Global hospital bed utilization crisis: A different approach
To test the effect of improved physician availability on hospital bed utilization. A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching...
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| Veröffentlicht in: | Saudi medical journal 2010-04, Vol.31 (4), p.434-436 |
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| creator | WANESS, Abdelkarim AKBAR, Jalal U KHARAL, Mubashar BINSALIH, Salih HARAKATI, Mohammed |
| description | To test the effect of improved physician availability on hospital bed utilization.
A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching units (CTU) were compared head-to-head. Each CTU has 3 consultants. The CTU-control provides standard care, while the CTU-intervention was designed to provide better physician-consultant availability. Three outcomes were evaluated: patient outsourcing to another hospital, patient discharge during weekends, and overall admissions. Statistical analysis was carried out by electronic statistics calculator from the Center for Evidence-Based Medicine.
Three hundred and thirty-four patients were evaluated for admission at the Emergency Room by both CTU's. One hundred and eighty-three patients were seen by the CTU-control, 6 patients were outsourced, and 177 were admitted. One hundred fifty-one patients were seen by the CTU-intervention: 39 of them were outsourced, and 112 were admitted. Forty-eight weekend patient discharges occurred during this period of time: 21 by CTU-control, and 27 by CTU-intervention. Analysis for odds ratio in both the rate of outsourcing, and weekend discharges, showed statistical significance in favor of the intervention group.
The continuous availability of a physician-consultant for patient admission evaluation, outsourcing, or discharge during regular weekdays and weekends at DIM, KAMC proved to have a positive impact on bed utilization. |
| format | Article |
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A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching units (CTU) were compared head-to-head. Each CTU has 3 consultants. The CTU-control provides standard care, while the CTU-intervention was designed to provide better physician-consultant availability. Three outcomes were evaluated: patient outsourcing to another hospital, patient discharge during weekends, and overall admissions. Statistical analysis was carried out by electronic statistics calculator from the Center for Evidence-Based Medicine.
Three hundred and thirty-four patients were evaluated for admission at the Emergency Room by both CTU's. One hundred and eighty-three patients were seen by the CTU-control, 6 patients were outsourced, and 177 were admitted. One hundred fifty-one patients were seen by the CTU-intervention: 39 of them were outsourced, and 112 were admitted. Forty-eight weekend patient discharges occurred during this period of time: 21 by CTU-control, and 27 by CTU-intervention. Analysis for odds ratio in both the rate of outsourcing, and weekend discharges, showed statistical significance in favor of the intervention group.
The continuous availability of a physician-consultant for patient admission evaluation, outsourcing, or discharge during regular weekdays and weekends at DIM, KAMC proved to have a positive impact on bed utilization.</description><identifier>ISSN: 0379-5284</identifier><identifier>PMID: 20383423</identifier><identifier>CODEN: SAMJDI</identifier><language>eng</language><publisher>Riyadh: Saudi Medical Journal</publisher><subject>After-Hours Care ; Bed Occupancy ; Biological and medical sciences ; Crowding ; General aspects ; Health Services Accessibility ; Hospitals, Teaching ; Humans ; Medical sciences ; Outcome Assessment (Health Care) ; Outsourced Services ; Patient Admission ; Patient Discharge ; Patient Transfer ; Physicians - supply & distribution ; Prospective Studies ; Saudi Arabia</subject><ispartof>Saudi medical journal, 2010-04, Vol.31 (4), p.434-436</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22733228$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20383423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WANESS, Abdelkarim</creatorcontrib><creatorcontrib>AKBAR, Jalal U</creatorcontrib><creatorcontrib>KHARAL, Mubashar</creatorcontrib><creatorcontrib>BINSALIH, Salih</creatorcontrib><creatorcontrib>HARAKATI, Mohammed</creatorcontrib><title>Global hospital bed utilization crisis: A different approach</title><title>Saudi medical journal</title><addtitle>Saudi Med J</addtitle><description>To test the effect of improved physician availability on hospital bed utilization.
A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching units (CTU) were compared head-to-head. Each CTU has 3 consultants. The CTU-control provides standard care, while the CTU-intervention was designed to provide better physician-consultant availability. Three outcomes were evaluated: patient outsourcing to another hospital, patient discharge during weekends, and overall admissions. Statistical analysis was carried out by electronic statistics calculator from the Center for Evidence-Based Medicine.
Three hundred and thirty-four patients were evaluated for admission at the Emergency Room by both CTU's. One hundred and eighty-three patients were seen by the CTU-control, 6 patients were outsourced, and 177 were admitted. One hundred fifty-one patients were seen by the CTU-intervention: 39 of them were outsourced, and 112 were admitted. Forty-eight weekend patient discharges occurred during this period of time: 21 by CTU-control, and 27 by CTU-intervention. Analysis for odds ratio in both the rate of outsourcing, and weekend discharges, showed statistical significance in favor of the intervention group.
The continuous availability of a physician-consultant for patient admission evaluation, outsourcing, or discharge during regular weekdays and weekends at DIM, KAMC proved to have a positive impact on bed utilization.</description><subject>After-Hours Care</subject><subject>Bed Occupancy</subject><subject>Biological and medical sciences</subject><subject>Crowding</subject><subject>General aspects</subject><subject>Health Services Accessibility</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Outcome Assessment (Health Care)</subject><subject>Outsourced Services</subject><subject>Patient Admission</subject><subject>Patient Discharge</subject><subject>Patient Transfer</subject><subject>Physicians - supply & distribution</subject><subject>Prospective Studies</subject><subject>Saudi Arabia</subject><issn>0379-5284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFz01LxDAQgOEcFHdd_QuSi3gqTDLNx4qXZdFVWPCi55KkCRtJP2zag_56C1Y8zRwe3mHOyBpQbQvBdbkilzl_AKCUIC_IigNqLDmuycMhddYkeupyH8d5sb6m0xhT_DZj7Frqhphjvqc7WscQ_ODbkZq-HzrjTlfkPJiU_fUyN-T96fFt_1wcXw8v-92x6HkJY2FrEGBFbb2VOPeF1UoFp42yGmsURgnPt4AoudCy1NaBtwwYOBZcYIAbcvfbnc9-Tj6PVROz8ymZ1ndTrhSiVoyVYpY3i5xs4-uqH2Jjhq_q7-EZ3C7AZGdSGEzrYv53fG5xrvEHGoldJA</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>WANESS, Abdelkarim</creator><creator>AKBAR, Jalal U</creator><creator>KHARAL, Mubashar</creator><creator>BINSALIH, Salih</creator><creator>HARAKATI, Mohammed</creator><general>Saudi Medical Journal</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20100401</creationdate><title>Global hospital bed utilization crisis: A different approach</title><author>WANESS, Abdelkarim ; AKBAR, Jalal U ; KHARAL, Mubashar ; BINSALIH, Salih ; HARAKATI, Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p240t-bd050b5dbeb63bed5b877fc8a7b83d35a75e290336258648bc0eb1010c1fcf103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>After-Hours Care</topic><topic>Bed Occupancy</topic><topic>Biological and medical sciences</topic><topic>Crowding</topic><topic>General aspects</topic><topic>Health Services Accessibility</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Outcome Assessment (Health Care)</topic><topic>Outsourced Services</topic><topic>Patient Admission</topic><topic>Patient Discharge</topic><topic>Patient Transfer</topic><topic>Physicians - supply & distribution</topic><topic>Prospective Studies</topic><topic>Saudi Arabia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WANESS, Abdelkarim</creatorcontrib><creatorcontrib>AKBAR, Jalal U</creatorcontrib><creatorcontrib>KHARAL, Mubashar</creatorcontrib><creatorcontrib>BINSALIH, Salih</creatorcontrib><creatorcontrib>HARAKATI, Mohammed</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WANESS, Abdelkarim</au><au>AKBAR, Jalal U</au><au>KHARAL, Mubashar</au><au>BINSALIH, Salih</au><au>HARAKATI, Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global hospital bed utilization crisis: A different approach</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>31</volume><issue>4</issue><spage>434</spage><epage>436</epage><pages>434-436</pages><issn>0379-5284</issn><coden>SAMJDI</coden><abstract>To test the effect of improved physician availability on hospital bed utilization.
A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching units (CTU) were compared head-to-head. Each CTU has 3 consultants. The CTU-control provides standard care, while the CTU-intervention was designed to provide better physician-consultant availability. Three outcomes were evaluated: patient outsourcing to another hospital, patient discharge during weekends, and overall admissions. Statistical analysis was carried out by electronic statistics calculator from the Center for Evidence-Based Medicine.
Three hundred and thirty-four patients were evaluated for admission at the Emergency Room by both CTU's. One hundred and eighty-three patients were seen by the CTU-control, 6 patients were outsourced, and 177 were admitted. One hundred fifty-one patients were seen by the CTU-intervention: 39 of them were outsourced, and 112 were admitted. Forty-eight weekend patient discharges occurred during this period of time: 21 by CTU-control, and 27 by CTU-intervention. Analysis for odds ratio in both the rate of outsourcing, and weekend discharges, showed statistical significance in favor of the intervention group.
The continuous availability of a physician-consultant for patient admission evaluation, outsourcing, or discharge during regular weekdays and weekends at DIM, KAMC proved to have a positive impact on bed utilization.</abstract><cop>Riyadh</cop><pub>Saudi Medical Journal</pub><pmid>20383423</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Saudi medical journal, 2010-04, Vol.31 (4), p.434-436 |
| issn | 0379-5284 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | After-Hours Care Bed Occupancy Biological and medical sciences Crowding General aspects Health Services Accessibility Hospitals, Teaching Humans Medical sciences Outcome Assessment (Health Care) Outsourced Services Patient Admission Patient Discharge Patient Transfer Physicians - supply & distribution Prospective Studies Saudi Arabia |
| title | Global hospital bed utilization crisis: A different approach |
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