ArticleBMC health services research2012
Standardizing admission and discharge processes to improve patient flow: a cross sectional study.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review of predicting patient discharges using statistical methods and machine learning.Health care management science · 2024Pooled it
- Enhancing patient flow through standardised discharge pathways for neurology and medicine services.BMJ open quality · 2025Article
- Optimizing inpatient bed management in a rural community-based hospital: a quality improvement initiative.BMC health services research · 2023Article
- Solutions for improved hospital-wide patient flows - a qualitative interview study of leading healthcare providers.BMC health services research · 2023Article
- Implementation of the Admission Process of Patients Under the Public Crisis Situation of COVID-19 Pandemic: A Real-World Case Study.Journal of multidisciplinary healthcare · 2023Article
- Interprofessional geriatric and palliative care intervention associated with fewer hospital days.Journal of the American Geriatrics Society · 2022Article
- The requirement of hemodialysis in patients with acute gastroenteritis-induced acute kidney injury.Journal of family medicine and primary care · 2021Article
- [Impact of the financial crisis on activity and efficiency at a high-technology university hospital].Revista espanola de salud publica · 2018Article
- Risks predicting prolonged hospital discharge boarding in a regional acute care hospital.BMC health services research · 2018Article
- Introducing an electronic tracking tool into daily multidisciplinary discharge rounds on a medicine service: a quality improvement project to reduce length of stay.BMJ open quality · 2018Article
- Not all waits are equal: an exploratory investigation of emergency care patient pathways.BMC health services research · 2017Article
- Using the red/yellow/green discharge tool to improve the timeliness of hospital discharges.Joint Commission journal on quality and patient safety · 2014Article
- Reducing Time to Discharge after Chemotherapy by Standardizing Workflow and Providing Outpatient Intravenous Hydration.Pediatric quality & safetyArticle
- Appropriateness of Hospital Admission and Length of Stay in the Pediatric Department of a Tertiary Care Hospital in West Bengal.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- Safe outpatient discharge after gastrointestinal endoscopy with sedation and analgesia: a systematic literature review.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes.
methodsThis study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain). This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00 am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann-Whitney test for non-normal continuous variables.
resultsThe median patients' global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p < 0.051). The percentage of patients admitted the same day as surgery increased from 64.87% in 2007 to 86.01% in 2009 (p < 0.05). The number of cancelled interventions due to lack of beds was 216 patients in 2007 and 42 patients in 2009. The median number of planned discharges went from 43.05% in 2007 to 86.01% in 2009 (p < 0.01). The median number of emergency patients waiting for an in-hospital bed at 8:00 am was 5 patients in 2007 and 3 patients in 2009 (p < 0.01).
conclusionsIn conclusion, standardization of admission and discharge processes are largely in our control. There is a significant opportunity to create important benefits for increasing bed capacity and hospital throughput.
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