Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/98166
Title: Standardizing admission and discharge processes to improve patient flow: A cross sectional study
Author: Ortiga, Berta
Salazar Soler, Albert
Jovell, Aalbert
Escarrabill Sanglas, Joan
Marca, Guillem
Corbella, Xavier
Keywords: Pacients
Hospitals
Gestió hospitalària
Patients
Hospitals
Hospital administration
Issue Date: 2012
Publisher: BioMed Central
Abstract: 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.
Note: Reproducció del document publicat a: http://dx.doi.org/10.1186/1472-6963-12-180
It is part of: BMC Health Services Research, 2012, vol. 12, num. 180
Related resource: http://dx.doi.org/10.1186/1472-6963-12-180
URI: http://hdl.handle.net/2445/98166
ISSN: 1472-6963
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)

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