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Outlier or handover: outcomes for General Medicine inpatients.
- Source :
- Australian Health Review; 2023, Vol. 47 Issue 5, p602-606, 5p
- Publication Year :
- 2023
-
Abstract
- Objective. Patients admitted from the emergency department may be co-located on the treating team's 'home ward'. If no bed is available, patients may be sent to another ward, where they may remain under the admitting team as an 'outlier'. Conversely, care may be handed over to the team on whose home ward they are located. We conducted a retrospective analysis to understand the impact of outlier status and handovers of care on outcomes for General Medicine inpatients. Methods. General Medicine admissions at the Royal Adelaide Hospital between September 2020 and November 2021 were analysed. We examined the rate of hospital-acquired complications, inpatient mortality rate, mortality within 48 h of admission, Relative Stay Index, time of discharge from hospital and rate of adverse events within 28 days of discharge. Results. A total of 3109 admissions were analysed. Handovers within 24 h of admission were associated with a longer length of stay. There was a trend towards higher rates of adverse events within 28 days of discharge with handovers of care. Outlier status did not affect any outcome measures. Conclusions. Handovers within the first 24 h of admission are associated with longer than expected length of stay. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS related groups
EVALUATION of medical care
LENGTH of stay in hospitals
MEDICAL quality control
HOSPITAL patients
HOSPITAL emergency services
HOSPITAL utilization
RETROSPECTIVE studies
CROSS infection
REGRESSION analysis
PATIENTS
HOSPITAL mortality
MEDICAL protocols
HOSPITAL admission & discharge
DESCRIPTIVE statistics
DATA analysis software
DISCHARGE planning
PATIENT safety
Subjects
Details
- Language :
- English
- ISSN :
- 01565788
- Volume :
- 47
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Australian Health Review
- Publication Type :
- Academic Journal
- Accession number :
- 172803118
- Full Text :
- https://doi.org/10.1071/AH22242