Alternatives to conventional hospitalization for improving lack of access to inpatient beds: a 12-year cross-sectional analysis
| Autor: | Carmen Gómez-Vaquero, Xavier Corbella, Nuria Ortega, Cristina Capdevila, Antoni Juan, Albert Salazar, Maria Soler, C. Ferre, Eduardo Jaurrieta, Gilberto Alonso, Ramon M. Pujol, Berta Ortiga, I. Bardes, Rafael Mañez |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Outpatient Clinics Hospital Cross-sectional study Hospital bed Emergency currency Ambulatory care Medicine Quality of care Inpatients Adult patients business.industry Emergency department Emergències mèdiques University hospital medicine.disease Hospital admitting clerks Supressió de barreres arquitectòniques Emergency medicine Medical emergency Asistencia médica ambulatoria business Assistència hospitalària Accesibilidad para personas con discapacidad Hospital stay |
| Zdroj: | Recercat. Dipósit de la Recerca de Catalunya instname |
| Popis: | Background/Objective: When hospitals cannot guarantee available hospital beds for inpatient admission, patients are exposed to prolonged waits, cancellations and diversions that negatively affect their safety and quality of care. The purpose of this study was to evaluate the effect of a multifaceted intervention for eliminating inpatient access delays. Methods: By using multi-time point cross-sectional analysis, data from all hospitalizations from adult patients registered at an 850-bed public, tertiary-care university hospital were compared from March 1998 to March 2000 (control period) with data from April 2000 to March 2010 (intervention period), after a set of 15 actions for avoiding unnecessary inpatient admissions and to reduce length of hospital stay was implemented by a clinician-administrator taskforce. Response variable was the daily average of “boarded” patients waiting for a hospital bed at 8:00 am in the emergency department (ED). Other measurements included daily contextual and performance hospital variables captured automatically by computer-assisted processes. Results: Between March 1998 and March 2010, 348,960 consecutive hospitalizations were registered. Despite daily ED visits increasing from 288 (IQR Q1-Q3: 270-309) to 335 patients (IQR Q1-Q3: 306-359; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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