Cargando…
Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow
BACKGROUND: Overstay of inpatients is a big challenge to healthcare systems which interferes with the proper utilisation of the available resources and efficient delivery of care. Unnecessary days in the hospital may lead to patient complications including healthcare-associated infections, falls and...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314665/ https://www.ncbi.nlm.nih.gov/pubmed/37339819 http://dx.doi.org/10.1136/bmjoq-2022-002142 |
_version_ | 1785067358285463552 |
---|---|
author | Alharbi, Sultanah Alasmari, Abdullah Hanafy, Ehab Ellawindy, Alia |
author_facet | Alharbi, Sultanah Alasmari, Abdullah Hanafy, Ehab Ellawindy, Alia |
author_sort | Alharbi, Sultanah |
collection | PubMed |
description | BACKGROUND: Overstay of inpatients is a big challenge to healthcare systems which interferes with the proper utilisation of the available resources and efficient delivery of care. Unnecessary days in the hospital may lead to patient complications including healthcare-associated infections, falls and delirium, which can negatively impact both patient and staff experience. This project aimed to reduce the cost of bed days of inpatient overstay through facilitating the discharge process using a multidisciplinary intervention approach. METHODS: The root causes of inpatient overstay were defined via a multidisciplinary approach. This project applied the extension Deming Cycle method: Find-Organise-Clarify-Understand-Study-Plan-Do-Check-Act (PDCA). Solutions to the root causes which led to process variation were implemented through three PDCA cycles conducted between January 2019 and July 2020. RESULTS: There was a significant reduction in the total number of overstay inpatients, the total number of overstay days, and the related bed costs in the first 3 quarters of 2019. A significant and sustained improvement in the emergency department average boarding time was attained in the first half of 2019 (reduced from 11.9 hours to 1.7 hours). A total estimated cost saving of SR30 000 000 (US$8 000 000) in terms of operational efficiency was achieved. CONCLUSION: Early discharge planning and facilitating the patient discharge process significantly improves the average length of inpatient stay and patient outcomes and decreases hospital costs. |
format | Online Article Text |
id | pubmed-10314665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103146652023-07-02 Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow Alharbi, Sultanah Alasmari, Abdullah Hanafy, Ehab Ellawindy, Alia BMJ Open Qual Quality Improvement Report BACKGROUND: Overstay of inpatients is a big challenge to healthcare systems which interferes with the proper utilisation of the available resources and efficient delivery of care. Unnecessary days in the hospital may lead to patient complications including healthcare-associated infections, falls and delirium, which can negatively impact both patient and staff experience. This project aimed to reduce the cost of bed days of inpatient overstay through facilitating the discharge process using a multidisciplinary intervention approach. METHODS: The root causes of inpatient overstay were defined via a multidisciplinary approach. This project applied the extension Deming Cycle method: Find-Organise-Clarify-Understand-Study-Plan-Do-Check-Act (PDCA). Solutions to the root causes which led to process variation were implemented through three PDCA cycles conducted between January 2019 and July 2020. RESULTS: There was a significant reduction in the total number of overstay inpatients, the total number of overstay days, and the related bed costs in the first 3 quarters of 2019. A significant and sustained improvement in the emergency department average boarding time was attained in the first half of 2019 (reduced from 11.9 hours to 1.7 hours). A total estimated cost saving of SR30 000 000 (US$8 000 000) in terms of operational efficiency was achieved. CONCLUSION: Early discharge planning and facilitating the patient discharge process significantly improves the average length of inpatient stay and patient outcomes and decreases hospital costs. BMJ Publishing Group 2023-06-20 /pmc/articles/PMC10314665/ /pubmed/37339819 http://dx.doi.org/10.1136/bmjoq-2022-002142 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Quality Improvement Report Alharbi, Sultanah Alasmari, Abdullah Hanafy, Ehab Ellawindy, Alia Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title | Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title_full | Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title_fullStr | Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title_full_unstemmed | Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title_short | Reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
title_sort | reduction of hospital bed cost for inpatient overstay through optimisation of patient flow |
topic | Quality Improvement Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314665/ https://www.ncbi.nlm.nih.gov/pubmed/37339819 http://dx.doi.org/10.1136/bmjoq-2022-002142 |
work_keys_str_mv | AT alharbisultanah reductionofhospitalbedcostforinpatientoverstaythroughoptimisationofpatientflow AT alasmariabdullah reductionofhospitalbedcostforinpatientoverstaythroughoptimisationofpatientflow AT hanafyehab reductionofhospitalbedcostforinpatientoverstaythroughoptimisationofpatientflow AT ellawindyalia reductionofhospitalbedcostforinpatientoverstaythroughoptimisationofpatientflow |