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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | New, P. W. Andrianopoulos, N. Cameron, P. A. Olver, J. H. Stoelwinder, J. U. |
| Description | Country affiliation: Australia Author Affiliation: New PW ( Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. peter.new@monashhealth.org) |
| Abstract | BACKGROUND: Patient flow is a major problem in hospitals. Delays in accessing inpatient rehabilitation have not been well studied. AIMS: Measure the time taken for key processes in the patient journey from acute hospital admission through to inpatient rehabilitation admission in order to identify opportunities for improvement. METHODS: Retrospective open cohort study. All patients admitted over 8- and 10-month periods during 2008 into two inpatient rehabilitation units in Melbourne, Australia. Main outcome measures were the duration of the following key processes: acute hospital admission until referral for rehabilitation, referral until assessment by the rehabilitation service, assessment until deemed ready for transfer to rehabilitation, ready for transfer until rehabilitation admission. RESULTS: Three hundred and sixty patients were in the study sample (females = 186; 51.7%); mean age = 58.4 (standard deviation = 15.0) years. There was a median of 7 (interquartile range [IQR] 4-13) days from acute hospital admission till referral for rehabilitation, a median of 1 (IQR 0-1) day from referral till assessment, a median of 0 (IQR 0-2) days from assessment till deemed ready for transfer and a median of 1 (IQR 0-3) day from ready till admission into rehabilitation. Overall, patients spent 12.0% (804/6682) of their acute hospital admission waiting for a rehabilitation bed. CONCLUSIONS: There are opportunities to improve the efficiency of key processes in the acute hospital journey for patients subsequently admitted to inpatient rehabilitation; in particular, reducing the time from acute hospital admission till referral for rehabilitation and from being deemed ready for transfer to rehabilitation till admission. |
| File Format | HTM / HTML |
| ISSN | 14440903 |
| Issue Number | 9 |
| Volume Number | 43 |
| e-ISSN | 14455994 |
| Journal | Internal Medicine Journal |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2013-09-01 |
| Publisher Place | Australia |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Patient Admission Referral And Consultation Humans Middle Aged Discipline Internal Medicine Length Of Stay Male Hospitalization Aged, 80 And Over Standards Journal Article Rehabilitation Centers Young Adult Time Factors Adolescent Adult Female Multicenter Study Aged Retrospective Studies Trends Process Assessment (health Care) Patient Transfer Cohort Studies |
| Content Type | Text |
| Resource Type | Article |
| Subject | Internal Medicine |
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