ArticleBMC health services research2012
Reduction in inappropriate hospital use based on analysis of the causes.
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 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessment tools addressing avoidable care transitions in older adults: a systematic literature review.European geriatric medicine · 2024Pooled it
- Strategies for utilisation management of hospital services: a systematic review of interventions.Globalization and health · 2022Pooled it
- Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review.Nursing reports (Pavia, Italy) · 2023Article
- Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.Journal of general internal medicine · 2023Observational
- Rate and causes of inappropriate stays and the resulting financial burden in a single specialty burns hospital.BMC health services research · 2022Article
- The increasing impact of length of stay "outliers" on length of stay at an urban academic hospital.BMC health services research · 2021Article
- Observational
- Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway.BMC geriatrics · 2018Article
- Inappropriate admissions of the cardiology and orthopedics departments of a tertiary hospital in Shanghai, China.PloS one · 2018Article
- Quick outpatient diagnosis in small district or general tertiary hospitals: A comparative observational study.Medicine · 2017Observational
- Does clinical governance influence the appropriateness of hospital stay?BMC health services research · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the implementation of measures proposed by the group for improvement.
methodsPre- and post-analysis of a sample of clinical histories studied retrospectively, in which the Appropriateness Evaluation Protocol (AEP) was applied to a representative hospital sample of 1350 clinical histories in two phases. In the first phase the AEP was applied retrospectively to 725 admissions and 1350 stays. The factors associated with inappropriateness were analysed together with the causes, and specific measures were implemented in a bid to reduce inappropriateness. In the second phase the AEP was reapplied to a similar group of clinical histories and the results of the two groups were compared. The cost of inappropriate stays was calculated by cost accounting.
settingGeneral University Hospital with 426 beds serving a population of 320,000 inhabitants in the centre of Murcia, a city in south-eastern Spain.
resultsInappropriate admissions were reduced significantly: 7.4% in the control group and 3.2% in the intervention group. Likewise, inappropriate stays decreased significantly from 24.6% to 10.4%. The cost of inappropriateness in the study sample fell from 147,044 euros to 66,642 euros. The causes of inappropriateness for which corrective measures were adopted were those that showed the most significant decrease.
conclusionsIt is possible to reduce inadequacy by applying measures based on prior analysis of the situation in each hospital.
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