Implementation of an acute surgical admission ward  

Oleh:

Eijsvoogel, C.F.H. ; Peters, R.W. ; Budding, A.J. ; Ubbink, D.T.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 101 no. 11 (Oct. 2014), page 1434-1438.
Topik: acute surgical admission; acute patients; emergency department; wards; pasien kritis; UGD; unit gawat darurat; surgical patients; acute surgical unit; ASU

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background The aim of the study was to assess the impact of an acute surgical admission ward on admission and discharge processes. Methods This prospective cohort study was conducted in a university tertiary referral centre. All acute surgical patients were clustered in the acute surgical unit (ASU) in February and March 2012, and discharged or transferred to specialized departments within 48?h. The primary outcome was length of hospital stay (LOS). Secondary outcomes were impact on emergency department waiting times, discharge home within 48?h, incorrect ward admissions, readmissions and mortality. Outcomes of the study group were compared with those of a historical reference group admitted during the same interval the year before. Results Some 249 patients were admitted to the ASU during the study interval. The reference group consisted of 211 patients. The total LOS decreased significantly from a median of 4·0 to 2·0?days (P?=?0·004). The percentage of patients who were discharged within 48?h increased from 30·3 to 43·4 per cent (P?=?0·004). The rate of incorrect ward admission decreased from 9·5 to 0 per cent. Emergency department waiting time, readmission rate and 30-day mortality did not change. Conclusion Introduction of an acute surgical unit-shortened length of hospital stay without comprising readmission and mortality rates

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