Nursing and Midwifery Studies

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 6  |  Issue : 3  |  Page : 121--124

Evaluating inappropriate patient stay and its reasons based on the appropriateness evaluation protocol


Zahra Meidani1, Mehrdad Farzandipour1, Mehrdad Hosseinpour2, Davood Kheirkhah3, Manizheh Shekarchi4, Shahla Rafiei5 
1 Health Information Management Research Center, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
2 Department of Pediatric Surgery, Imam Hossein Children Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
4 Head of Medical Record Department, Shahid Ayatollah Ashrafi Isfahani, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Nursing Services, Senior Nurse (matron) of Shahid Beheshti University Hospital, Kashan University of Medical Sciences, Kashan, Iran

Correspondence Address:
Davood Kheirkhah
Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan
Iran

Background: Hospital beds are among valuable resources for care delivery. Therefore, optimum use of them is crucial for increasing the efficiency of health-care services and controlling health-care costs. Objective: This study intended to evaluate inappropriate patient stay (IPS) in hospital settings and its reasons based on the appropriateness evaluation protocol. Methods: This cross-sectional study was conducted on 335 patients hospitalized in a tertiary care university hospital. Data were gathered prospectively by 13 hospital nurses during a 6-month period. IPS rate was evaluated using a checklist, the 27 criteria of which were related to medical services, nursing/life support services, and patient's conditions. Moreover, a 12-item checklist was used to determine physician-, hospital-, and patient/family-related factors behind inappropriate hospital stay. Results: In total, 121 of 1925 (6.3%) hospitalization days of 335 patients were determined to be inappropriate. Neurosurgery and gynecology wards had the highest and the lowest inappropriate hospital stay rates (22.5% vs. 0%), respectively. The main reasons behind inappropriate hospital stay were hospital-related factors (33.1%), physician-related factors (29.1%), and patient-related factors (21.3%). Conclusion: A wide variety of physician-, hospital-, and patient/family-related factors contribute to IPS. Given the multifactorial causes of IPS, reducing its rate necessitates multidisciplinary approaches.


How to cite this article:
Meidani Z, Farzandipour M, Hosseinpour M, Kheirkhah D, Shekarchi M, Rafiei S. Evaluating inappropriate patient stay and its reasons based on the appropriateness evaluation protocol.Nurs Midwifery Stud 2017;6:121-124


How to cite this URL:
Meidani Z, Farzandipour M, Hosseinpour M, Kheirkhah D, Shekarchi M, Rafiei S. Evaluating inappropriate patient stay and its reasons based on the appropriateness evaluation protocol. Nurs Midwifery Stud [serial online] 2017 [cited 2019 Nov 14 ];6:121-124
Available from: http://www.nmsjournal.com/article.asp?issn=2322-1488;year=2017;volume=6;issue=3;spage=121;epage=124;aulast=Meidani;type=0