Overstay Predictor Project: Difference between revisions
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#What does RED tag indicate? This is not really clear to me in algorithm.[[User:TOstryzniuk|Trish Ostryzniuk]] | #What does RED tag indicate? This is not really clear to me in algorithm.[[User:TOstryzniuk|Trish Ostryzniuk]] | ||
#Where on the chart will this new form be and will it be a colored form?[[User:TOstryzniuk|Trish Ostryzniuk]] 10:43, 2012 April 24 (CDT) | #Where on the chart will this new form be and will it be a colored form?[[User:TOstryzniuk|Trish Ostryzniuk]] 10:43, 2012 April 24 (CDT) | ||
#the time we use as the time of admission will be different than the time of admission to the unit, and | #the time we use as the time of admission will be different than the time of admission to the unit, and often significant time has passed between the 2 times so the information collected is different e.g. pt is confused at our admission time but by the time the patient goes to the unit, the patient is now A & O etc or vice versa. Will this affect the algorithm? | ||
#should lacunes or lacunar infarcts that are/have been asymptomatic but are reported on a CT be included as CVAs in the comorbids? | #should lacunes or lacunar infarcts that are/have been asymptomatic but are reported on a CT be included as CVAs in the comorbids? | ||
#should ICHs be considered CVA in comorbids, and will ICH be considered a CVA in the Dx? | #should ICHs be considered CVA in comorbids, and will ICH be considered a CVA in the Dx? |
Revision as of 12:10, 2012 April 27
Overstay Predictor Project for Medicine - collection team meeting discussion
- Primary Investigator: Dr. Dan Roberts
Instructions
For every medicine patient at the Grace hospital, as soon as possible, but definitely within 48 business hrs of admission:
- find the new "Overstay" form on the chart
- for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes. (one to one from the form, no interpretation necessary)
- (I will add a picture of the form here once we have a final version)
- Also, enter at least all the following as part of minimal dataset
- DOB
- Admit Date
- ADLs
- whether there was any CVA or Dementia as a comorbid
- whether there was a stroke as an admit diagnosis
- Click the new “Overstay” button on the patient viewer form next to the notes field and it will turn a colour:
- GREEN, YELLOW or RED - based on an underlying algorithm
- GRAY- if some data is missing
- If the chart already has a sticker the same colour then you are done
- if the colour in the program is different from the one on the chart put a sticker of the program colour over the sticker on the chart. Stickers will be supplied.
If you can't find data
- I have emailed Linda to please fill in who the collector should talk to if there are problems with the Overstay form or the other data required for the project in a timely manner.Ttenbergen 14:45, 2012 April 23 (CDT)
Questions
- What does RED tag indicate? This is not really clear to me in algorithm.Trish Ostryzniuk
- Where on the chart will this new form be and will it be a colored form?Trish Ostryzniuk 10:43, 2012 April 24 (CDT)
- the time we use as the time of admission will be different than the time of admission to the unit, and often significant time has passed between the 2 times so the information collected is different e.g. pt is confused at our admission time but by the time the patient goes to the unit, the patient is now A & O etc or vice versa. Will this affect the algorithm?
- should lacunes or lacunar infarcts that are/have been asymptomatic but are reported on a CT be included as CVAs in the comorbids?
- should ICHs be considered CVA in comorbids, and will ICH be considered a CVA in the Dx?
- will it be necessary to document a difference in sticker colours if we need to change the colour once the algorithm has run?
- How can I test the yellow colour?-I can only get the overstay button to be red or green using multiple different combinations of the check boxes
Purpose
A small number of patients overstays for a significant amount of time after they are medically ready for discharge. Though the number of patients is small, a significant proportion of bed-days is wasted in the process. We are piloting a process at the Grace where an "overstay coordinator" will be assigned to patients at risk of overstaying. Whether a patient is at risk is determined by the ward nurse assessing risk factors on a form, and by an assessment algorithm that takes into account the values mentioned as mandatory above; the combination of these results in a chart being assigned a colour sticker, and the transition coordinators monitor these chart stickers.