Serveur d'exploration sur la grippe au Canada

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Exploring reasons for bed pressures in Winnipeg acute care hospitals.

Identifieur interne : 000962 ( Main/Exploration ); précédent : 000961; suivant : 000963

Exploring reasons for bed pressures in Winnipeg acute care hospitals.

Auteurs : Verena H. Menec [Canada] ; Sharon Bruce ; Leonard Macwilliam

Source :

RBID : pubmed:16080129

Descripteurs français

English descriptors

Abstract

Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of--and timely transfer to--alternative levels of care.

DOI: 10.1353/cja.2005.0051
PubMed: 16080129


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of--and timely transfer to--alternative levels of care.</div>
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