| Popis: |
The measurement, evaluation and analysis of the bed resources are functions of the Admission and Clinical Documentation Department and are a challenge for the management of acute hospital admissions.The aim of the present study was to analyse the management of bed resources using the Barber and Johnson Diagram (BJ) and latent reserve, during epidemiological contingencies in the Hospital Universitario Río Hortega.A retrospective review was carried out on hospital admission indicators, from 2008 to February 2017, using the BJ diagram as a graphic tool to compare length of stay, replacement interval, turnover rate, monthly and annual occupancy rate for the hospital and services.The latent and manifest reserve was calculated.The BJ diagram showed differences in occupancy rate and provision of functional beds between the years reviewed and the approaches used. A lower provision of beds and higher length of stay corresponded with an increase in occupancy, decrease in replacement interval, and increase in turnover rate. The latent reserve showed that, between a discharge and a new entry into the same bed, 14 inappropriately occupied beds could be available.The review of the hospital admission indicators, their integration into the BJ diagram, and use of latent reserve could be included in the hospital information system and benefit the decision-making in the operational management of beds. |
