NDLI: High bed occupancy rates: Are they a risk for patients and staff?

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High bed occupancy rates: Are they a risk for patients and staff?

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Year: 2013 Volume: 11 Issue: 2

Year: 2013 Volume: 11 Issue: 1

Year: 2012 Volume: 10

High bed occupancy rates: Are they a risk for patients and staff?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Volpe, Fernando Madalena Magalhães, Adriana Carla de Miranda Rocha, André Ramos
Spatial Coverage	Brazil
Description	Country affiliation: Brazil Author Affiliation: Volpe FM ( FHEMIG - Hospital, Foundation of Minas Gerais, Brazil.)
Abstract	AIM: In order to produce empirical evidence on the relationship between high bed occupancy and its potential hazards, this study correlates bed occupancy rates with hospital patient safety and staff overload indicators. METHODS: Data from nine medium to large scale public hospitals, all pertaining to the Hospital Foundation of Minas Gerais, Brazil, were gathered for the period January 2007 to June 2011. Indicators were aggregated by month, resulting in 486 observations (54 months × 9 hospitals). Bivariate linear regressions were performed, aiming to estimate the effect of bed occupancy rates on each response variable (hospital infection rates, institutional mortality and sick leave incidence). In addition, to directly test the hypothesis that bed occupancy rates over 85% are unsafe, it was included in the models as a categorical instead of continuous variable, using 85% as the cut-off value. RESULTS: Bed occupancy rates showed an inverse correlation to mortality rates (b = -0.056; P < 0.001) and presented no significant correlation to the nosocomial infection rates (P = 0.512). High bed occupancy (>85%) was associated with a slight increment of short sick leaves, especially short leaves (<7 days) (+0.14%; P = 0.008). CONCLUSIONS: The increase in hospital loading was unexpectedly associated with reduced institutional mortality and was not related to nosocomial infection incidences. High bed occupancy was associated to a slight increment of short sick leaves.
File Format	HTM / HTML
ISSN	17441595
Issue Number	4
Volume Number	11
e-ISSN	17441609
Journal	International Journal of Evidence-Based Healthcare
Language	English
Publisher	Wolters Kluwer Health
Publisher Date	2013-12-01
Publisher Place	Australia
Access Restriction	Subscribed
Subject Keyword	Discipline Health Services Bed Occupancy Statistics & Numerical Data Hospitals, Public Quality Of Health Care Absenteeism Brazil Cross Infection Epidemiology Evidence-based Medicine Hospital Mortality Humans Patient Safety Quality Indicators, Health Care Journal Article
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Health Policy

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