Before-after evaluation of patient length of stay in a rehabilitation context following implementation of an electronic patient journey board.
Int J Med Inform
; 134: 104042, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31855847
ABSTRACT
PURPOSE:
To investigate whether the installation of electronic patient journey boards in an inpatient adult rehabilitation centre in Victoria, Australia, is associated with shorter lengths of stay for admitted adult rehabilitation patients.METHODS:
A retrospective before-after analysis of 3 259 adult inpatient rehabilitation episodes from 2013 to 2018 was performed, analysing case-mix adjusted lengths of stay.RESULTS:
A reduction in case-mix adjusted length of stay of 4.1 days per episode (95 % confidence interval 2.0-6.4 days) was found. The corresponding reduction in hospital costs was estimated to be $3 738 per episode (95 % confidence interval $2 398-$4 983).CONCLUSIONS:
Installation of electronic patient journey boards was associated with shorter lengths of stay in an inpatient adult rehabilitation centre. Additional research is needed to 1) provide further evidence of the causal effect of the boards on length of stay, and 2) investigate the mechanisms by which they reduce lengths of stay (e.g., increased currency of information, changes to procedures, remote viewing) in rehabilitation settings.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_sistemas_informacao_saude
Assunto principal:
Centros de Reabilitação
/
Apresentação de Dados
/
Registros Eletrônicos de Saúde
/
Implementação de Plano de Saúde
/
Hospitalização
/
Tempo de Internação
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Int J Med Inform
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2020
Tipo de documento:
Article