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Appropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospital
Omer Dizdar1, Omer Karadağ, Umut Kalyoncu
1Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey. omerdiz@yahoo.com
Aim:
To assess the appropriateness of utilization of beds in the internal medicine department of a university hospital.
Methods:
The appropriateness of hospital stay was evaluated using the Appropriateness Evaluation Protocol. A random sample of 402 days of stay was assessed.
Results:
One hundred and thirty-nine days of stay (34.6%) were classified as inappropriate. The inappropriate stays were mostly secondary to hospital-related factors. The two major factors for inappropriate stays were 'inappropriate timing/delay in diagnostic procedures/consultations' (27%) and 'delay in obtaining test results' (27%). None of the factors including age, gender, residence and inpatient period was significantly related to inappropriate stay in univariate analysis.
Conclusion:
This study indicated that a significant portion of stays were inappropriate. Efforts to decrease particularly hospital-related factors associated with inappropriate stay are needed.
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