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    Evening hospital admissions, particularly in accident and emergency (A&E) departments, are linked to longer patient stays—up to four days more than morning admissions. Targeted interventions during patient assessment can help reduce these extended hospitalizations.

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    Area of Science:

    • Healthcare Management
    • Hospital Operations
    • Patient Flow Analysis

    Background:

    • Hospital admission timing can significantly impact patient length of stay.
    • Accident and Emergency (A&E) departments experience variable patient flow throughout the day.
    • Optimizing patient assessment is crucial for efficient hospital resource management.

    Purpose of the Study:

    • To investigate the relationship between admission time (day vs. evening) and patient length of stay in hospitals.
    • To identify potential targets for intervention within the patient assessment process to reduce hospitalizations.
    • To provide evidence-based recommendations for hospital trusts to improve patient flow and reduce bed occupancy.

    Main Methods:

    • Retrospective analysis of patient admission and discharge data.
    • Comparison of length of stay for patients admitted during daytime hours versus evening hours.
    • Statistical analysis to determine the significance of admission time on patient duration.

    Main Results:

    • Patients admitted to A&E in the evening experienced significantly longer hospital stays compared to morning admissions.
    • The difference in length of stay could extend up to four days.
    • Early assessment phase interventions show potential for mitigating extended stays.

    Conclusions:

    • Admission timing is a critical factor influencing patient length of stay.
    • Hospitals should consider implementing targeted strategies during the initial patient assessment, especially for evening admissions.
    • Addressing admission-time disparities can lead to improved hospital efficiency and reduced healthcare costs.