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:4/30/2016)... ... April 30, 2016 , ... Orlando-based Maximized Living has ... go for gold in Rio. Under the care of Maximized Living doctors at ... In an unprecedented showing, Maximized Living is sending the largest contingent of elite chiropractors ...
(Date:4/29/2016)... ... April 30, 2016 , ... Mercy College is expanding ... The following programs will be expanding due to high demand: Master of Business Administration ... will begin this summer. , School of Business Graduate Program Chair Dr. ...
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... ... Two Ten Footwear Foundation, the national charitable foundation serving the footwear industry, has ... 8,000 volunteers representing more than 130 companies across 23 states during the months ...
(Date:4/29/2016)... ... April 29, 2016 , ... ... announces the addition Onnit brand Alpha BRAIN and New Mood Daily-Stress Formula for ... and mood optimization products to the store is just one more way Shamangelic ...
(Date:4/29/2016)... ... April 29, 2016 , ... On Tuesday, April 26, 2016 members ... celebrated the signature of Gov. Nathan Deal on SB 258, the “Rural Health Care ... Cumming), offers a 70% tax credit to individuals and corporations which donate directly to ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... , April 28, 2016 ... George Phillips und Stephen ...    ArisGlobal®, ein führender Anbieter ... gab heute bekannt, dass neue Führungskräfte zum ... gestoßen sind, die vielfältige Erfahrungen mitbringen.  Dies ...
(Date:4/28/2016)... -- Treato , the single largest ... that it has been named a Cool Vendor by ... Sciences, 2016, Stephen Davies , Michael ... life-science- oriented analytics, algorithms and smart machine technology in ... medication ingestion, and analyze unstructured information.   ...
(Date:4/28/2016)... , April 28, 2016 Dr. ... and Ste phen ... ArisGlobal®, a leading provider of cloud-based software solutions for life ... Pharmacovigilance team to bring a wealth of insight to a growing ... pharmacovigilance knowledge. George Phillips joined ArisGlobal in ...
Breaking Medicine Technology: