Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.

<h4>Background</h4>When the number of patients requiring hospital admission exceeds the number of available department-allotted beds, patients are often placed on a different specialty's inpatient ward, a practice known as "bedspacing". Whether bedspacing affects quality o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jessica Liu, Joshua Griesman, Rosane Nisenbaum, Chaim M Bell
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/89478b99c5fb46959648994cd6f3d321
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:89478b99c5fb46959648994cd6f3d321
record_format	dspace
spelling	oai:doaj.org-article:89478b99c5fb46959648994cd6f3d3212021-11-25T06:02:01ZQuality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.1932-620310.1371/journal.pone.0106763https://doaj.org/article/89478b99c5fb46959648994cd6f3d3212014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25184480/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>When the number of patients requiring hospital admission exceeds the number of available department-allotted beds, patients are often placed on a different specialty's inpatient ward, a practice known as "bedspacing". Whether bedspacing affects quality of patient care has not been previously studied.<h4>Methods</h4>We reviewed consecutive general internal medicine (GIM) admissions for congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and pneumonia at St. Michael's Hospital in Toronto, Canada, from 2007 to 2011 and examined whether quality of care differs between bedspaced and nonbedspaced patients. We matched each bedspaced patient with a GIM ward patient admitted on the same call shift with the same diagnosis. The primary outcome was the ratio of the actual to the estimated length of stay (ELOS). General and disease specific measures for CHF, COPD, and pneumonia (e.g. fluid restriction) were evaluated, as well as 30-day Emergency Department (ED) and hospital readmissions.<h4>Results</h4>Overall, 1639 consecutive admissions were reviewed, and 39 matched pairs for CHF, COPD and pneumonia were studied. Differences in both general and disease specific care measures were not detected between groups. For many disease-specific comparisons, ordering and adherence to quality of care indicators was low in both groups.<h4>Conclusions</h4>We were unable to detect differences in quality of care between bedspaced and nonbedspaced patients. As high patient volumes and hospital overcrowding remains, bedspacing will likely continue. More research is required in order to determine if quality of care is compromised by this ongoing practice.Jessica LiuJoshua GriesmanRosane NisenbaumChaim M BellPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e106763 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jessica Liu Joshua Griesman Rosane Nisenbaum Chaim M Bell Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
description	<h4>Background</h4>When the number of patients requiring hospital admission exceeds the number of available department-allotted beds, patients are often placed on a different specialty's inpatient ward, a practice known as "bedspacing". Whether bedspacing affects quality of patient care has not been previously studied.<h4>Methods</h4>We reviewed consecutive general internal medicine (GIM) admissions for congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and pneumonia at St. Michael's Hospital in Toronto, Canada, from 2007 to 2011 and examined whether quality of care differs between bedspaced and nonbedspaced patients. We matched each bedspaced patient with a GIM ward patient admitted on the same call shift with the same diagnosis. The primary outcome was the ratio of the actual to the estimated length of stay (ELOS). General and disease specific measures for CHF, COPD, and pneumonia (e.g. fluid restriction) were evaluated, as well as 30-day Emergency Department (ED) and hospital readmissions.<h4>Results</h4>Overall, 1639 consecutive admissions were reviewed, and 39 matched pairs for CHF, COPD and pneumonia were studied. Differences in both general and disease specific care measures were not detected between groups. For many disease-specific comparisons, ordering and adherence to quality of care indicators was low in both groups.<h4>Conclusions</h4>We were unable to detect differences in quality of care between bedspaced and nonbedspaced patients. As high patient volumes and hospital overcrowding remains, bedspacing will likely continue. More research is required in order to determine if quality of care is compromised by this ongoing practice.
format	article
author	Jessica Liu Joshua Griesman Rosane Nisenbaum Chaim M Bell
author_facet	Jessica Liu Joshua Griesman Rosane Nisenbaum Chaim M Bell
author_sort	Jessica Liu
title	Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
title_short	Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
title_full	Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
title_fullStr	Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
title_full_unstemmed	Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
title_sort	quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/89478b99c5fb46959648994cd6f3d321
work_keys_str_mv	AT jessicaliu qualityofcareofhospitalizedinternalmedicinepatientsbedspacedtononinternalmedicineinpatientunits AT joshuagriesman qualityofcareofhospitalizedinternalmedicinepatientsbedspacedtononinternalmedicineinpatientunits AT rosanenisenbaum qualityofcareofhospitalizedinternalmedicinepatientsbedspacedtononinternalmedicineinpatientunits AT chaimmbell qualityofcareofhospitalizedinternalmedicinepatientsbedspacedtononinternalmedicineinpatientunits
_version_	1718414293980938240

Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.

Ejemplares similares