ArticleClinical medicine (London, England)2011
The impact of twice-daily consultant ward rounds on the length of stay in two general medical wards.
Article in Clinical medicine (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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Who cites it
13 citing papers in PubMed.
- A National survey describing the quality of care in Paediatric Emergency Departments of Tertiary Hospitals in Nigeria.African health sciences · 2024Article
- Article
- Impact of restructuring an inpatient pediatric service on length of stay and patient flow.Saudi medical journal · 2023Article
- Article
- General medicine consultant of the week model shortens hospital length of stay and improves the patient journey.Future healthcare journal · 2020Article
- Afternoon ward rounds: bad for patients, bad for doctors?Future healthcare journal · 2019Article
- Article
- Understanding how colorectal units achieve short length of stay: an interview survey among representative hospitals in England.Patient safety in surgery · 2015Article
- Surgical ward rounds in England: a trainee-led multi-centre study of current practice.Patient safety in surgery · 2014Article
- Improving the inpatient oncology experience through a new consultant ward round.BMJ quality improvement reports · 2014Article
- The impact of consultant-delivered multidisciplinary inpatient medical care on patient outcomes.Clinical medicine (London, England) · 2013Article
- Modifiable factors delaying early discharge following primary joint arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013Article
- In-depth analysis of delays to patient discharge: a metropolitan teaching hospital experience.Clinical medicine (London, England) · 2012Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Excess average length of stay (ALoS) not only results in an increased cost to hospitals but also increases the risk of hospital-acquired infection and thromboembolism. Various factors suggested to affect ALoS have yet to demonstrate a significant impact in clinical practice. Increased consultant input has been identified as an important factor influencing ALoS. As a result, a radical and innovative consultant job plan, replacing twice-weekly with twice-daily ward rounds (WRs) on a university teaching hospital's two medical words has been designed. The number of discharges (NoDs) significantly increased (p < 0.01), ALoS reduced (p < 0.01), whereas, readmission rate and mortality remained unchanged (p = NS) over 12 months following twice-daily WRs compared to two other wards with twice-weekly WRs. This innovative model resulted in almost doubling the NoDs and halving the ALoS. This study suggests that ALoS can be reduced and sustained with a cultural and behavioural shift in consultant working patterns, without affecting readmission rate or inpatient mortality.
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