A physician-centred intervention to shorten hospital stay: a pilot study
J C Setrakian, K M Flegel, T A Hutchinson, S Charest, L Côté, M D Edwardes, I B Corbett, J C Setrakian, K M Flegel, T A Hutchinson, S Charest, L Côté, M D Edwardes, I B Corbett
Abstract
Background: Studies of length of stay (LOS) in hospital usually focus on physician-independent factors. In this study, the authors identified physician-dependent factors and tested an intervention aimed at them to determine its effect on LOS.
Methods: A prospective comparison of LOS on 2 general medical wards in a tertiary care teaching hospital before and after the intervention. The pre-intervention (control) period and the intervention period were each 4 weeks. The intervention consisted of a checklist for planning management and discharge.
Results: Overall, the mean LOS was shorter during the intervention period than during the control period, but the difference was not statistically significant (12.0 and 14.4 days respectively, p = 0.13). The difference was significant on ward A (11.0 v. 14.7 days respectively, p = 0.02) but not on ward B (13.0 and 14.0 days respectively, p = 0.90).
Interpretation: An intervention at the level of the admitting physician may help to shorten LOS on a general medical ward.
References
- Nurs Econ. 1991 Jan-Feb;9(1):25-30, 63
- J Nurs Adm. 1986 Mar;16(3):12-9
- J Am Med Inform Assoc. 1995 Jan-Feb;2(1):58-64
- Healthc Manage Forum. 1998 Summer;11(2):13-20
- Am J Respir Crit Care Med. 1995 Sep;152(3):984-7
- Med Care. 1995 Nov;33(11):1106-19
- Ann Pharmacother. 1996 May;30(5):449-54
- Med Care. 1995 Jul;33(7):663-75
Source: PubMed