Appropriate admissions to the appropriate unit: a decision tree approach.
Publication/Presentation Date
1-1-2005
Abstract
An intermediate care decision tree tool was developed to meet the demand for intermediate care beds. Concurrently, a charging process was developed to support the acuity adaptable model of care, allowing the patient to remain in the same bed from admission to discharge, regardless of level of care required, adjusting nurse-to-patient ratios as acuity changes. Since beginning this pilot, 96% to 100% of the patients admitted to intermediate care from the emergency department met the criteria. Wait time from request to admission was reduced from 5.5 hours to 2.5 hours. A reduction in nursing costs was noted. The average number of patients waiting daily in the emergency department for an intermediate care bed has been reduced by approximately 80%. A significant difference in length of stay was not noted.
Volume
20
Issue
2
First Page
90
Last Page
97
ISSN
1062-8606
Published In/Presented At
Matukaitis, J., Stillman, P., Wykpisz, E., & Ewen, E. (2005). Appropriate admissions to the appropriate unit: a decision tree approach. American journal of medical quality : the official journal of the American College of Medical Quality, 20(2), 90–97. https://doi.org/10.1177/1062860604274382
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
15851387
Department(s)
Administration and Leadership
Document Type
Article