Comparison of effectiveness indicators before and during the COVID-19 pandemic in a university hospital

Abstract

Objective: Our aim in this study is to reveal to what extent hospital efficiency indicators changed in a University Hospital between the period before the Covid 19 pandemic (2018-2019) and the period when the pandemic started and continued (2020-2021). Method: The study planned as a retrospective and descriptive type, data belongs to a 4-year period (2018-2021). The number of personnel for the years examined in the study, the number of applications to the outpatient clinic and emergency department calculated monthly and the number of deceased patients. Bed occupancy rate, inpatient rate, average patient stay days, bed turnover rate and bed turnover interval were used as hospital bed utilization efficiency indicators. Result: Among all years, April 2020 had the lowest number of emergency applications (n=1287) and total number of outpatient clinic applications (n=7530). The year with the highest bed occupancy rate was 2020 with 77.2±6.7. The highest inpatient rate was in 2020 with 6.7±2.1, the highest average day of stay was in 2021 with 10.8±2.2, the highest bed turnover rate was in 2018 and 2019 with 4.7±0.3 and the highest bed turnover interval was observed in 2021 with 5.2±2.2. April 2020 was the month with the highest inpatient rate at 11.8% and the highest bed turnover interval at 16.8. Conclusion: The number of patients applying to emergency departments and outpatient clinics decreased, the inpatient rate increased, the bed turnover rate decreased, the bed turnover interval extended and the average day of stay increased during the pandemic period.