Navigation Links
Better scheduling of admissions can reduce crowding at children's hospitals
Date:5/23/2011

Too many admissions at a hospital at one time can put patients at risk. A new study published today in the Journal of Hospital Medicine suggests that "smoothing" occupancy over the course of a week could help hospitals reduce crowding and protect patients from crowded conditions. The strategy involves controlling the entry of patients, when possible, to achieve more even levels of occupancy instead of the peaks and troughs that are commonly encountered.

Researchers gathered inpatient information from 39 children's hospitals during 2007, using it to compare weekday versus weekend occupancy and to model the impact that smoothing inpatient occupancy has on reducing variations in occupancy. While it is obvious that smoothing over the whole week will reduce peaks and raise troughs to average levels, the investigators sought to quantify just how large these differences areand thereby quantify the potential of smoothing to reduce inpatient crowding. If smoothing does not significantly reduce crowding, then other strategies might be of more value.

The analysis revealed that weekday occupancy exceeded weekend occupancy: hospitals' average occupancy ranged from 70.9% to 108.1% on weekdays, and 65.7% to 94.9% on weekends. After smoothing, each week's maximum occupancy within the hospitals was reduced by smoothing (by an average of 6.6 percentage points). Through smoothing, 39,607 patients from the 39 hospitals were removed from settings where occupancy levels exceeded 95%. To achieve within-week smoothing, a median of only 2.6% of admissions would have to be scheduled on a different day of the week; this equates to a median of 7.4 patients per week.

"Scheduled admissions contribute significantly to variability in occupancy at hospitals and raise the risk of mid-week crowding," said lead researcher Evan S. Fieldston, MD, of The Children's Hospital of Philadelphia, USA. "Predictable patterns of admissions lead to high occupancy on some days and unused capacity on others, which can be addressed with proactive management of admissions." He suggested that by smoothing out variation and spacing scheduled admissions out over the week, hospitals can reduce crowding without delaying admissions or investing in expensive new beds. Also, currently, patients who are admitted on weekends experience more delays in treatment and have worse outcomes, so increasing the capability of hospitals to function more fully 7 days a week would make the system better and safer for all patients.


'/>"/>

Contact: Amy Molnar
healthnews@wiley.com
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Black Americans With Lupus Have Better Response to Flu Vaccine
2. Pitt researchers build a better mouse model to study depression
3. Virtual workout partners spur better results
4. Watching how cancer patients interact online could help clinicians provide better services
5. Are words weighing down the development of policy for better health?
6. Colonoscopy Better Than Alternative at Spotting Cancer in Seniors: Study
7. FDA could analyze public health consequences of its decisions better
8. Airlines Need Better Prep for In-Flight Medical Crises: Experts
9. Scientists afflict computers with schizophrenia to better understand the human brain
10. To Feel Better, Exercise Harder: Study
11. Breast Shield Better for Women Getting Chest CT Scan: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance ... care insurance companies have a waiver for care if the client has a cognitive ... the family pays for care, is often waived, so the benefits from their insurance ...
(Date:10/13/2017)... Texas (PRWEB) , ... October 13, 2017 , ... Yisrayl ... this week that explains one of the most popular and least understood books in ... like cryptic and puzzling descriptions that have baffled scholars for centuries. Many have tossed ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian history ... The Brink” is the creation of published author, William Nowers. Captain Nowers and ... WWII veteran, he spent thirty years in the Navy. Following his career as ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... the demand of today’s consumer and regulatory authorities worldwide. From Children’s to Adults ... tested to meet the highest standard. , These products are also: Gluten ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about the ... to develop to enable prevention of a major side effect of chemotherapy in ... in pediatric patients. For cisplatin, hearing loss is FDA listed on-label as a ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... Israel and NEW YORK , Sept. 27, ... with mobile health and big data solutions, today announced that its MyDario ... Please check your local TV listings for when The Dr. Oz Show ... ... season this month. ...
(Date:9/23/2017)... Pa. , Sept. 22, 2017 Janssen ... a complete response letter from the U.S. Food and ... seeking approval of sirukumab for the treatment of moderately ... letter indicates additional clinical data are needed to further ... moderately to severely active RA. ...
(Date:9/19/2017)... Inc., a venture-backed medical device company developing a non-invasive, robotically assisted, platform therapy that uses ... today:   ... Jim ... Tom Tefft ... Veteran medical device executive Josh Stopek , PhD, who has led R&D and business ...
Breaking Medicine Technology: