Natural history of late discharges from a general medical ward

Journal of Hospital Medicine

Volumn 4, Issue 4, 2009, Pages 226-233

  Chen, Lena M ^a   Freitag, Michael H ^b   Franco, Manuel ^c   Sullivan, Christopher D ^d   Dickson, Conan ^e   Brancati, Frederick L ^c,f  

^a VA BOSTON HEALTHCARE SYSTEM   (United States)

^b UNIVERSITY OF BAYREUTH   (Germany)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^d Excela Health Westmoreland Hospital   (United States)

^e JOHNS HOPKINS UNIVERSITY   (United States)

^f JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Discharge; Efficiency; Length of stay; Patient flow

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONSULTATION; FEMALE; GENERAL PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HOSPITAL DISCHARGE; HOSPITAL MANAGEMENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PATIENT CARE PLANNING; PATIENT TRANSPORT; PRESCRIPTION; PRIORITY JOURNAL;

ADULT; AGED; AGED, 80 AND OVER; CONTINENTAL POPULATION GROUPS; FEMALE; HOSPITAL UNITS; HUMANS; LENGTH OF STAY; MALE; MEDICAID; MEDICARE; MIDDLE AGED; NURSING STAFF, HOSPITAL; PATIENT DISCHARGE; PATIENTS' ROOMS; PERSONNEL, HOSPITAL; QUESTIONNAIRES; SOCIAL WORK; TIME FACTORS; UNITED STATES; YOUNG ADULT;

EID: 67649515092     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.413     Document Type: Article

References (45)

1. Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med. 1991;20:980-986.
2. Asplin BR, Magid DJ, Rhodes KV, Solberg LI, Lurie N, Camargo CA Jr. A conceptual model of emergency department crowding. Ann Emerg Med. 2003;42:173-180.
3. Derlet RW, Richards JR, Kravitz RL. Frequent overcrowding in U.S. emergency departments. Acad Emerg Med. 2001;8:151-155.
4. Forster AJ, Stiell I, Wells G, Lee AJ, van Walraven C. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad Emerg Med. 2003;10:127-133.
5. Fields WW. Calculus, chaos, and other models of emergency department crowding. Ann Emerg Med. 2003;42:181-184.
6. Krochmal P, Riley TA. Increased health care costs associated with ED overcrowding. Am J Emerg Med. 1994;12:265-266.
7. Miro O, Antonio MT, Jimenez S, et al. Decreased health care quality associated with emergency department overcrowding. Eur J Emerg Med. 1999;6:105-107.
8. Proudlove NC, Gordon K, Boaden R. Can good bed management solve the overcrowding in accident and emergency departments? Emerg Med J. 2003;20:149-155.
9. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003;20:402-405.
10. General Accounting Office. Hospital emergency departments: crowded conditions vary among hospitals and communities. 2003:GAO-03-460. Available at: http://www.gao.gov/new.items/d03460.pdf. Accessed October.
11. Gibbs N, Browning S. Do you want to die? Time. 1990;135:58-60+.
12. Mithers CL. The ER crisis. Ladies Home J. 2001;118:70-79.
13. Bradley VM. Placing emergency department crowding on the decision agenda. Nurs Econ. 2005;23:14-24.
14. Brown D. Crisis seen in nation's ER care. Washington Post. June 15, 2006;A01.
15. Committee on the Future of Emergency Care in the United States Health System. Hospital-based Emergency Care: at the Breaking Point. Washington DC: National Academies Press; 2006.
16. Wilper AP, Woolhandler S, Lasser KE, et al. Waits to see an emergency department physician: U.S. trends and predictors, 1997-2004. Health Aff. 2008;27:w84-w95.
17. Advisory Board. Maximizing Hospital Capacity: Expediting Throughput in an Era of Shortage. Health Care Advisory Board research study. Washington DC: Advisory Board; September 12, 2002.
18. Bazzoli GJ, Brewster LR, Liu G, Kuo S. Does U.S. hospital capacity need to be expanded? Health Aff. 2003;22:40-54.
19. Institute for Healthcare Improvement. Optimizing Patient Flow: Moving Patients Smoothly Through Acute Care Settings. Cambridge, MA: Institute for Healthcare Improvement; 2003.
20. Sager R, Ling E. Leveraging six sigma to improve hospital bed availability. Available at: http://healthcare.isixsigma.com/library/ content/c030708a.asp. Accessed October 2008.
21. University Health System Consortium. Managing patient flow implementation: 2005 benchmarking project field brief. Available at: http://www.musc.edu/medcenter/UHC-CCP/PFMgmtFldBk.pdf.
22. Shepperd S, Parkes J, McClaren J, Phillips C. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2004;1:CD000313.
23. Chopard P, Perneger TV, Gaspoz J-M, et al. Predictors of inappropriate hospital days in a department of internal medicine. Int J Epidemiol. 1998;27:513-519.
24. Hayes CB, Johnson Z, Hynes M. Utilisation of hospital beds by the elderly - a cohort study of admissions to a teaching hospital. Ir Med J. 1995;88:124-126.
25. Munley PH, Devone N, Einhorn CM, Gash IA, Hyer L, Kuhn KC. Demographic and clinical characteristics as predictors of length of hospitalization and readmission. J Clin Psychol. 1977;33:1093-1099.
26. Selker HP, Beshansky JR, Pauker SG, Kassirer JP. The epidemiology of delays in a teaching hospital: the development and use of a tool that detects unnecessary hospital days. Med Care. 1989;27:112-129.
27. American Medical Association. AMA Physician ICD-9-CM 2004, Vols 1 and 2. Eden Prairie, MN: Ingenix; 2003.
28. 3M Health Information Systems and the Maryland Health Care Payment System: frequently asked questions. 2004. Available at: http://multimedia.mmm.com/mws/ mediawebserver.dyn?6666660Zjcf6lVs6EVs66S7wwCOrrrrQ-.
29. Hamilton LC. Statistics with STATA. Belmont, CA: Duxbury Press; 2004.
30. Efron B, Tibshirani R. Statistical data analysis in the computer age. Science. 1991;253:390-395.
31. Saravay SM, Steinberg MD, Weinschel B, Pollack S, Alovis N. Psychological comorbidity and length of stay in the general hospital. Am J Psychiatry. 1991;148(3):324-329.
32. Sayers SL, Hanrahan N, Kutney A, Clarke SP, Reis BF, Riegel B. Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. J Am Geriatr Soc. 2007;55:1585-1591.
33. Wancata J, Benda N, Windhaber J, Nowotny M. Does psychiatric comorbidity increase the length of stay in general hospitals? Gen Hosp Psychiatry. 2001;23:8-14.
34. Furlanetto LM, da Silva RV, Bueno JR. The impact of psychiatric comorbidity on length of stay of medical inpatients. Gen Hosp Psychiatry. 2003; 25:14-19.
35. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Ann Intern Med. 2003;138: 273-287.
36. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 2: Health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-298.
37. Cowper PA, DeLong ER, Hannan EL, et al. Is early too early? Effect of shorter stays after bypass surgery. Ann Thorac Surg. 2007;83:100-107.
38. Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 2003;290:1868-1874.
39. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders, a randomized clinical trial. JAMA. 1999;281:613-620.
40. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for the hospitalized elderly, a randomized clinical trial. Ann Intern Med. 1994;120:999-1006.
41. Evans RL, Hendricks RD. Evaluating hospital discharge planning: a randomized clinical trial. Med Care. 1993;31:358-370.
42. Houghton A, Bowling A, Clarke KD, Hopkins AP, Jones I. Does a dedicated discharge coordinator improve the quality of hospital discharge? Qual Health Care. 1996;5:89-96.
43. Palmer HC, Armistead NS, Elnicki M, et al. The effect of a hospitalist service with nurse discharge planner on patient care in an academic teaching hospital. Am J Med. 2001;111:627-632.
44. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004;291: 1358-1367.
45. Weinberger M, Oddone EZ, Henderson WG. Does increased access to primary care reduce hospital readmissions? N Engl J Med. 1996;334:1441-1447.