The implementation and evaluation of the patient admission prediction tool: Assessing its impact on decision-making strategies and patient flow outcomes in 2 Australian hospitals

Julia L Crilly; Justin Boyle; Melanie Jessup; Marianne Wallis; James Lind; David Green; Gerry FitzGerald

doi:10.1097/QMH.0000000000000070

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The implementation and evaluation of the patient admission prediction tool: Assessing its impact on decision-making strategies and patient flow outcomes in 2 Australian hospitals

Journal article

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The implementation and evaluation of the patient admission prediction tool: Assessing its impact on decision-making strategies and patient flow outcomes in 2 Australian hospitals

Julia L Crilly, Justin Boyle, Melanie Jessup, Marianne Wallis, James Lind, David Green and Gerry FitzGerald

Quality Management in Health Care, Vol.24(4), pp.169-176

2015

DOI: https://doi.org/10.1097/QMH.0000000000000070

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Abstract

emergency department

implementation

information technology

occupancy

patient flow

Study Objectives: To evaluate the implementation of a Patient Admission Prediction Tool (PAPT) in terms of patient flow outcomes and decision-making strategies. Methods: Setting: The PAPT was implemented in 2 Australian public teaching hospitals during October-December 2010 (hospital A) and October-December 2011 (hospital B). Design: A multisite prospective, comparative (before and after) design was used. Patient flow outcomes measured included access block and hospital occupancy. Daily and weekly data were collected from patient flow reports and routinely collected emergency department information by the site champion and researchers. Results: Daily decision-making strategies ranged from business as usual to use of overcensus beds. Weekly strategies included advanced approval to use of overcensus beds and prebooking nursing staff. These strategies resulted in improved weekend discharges to manage incoming demand for the following week. Following the introduction of the PAPT and workflow guidelines, patient access and hospital occupancy levels could be maintained despite increases in patient presentations (hospital A). Conclusions: The use of a PAPT, embedded in patient flow management processes and championed by a manager, can benefit bed and staff management. Further research that incorporates wider evaluation of the use of the tool at other sites is warranted.

Details

Title: The implementation and evaluation of the patient admission prediction tool: Assessing its impact on decision-making strategies and patient flow outcomes in 2 Australian hospitals
Authors: Julia L Crilly (Author) - Griffith University
Justin Boyle (Author) - CSIRO
Melanie Jessup (Author) - Griffith University
Marianne Wallis (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
James Lind (Author) - Griffith University
David Green (Author) - Griffith University
Gerry FitzGerald (Author) - Queensland University of Technology
Publication details: Quality Management in Health Care, Vol.24(4), pp.169-176
Publisher: Lippincott Williams & Wilkins
Date published: 2015
DOI: 10.1097/QMH.0000000000000070
ISSN: 1063-8628
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99449394002621
Output Type: Journal article

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