Standardizing admission and discharge processes to improve patient flow: a cross sectional study

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RECERCAT Home > Universitat Internacional de Catalunya > Recerca > Articles > Ciències de la Salut > View document

To access the full text documents, please follow this link: http://hdl.handle.net/20.500.12328/1409

dc.contributor.author	Ortiga Fontgivell, Berta
dc.contributor.author	Salazar Soler, Albert
dc.contributor.author	Jovell Fernández, Albert
dc.contributor.author	Escarrabill, Joan
dc.contributor.author	Marca, Guillem
dc.contributor.author	Corbella Virós, Xavier
dc.date	2019-12-27T17:18:42Z
dc.date	2019-12-27T17:18:42Z
dc.date	2012-06-28
dc.identifier	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
dc.identifier	1472-6963
dc.identifier	https://dx.doi.org/10.1186/1472-6963-12-180
dc.identifier.uri	http://hdl.handle.net/20.500.12328/1409
dc.description	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.
dc.format	6
dc.format	application/pdf
dc.language	eng
dc.publisher	Springer Nature
dc.relation	BMC Health Services Research
dc.relation	12;
dc.rights	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.
dc.rights	http://creativecommons.org/licenses/by/2.0
dc.subject	Hospitals--Pacients
dc.subject	Assistència mèdica
dc.subject	Pacients--Satisfacció
dc.subject	Pacientes hospitalizados
dc.subject	Asistencia médica
dc.subject	Satisfacción del paciente
dc.subject	Patient care plans
dc.subject	Medical care
dc.subject	Patients--Satisfaction
dc.subject	61
dc.title	Standardizing admission and discharge processes to improve patient flow: a cross sectional study
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/acceptedVersion

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