Evidence map›Paper›PMID 26558286›Full record

ReviewBioMed research international2015

An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care.

Laura-Maria Peltonen, Louise McCallum, Eriikka Siirala, Marjaana Haataja, Heljä Lundgrén-Laine, Sanna Salanterä, Frances Lin

Abstract readReview
In one paragraph

Review in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Decoding the persistence of delayed hospital discharge: An in-depth scoping review and insights from two decades.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Laura-Maria PeltonenDepartment of Nursing Science, University of Turku, 20520 Turku, Finland ; ICU, TG3B, Turku University Hospital, Hospital District of Southwest Finland, Kiinamyllynkatu 4-8, 20520 Turku, Finland.
Louise McCallumSchool Nursing & Midwifery, University of Dundee, 11 Airlie Place, Dundee DD1 4HJ, UK ; School of Health, Nursing & Midwifery, University of West of Scotland, Ayr, Ayrshire KA8 0SX, UK.
Eriikka SiiralaDepartment of Nursing Science, University of Turku, 20520 Turku, Finland.
Marjaana HaatajaIntensive Care Unit, Operative Profit Centre, Oulu University Hospital, P.O. Box 21, 90029 Oulu, Finland.
Heljä Lundgrén-LaineHospital District of Southwest Finland, Administrative Centre, Bureau of Nursing Care, P.O. Box 52, 20521 Turku, Finland.
Sanna SalanteräDepartment of Nursing Science, University of Turku, 20520 Turku, Finland ; Hospital District of Southwest Finland, Administrative Centre, Bureau of Nursing Care, P.O. Box 52, 20521 Turku, Finland.
Frances LinSchool of Nursing and Midwifery, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Gold Coast, QLD 4222, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The literature shows that delayed admission to the intensive care unit (ICU) and discharge delays from the ICU are associated with increased adverse events and higher costs. Identifying factors related to delays will provide information to practice improvements, which contribute to better patient outcomes. The aim of this integrative review was to explore the incidence of patients' admission and discharge delays in critical care and to identify organisational factors associated with these delays. Seven studies were included. The major findings are as follows: (1) explanatory research about discharge delays is scarce and one study on admission delays was found, (2) delays are a common problem mostly due to organisational factors, occurring in 38% of admissions and 22-67% of discharges, and (3) redesigning care processes by improving information management and coordination between units and interdisciplinary teams could reduce discharge delays. In conclusion, patient outcomes can be improved through efficient and safe care processes. More exploratory research is needed to identify factors that contribute to admission and discharge delays to provide evidence for clinical practice improvements. Shortening delays requires an interdisciplinary and multifaceted approach to the whole patient flow process. Conclusions should be made with caution due to the limited number of articles included in this review.

Indexed as

Critical CarePatient AdmissionPatient DischargeHumansLength of StayTime Factors

Identifiers

PMID26558286
PMCPMC4629003

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.