Title of article :
Evaluating Inappropriate Patient Stay and Its Reasons based on the Appropriateness Evaluation Protocol
Author/Authors :
meidani, zahra kashan university of medical sciences - health information management research center, school of allied health professions, ايران , farzandipour, mehrdad kashan university of medical sciences - health information management research center, school of allied health professions, ايران , hosseinpour, mehrdad isfahan university of medical sciences - imam hossein children hospital, school of medicine - department of pediatric surgery, ايران , kheirkhah, davood kashan university of medical sciences - infectious diseases research center, ايران , shekarchi, manizheh shahid beheshti university of medical sciences - shahid ayatollah ashrafi isfahani - medical record department, ايران , rafiei, shahla kashan university of medical sciences - shahid beheshti university hospital - department of nursing services,, ايران
Abstract :
Hospital beds are among valuable resources for care delivery. Therefore, optimum use of them is crucial for increasing the efficiency of health‑care services and controlling health‑care costs. Objective: This study intended to evaluate inappropriate patient stay (IPS) in hospital settings and its reasons based on the appropriateness evaluation protocol. Methods: This cross‑sectional study was conducted on 335 patients hospitalized in a tertiary care university hospital. Data were gathered prospectively by 13 hospital nurses during a 6‑month period. IPS rate was evaluated using a checklist, the 27 criteria of which were related to medical services, nursing/life support services, and patient’s conditions. Moreover, a 12‑item checklist was used to determine physician‑, hospital‑, and patient/family‑related factors behind inappropriate hospital stay. Results: In total, 121 of 1925 (6.3%) hospitalization days of 335 patients were determined to be inappropriate. Neurosurgery and gynecology wards had the highest and the lowest inappropriate hospital stay rates (22.5% vs. 0%), respectively. The main reasons behind inappropriate hospital stay were hospital‑related factors (33.1%), physician‑related factors (29.1%), and patient‑related factors (21.3%). Conclusion: A wide variety of physician‑, hospital‑, and patient/family‑related factors contribute to IPS. Given the multifactorial causes of IPS, reducing its rate necessitates multidisciplinary approaches.
Keywords :
Appropriateness evaluation protocol , Bed utilization , Health‑care costs , Hospital stay , Nurses , Utilization review
Journal title :
Nursing and Midwifery Studies
Journal title :
Nursing and Midwifery Studies
