Evidence map›Paper›PMID 38423585›Full record

ArticleBMJ open quality2024

Streamlining patient flow and enhancing operational efficiency through case management implementation.

Sultanah Al Harbi, Baker Aljohani, Lamiaa Elmasry, Frenk Lee Baldovino, Kamille Bianca Raviz, Lama Altowairqi, Seetah Alshlowi

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
30.5field-weighted citation impact, top 1% of its field
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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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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 at 1 institution in 1 country.

Sultanah Al HarbiCase Management Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia sm.alharbi909@gmail.com.ORCID 0009-0003-3746-6998
Baker AljohaniMedical Administration, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Lamiaa ElmasryQuality Improvement and Patient Safety Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Frenk Lee BaldovinoCase Management Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Kamille Bianca RavizCase Management Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Lama AltowairqiAdmission Office Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Seetah AlshlowiCase Management Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia.
Armed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving patient flow in hospitals represents a worldwide healthcare challenge. The objective of this project was to depict the effectiveness of case management in improving patient flow in a tertiary hospital setting.

methodsQuality improvement methods, including quantitative pre-Lean and post-Lean design, the Plan-Do-Check-Act concept, the Single Minute Exchange of Dies and the 'demand and supply approach' of the Institute of Healthcare Improvement, were adapted to examine and modify factors influencing hospital patient flow.

resultsThis study (conducted from the last quarter of 2019 through September 2022) resulted in a remarkable improvement in patient flow, as evident from the reduction in average hospital length of stay (from 11.5 to 4.4 days) and average emergency department boarding time (from 11.9 to 1.2 hours) and the improvement of bed turnover rate (from 0.57 to 0.93), (p<0.001, p=0.017, p=0.038, respectively), with net cost savings of 123 130 192 million Saudi Riyals (US$32 821 239).

conclusionImplementing a well-structured case management programme can enhance care coordination, streamlilne transitions, boost patient outcomes, and increase revenues within hospital settings.

Indexed as

Case ManagementInpatientsDeathEmergency Service, HospitalHumansTertiary Care CentersContinuous quality improvementEfficiency, OrganizationalManagementPatient satisfaction

Identifiers

PMID38423585
PMCPMC10910643
OpenAlexW4392300895

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.