ArticleJournal of medical systems2018
An Electronic Dashboard to Monitor Patient Flow at the Johns Hopkins Hospital: Communication of Key Performance Indicators Using the Donabedian Model.
Article in Journal of medical systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Requirements and challenges of hospital dashboards: a systematic literature review.BMC medical informatics and decision making · 2022Pooled it
- Designing Governance Boundaries for Hospital Bed Management: Balancing Centralized Pooling and Local Protection.Healthcare (Basel, Switzerland) · 2026Article
- Reducing unnecessary bed days to optimise flow and improve demand-capacity mismatch: learning from a system-wide patient flow collaborative.BMJ open quality · 2026Article
- From predefined indicators to a management dashboard for heart failure telemonitoring: a modified nominal group technique approach in Portuguese hospitals.BMC health services research · 2026Article
- Digital innovative healthcare during a pandemic and beyond: a showcase of the large-scale and integrated Saudi smart national health command centre.BMJ leader · 2025Article
- Impact of Big Data Analytics on Emergency Department Efficiency in Saudi Ministry of Health Hospitals: A Retrospective Data Analysis.Risk management and healthcare policy · 2025Article
- Development, Implementation, and Evaluation Methods for Dashboards in Health Care: Scoping Review.JMIR medical informatics · 2024Article
- Importance of Hospital Performance Indicators in Contracting and Financing Medical Services in Surgical Wards.Cureus · 2024Article
- Application of a Human Factors Systems Approach to Healthcare Control Centres for Managing Patient Flow: A Scoping Review.Journal of medical systems · 2024Article
- Diagnosing an overcrowded emergency department from its Electronic Health Records.Scientific reports · 2024Article
- Forecasting Hospital Room and Ward Occupancy Using Static and Dynamic Information Concurrently: Retrospective Single-Center Cohort Study.JMIR medical informatics · 2024Article
- Prediction of hospitalization and waiting time within 24 hours of emergency department patients with unstructured text data.Health care management science · 2024Article
- Involving Health Professionals in the Development of Quality and Safety Dashboards: Qualitative Study.Journal of medical Internet research · 2023Article
- Implementation and use of a national electronic dashboard to guide COVID-19 clinical management in Fiji.Western Pacific surveillance and response journal : WPSAR · 2023Article
- Real-time analysis and display of quantitative measures to track and improve clinical workflow.Journal of applied clinical medical physics · 2022Article
- Decreasing boarders in the emergency department by reducing clerical work in the discharge process of in-hospital patients in Brazil - an interrupted time-series analysis.BMC emergency medicine · 2022Article
- Introduction to methodology for the development of an integrative medical service model.Integrative medicine research · 2022Article
- An Overview of Hospital Capacity Planning and Optimisation.Healthcare (Basel, Switzerland) · 2022Review
- Review of Smart Hospital Services in Real Healthcare Environments.Healthcare informatics research · 2022Article
- Selecting Performance Indicators and Targets in Health Care: An International Scoping Review and Standardized Process Framework.Risk management and healthcare policy · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Efforts to monitoring and managing hospital capacity depend on the ability to extract relevant time-stamped data from electronic medical records and other information technologies. However, the various characterizations of patient flow, cohort decisions, sub-processes, and the diverse stakeholders requiring data visibility create further overlying complexity. We use the Donabedian model to prioritize patient flow metrics and build an electronic dashboard for enabling communication. Ten metrics were identified as key indicators including outcome (length of stay, 30-day readmission, operating room exit delays, capacity-related diversions), process (timely inpatient unit discharge, emergency department disposition), and structural metrics (occupancy, discharge volume, boarding, bed assignation duration). Dashboard users provided real-life examples of how the tool is assisting capacity improvement efforts, and user traffic data revealed an uptrend in dashboard utilization from May to October 2017 (26 to 148 views per month, respectively). Our main contributions are twofold. The former being the results and methods for selecting key performance indicators for a unit, department, and across the entire hospital (i.e., separating signal from noise). The latter being an electronic dashboard deployed and used at The Johns Hopkins Hospital to visualize these ten metrics and communicate systematically to hospital stakeholders. Integration of diverse information technology may create further opportunities for improved hospital capacity.
Indexed as
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29915933What OpenQuestion holds
Registered trials
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.