A review of bed utilisation in the West of Ireland

Hdl Handle:
http://hdl.handle.net/10147/558432
Title:
A review of bed utilisation in the West of Ireland
Authors:
Evans,DS; Corcoran, R; Kiernan, R; Glacken, M
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
May-2015
URI:
http://hdl.handle.net/10147/558432
Abstract:
To ensure efficient use of Irish acute hospitals, the study aimed to assess the appropriateness of admission and days of care. The Appropriateness Evaluation Protocol (AEP) was applied to a stratified random sample of 286 medical and surgical, elective and non-elective patients from four acute hospitals in the west of Ireland. A total of 23 patients (8%) were inappropriately admitted. Of these, 15 (65%) could have been avoided. Of the 34 elective/booked admissions, seven (21%) were inappropriate in terms of location of surgery criteria. Over three quarters of elective patients (77%) were admitted one or more days prior to surgery which was not justified for 13 (57%) of these patients. Over a quarter of days of care (n = 73, 26%) were inappropriate. Evidence of discharge planning was found for 48% of patients. The study provides a benchmark to monitor progress. Existing policies and programmes should be implemented and monitored.
Item Type:
Article
Language:
en
Keywords:
ACUTE HOSPITALS; BED USAGE

Full metadata record

DC FieldValue Language
dc.contributor.authorEvans,DSen
dc.contributor.authorCorcoran, Ren
dc.contributor.authorKiernan, Ren
dc.contributor.authorGlacken, Men
dc.date.accessioned2015-06-23T08:50:34Zen
dc.date.available2015-06-23T08:50:34Zen
dc.date.issued2015-05en
dc.identifier.urihttp://hdl.handle.net/10147/558432en
dc.description.abstractTo ensure efficient use of Irish acute hospitals, the study aimed to assess the appropriateness of admission and days of care. The Appropriateness Evaluation Protocol (AEP) was applied to a stratified random sample of 286 medical and surgical, elective and non-elective patients from four acute hospitals in the west of Ireland. A total of 23 patients (8%) were inappropriately admitted. Of these, 15 (65%) could have been avoided. Of the 34 elective/booked admissions, seven (21%) were inappropriate in terms of location of surgery criteria. Over three quarters of elective patients (77%) were admitted one or more days prior to surgery which was not justified for 13 (57%) of these patients. Over a quarter of days of care (n = 73, 26%) were inappropriate. Evidence of discharge planning was found for 48% of patients. The study provides a benchmark to monitor progress. Existing policies and programmes should be implemented and monitored.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectACUTE HOSPITALSen
dc.subjectBED USAGEen
dc.titleA review of bed utilisation in the West of Irelanden
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen
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