Number Of Elective Admissions Research Articles

Bed management considering bed-blocking and elective patient admissions using simulation optimisation

Treatment process in health centres is mostly carried out in such a way that the patient is hospitalised in several parts of the wards during treatment. When patients are obliged to stay in a department until a bed becomes available in the next department, 'bed-blocking' occurs. Hospitals often suffer from the lack of proper planning and ineffective management of hospital beds and medical resources. In this research, we tackle this issue by introducing a multi-objective simulation optimisation model to determine the optimal number of elective admissions, the appropriate number of beds, and the number of patients who are forced to discharge in each ward. The model minimises hospital costs and the number of patients who are blocked. Due to the complexity of the issue, two meta-heuristic approaches are developed to solve the model. In this regard, five simulation optimisation algorithms have been implemented to solve the model and compare the results. By solving the presented algorithms, Pareto optimal frontiers are obtained in various states.

The Astrological Influence on the Incidence of Hospital Admission and Length of Stay in Surgical Unit of a Regional Hospital

Introduction: Though there is no scientific proof, some physicians and medical staff believe in association or influences of the zodiac signs on health. It was quite interesting to note that Kudva et al. from India found few definite attributable dental morphological traits and health to the specific sun signs and numerology. Salib from UK describes the distribution of suicide by hanging appeared significantly higher in those with a birth sign of Virgo and the lowest in Sagittarius and Scorpio. Aim: The aim of our study is to evaluate if there are any statistically significant documented frequencies of hospital admission emergency and elective for particular zodiac sign at all, and if they can be linked to astrological phenomena. Patients and Methods: Retrospective review of records of all the patients with hospital admission in a general surgical unit has been collected from July 2003 to June 2005. Demographic and clinical data were collected specifically Star signs and its relationship. Appropriate statistical analyses were performed. Results: In a period of 2 years, 1209 patients were admitted under one general surgeon of which 675 patients were male and 552 were female. Aries males and Cancer females had the most elective admissions while Libra females and Sagittarius males had minimum number of elective admissions. Aquarius male and Scorpio females had the most emergency admissions while Aquarius female and Scorpio male had the least emergency admissions. In elective setting, Pisces female and Aquarius male had minimum hospital length of stay (LOS) while both Cancer male and female had maximum LOS. In the emergency setting, both Cancer male and female had the minimum LOS while Pisces male and female had the maximum LOS. The incidence of acute appendicitis was the highest in Pisces at 19.39%. Conclusion: Our retrospective data analysis documented some significant influence on hospital admission and length of stay under the influence of the star signs. This study sample was only General Surgical patients which exclude the number of other surgical and medical specialties. To achieve a real sample we need data of all the patients coming to the hospital.

Efficacy of a holding unit to reduce access block and attendance pressure in the emergency department

Background:Access block, the inability of patients in the emergency department (ED) to access hospital beds, is a contributing factor to overcrowding in the ED. The effect of a holding unit...

Do elective surgical and medical admissions impact emergency department length of stay measurements?

Emergency department access block is a growing problem in emergency departments across Canada. Access block is defined as hospital occupancy >85% causing emergency department overcrowding. Hospital overcrowding leads to prolonged emergency department wait times, and delays in the transfer of admitted patients from the emergency department to inpatient beds. The relationship between elective admissions to hospital and emergency department wait times has not been adequately assessed. We undertook a simple linear regression analysis of the impact of elective admissions to hospital on emergency department length of stay. Linear regression analysis of the number of daily elective admissions to adult acute care beds in the Calgary Health Region in the year 2004 and the daily median emergency department length of stay was done to establish the relationship between elective admissions and Emergency Department length of stay. 37,007 patients were admitted to adult acute care beds via the emergency department and 46,020 patients were admitted to adult acute care beds by all other routes. Regression analysis determined that there was no relationship between daily emergency department length of stay and the number of elective admissions per day. For the year 2004, in the Calgary Health Region, elective acute care admissions to hospital had no relationship to emergency department length of stay for patients admitted via the emergency department. Further study is required to determine causative factors that prolong Emergency Department length of stay. Emergency departments across Canada continue to struggle with the demands of providing high quality care with diminishing resources.