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退院延误是否解释了退伍军人卫生管理局医院停留时间的延长?
Brian P Lucas1,2, Daniel M Weinberger3,4, Anita A Vashi5,6
1VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA. brian.p.lucas@dartmouth.edu.
BMC health services research
|December 12, 2025
概括
大多数住院时间的增加不是由于出院延迟. 改善急性护理流程可能更有效地减少医院容量压力,而不是增加急性护理后的可用性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医院运营 医院运营
- 提高质量 提高质量
背景情况:
- 由于缺乏标准化指标来确定医疗准备出院的医疗准备,量化出院延迟是具有挑战性的.
- 出院延迟可能会显著影响住院时间 (LOS).
研究的目的:
- 估计医院LOS增加的比例,可归因于出院延误.
- 使用"可避免"的天作为排放延迟的代理.
主要方法:
- 退伍军人卫生管理局医院的回顾性队列研究 (2019年3月-2023年2月).
- 包括退伍军人从急性医学中没有COVID-19而出院.
- 使用标准化利用管理标准定义了"可避免"的日期;主要结果是排放停留期间的几何平均停留时间 (LOS).
主要成果:
- 调整后的几何平均损失 (LOS) 从疫情前到疫情第三年增加了9.3%.
- 在LOS中最大的增长是观察到出院到以设施为基础的急性后护理 (23.3%).
- 只有16%的LOS增加是由于可避免日数的增加.
结论:
- 大多数增加的医院LOS并不是由于出院延迟而解释的.
- 较长时间的急性护理可能会对延长的LOS产生更大的影响.
- 加强急性护理流程可能更有效地减少医院容量压力,而不是增加急性护理后的可用性.
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