Diabetes team consultation: Impact on length of stay of diabetic patients admitted to a short-stay unit

Fifty ways to reduce length of stay: An inventory of how hospital staff would reduce the length of stay in their hospital

“…And in addition treating patients in a joint care programme [42,43] • Surgical pre-assessment, planning the admission, post-operative care and planning a safe discharge [44], early imaging with CT, MRI, or nuclear scintigraphy, particularly on the day before or the day of admission [45] • Preventing admissions of patients not needing inpatient care [46][47][48] • Utilising specialised nurse practitioners or other advanced professionals [49][50][51] • Creating an observation unit that gives more time to decide whether or not to admit the patient [52] • Stimulating that patients initially are seen by the right specialty [53] • Performing same-day major surgery [47] • Optimising guidelines and protocols or introducing clinical pathways for specific patient groups in order to reduce the length of stay and often with improvements of quality of care • Treating patients in a fast-track or accelerated care programme [54][55][56][57][58][59][60][61][62] • Choosing a laparoscopic rather than a classic intervention (open surgery) [63][64][65][66][67][68][69][70] although readmission rates for laparoscopic treatment may be higher [71] • Implementing an acute stroke unit [72] • Being aware that consultations, transfers and fragmentation of care often lead to delays [73,74] • Reducing waiting times for examinations [8,48] • Stimulating early rehabilitation and physical activity [75]…”

Reducing length of stay for acute diabetic foot episodes: employing an extended scope of practice podiatric high‐risk foot coordinator in an acute foundation trust hospital

“…The length of stay for patients with diabetes can be prolonged [4-6], with various factors compounding the difficulty in resolving foot complaints. If investigations, interventions, consultations and care planning are not coordinated during an inpatient stay by appropriately skilled and experienced health professionals, it is our belief that length of stay is extended, re-admission is more likely, and poorer clinical outcomes expected.…”

En plena crisis económica: coste y efectividad de las unidades de estancia corta hospitalarias

“…Las UEC permiten disminuir los ingresos no necesarios en camas de hospitalización convencional, mejorar la atención percibida por el paciente y disminuir probablemente el porcentaje de infección nosocomial. Para el correcto funcionamiento de estas unidades se deben cumplir una serie de requerimientos [14][15][16][17][18][19][20][21][22][23][24][25] : idealmente deben de encontrarse bajo manejo por médicos internistas; el tiempo de estancia debe limitarse a una máxima de 96 horas; los objetivos por paciente deben de estar claramente definidos; no deben de utilizarse como comodín cuando faltan camas en las UHC y si el paciente tuviera que ingresar, el ingreso debe tener prioridad sobre otros pacientes para poder mantener el índice de rotación pactado, lo que hace que las UEC sean unidades altamente dinámicas [26][27][28] . En definitiva, podemos afirmar que en la gestión sanitaria, las UEC son una herramienta de optimización de los recursos sanitarios públicos 29 .…”