SAS Program
X:\Julie\SAS_CFE\CFE_macros\medreadm.sas
Report Users
Medicine Directors and Site Managers