Standardizing admission and discharge processes to improve patient flow: a cross sectional study
Autor/a
Ortiga Fontgivell, Berta
Salazar Soler, Albert
Jovell Fernández, Albert
Escarrabill, Joan
Marca, Guillem
Corbella Virós, Xavier
Fecha de publicación
2012-06-28ISSN
1472-6963
Resumen
Background: The aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes. Methods: This study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain). This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00 am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann–Whitney test for non-normal continuous variables. Results: The median patients’ global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p < 0.051). The percentage of patients admitted the same day as surgery increased from 64.87% in 2007 to 86.01% in 2009 (p < 0.05). The number of cancelled interventions due to lack of beds was 216 patients in 2007 and 42 patients in 2009. The median number of planned discharges went from 43.05% in 2007 to 86.01% in 2009 (p < 0.01). The median number of emergency patients waiting for an in-hospital bed at 8:00 am was 5 patients in 2007 and 3 patients in 2009 (p < 0.01). Conclusions: In conclusion, standardization of admission and discharge processes are largely in our control. There is a significant opportunity to create important benefits for increasing bed capacity and hospital throughput.
Tipo de documento
Artículo
Versión del documento
Versión aceptada
Lengua
Inglés
Materias (CDU)
61 - Medicina
Palabras clave
Hospitals--Pacients
Assistència mèdica
Pacients--Satisfacció
Pacientes hospitalizados
Asistencia médica
Satisfacción del paciente
Patient care plans
Medical care
Patients--Satisfaction
Páginas
6
Publicado por
Springer Nature
Colección
12;
Publicado en
BMC Health Services Research
Citación
Ortiga, Berta; Salazar, Albert; Jovell, Albert [et al.]. Standardizing admission and discharge processes to improve patient flow: a cross sectional study. BMC Health Services Research, 2012, vol. 12, p. 1-6. Disponible en: <https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-180#article-info>. Fecha de acceso: 27 dic. 2019. DOI: 10.1186/1472-6963-12-180
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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