NDLI: The association between hallway boarding in internal wards, readmission and mortality rates: a comparative, retrospective analysis, following a policy change

Content Provider	Springer Nature : BioMed Central
Author	Ben Shoham, Assaf Munter, Gabriel
Abstract	Background Emergency department overcrowding is associated with adverse clinical outcomes and poor patients and staff experience. Full capacity protocols enabling hallway boarding in internal wards are instituted to relieve emergency room overcrowding. The effect of hallway boarding on the clinical outcomes of all inpatients in the internal wards has not been studied. Early in 2016, a decision to enable hallway boarding in the internal wing in our medical center came into effect, comprising an abrupt change to the medical center’s policy. The objective of this study is to examine the effect of hallway boarding on patients who were hospitalized in the internal wards. Methods General linear regression analysis, based on administrative data about admissions of patients, from January 2013 through September 2019, is used to compare in-hospital mortality, 30-day readmission and 30-day mortality rates, of inpatients hospitalized in two internal departments in our medical center, before and after the policy change. Results Eight thousand five hundred eighty-three patients and 11,962 patients were admitted to internal departments A and B, before and after the policy change, respectively. Adjusted in-hospital mortality was lower after the policy change (OR 0.76, [CI, 0.65 to 0.90]), 30-day readmission was mildly higher (OR, 1.18 [CI, 1.00 to 1.40]) and no change in 30-day mortality was observed (OR 1.16 [CI, 0.88 to 1.53]). The results emanate from corresponding changes in department A. No apparent change was observed in the length of hospital stay in department A, while a shorter length of stay was observed in department B. Conclusion Enabling inpatient boarding in our medical center, effectively, had increased bed capacity and generated an increase in the volume of patients. It was associated with lower in-hospital mortality and an increased 30-day readmission, without increasing 30-day mortality. Since this is an observational study, conducted in a single center, further research is necessary to confirm and qualify these observations.
Related Links	https://ijhpr.biomedcentral.com/counter/pdf/10.1186/s13584-021-00443-3.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	20454015
DOI	10.1186/s13584-021-00443-3
Journal	Israel Journal of Health Policy Research
Issue Number	1
Volume Number	10
Language	English
Publisher	BioMed Central
Publisher Date	2021-01-27
Access Restriction	Open
Subject Keyword	Medicine Public Health Health Administration Health Promotion and Disease Prevention Health Services Research Health Policy Boarding Hallway beds Internal department Length of stay 30-day readmission 30-day mortality Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Health Policy
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	2.8/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Reduced hospitalization rates are not associated with increased mortality or readmission rates in an emergency department in Israel

Organizational factors affecting length of stay in the emergency department: initial observational study

Associations Between Reduced Hospital Length of Stay and 30-Day Readmission Rate and Mortality: 14-Year Experience in 129 Veterans Affairs Hospitals

The association of hospital teaching intensity with 30‐day postdischarge heart failure readmission and mortality rates

Admission characteristics of patients with short term hospitalization

Unplanned readmission rates, length of hospital stay, mortality, and medical costs of ten common medical conditions: a retrospective analysis of Hong Kong hospital data

Factors Associated With Extended Length of Stay and 90-Day Readmission Rates Following ACDF

Impact of Length of Stay After Coronary Bypass Surgery on Short-term Readmission Rate

Readmission outcomes following infectious hospitalization: same-care unit performed better than different-care unit

The association between hallway boarding in internal wards, readmission and mortality rates: a comparative, retrospective analysis, following a policy change

Similar Documents

Reduced hospitalization rates are not associated with increased mortality or readmission rates in an emergency department in Israel

Organizational factors affecting length of stay in the emergency department: initial observational study

Associations Between Reduced Hospital Length of Stay and 30-Day Readmission Rate and Mortality: 14-Year Experience in 129 Veterans Affairs Hospitals

The association of hospital teaching intensity with 30‐day postdischarge heart failure readmission and mortality rates

Admission characteristics of patients with short term hospitalization

Unplanned readmission rates, length of hospital stay, mortality, and medical costs of ten common medical conditions: a retrospective analysis of Hong Kong hospital data

Factors Associated With Extended Length of Stay and 90-Day Readmission Rates Following ACDF

Impact of Length of Stay After Coronary Bypass Surgery on Short-term Readmission Rate

Readmission outcomes following infectious hospitalization: same-care unit performed better than different-care unit

The association between hallway boarding in internal wards, readmission and mortality rates: a comparative, retrospective analysis, following a policy change