Delay in discharge and its impact on unnecessary hospital bed occupancy

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Majeed, Muhammad Umair ^a   Williams, Dean Thomas ^a,b   Pollock, Rachel ^a   Amir, Farhat ^a   Liam, Martin ^a   Foong, Keen S ^a   Whitaker, Chris J ^b  

^a YSBYTY GWYNEDD   (United Kingdom)

^b BANGOR UNIVERSITY   (United Kingdom)

Author keywords

Bed occupancy; Community care; Elderly; Length of stay; Surgery

Indexed keywords

AGE; AGED; ARTICLE; COMMUNITY HOSPITAL; COMPARATIVE STUDY; FEMALE; GENERAL HOSPITAL; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL BED UTILIZATION; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MALE; MIDDLE AGED; PUBLIC HOSPITAL; STATISTICS; UTILIZATION REVIEW;

AGE FACTORS; AGED; BED OCCUPANCY; FEMALE; HEALTH SERVICES MISUSE; HOSPITALS, COMMUNITY; HOSPITALS, DISTRICT; HOSPITALS, GENERAL; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT ADMISSION; PATIENT DISCHARGE;

EID: 84869200812     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-410     Document Type: Article

References (16)

1. Patients in acute surgical wards: a survey in Glasgow. Strang IW, Boddy FA, Jennett B, Br Med J 1977 1 545 548 10.1136/bmj.1.6060.545 843797
2. Factors causing delay in discharge of elderly patients in an acute care hospital. Lim SC, Doshi V, Castasus B, Lim JK, Mamun K, Ann Acad Med Singapore 2006 35 27 32 16470271
3. Discharge delay in acute care: reasons and determinants of delay in general ward patients. Ou L, Young L, Chen J, Santiano N, Baramy LS, Hillman K, Aust Health Rev 2009 33 513 521 10.1071/AH090513 20128770
4. The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care. Gertman PM, Restuccia JD, Med Care 1981 19 855 871 10.1097/00005650-198108000-00005 7196975
5. Measuring appropriate use of acute beds. A systematic review of methods and results. McDonagh MS, Smith DH, Goddard M, Health Policy 2000 53 157 184 10.1016/S0168-8510(00)00092-0 10996065
6. From bed-blocking to delayed discharges: precursors and interpretations of a contested concept. Manzano-Santaella A, Health Serv Manage Res 2010 23 121 127 10.1258/hsmr.2009.009026 20702889
7. Clinical nurse specialist practice within the Acute Care for Elders interdisciplinary team model. Benedict L, Robinson K, Holder C, Clin Nurse Spec. 2006 20 248 251 10.1097/00002800-200609000-00012 16980795
8. A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Curley C, McEachern JE, Speroff T, Med Care 1998 36 S4 12 10.1097/00005650-199808001-00002 9708578
9. Caregiver perceptions of the reasons for delayed hospital discharge. Minichiello TM, Auerbach AD, Wachter RM, Eff Clin Pract 2001 4 250 255 11769297
10. Making effective use of predicted discharge dates to reduce the length of stay in hospital. Webber-Maybank M, Luton H, Nurs Times 2009 105 12 13 20092209
11. The natural history of functional morbidity in hospitalized older patients. Hirsch CH, Sommers L, Olsen A, Mullen L, Winograd CH, J Am Geriatr Soc 1990 38 1296 1303 2123911
12. Delays in discharge of vascular surgical patients: a prospective audit. Edirimanne S, Roake JA, Lewis DR, ANZ J Surg 2010 80 443 446 20618198
13. 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
14. A waiting list to go home: an analysis of delayed discharges from surgical beds. Benson RT, Drew JC, Galland RB, Ann R Coll Surg Engl 2006 88 650 652 10.1308/003588406X149246 17132314
15. Policy on the rebound: trends and causes of delayed discharges in the NHS. Godden S, McCoy D, Pollock A, J R Soc Med 2009 102 22 28 10.1258/jrsm.2008.080202 19147853
16. Carrot and sticks? The Community Care Act (2003) and the effect of financial incentives on delays in discharge from hospitals in England. McCoy D, Godden S, Pollock AM, Bianchessi C, J Public Health (Oxf) 2007 29 281 287 10.1093/pubmed/fdm026