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Optimising in-patient stays for surgical patients-an analysis utilising the Red and Green Bed Days management system.
N Z Med J 2019; 132(1500):29-39NZ

Abstract

AIMS

Red and Green Bed Days is a hospital management system designed to identify delays during in-patient stays. This study quantified days when no activity occurred to progress a patient towards discharge.

METHODS

Starting June 2018, 100 consecutive in-patient stays were recorded within the vascular department at Waikato Hospital, New Zealand. A 'green day' occurred when the planned care for that day was achieved. A 'red day' occurred when a patient only received care that did not require an acute bed. The causes of red days were identified.

RESULTS

There were 703 total in-patient days, with 37% red days. Patients aged between 60-79 years accounted for 57% of red days. Patients with peripheral arterial disease experienced 77.3% of the red days (severe chronic limb ischaemia 58.1% and acute limb ischaemia 19.2%). Awaiting wound dressing change, acute theatre (vascular and emergency theatre) and interventional procedure accounted for 31.9%, 11.2% and 9.2% of red days respectively. Delays to vascular ultrasound and rehabilitation review each resulted in 8.4% of red days.

CONCLUSIONS

This study highlights significant delays during vascular surgery admissions and provides a focus to improve patient quality of life and hospital efficiency.

Authors+Show Affiliations

Vascular Surgery Registrar, Department of Vascular Surgery, Waikato Hospital, Hamilton.Head of Surgery, Medical Director of Surgical Division, Waikato Hospital, Hamilton; Consultant Surgeon, Department of Vascular Surgery, Waikato Hospital, Hamilton.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31415497

Citation

Hart, Odette, and Christopher Holdaway. "Optimising In-patient Stays for Surgical Patients-an Analysis Utilising the Red and Green Bed Days Management System." The New Zealand Medical Journal, vol. 132, no. 1500, 2019, pp. 29-39.
Hart O, Holdaway C. Optimising in-patient stays for surgical patients-an analysis utilising the Red and Green Bed Days management system. N Z Med J. 2019;132(1500):29-39.
Hart, O., & Holdaway, C. (2019). Optimising in-patient stays for surgical patients-an analysis utilising the Red and Green Bed Days management system. The New Zealand Medical Journal, 132(1500), pp. 29-39.
Hart O, Holdaway C. Optimising In-patient Stays for Surgical Patients-an Analysis Utilising the Red and Green Bed Days Management System. N Z Med J. 2019 Aug 16;132(1500):29-39. PubMed PMID: 31415497.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimising in-patient stays for surgical patients-an analysis utilising the Red and Green Bed Days management system. AU - Hart,Odette, AU - Holdaway,Christopher, Y1 - 2019/08/16/ PY - 2019/8/16/entrez PY - 2019/8/16/pubmed PY - 2019/8/16/medline SP - 29 EP - 39 JF - The New Zealand medical journal JO - N. Z. Med. J. VL - 132 IS - 1500 N2 - AIMS: Red and Green Bed Days is a hospital management system designed to identify delays during in-patient stays. This study quantified days when no activity occurred to progress a patient towards discharge. METHODS: Starting June 2018, 100 consecutive in-patient stays were recorded within the vascular department at Waikato Hospital, New Zealand. A 'green day' occurred when the planned care for that day was achieved. A 'red day' occurred when a patient only received care that did not require an acute bed. The causes of red days were identified. RESULTS: There were 703 total in-patient days, with 37% red days. Patients aged between 60-79 years accounted for 57% of red days. Patients with peripheral arterial disease experienced 77.3% of the red days (severe chronic limb ischaemia 58.1% and acute limb ischaemia 19.2%). Awaiting wound dressing change, acute theatre (vascular and emergency theatre) and interventional procedure accounted for 31.9%, 11.2% and 9.2% of red days respectively. Delays to vascular ultrasound and rehabilitation review each resulted in 8.4% of red days. CONCLUSIONS: This study highlights significant delays during vascular surgery admissions and provides a focus to improve patient quality of life and hospital efficiency. SN - 1175-8716 UR - https://www.unboundmedicine.com/medline/citation/31415497/Optimising_in-patient_stays_for_surgical_patients-an_analysis_utilising_the_Red_and_Green_Bed_Days_management_system DB - PRIME DP - Unbound Medicine ER -
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