The effects of hospitalization on multiple units

Kanak, Mary; Titler, Marita G.; Shever, Leah L.; Fei, Qiang; Dochterman, Joanne; Picone, Debra M.

doi:10.1016/j.apnr.2006.07.001

Cited by 29 publications

(39 citation statements)

References 9 publications

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“…The results of the present study are similar to those from a large retrospective analysis of patients who were admitted to an academic medical centre in the US (n = 7851). 3 That study, which focused on the number of units to which the patient was admitted per hospitalisation, found a twofold increase in falls, a threefold increase in medication errors and a fourfold increase in other adverse events among patients admitted to multiple units. 3 These outcomes confirm the safety aspects of frequent patient moves, 4 which may be related to delays in treatment.…”

Section: Discussionmentioning

confidence: 99%

“…3 That study, which focused on the number of units to which the patient was admitted per hospitalisation, found a twofold increase in falls, a threefold increase in medication errors and a fourfold increase in other adverse events among patients admitted to multiple units. 3 These outcomes confirm the safety aspects of frequent patient moves, 4 which may be related to delays in treatment. For example, it was clear in the present study that over one-third of frequently moved patients were not seen by a medical practitioner within a reasonable time following admission to the unit.…”

Section: Discussionmentioning

confidence: 99%

“…Considerable attention is being focused nationally 1,2 and internationally 3 on issues surrounding the number of times patients are moved during their episode of acute hospital care. For example, a recent qualitative study of issues associated with transferring a patient to an 'inappropriate' ward identified several safety themes, such as delayed diagnosis and treatment, compromised nursing care, communication breakdown among staff who are not used to working together and a lack of appropriate equipment and medications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

Webster¹,

New²,

Fenn³

et al. 2016

Aust. Health Review

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Objective. The aim of the present study was to investigate the incidence of and patient outcomes associated with frequent patient moves.Methods. In a prospective cohort study, any bed move and the reason for the move were documented. Patients were assessed on admission for anxiety, social support and delirium. Adverse events, length of stay and satisfaction were recorded. Patients moved three or more times were compared with those moved less than three times.Results. In all, 566 patients admitted to a tertiary referral hospital were included in the study. Of these, 156 patients (27.6%) were moved once, 46 (8.1%) were moved twice and 28 (4.9%) were moved at least three times. Those moved three or more times were almost threefold more likely to have an adverse event recorded compared with those moved fewer times (relative risk (RR) 2.75; 95% confidence interval (CI) 1.18, 6.42; P = 0.02) and to have a hospital stay twice as long (RR 7.10; 95% CI 2.60, 11.60; P = 0.002). Levels of satisfaction and anxiety were not affected by frequent moves and there was no effect on delirium.Conclusion. Frequent bed moves affect patient safety and prolong length of stay.What is known about the topic? Retrospective and qualitative studies suggest that patient safety and costs may be affected by frequent patient moves. What does this paper add?The present study is the first prospective study to assess the negative effects of frequent patient moves on specific patient outcomes, such as adverse events, length of stay and satisfaction with care. What are the implications for practitioners? Within-and between-ward moves may affect patient safety. Patients should be moved only when there is a clear and unavoidable reason for doing so.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

Webster¹,

New²,

Fenn³

et al. 2016

Aust. Health Review

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“…Kanak and colleagues [19] surmise that minimizing transitions during hospitalization can result in improved quality of care, shorter hospital stays, and lower overall costs. Improving the quality of care of older adults during healthcare setting transitions may help to decrease these readmission statistics [16].…”

Section: The Impact Of An Aging Population With Chronic Illnesses On mentioning

confidence: 99%

“…Preventive home visits, chronic disease self-management, caregiver support, transitional care, and comprehensive inpatient care can improve patients' quality of life and functional autonomy [16]. Positive outcomes of these interventions include fewer unplanned readmissions, longer median event-free survival reduced mortality rates, and lower healthcare costs [7,19,27]. …”

Section: Effects Of the Transitional Care Program Using Meleis' Transmentioning

confidence: 99%

Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing

Son

You

2015

J Korean Acad Nurs

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INTRODUCTIONAdvances in healthcare have led to a growing number of people living with chronic illnesses. At the same time, the proportion of older adults in the population is also growing, further increasing the number of those with chronic health problems because of accumulated exposure to chronic illness risk factors over their lifetime [1,2].Hospitalization rates due to chronic illnesses such as heart failure, stroke, chronic obstructive pulmonary disease, cancer, hypertension, and diabetes are highest among individuals aged 65 and over and typically result from an acute change in the health status of older adults [3]. Older adults with multiple chronic conditions that require close follow-up and early discharge may be prone to an increased risk of re-hospitalization because the decline of cognitive function or physical disabilities [1,3]. Furthermore, when appropriate care or resources are not available in the community, older patients will often remain in high-level care such as intensive care, exacerbating wait times for others in need of a hospital bed [1,3]. Therefore, comprehensive and wellexecuted discharge plans including the acceptance of changes in functional capacity, reconciliation of medications ordered at admission and at hospital discharge, coordination of follow-up diagnostic tests and appointments, and assessment of community Transition theory is widely used in the field of nursing because nursing frequently involve various transitions (e.g., mothering, immigration, health and illness, etc.) and it has been welcomed and adopted in nursing research, education, and practice [10,11].Transition theory provides an excellent lens through which nursing can be systematically and comprehensively viewed [12,13].Also, transition theory is particularly applicable for the care of aging families because age-related transitions that may result in hospitalization of an older adult often precipitate the need for nursing care for older individuals [11]. Furthermore, transition theory informs nurses on how to better understand the experience of transitioning from a hospital-to-home or nursing home, and how nurses can develop multifaceted interventions to ease the transition process for older adults [13]. However, more studies are needed to review the utility of applying transition theory to transitional care for older adults with chronic illnesses.Nurses play a key role in transitional care as they advocate for older patients with chronic illnesses and their families and provide direct care on a continual basis [14][15][16]. To stimulate discussion on the transitional care literature, an extensive review of the literature on transitional care in nursing for older adults with chronic illnesses is presented in this article. In addition, the usefulness and significance of Meleis' transition theory is critically compared with other conceptual models suggested for chronic care. How to improve transitional care in nursing areas is also discussed.

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Professional Nursing Practice in the Orthopedic Care Setting

Goldberg¹,

Quinlan²

2020

Perioperative Care of the Orthopedic Patient

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The effects of hospitalization on multiple units

Cited by 29 publications

References 9 publications

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing

Professional Nursing Practice in the Orthopedic Care Setting

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