Monday 25 April 2016

Hospital wards (2): occupation, weekends and safety








In the last Monday’s post, I was referring to the organizational quality, the provision for the medical guard and the coordination of professionals with the clinical safety of patients, and this second part of the same subject of hospitalization wards, I was left with a couple of things to deal with, also related to the quality of care: the stress caused by the large workload and the lack of services during the weekends.

The high occupancy of the wards increases mortality

A group from the University of Cologne, with the collaboration of Cambridge, has conducted a study in 83 German hospitals with more than 80,000 patients with pathologies of risk and have concluded that the tipping point for a hospital ward is 92,5%, occupation, a figure from which, the chaos inherent in the situation created by the excess patients, generates a significant increase in mortality.

"If a hospital regularly works above the tipping point, says professor Stefan Scholte's in the Cambridge University blog, you can bet that it has a structural quality problem, but what we need to be wary of, is those hospitals reaching the tipping point occasionally but repeatedly, generating risk situations for patients who are not normally detected by the aggregate statistics."

Inpatient wards are less secure at the weekends

Experts from Imperial College London and the colleagues of "Dr. Foster Intelligence" were warning, long time ago, that worse care and less clinical safety is observed during the weekends in the units of the British hospitals. As you can see in the next chart, more than two thirds of British doctors believe that things are like that, and in the chart below, the data are conclusive: increased mortality, fewer diagnostic services, more surgical waiting lists and more readmissions in the patients treated over the weekend.



The above data is extracted from the company website but in a more specific study published in BMJ, the conclusion is that for patients undergoing an intervention on a scheduled basis, the probability of death is 44% higher if the procedure is performed on a Friday and up to 82% if it is on a Saturday or Sunday.

The number of beds and the model for hospital guards are structural aspects that each country manages as it can. Despite this, and given the evidence, we should not sit idly by, so I propose two new clinical safety alerts: a) when an inpatient ward regularly reaches 92.5% occupancy should not admit any more patients, and therefore should implement, proactively, circuits of bypass to other wards or other hospitals, and b) risk interventions should not be scheduled Fridays or at the weekends.



Jordi Varela
Editor

8 comments:

  1. The quantity of furniture this website, the style pertaining to infirmary protections are generally structural features that many land copes with as it may. Understandably, along with granted the research, our nation certainly not stay idly by simply,

    ReplyDelete
  2. Nice post about the clinical management. To the rejection of everything else, you should frame more things about your request. Moreover, you should secure and read this post should share the interesting post.

    ReplyDelete
  3. I think it has been more than five minutes since the immaculate grain highs of 2013, and goodness, how things have changed. Higher data costs, contraption costs and without a doubt arrive purchase costs joined with cut down product costs make for an entrancing situation. In any case, I'm discovering that site http://www.radiologyfellowship.net/best-radiology-fellowship-programs/ however some extremely intriguing and imperative focuses have this site for the understudies.

    ReplyDelete
  4. This comment has been removed by the author.

    ReplyDelete
  5. Excellent site, Stress is most discernibly terrible that destroyed the future and even the life of various understudies so http://www.residencypersonalstatement.biz/get-residency-personal-statement-help-from-experts/plastic-surgery-personal-statement/ site requires persevering work yet nothing can be changed by weight.

    ReplyDelete
  6. In this site you discuss about the hospital occupation weekends and gain the most ideal course of action to ground each kind of the organizations that they give. You can try this is gainful organization and people require it.

    ReplyDelete
  7. I never thought that there will be a miracle on the internet until i came in contact with Priest Babaka, finally i made it with his help, with his spiritual power which was recommended by a lady in baby center he help before, i never believe it was real until i confirm it now because i have tried so many things to make sure i get pregnant but no luck, immediately i contact him. he did some spiritual prayers and send me a medicine which i took, i got pregnant three weeks after, and i now have a son to show. thank you so much priest and i recommend Priest Babaka for everyone out there that is willing to have a child of her own out there. contact him for help too he is real and powerful, i have confirmed it, contact him on email: babaka.wolf@gmail.com or Facebook at priest.babaka

    ReplyDelete