Impacto de una intervención de autoevaluación clínica sobre la adecuación de la estancia hospitalaria

Catot, Jaume Monteis; Martı́n-Baranera, Montserrat; Soler, Nikita; Vilaró, Josep; Moya, Carlos; Martínez, Francesc; Riu, Marta; Puig, Carme; Riba, Antoni; Navarro, Gemma; Espinagosa, Assumpta; Gómez, Genís Carrasco; Castells, Xavier; Peiró, Salvador

doi:10.1157/13108501

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…They were classified by author and publication year, context, design and aim, participants, the country where the included studies were carried out and the main findings. As for the study type, one was a systematic review [2], and eight were observational studies, including crosssectional studies [11,[15][16][17][18][19][20][21], prospective studies [10,22] and pre-and post-intervention studies [23,24]. Spain Pneumonia patients were older, less complex and had higher death rates than the rest of the patients.…”

Section: Resultsmentioning

confidence: 99%

“…The other tool is adeQhos ® . It is an easy-to-use, quick questionnaire filled in by the clinicians themselves, incorporating subjective clinical criteria [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…The same reviewers evaluated adequacy using the AEP prior to and post intervention. No significant decrease in hospital inadequacy was observed after a low-intensity intervention [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review

Luis,

Rodríguez-Álvarez,

Cuéllar-Pompa

et al. 2023

Nursing Reports

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Delayed discharge for non-clinical reasons is defined as a period of stay that continues after a patient has been deemed medically fit to leave the hospital but is unable to do so for non-medical reasons. This circumstance overburdens the healthcare system and constitutes a major problem for healthcare systems and the patients themselves in this situation. The aim of this study was to evaluate the delay in effective discharge for non-medical reasons for patients admitted to acute care hospitals in Spain. A scoping review followed the Joanna Briggs Institute methodology guidelines to search for and synthesize studies published between 2019 and 2022. To identify potentially relevant documents, the following bibliographic databases were searched: EMBASE, CINAHL and MEDLINE. For the search, we used free terms («delayed discharges», «discharge delays», «bed-blocking», «timely discharge», «unnecessary days» and «inappropriate stays»). Quantitative or qualitative studies published in scientific journals on delayed effective discharge for non-medical reasons for patients admitted to a hospital for any health issue of medical or surgical origin were selected. Information collection of the documents was performed using a structured datasheet specifically developed by the authors. The initial search strategy identified a total of 124 references, which were successively screened to a final selection of 13 studies. To conclude, delayed discharge from a hospital for non-clinical reasons is a multifactorial problem. This may be due to factors internal or external to the hospital, as well as personal factors. The main causes of the delay were similar among the studies found, as were the clinical characteristics of the patients, most of whom were elderly, frail and more dependent due to declining functional capacities. Further studies addressing the socio-familial characteristics of the patients and the perspective of the patient and families would be necessary.

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Section: Resultsmentioning

confidence: 99%

“…The other tool is adeQhos ® . It is an easy-to-use, quick questionnaire filled in by the clinicians themselves, incorporating subjective clinical criteria [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review

Luis,

Rodríguez-Álvarez,

Cuéllar-Pompa

et al. 2023

Nursing Reports

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Efectividad de las intervenciones de revisión de la utilización inadecuada de la hospitalización. Una revisión sistemática

Antón¹,

Peiró

Pillado

et al. 2008

Revista de Calidad Asistencial

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Delayed Hospital Discharges of Older Patients: A Systematic Review on Prevalence and Costs

et al. 2017

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Delayed discharges occur in most countries and the associated costs are significant. However, the variability in prevalence of delayed discharges and available data on costs limit our knowledge of the full impact of delayed discharges. A standardization of methods is necessary to allow comparisons to be made, and additional studies are required-preferably by disease area-to determine the postdischarge needs of specific patient groups and the estimated costs of delays.

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Impacto de una intervención de autoevaluación clínica sobre la adecuación de la estancia hospitalaria

Abstract: The prevalanece of IHS the day before discharge in the hospitals studied was high (41.1%). No significant decrease in IHS was observed after a low-intensity intervention.

Cited by 5 publications

References 18 publications

Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review

Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review

Efectividad de las intervenciones de revisión de la utilización inadecuada de la hospitalización. Una revisión sistemática

Delayed Hospital Discharges of Older Patients: A Systematic Review on Prevalence and Costs

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