INTEGRATIVE REVIEW: INTERVENTIONS THAT REDUCE HOSPITAL ADMISSION TIME
Introduction: In the area of management, studies that deal with administrative and care interventions that reduce the length of stay in a hospital environment are extremely important. Prolonged hospital stays and unsafe hospital discharges compromise the quality of care. Goal: To conduct an integrative review of interventions that reduce the length of stay of clinical patients in adult clinical inpatient units from 2016 to 2021. Methods: An integrative review was carried out to answer the research question, studies were searched in Pubmed over a period of five years (May/2016 to April/2021), in Portuguese, English and Spanish, using specific descriptors. Results: A total of 27 articles were found in the Pubmed reference bases using the search descriptors. After reading, 19 were excluded for not meeting the inclusion criteria, leaving eight articles. All studies are of the intervention type, one is of the systematic review type and one is a randomized study. The most prevalent care interventions that impacted length of stay were related to the dedicated unit (reduction of 21 days), followed by monitoring and education of patients with Diabetes Mellitus (reduction of 5.1 days). Early mobilization, nutritional intervention and antibiotic evaluation also reduced length of stay by 0.4, 2 and 04 days respectively. Conclusion: Care interventions with dedicated units have the greatest power to reduce the length of stay in hospitals. Descriptors: Health Management. Hospital Administration. Quality in Healthcare. Length of Stay/Organization and Administration. Epidemiology of Health Services.
INTEGRATIVE REVIEW: INTERVENTIONS THAT REDUCE HOSPITAL ADMISSION TIME
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DOI: 10.22533/at.ed.15931012308127
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Palavras-chave: Health Management. Hospital Administration. Quality in Health. Length of Stay/Organization and Administration. Epidemiology of Health Services.
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Keywords: Health Management. Hospital Administration. Quality in Health. Length of Stay/Organization and Administration. Epidemiology of Health Services.
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Abstract:
Introduction: In the area of management, studies that deal with administrative and care interventions that reduce the length of stay in a hospital environment are extremely important. Prolonged hospital stays and unsafe hospital discharges compromise the quality of care. Goal: To conduct an integrative review of interventions that reduce the length of stay of clinical patients in adult clinical inpatient units from 2016 to 2021. Methods: An integrative review was carried out to answer the research question, studies were searched in Pubmed over a period of five years (May/2016 to April/2021), in Portuguese, English and Spanish, using specific descriptors. Results: A total of 27 articles were found in the Pubmed reference bases using the search descriptors. After reading, 19 were excluded for not meeting the inclusion criteria, leaving eight articles. All studies are of the intervention type, one is of the systematic review type and one is a randomized study. The most prevalent care interventions that impacted length of stay were related to the dedicated unit (reduction of 21 days), followed by monitoring and education of patients with Diabetes Mellitus (reduction of 5.1 days). Early mobilization, nutritional intervention and antibiotic evaluation also reduced length of stay by 0.4, 2 and 04 days respectively. Conclusion: Care interventions with dedicated units have the greatest power to reduce the length of stay in hospitals. Descriptors: Health Management. Hospital Administration. Quality in Healthcare. Length of Stay/Organization and Administration. Epidemiology of Health Services.
- Elizete Maria de Souza Bueno
- Karine Lorenzen Molina
- Francielle Lopes dos Reis
- Luciana Pereira da Silva
- Emanuelle Bianchi Soccol
- Daiana Nunes de Oliveira
- Morgana Morbach Borges
- Mariana Smaniotto Gernhardt
- Cristiane Silvino de Barros
- Elisa Justo Martins
- Jessica Rosa Thiesen Cunha
