A Study on Reducing the Discharge Turnaround Time of IPD Patients at AVBRH (original) (raw)
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A Study to Assess the Factors Contributing to Delay in Discharge Process in a Teaching Hospital
International Journal of Research Foundation of Hospital and Healthcare Administration, 2019
Background: Delay in obtaining discharge is often a reason for dissatisfaction for patients, even for those who may have had a comparatively uneventful stay in the hospital. Aim: To study the factors contributing to delay in discharge process in a teaching hospital. Materials and methods: A time motion study was conducted in a teaching hospital wherein the time taken for discharge was measured for 69 patients. The outcome variable in the study was the time needed for the discharge process in total as well as for each individual step. Mean time at each step was identified and compared between groups using t test and analysis of variance (ANOVA). Results: The mean time for discharge process was 5 hours 41 minutes. The mean time between advice of discharge and physically leaving the ward varied from 6.62 hours in urology to 3.01 hours in ear, nose and throat (ENT). Only 13 patients (18.8%) were discharged within the National Accreditation Board for Hospitals and Healthcare Providers (NABH) prescribed time limit of 180 minutes. The maximum delay occurred during time taken for discharge summary completion. Conclusion: Very few patients were discharged within the prescribed time limit, with considerable delay in the time taken for discharge summary completion.
International Journal of Research Foundation of Hospital and Healthcare Administration
Background: The discharge of a patient is a time-consuming process comprising of clinical, financial, legal, and administrative and recordkeeping aspects that require proper execution. The discharge process is considered as an important quality indicator of the healthcare services of a hospital. Every hospital has its own discharge policy. Objectives: To study the steps in the discharge process in a tertiary care teaching hospital and identify the causes of delays in in-patient discharges in major clinical wards. Materials and methods: The study was conducted in four major clinical wards of AIIMS, Bhubaneswar. The discharge process was recorded using a structured format that was distributed in all the wards. The patient satisfaction and impression regarding the discharged process were recorded using a questionnaire. Results: The various steps identified in the discharge process were discharge summary writing, billing clearance, and patient leaving the hospital. Billing clearance contributed the maximum time from the total time taken for discharge followed by the discharge summary writing. Most of the patients rated their discharge process experience as above average and opined that the discharge process in the hospital was well organized. Conclusion: Discharging patients on time is a challenging task. With adequate manpower and proper patient counseling, the time taken for the process can be reduced. Improving the time taken for a discharge can improve the patient's satisfaction as well as effective bed management for the hospital.
The HIM journal, 2007
Strategies for improving the patient discharge process have a beneficial effect on many hospital activities. The main objective of this research was to analyse the discharge process at Kashani Hospital in Esfahan, Iran in the fall of 2004. This study took the form of a case study in which data were collected by questionnaire, observation and checklist. SPSS and Operations Research (O.R.) methods were used to analyse data. The results showed that the average time for patients to complete the discharge process was 4.93 hours. The hospital personnel involved identified the main factors affecting average waiting time as patients' financial problems and distance between different wards. The longest hospital stay was 5.7 days in the Neurology ward. Findings showed there was a queue in completing medical records at the nursing and medical equipment stations.
International Journal of Contemporary Pediatrics
Delay in discharge of the patient reduces bed availability in any healthcare organization. In spite of advancement in medical systems and hospital management, delay in patient discharges still exist. Hence, there was a need to evaluate factors contributing to the delay in an exclusive paediatric hospital. A study of patient discharges from a private and a general ward was undertaken at a tertiary care paediatric hospital in Mumbai, between September-October 2021. A total of 60 discharges, 30 from each ward were analysed. The time from discharge order given by the consultant to that of the patient leaving the hospital and the reasons for delay were recorded by the investigators. The hospital followed a policy of 180 min for a discharge. The mean duration of discharge in the general ward was 153.18±34.60 min and whereas it was 165.41±62.29 min in the private ward. However, 28% discharges in general ward and 43% discharges in private ward were delayed with a mean of 5.23±10.04 and 20.6...
ANALYSIS OF PATIENT WAITING TIME FOR HOSPITAL ADMISSION AND DISCHARGE PROCESS
Waiting time for hospital admission and discharge process is a common problem existing in all the hospitals, whether it is a small or a big set-up. The main objective of the study is to identify the gaps, highlight those areas where delay can be eliminated and recommend accordingly, so that the hospital admission and discharge process can be managed smoothly. This paper has explained both the hospital admission and discharge process in a simple way and has tried to find out the root causes for the delay in discharge process. This paper concludes with a list of suggestions. The set-up of the study was Apollo Hospitals, Greams Lane, Chennai (15th June – 14th August, 2012).
Evidence Based Health Policy, Management and Economics
Background:The process of the patient discharge from the hospital is one of the most important processes that has been taken into consideration by managers in recent years. An efficient health system can only accomplish its duty to provide the health of the community by providing the right services and this system can be evaluated through its services. Therefore, the necessity of performing this research is to improve the quality of hospital services for patients and increasing patient satisfaction. This study has been aimed to identify the factors affecting the process of patient discharge. Methods: This was a cross-sectional study conducted in a general hospital located in Takestan, Qazvin in 2019. The study population in the qualitative section of the study included those who were aware of the discharge process and had managerial positions in the hospital. The sampling process was continued until achieving data saturation. The required information was gathered through reviewing r...
A comparative time motion study of all types of patient discharges in a hospital
2013
Introduction Discharge is a release of a hospitalized patient from the hospital by the admitting physician after providing necessary medical care for a period deemed necessary. Any hospital needs to work on finer aspects of the discharge process, to make it more patient friendly and less time consuming as it directly connects to patient satisfaction. Methodology This observational study was carried out in a tertiary care 350 bedded hospital in Pune city on 354 discharged patients of all types of discharges, comprising of Insurance patients (104), self-payment patients (227) & discharges against medical advice (DAMA)(23). Results and Discussion The results indicate that there is a delay in all types of discharges in this hospital in all the steps except for the time needed to return unused medicines to the pharmacy. Time and tedious discharge procedure, also contributes to patient dissatisfaction.
2020
The present study was designed to evaluate a large private hospital and study the incidences of delay in discharge of patient, corrective action/steps which can be taken to resolve the delay in discharge and study the consequences resulting from delay of discharge, post medical advice. Seventy two discharges planned were studied by on field study and suggestions were sought on how hospital process can be improved. The results indicate that 16% of discharges get cancelled and the occurrence of delay in discharge are due to lack of coordination, communication amongst the staff members and lack of shared understanding about the problem. It was also observed that process design is a critical factor and the missing gaps in design result in locating a systemic delay in discharge and thus finding solutions to problems. These findings will subsequently help the hospitals to streamline discharge processes but also provide a methodology to other sectors to resolve issue involved in similar se...
Jurnal Aplikasi Manajemen, 2017
Completion inpatient discharge administration is a combination of some unit performance in services of a particular patient in a hospital. Delay in inpatient discharge due to delays in the completion process of administration have an impact such as prolong the waiting time of inpatient discharge. Waiting time can change patient's perception of the service quality of RS UMM. This study aims to determine the difference between waiting time of inpatient discharge service before and after enactment of director policy administration. This study is descriptive research with the research design use pre and post intervention. Development of data use observation in three (3) point of research, that is the ward, pharmacy, and cashier. The relationship between the director policy with inpatient discharge waiting time in RS UMM tested by using independent T-test in statistical software SPSS 20.0.The result showed no difference between waiting time of inpatient discharge services before and after implementation of director policy administration, although the data obtained that the waiting time before greater than waiting time after enactment of director policy administration (3,222 hours > 2,802 hours). The process of observation found another factor that suspected to affect the administrative process, they are the time of visiting from specialist over at 20.00 and under 07.00, the giving information of discharge patient not by the doctor in charge, a weak system of evaluation program by the managerial, and manufacture of prescription drugs that are not according with hospital formulary.
Discharge delay in acute care: reasons and determinants of delay in general ward patients
Australian Health Review, 2009
To identify the reasons and determinants of discharge delay in acute care patients, information associated with delayed discharge was extracted from the medical record of 1958 patients in a tertiary referral hospital in New South Wales. A logistic regression model was used to examine the association between demographic factors and reasons for discharge delay. Delayed discharge was most commonly associated with the patient's medical conditions, delayed health care or medical consultation, delayed diagnostic services and delayed allied health services. Elderly patients, those living alone and patients from a non-English-speaking background were more likely to Aust Health Rev 2009: 33(3): 513-521 have these reasons for delayed discharge.