Service Sending to ICU

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Purpose

To identify the "sending service" or "originating service" for those who came to ICU from a prior inpatient location (refer to Task Meeting Minutes April 13,2015). This is different to the "service of the attending" during the patient's stay in ICU.

Data Collection Instructions

For each patient who meets the following conditions:

  • critical care patient
  • was a prior inpatient before coming to ICU (even if arrived via temp location such as ER, procedure suite...)Does this include OR???
  • Question: if the pt has come from the OR, do we still put in SENDING SERVICE? Example: if an obstetrical patient has a

C section and comes to the ICU after surgery, then, do I put in Ob/Gyne as sending service? These instructions need to be very clear. --LKolesar 07:54, 2015 June 23 (CDT)

  • doesn't arrive from another ICU (ie not an inter or intra transfer)

add a single tmp entry with the following:

  • project: Srv to ICU
  • item: one of the following:
    • Medicine
    • Cardiology
    • Psych
    • Ob/Gyne
    • Family Medicine
    • General surgery (including ACSS and Trauma surgery)
    • Cardiac surgery
    • Thoracic surgery
    • Urologic surgery
    • Ortho surgery
    • Neurosurgery
    • Vascular surgery
    • Plastic surgery
    • z_not applicable - in this case an entry to the comment field in tmp will be required. (z_ to sort to bottom)
  • the other tmp fields are not used (except in "not applicable" scenario)

Template:Discussion

  • What do we put when they came from emergency?
  • What is the difference between family medicine and medicine?

other options required?

If other options are required, please comment here.

Someone suggested we might need "Emergency" but since this is only for patients coming from other inpatient locations we won't include it for now. Can add later if it becomes an issue.

Start/End Dates

  • Start: not yet determined
  • End: there is no planned end date

Template:CCMDB Data Integrity Checks

  • Query s_tmp_Service_Sending_to_ICU - Error if:
    • not admitted from inpatient location ((S AdmitDischarge.inpatient = true)) but has "Srv to ICU" entry
    • admitted from inpatient location and one of
      • no "Srv to ICU" entry
      • has "Srv to ICU" = "z_not applicable" and no comment
  • Query s_tmp_Service_Sending_to_ICU_duplicate - error if more than one entry per patient Ttenbergen 15:35, 2015 June 22 (CDT)

See also

to do before go live

  • Registry_Patient_Type#C-Cardiac_Type - awaiting confirmation
    • "Once this tmp study section is active we can go back to making the pt type relate to the type of diagnosis." (Laura K)