Utility of the admission/discharge patient flow management system at the acute care hospital

Objective: This study aimed to verify the effects of implementing the admission/discharge patient flow management (PFM) system on hospital length of stay, duration from admission to surgery, unscheduled readmission rate, and patient satisfaction. Methods: A 1-year prospective observational study was conducted to compare patient outcomes before and after implementing the PFM system. Data were collected from electronic medical records, matched according to surgical technique and age, and analyzed using the Chi-square test and t-test. Patient satisfaction was determined through surveys sent by mail. Results: A total of 1138 participants were included in this study. PFM implementation significantly reduced the duration from admission to surgery; however, it did not significantly improve the length of stay or unscheduled readmission rate. The patient satisfaction rate was >65%. Conclusions: Preoperative orientation and assessment by a multidisciplinary team in the outpatient department could reduce the duration from admission to surgery and improve patient satisfaction.

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Publication Details

Journal
Journal of International Nursing Research
Published
2024-08-05
DOI
https://doi.org/10.53044/jinr.2023-0031
Primary Topic
Hospital Admissions and Outcomes
Type
article
Field-Weighted Citation Impact
0.00

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article

Utility of the admission/discharge patient flow management system at the acute care hospital

Y. Kondo, Atsuko Fujii, Michio Itabashi, Shima Sakai et al.
Journal of International Nursing Research
Hospital Admissions and Outcomes
article

Utility of the admission/discharge patient flow management system at the acute care hospital

Y. Kondo, Atsuko Fujii, Michio Itabashi, Shima Sakai, Mari Ikeda
article en

Abstract

Objective: This study aimed to verify the effects of implementing the admission/discharge patient flow management (PFM) system on hospital length of stay, duration from admission to surgery, unscheduled readmission rate, and patient satisfaction. Methods: A 1-year prospective observational study was conducted to compare patient outcomes before and after implementing the PFM system. Data were collected from electronic medical records, matched according to surgical technique and age, and analyzed using the Chi-square test and t-test. Patient satisfaction was determined through surveys sent by mail. Results: A total of 1138 participants were included in this study. PFM implementation significantly reduced the duration from admission to surgery; however, it did not significantly improve the length of stay or unscheduled readmission rate. The patient satisfaction rate was >65%. Conclusions: Preoperative orientation and assessment by a multidisciplinary team in the outpatient department could reduce the duration from admission to surgery and improve patient satisfaction.

Journal of International Nursing ResearchVol. 3(2)
Tokyo Women's Medical University Hospital (JP), Sophia University (JP), The University of Tokyo (JP)
Japan Society for the Promotion of Science
Good health and well-being
Openalex Percentile: Top 78%
Hospital Admissions and Outcomes
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