Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Unplanned admission to ICU not following surgery |
METEOR identifier: | 592562 |
Registration status: | Health!, Standard 04/09/2015 |
Definition: | An indicator of whether a patient had an unplanned admission to an Intensive Care Unit (ICU) that did not follow surgery during an episode of admitted patient care, as represented by a code. |
Data Element Concept: | Episode of admitted patient care—unplanned admission to Intensive Care Unit (ICU) not following surgery indicator |
Value Domain: | Yes/no/not stated/inadequately described code N |
Collection and usage attributes | |
Guide for use: | CODE 9 Not stated/inadequately described This code is not for use in primary data collections. |
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Data element attributes | |
Collection and usage attributes | |
Guide for use: | CODE 1 Yes Code 1 is used where the patient had one or more unplanned ICU admissions that did not follow surgery during an admitted patient episode of care. Unplanned ICU admissions that precede surgery, or that occur during an episode of admitted patient care that does not involve surgery, are included. Unplanned ICU admissions following surgery are excluded. Unplanned ICU admissions include unplanned admissions to High Dependency or Critical Care beds within an ICU. Admissions to the ICU are excluded where the admission was planned and documented prior to the ICU admission. Unplanned ICU admissions are also excluded if the patient is admitted directly from an emergency department. CODE 2 No Code 2 is used where an episode of admitted patient care either did not involve any unplanned admissions to the ICU or only involved unplanned ICU admissions following surgery. CODE 9 Not stated/inadequately defined Code 9 is used where it is not clear or there is inadequate documentation in the primary data collection to establish whether or not the patient had an unplanned ICU admission that did not follow surgery during an episode of admitted patient care.
The data collected on unplanned ICU admissions should be linked to data collected on the episode of admitted patient care which contains other relevant information, for instance, patient demographics. |
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Comments: | ICUs are designed for patients with the most severe and life-threatening illnesses and injuries, which require constant, close monitoring and support from specialist equipment. Patients may be transferred to an ICU from another area of the hospital if they deteriorate rapidly. The rate of unplanned ICU admissions can be regarded as a measure of complications of care and should be interpreted in the context of other patient health-care safety and quality information. |
Source and reference attributes | |
Submitting organisation: | Australian Commission on Safety and Quality in Health Care/Australian Institute of Health and Welfare |
Relational attributes | |
Implementation in Data Set Specifications: | High priority hospital complications (patient clinical deterioration) NBPDS 2015- Health!, Standard 04/09/2015 Conditional obligation: Conditional on the patient's not receiving surgery during the episode of admitted patient care |