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Título:
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Standardizing admission and discharge processes to improve patient flow: A cross sectional study
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Autor/a:
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Ortiga Fontgivell, Berta; Salazar, Albert; Jovell Fernández, Albert; Escarrabill Sanglas, Joan; Marca Francés, Guillem; Corbella, Xavier
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Otros autores:
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Universitat de Vic. Facultat d'Empresa i Comunicació |
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Notas:
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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. |
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Materia(s):
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-Hospitals -- Direcció i administració
-Pacients |
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Derechos:
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(c) BioMed Central Ltd, 2012
Tots els drets reservats
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Tipo de documento:
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Artículo
info:eu-repo/publishedVersion |
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Editor:
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BioMed Central
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Compartir:
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