Leaving the hospital on time:hospital bed utilization and reasons for discharge delay in the Netherlands
| Autor: | Eva van den Ende, Bo Schouten, Lara Pladet, Hanneke Merten, Louise van Galen, Milka Marinova, Michiel Schinkel, Anneroos W Boerman, Rishi Nannan Panday, Cees Rustemeijer, Muhammad Dulaimy, Derek Bell, Prabath Wb Nanayakkara |
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| Přispěvatelé: | Public and occupational health, APH - Quality of Care, Internal medicine, Laboratory Specialized Diagnostics & Reseach, ACS - Diabetes & metabolism, APH - Digital Health |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | van den Ende, E, Schouten, B, Pladet, L, Merten, H, van Galen, L, Marinova, M, Schinkel, M, Boerman, A W, Nannan Panday, R, Rustemeijer, C, Dulaimy, M, Bell, D & Nanayakkara, P W 2023, ' Leaving the hospital on time : hospital bed utilization and reasons for discharge delay in the Netherlands ', International Journal for Quality in Health Care, vol. 35, no. 2, mzad022 . https://doi.org/10.1093/intqhc/mzad022 International Journal for Quality in Health Care, 35(2):mzad022. Oxford University Press |
| ISSN: | 1353-4505 |
| DOI: | 10.1093/intqhc/mzad022 |
| Popis: | Inappropriate bed occupancy due to delayed hospital discharge affects both physical and psychological well-being in patients and can disrupt patient flow. The Dutch healthcare system is facing ongoing pressure, especially during the current coronavirus disease pandemic, intensifying the need for optimal use of hospital beds. The aim of this study was to quantify inappropriate patient stays and describe the underlying reasons for the delays in discharge. The Day of Care Survey (DoCS) is a validated tool used to gain information about appropriate and inappropriate bed occupancy in hospitals. Between February 2019 and January 2021, the DoCS was performed five times in three different hospitals within the region of Amsterdam, the Netherlands. All inpatients were screened, using standardized criteria, for their need for in-hospital care at the time of survey and reasons for discharge delay. A total of 782 inpatients were surveyed. Of these patients, 94 (12%) were planned for definite discharge that day. Of all other patients, 145 (21%, ranging from 14% to 35%) were without the need for acute in-hospital care. In 74% (107/145) of patients, the reason for discharge delay was due to issues outside the hospital; most frequently due to a shortage of available places in care homes (26%, 37/145). The most frequent reason for discharge delay inside the hospital was patients awaiting a decision or review by the treating physician (14%, 20/145). Patients who did not meet the criteria for hospital stay were, in general, older [median 75, interquartile range (IQR) 65–84 years, and 67, IQR 55–75 years, respectively, P |
| Databáze: | OpenAIRE |
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