Assessment of service delays and impact on bed utilisation in a major teaching hospital.
AffiliationDepartment of Gastroenterology and Hepatology, Beaumont Hospital, Hepatology Unit, Dublin, Ireland.
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CitationAssessment of service delays and impact on bed utilisation in a major teaching hospital. 2010:notIr J Med Sci
JournalIrish journal of medical science
AbstractBACKGROUND: Increasing economic pressures coupled with an expanding and ageing population and a hostile economic climate have led to growing interest in the optimisation of bed usage within hospitals. There are many causes for delay in a patient's discharge. METHODS: This prospective observational study assessed consecutive patients admitted and discharged from hospital within a 52-day period for waiting times in the provision of requested diagnostic tests and services. RESULTS: Seventy patients were included in the study. There were median delays of 2 and 3 days for an MRI and colonoscopy, a delay of 3 days for a Holter monitor report, and 9 days for an occupational therapy referral. The median wait for consults was 1 day across all three services. CONCLUSIONS: Significant remediable delays exist during the course of many acute medical admissions. Addressing these factors will enable the provision of a faster and more cost-efficient service.
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