Journal article
An integrative literature review of organisational factors associated with admission and discharge delays in critical care
BioMed Research International, Vol.2015, 868653
2015
Abstract
The literature shows that delayed admission to the intensive care unit (ICU) and discharge delays from the ICU are associated with increased adverse events and higher costs. Identifying factors related to delays will provide information to practice improvements, which contribute to better patient outcomes. The aim of this integrative review was to explore the incidence of patients' admission and discharge delays in critical care and to identify organisational factors associated with these delays. Seven studies were included. The major findings are as follows: (1) explanatory research about discharge delays is scarce and one study on admission delays was found, (2) delays are a common problem mostly due to organisational factors, occurring in 38% of admissions and 22-67% of discharges, and (3) redesigning care processes by improving information management and coordination between units and interdisciplinary teams could reduce discharge delays. In conclusion, patient outcomes can be improved through efficient and safe care processes. More exploratory research is needed to identify factors that contribute to admission and discharge delays to provide evidence for clinical practice improvements. Shortening delays requires an interdisciplinary and multifaceted approach to the whole patient flow process. Conclusions should be made with caution due to the limited number of articles included in this review.
Details
- Title
- An integrative literature review of organisational factors associated with admission and discharge delays in critical care
- Authors
- Laura-Maria Peltonen (Author) - University of Turku, FinlandLouise McCallum (Author) - University of Dundee, United KingdomEriikka Siirala (Author) - University of Turku, FinlandMarjaana Haataja (Author) - Oulu University Hospital, FinlandHelja Lundgren-Laine (Author) - Bureau of Nursing Care, FinlandSanna Salantera (Author) - University of Turku, FinlandFrances Lin (Author) - Griffith University
- Publication details
- BioMed Research International, Vol.2015, 868653; 12
- Publisher
- Hindawi Publishing Corporation
- Date published
- 2015
- DOI
- 10.1155/2015/868653
- ISSN
- 2314-6133; 2314-6133
- Copyright note
- Copyright © 2015 Laura-Maria Peltonen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451410802621
- Output Type
- Journal article
Metrics
46 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Biotechnology & Applied Microbiology
- Medicine, Research & Experimental
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites