Before-after evaluation of patient length of stay in a rehabilitation context following implementation of an electronic patient journey board.
Adult
Aged
Data Display
/ statistics & numerical data
Electronic Health Records
/ statistics & numerical data
Female
Health Plan Implementation
Hospitalization
/ statistics & numerical data
Humans
Information Systems
/ statistics & numerical data
Length of Stay
/ statistics & numerical data
Male
Middle Aged
Rehabilitation Centers
/ statistics & numerical data
Retrospective Studies
Victoria
Electronic status boards
Health care
Information systems
Patient flow
Rehabilitation research
Retrospective studies
Journal
International journal of medical informatics
ISSN: 1872-8243
Titre abrégé: Int J Med Inform
Pays: Ireland
ID NLM: 9711057
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
28
05
2019
revised:
04
11
2019
accepted:
02
12
2019
pubmed:
20
12
2019
medline:
26
3
2020
entrez:
20
12
2019
Statut:
ppublish
Résumé
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. 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. 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). 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.
Identifiants
pubmed: 31855847
pii: S1386-5056(19)30605-7
doi: 10.1016/j.ijmedinf.2019.104042
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
104042Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier B.V. All rights reserved.