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The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes.
Qual Manag Health Care. 2011 Oct-Dec; 20(4):322-33.QM

Abstract

OBJECTIVE

To describe the effect of a 3-week closure of a 28-bed medical ward on Emergency Department (ED) and hospital outcomes.

METHODS

This was a prospective comparative observational study of all ED attendances (visits; n = 11 383) made to a regional teaching hospital in Queensland, Australia, during a 9-week period (November 24, 2008-January 4, 2009). A 3-week period of ward closure was compared with equal time periods before and after. Hospital health information systems data were linked manually to describe and compare outcomes: median ED length of stay, access block, hospital length of stay, and in-hospital mortality.

RESULTS

Ward closure reduced hospital bed capacity by 5.9%. During ward closure there was a higher proportion of access block (38% vs 33% in both pre- and posttimes), longer wait time to see a doctor, and longer overall ED length of stay, compared with pre-ward closure time period.

CONCLUSION

Temporarily closing a medical ward had a negative effect on some ED and hospital outcomes. When major refurbishments are required, alternative capacity measures need to be considered to minimize the impact on health service delivery and patient outcomes. Reducing elective surgery and opening replacement beds elsewhere in the hospital are possible solutions.

Authors+Show Affiliations

Emergency Department Clinical Network, Gold Coast Hospital, Queensland, Australia. julia_crilly@health.qld.gov.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21971029

Citation

Crilly, Julia, et al. "The Impact of a Temporary Medical Ward Closure On Emergency Department and Hospital Service Delivery Outcomes." Quality Management in Health Care, vol. 20, no. 4, 2011, pp. 322-33.
Crilly J, Keijzers G, Krahn D, et al. The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Qual Manag Health Care. 2011;20(4):322-33.
Crilly, J., Keijzers, G., Krahn, D., Steele, M., Green, D., & Freeman, J. (2011). The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Quality Management in Health Care, 20(4), 322-33. https://doi.org/10.1097/QMH.0b013e318231355a
Crilly J, et al. The Impact of a Temporary Medical Ward Closure On Emergency Department and Hospital Service Delivery Outcomes. Qual Manag Health Care. 2011 Oct-Dec;20(4):322-33. PubMed PMID: 21971029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. AU - Crilly,Julia, AU - Keijzers,Gerben, AU - Krahn,Dirken, AU - Steele,Michael, AU - Green,David, AU - Freeman,Janeen, PY - 2011/10/6/entrez PY - 2011/10/6/pubmed PY - 2012/2/7/medline SP - 322 EP - 33 JF - Quality management in health care JO - Qual Manag Health Care VL - 20 IS - 4 N2 - OBJECTIVE: To describe the effect of a 3-week closure of a 28-bed medical ward on Emergency Department (ED) and hospital outcomes. METHODS: This was a prospective comparative observational study of all ED attendances (visits; n = 11 383) made to a regional teaching hospital in Queensland, Australia, during a 9-week period (November 24, 2008-January 4, 2009). A 3-week period of ward closure was compared with equal time periods before and after. Hospital health information systems data were linked manually to describe and compare outcomes: median ED length of stay, access block, hospital length of stay, and in-hospital mortality. RESULTS: Ward closure reduced hospital bed capacity by 5.9%. During ward closure there was a higher proportion of access block (38% vs 33% in both pre- and posttimes), longer wait time to see a doctor, and longer overall ED length of stay, compared with pre-ward closure time period. CONCLUSION: Temporarily closing a medical ward had a negative effect on some ED and hospital outcomes. When major refurbishments are required, alternative capacity measures need to be considered to minimize the impact on health service delivery and patient outcomes. Reducing elective surgery and opening replacement beds elsewhere in the hospital are possible solutions. SN - 1550-5154 UR - https://www.unboundmedicine.com/medline/citation/21971029/The_impact_of_a_temporary_medical_ward_closure_on_emergency_department_and_hospital_service_delivery_outcomes_ L2 - https://doi.org/10.1097/QMH.0b013e318231355a DB - PRIME DP - Unbound Medicine ER -