Appropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospital
Article first published online: 18 MAY 2007
Journal of Evaluation in Clinical Practice
Volume 13, Issue 3, pages 408–411, June 2007
How to Cite
Dizdar, Ö., Karadağ, Ö., Kalyoncu, U., Kurt, M., Ülger, Z., Şardan, Y. Ç. and Ünal, S. (2007), Appropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospital. Journal of Evaluation in Clinical Practice, 13: 408–411. doi: 10.1111/j.1365-2753.2006.00724.x
- Issue published online: 18 MAY 2007
- Article first published online: 18 MAY 2007
- Accepted for publication: 23 November 2005
- Appropriateness Evaluation Protocol;
- internal medicine;
- university hospital
Aim To assess the appropriateness of utilization of beds in the internal medicine department of a university hospital.
Methods The appropriateness of hospital stay was evaluated using the Appropriateness Evaluation Protocol. A random sample of 402 days of stay was assessed.
Results One hundred and thirty-nine days of stay (34.6%) were classified as inappropriate. The inappropriate stays were mostly secondary to hospital-related factors. The two major factors for inappropriate stays were ‘inappropriate timing/delay in diagnostic procedures/consultations’ (27%) and ‘delay in obtaining test results’ (27%). None of the factors including age, gender, residence and inpatient period was significantly related to inappropriate stay in univariate analysis.
Conclusion This study indicated that a significant portion of stays were inappropriate. Efforts to decrease particularly hospital-related factors associated with inappropriate stay are needed.