Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events

This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of medical quality 2020-07, Vol.35 (4), p.323-329
Hauptverfasser: Maniaci, Michael J., Dawson, Nancy L., Cowart, Jennifer B., Richie, Eugene M., Suryaprasad, Anil G., Hodge, David O., Joyce, Nicole E., Kernan, Carol A., Stone, Laurie A., Burton, M. Caroline
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 329
container_issue 4
container_start_page 323
container_title American journal of medical quality
container_volume 35
creator Maniaci, Michael J.
Dawson, Nancy L.
Cowart, Jennifer B.
Richie, Eugene M.
Suryaprasad, Anil G.
Hodge, David O.
Joyce, Nicole E.
Kernan, Carol A.
Stone, Laurie A.
Burton, M. Caroline
description This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.
doi_str_mv 10.1177/1062860619879977
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2301439863</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1062860619879977</sage_id><sourcerecordid>2301439863</sourcerecordid><originalsourceid>FETCH-LOGICAL-c314t-a00343515002df504f5899efed8933465e68f72142294b3298a322cbede5ff03</originalsourceid><addsrcrecordid>eNp1kL1PwzAQxS0EEuVjZ_RYhoA_k3isSglIkUDQgS1ynXOSqo2LnVTqf4-rMiEx3ene753uHkJ3lDxQmmWPlKQsT0lKVZ4plWVnaEKllEnOxNd57KOcHPVLdBXCmhAmpaAT1BdOb5KnzoMZoMYz03awhy30A1623o1Niwtwjde7tjO4dEYPnevxtJgV5T3-gHo0EPB7nB4tJfTN0GJn8eegD1j3cWO9Bx8AL_YRCDfowupNgNvfeo2Wz4vl_CUp34rX-axMDKdiSDQhXHBJZbyztpIIK3OlwEKdK85FKiHNbcaoYEyJFWcq15wxs4IapLWEX6Ppae3Ou-8RwlBtu2Bgs9E9uDFUjBMquMpTHlFyQo13IXiw1c53W-0PFSXVMdnqb7LRkpwsQTdQrd3o-_jL__wPe5l3HQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2301439863</pqid></control><display><type>article</type><title>Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events</title><source>Access via SAGE</source><creator>Maniaci, Michael J. ; Dawson, Nancy L. ; Cowart, Jennifer B. ; Richie, Eugene M. ; Suryaprasad, Anil G. ; Hodge, David O. ; Joyce, Nicole E. ; Kernan, Carol A. ; Stone, Laurie A. ; Burton, M. Caroline</creator><creatorcontrib>Maniaci, Michael J. ; Dawson, Nancy L. ; Cowart, Jennifer B. ; Richie, Eugene M. ; Suryaprasad, Anil G. ; Hodge, David O. ; Joyce, Nicole E. ; Kernan, Carol A. ; Stone, Laurie A. ; Burton, M. Caroline</creatorcontrib><description>This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.</description><identifier>ISSN: 1062-8606</identifier><identifier>EISSN: 1555-824X</identifier><identifier>DOI: 10.1177/1062860619879977</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><ispartof>American journal of medical quality, 2020-07, Vol.35 (4), p.323-329</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c314t-a00343515002df504f5899efed8933465e68f72142294b3298a322cbede5ff03</citedby><cites>FETCH-LOGICAL-c314t-a00343515002df504f5899efed8933465e68f72142294b3298a322cbede5ff03</cites><orcidid>0000-0002-2731-1787 ; 0000-0002-6718-5754</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1062860619879977$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1062860619879977$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids></links><search><creatorcontrib>Maniaci, Michael J.</creatorcontrib><creatorcontrib>Dawson, Nancy L.</creatorcontrib><creatorcontrib>Cowart, Jennifer B.</creatorcontrib><creatorcontrib>Richie, Eugene M.</creatorcontrib><creatorcontrib>Suryaprasad, Anil G.</creatorcontrib><creatorcontrib>Hodge, David O.</creatorcontrib><creatorcontrib>Joyce, Nicole E.</creatorcontrib><creatorcontrib>Kernan, Carol A.</creatorcontrib><creatorcontrib>Stone, Laurie A.</creatorcontrib><creatorcontrib>Burton, M. Caroline</creatorcontrib><title>Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events</title><title>American journal of medical quality</title><addtitle>Am J Med Qual</addtitle><description>This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.</description><issn>1062-8606</issn><issn>1555-824X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kL1PwzAQxS0EEuVjZ_RYhoA_k3isSglIkUDQgS1ynXOSqo2LnVTqf4-rMiEx3ene753uHkJ3lDxQmmWPlKQsT0lKVZ4plWVnaEKllEnOxNd57KOcHPVLdBXCmhAmpaAT1BdOb5KnzoMZoMYz03awhy30A1623o1Niwtwjde7tjO4dEYPnevxtJgV5T3-gHo0EPB7nB4tJfTN0GJn8eegD1j3cWO9Bx8AL_YRCDfowupNgNvfeo2Wz4vl_CUp34rX-axMDKdiSDQhXHBJZbyztpIIK3OlwEKdK85FKiHNbcaoYEyJFWcq15wxs4IapLWEX6Ppae3Ou-8RwlBtu2Bgs9E9uDFUjBMquMpTHlFyQo13IXiw1c53W-0PFSXVMdnqb7LRkpwsQTdQrd3o-_jL__wPe5l3HQ</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Maniaci, Michael J.</creator><creator>Dawson, Nancy L.</creator><creator>Cowart, Jennifer B.</creator><creator>Richie, Eugene M.</creator><creator>Suryaprasad, Anil G.</creator><creator>Hodge, David O.</creator><creator>Joyce, Nicole E.</creator><creator>Kernan, Carol A.</creator><creator>Stone, Laurie A.</creator><creator>Burton, M. Caroline</creator><general>SAGE Publications</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2731-1787</orcidid><orcidid>https://orcid.org/0000-0002-6718-5754</orcidid></search><sort><creationdate>202007</creationdate><title>Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events</title><author>Maniaci, Michael J. ; Dawson, Nancy L. ; Cowart, Jennifer B. ; Richie, Eugene M. ; Suryaprasad, Anil G. ; Hodge, David O. ; Joyce, Nicole E. ; Kernan, Carol A. ; Stone, Laurie A. ; Burton, M. Caroline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-a00343515002df504f5899efed8933465e68f72142294b3298a322cbede5ff03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maniaci, Michael J.</creatorcontrib><creatorcontrib>Dawson, Nancy L.</creatorcontrib><creatorcontrib>Cowart, Jennifer B.</creatorcontrib><creatorcontrib>Richie, Eugene M.</creatorcontrib><creatorcontrib>Suryaprasad, Anil G.</creatorcontrib><creatorcontrib>Hodge, David O.</creatorcontrib><creatorcontrib>Joyce, Nicole E.</creatorcontrib><creatorcontrib>Kernan, Carol A.</creatorcontrib><creatorcontrib>Stone, Laurie A.</creatorcontrib><creatorcontrib>Burton, M. Caroline</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of medical quality</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maniaci, Michael J.</au><au>Dawson, Nancy L.</au><au>Cowart, Jennifer B.</au><au>Richie, Eugene M.</au><au>Suryaprasad, Anil G.</au><au>Hodge, David O.</au><au>Joyce, Nicole E.</au><au>Kernan, Carol A.</au><au>Stone, Laurie A.</au><au>Burton, M. Caroline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events</atitle><jtitle>American journal of medical quality</jtitle><addtitle>Am J Med Qual</addtitle><date>2020-07</date><risdate>2020</risdate><volume>35</volume><issue>4</issue><spage>323</spage><epage>329</epage><pages>323-329</pages><issn>1062-8606</issn><eissn>1555-824X</eissn><abstract>This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/1062860619879977</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2731-1787</orcidid><orcidid>https://orcid.org/0000-0002-6718-5754</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1062-8606
ispartof American journal of medical quality, 2020-07, Vol.35 (4), p.323-329
issn 1062-8606
1555-824X
language eng
recordid cdi_proquest_miscellaneous_2301439863
source Access via SAGE
title Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T15%3A41%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Goal-Directed%20Achievement%20Through%20Geographic%20Location%20(GAGL)%20Reduces%20Patient%20Length%20of%20Stay%20and%20Adverse%20Events&rft.jtitle=American%20journal%20of%20medical%20quality&rft.au=Maniaci,%20Michael%20J.&rft.date=2020-07&rft.volume=35&rft.issue=4&rft.spage=323&rft.epage=329&rft.pages=323-329&rft.issn=1062-8606&rft.eissn=1555-824X&rft_id=info:doi/10.1177/1062860619879977&rft_dat=%3Cproquest_cross%3E2301439863%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2301439863&rft_id=info:pmid/&rft_sage_id=10.1177_1062860619879977&rfr_iscdi=true