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

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Ortiga, Berta ^a   Salazar, Albert ^a   Jovell, Albert ^b   Escarrabill, Joan ^c   Marca, Guillem ^d   Corbella, Xavier ^a  

^a HOSPITAL UNIVERSITARI DE BELLVITGE   (Spain)

^b UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^c INSTITUT CATALÀ DE LA SALUT   (Spain)

^d UNIVERSITY OF VIC CENTRAL UNIVERSITY OF CATALONIA   (Spain)

Author keywords

hospitals; management; Patient flow; practice

Indexed keywords

ARTICLE; CROSS-SECTIONAL STUDY; FACTUAL DATABASE; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; PUBLIC HEALTH; SPAIN; STANDARD; STATISTICAL MODEL; STATISTICS; WORKFLOW;

CROSS-SECTIONAL STUDIES; DATABASES, FACTUAL; HOSPITAL BED CAPACITY; HUMANS; LENGTH OF STAY; MODELS, STATISTICAL; NATIONAL HEALTH PROGRAMS; PATIENT ADMISSION; PATIENT DISCHARGE; SPAIN; WORKFLOW;

EID: 84862771849     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-180     Document Type: Article

References (22)

1. Intra-Unit Patient Transports: Time, Motion, and Cost Impact on Hospital Efficiency. Hendrich AL, Lee N, Nurs Econ 2005 23 157 64 16189980 (Pubitemid 41555734)
2. Understanding the current state of patient flow in a hospital. Allder S, Silvester K, Walley P, Clin Med 2010 10 441 4 21117373
3. Management B, Review of national findings Audit Commission, National Health Service of England and Wales 2003
4. Management of admission in acute hospitals, Review of the national findings Healthcare Commission, National Health Service of England and Wales 2006
5. Active bed management by hospitalists and emergency department throughput. Howell E, Bessman E, Kravet S, Kolodner K, Marshall R, Wright S, Ann Intern Med 2008 149 804 11 19047027
6. Factors associated with the appropriate use of preoperatory hospital stays: historical cohort study. Tamames S, Perez Rubio A, Castrodeza Sanz J, Canton Alvarez MB, Luquero FJ, Santos Sanz S, Lopez Encinar P, de la Torre Pardo MP, Gil Gonzalez JM, BMC Health Serv Res 2007 7 187 10.1186/1472-6963-7-187 18021440 (Pubitemid 351169922)
7. Effects of Fluctuations, Variability, and Uncertainty on the System. Ronen B, Pliskin J, Pass S, Focused Operations Management for Health Services Organizations Jossey-Bass a Wiley Inprint, San Francisco, CA, Wiley, 2006 219 35
8. 10 High Impact Changes for service improvement and delivery: a guide for NHS Readers, NHS Modernisation Agency 2011 http://www.ogc.gov.uk/documents/ Health-High-Impact-Changes.pdf
9. Average length of stay, delayed discharge and hospital congestion. Black D, Pearson M, Br Med J 2002 325 610 1 10.1136/bmj.325.7365.610
10. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Zwarenstein M, Goldman J, Reeves S, Cochrane Database Syst Rev 2009 8 D000072
11. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AA, Wachter RA, Postgrad Med J 2010 86 729 33 10.1136/qshc.2008.031252rep 21106808
12. Developing bed managers: the why and the how. Proudlove N, Boaden R, Jorgensen J, J Nurs Manag 2007 15 34 42 10.1111/j.1365-2934.2006.00632.x 17207005 (Pubitemid 44968132)
13. Gestián centralizada de los ingresos hospitalarios: modelo de priorizacián de camas. Salazar A, Emergencias 2008 2 suppl 1 1 3
14. Improvement Leaders Guide, Improving flow. NHS Modernisation Agency 2011 http://www.internetgroup.ca/clientnet-new/docs/NHS%209%20-%20Improving%20Flow. pdf
15. Optimizing patient flow in the enterprise. Hospitals can combine process management with information technology to redesign patient flow for maximum efficiency and clinical outcomes. Mahaffey S, Health Manag Technol 2004 25 34 6 15551708
16. SPSS version 12.0 for Windows, Computer program SPSS Inc, Chicago 2004
17. Hospitales Top 20 Metodología, Hospitales Top 20 Metodología. Iasist 2011 http://www.iasist.com/files/ Metodologia%20indicadores.pdf
18. Measuring appropriate use of acute beds.A systematic review of methods and results. McDonagh MS, Smith DH, Goddard M, Health Policy 2000 53 157 84 10.1016/S0168-8510(00)00092-0 10996065
19. A qualitative examination of inappropriate hospital admissions and lengths of stay. Hammond CL, Pinnington LL, Phillips MF, BMC Health Serv Res 2009 9 44 10.1186/1472-6963-9-44 19265547
20. Waiting for elective admissions, Review of national findings National Health Service, UK 2003
21. Effectiveness of a Surgery Admission Unit for patients undergoing major elective surgery in a tertiary university hospital. Ortiga B, Capdevila C, Salazar A, Viso MF, Bartolomé C, Corbella X, BMC Health Serv Res 2010 10 23 10.1186/1472-6963-10-23 20096114
22. Strategies for cutting hospital beds: the impact on patient service. Green LV, Nguyen V, Health Serv Res 2001 36 421 42 11409821 (Pubitemid 32532041)