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BioMed Central, BMC Health Services Research, 1(12), 2012

DOI: 10.1186/1472-6963-12-180

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Standardizing admission and discharge processes to improve patient flow: A cross sectional study

Journal article published in 2012 by Berta Ortiga, Albert Salazar, Albert Jovell, Joan Escarrabill, Guillem Marca, Xavier Corbella ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Background: The aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes. Methods: This study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain). This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00¿am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann¿Whitney test for non-normal continuous variables. Results: The median patients' global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p