ArticleBMJ quality & safety2021
Influence of bedspacing on outcomes of hospitalised medicine service patients: a retrospective cohort study.
Article in BMJ quality & safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed.
- Barriers, Facilitators, and Strategies for Sustaining the Hospital-Wide "One Bed" Model in China: A Single-Centre Descriptive Qualitative Study of Healthcare Professionals' Perspectives.Healthcare (Basel, Switzerland) · 2026Article
- A real-world study on the influence of unplanned reoperations on hospitalized patients using the diagnosis-related group.Annals of medicine · 2025Article
- The influence of adverse events on inpatient outcomes in a tertiary hospital using a diagnosis-related group database.Scientific reports · 2024Article
- The impact of atypical intrahospital transfers on patient outcomes: a mixed methods study.Scientific reports · 2023Article
- A Data-Driven Analysis of Ward Capacity Strain Metrics That Predict Clinical Outcomes Among Survivors of Acute Respiratory Failure.Journal of medical systems · 2023Article
- Geographic cohorting by clinical care team: a narrative review.Annals of palliative medicine · 2023Review
- High ward occupancy, bedspacing, and 60 day mortality for patients with myocardial infarction, stroke, and heart failure.ESC heart failure · 2022Article
- The Frontline Nurse's Experience of Nursing Outlier Patients.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSpecialty wards cohort hospitalised patients to improve outcomes and lower costs. When demand exceeds capacity, patients overflow and are "bedspaced" to alternate wards. Some studies have demonstrated that bedspacing among medicine service patients is associated with adverse patient-centred outcomes, however, results have been inconsistent and have primarily been performed within national health systems. The objective of this study was to assess the association of bedspacing with patient-centred outcomes among United States patients admitted to general medicine services.
methodsWe performed a retrospective cohort study of internal medicine, family medicine and geriatric service patients who were bedspaced vs cohorted for the entirety of their hospital stay within three large, urban United States hospitals (quaternary referral centre, tertiary referral centre and community hospital, with different patient demographics and case-mixes) in 2014 and 2015. We performed quantile regression to determine differences in length of stay (LOS) between bedspaced vs cohorted patients and logistic regression for in-hospital mortality and discharge to home.
resultsAmong 18 802 patients in 33 wards, 6119 (33%) patients were bedspaced. Bedspaced patients had significantly longer LOS compared with cohorted patients at the 25
conclusionBedspacing is associated with adverse patient-centred outcomes. Future work is needed to confirm these findings, understand mechanisms contributing to adverse outcomes and identify factors that mitigate these adverse effects in order to provide high-value, patient-centred care to hospitalised patients.
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