ArticleJournal of epidemiology and community health2007
Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays.
Article in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.Journal of general internal medicine · 2023Observational
- Prevalence and determinants of inappropriate admission and hospitalization in Iran: A systematic review and meta-analysis.Medical journal of the Islamic Republic of Iran · 2020Article
- Effectiveness of intervention due to feedback on errors arising from inappropriate transportation and storage of blood bags in hospitals: a quasi-experimental study.Electronic physician · 2018Article
- Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country.Iranian journal of public health · 2017Article
- Does clinical governance influence the appropriateness of hospital stay?BMC health services research · 2015Article
- Reduction in inappropriate hospital use based on analysis of the causes.BMC health services research · 2012Article
- Direct costs associated with the appropriateness of hospital stay in elderly population.BMC health services research · 2009Article
- Factors associated with the appropriate use of preoperatory hospital stays: historical cohort study.BMC health services research · 2007Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness of a combined intervention to reduce inappropriate hospital stays.
designQuasi-experimental pre-test/post-test with a non-equivalent control group.
settingThree teaching hospitals in the National Health System in Alicante, Spain. STUDY
participantsIntervention group (2 Surgical Units with 1451 hospital stays) and control group (1 Surgical Unit with 1268 hospital stays).
interventionStructured oral presentation followed by direct feedback to surgeons about their own percentages of inappropriate stays and daily evaluation of appropriateness by the surgeons during their rounds.
main outcome measuresReduction in the percentage of inappropriate stays identified by the Appropriateness Evaluation Protocol during the intervention period compared to the basal period.
resultsThe intervention group reduced its percentage of inappropriate stays from 14.3% to 7.9% (absolute reduction: -6.40; 95% CI -10.7 to -2.14; relative reduction: 44.8%), while no changes occurred in the control group. The reduction was in the number of inappropriate stays attributable to the patients' medical management that went from 12.7% to 5.8% (absolute reduction: -6.92; 95% CI -10.90 to -2.92), while no significant changes occurred in inappropriate stays due to other causes.
conclusionsA combined intervention of feedback and physician participation in appropriateness evaluations is effective in reducing the percentage of inappropriate hospital stays, particularly those attributable to conservative medical patterns at discharge.
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