Improved bed use with creation of a short-stay unit in a cardiac catheterization recovery room

O′Brien, Patricia J.; O’Connell, Caitlin; Fenwick, Sandra; Stewart, Bridget; Marshall, Audrey C.; Hickey, Patricia A.

doi:10.1016/j.hrtlng.2010.09.005

Cited by 4 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limited hospital bed availability can result in admission constraints, decreased productivity, and lost efficiency for a hospital due to patient overflow and OR backup 1,2,3 . Reducing the length of stay and discharge time for patients requiring < 24 hour stay could benefit multiple hospital units through saving the hospital money, reducing infection rates and OR waiting time, and providing the opportunity for more patients to be treated 4,5,6,7 .…”

Section: Introductionmentioning

confidence: 99%

A short-stay unit for thyroidectomy patients increases discharge efficiency

Vrabec

Oltmann

Clark

et al. 2013

Journal of Surgical Research

View full text Add to dashboard Cite

Background Patients traditionally recover overnight on a general surgery ward after a thyroidectomy; however, these units often lack the efficiency and focus for rapid discharge which is the goal of a short-stay unit. Utilizing a short-stay unit for thyroidectomy patients, who are often discharged in <24 hours, may reduce the duration of hospital stay and subsequently decrease associated costs and increase hospital bed and resource availability. Methods A retrospective review of 400 patients undergoing thyroidectomy at a single academic hospital. Post-operative discharge information and hospital cost data were analyzed. Adult patients having stayed a single night in the hospital were included. Comparisons were made between patients staying on a designated short-stay unit (SS) versus a general surgery ward (GS). Results 223 patients were admitted to SS and 177 to GS. Trends of admission location were blocked based on time period with the majority of patients per time period going to the same location. Discharge times varied significantly between patients admitted to SS (p<0.001). 70% of SS patients were discharged before noon versus 40% of GS patients (p<0.001). Many variances were identified to account for these differences. Direct costs were significantly lower with SS, due to savings in pharmacy, recovery room, and nursing expenses (all p<0.01). Conclusions A designated short-stay hospital unit is an effective model for increasing the efficiency of discharge for thyroidectomy patients compared to those admitted to a general surgery ward. It also serves to increase bed availability, which decreases hospital cost and may improve patient flow.

show abstract

Section: Introductionmentioning

confidence: 99%

A short-stay unit for thyroidectomy patients increases discharge efficiency

Vrabec

Oltmann

Clark

et al. 2013

Journal of Surgical Research

View full text Add to dashboard Cite

show abstract

“…Cardiology bed shortages force catheterization patients to recover in sub-optimal care areas (eg, held within the catheterization laboratory, off-service inpatient beds, or post-anesthesia care units) or can lead to a cancellation of the catheterization procedure. [13][14][15] Catheterization admission prediction is a critical component of hospital bed management that could be supported by informatics-based solutions.…”

mentioning

confidence: 99%