Featured Research

from universities, journals, and other organizations

Availability Of Diagnostic Tests Drive Success In Hospitalist-RunShort-Stay Units

Date:
June 10, 2009
Source:
Wiley - Blackwell
Summary:
The most important factors for a successful stay in hospital short-stay units (SSUs) are the types of diagnostic tests performed and whether or not specialty consultations are needed. When hospitalists staff these units, they can ensure that only patients who need readily accessible services are admitted.

The most important factors for a successful stay in hospital short-stay units (SSUs) are the types of diagnostic tests performed and whether or not specialty consultations are needed. When hospitalists staff these units, they can ensure that only patients who need readily accessible services are admitted. These are the findings of a study published June 10 in the Journal of Hospital Medicine.

Related Articles


SSUs provide an alternative to traditional inpatient services for patients and exist in one-third of hospitals in the United States. These units deliver efficient and high-quality care to patients requiring short anticipated hospital stays for medical conditions like low risk chest pain, but little is known about what factors predict SSU success.

As demand for inpatient services have grown, SSUs have expanded beyond 'observation medicine' to provide more complex inpatient services (such as management of heart failure, diabetes out-of-control, and transient ischemic attacks) in locations commonly adjacent to emergency departments. To inform the future direction of the rapidly expanding SSUs, the researchers collected data on consecutive patients admitted to a SSU over a four month period. 738 patients were eligible to the study, and the majority (85%) were admitted with either a provisional diagnosis of possible acute coronary syndrome or heart failure. As SSUs were designed to care for patients during brief stays, visits were considered successful when the length-of-stay was less than 72 hours and eventual admission to traditional inpatient services was not required.

Of the 738 patients, 71% (582) had successful SSU stays. Patients who received inaccessible tests or specialty consultations were much more likely to have an unsuccessful stay than patients who did not. For example, patients who received a consultation had a 52% chance of having an unsuccessful stay.

"We found that less accessible diagnostic tests and the need for consultations had the greatest association with unsuccessful stays," said lead researcher Dr. Brian Lucas, of Stroger Hospital of Cook County and Rush University Medical Center, Illinois, USA. "From this we concluded that hosptialists who staff SSUs should focus administratively toward gaining access to services that their patients will need. Also, hospitalists can help emergency department physicians make admission-location decisions by discussing the potential needs of the patient prior to SSU admission."

"Among very-low or low-risk patients-the types of patients who are typically admitted to SSUs-considering what services patients will need is more important than further refining their clinical risk," added Lucas.


Story Source:

The above story is based on materials provided by Wiley - Blackwell. Note: Materials may be edited for content and length.


Journal Reference:

  1. Lucas et al. A hospitalist-run short-stay unit: Features that predict length-of-stay and eventual admission to traditional inpatient services. Journal of Hospital Medicine, 2009; 4 (5): 276 DOI: 10.1002/jhm.386

Cite This Page:

Wiley - Blackwell. "Availability Of Diagnostic Tests Drive Success In Hospitalist-RunShort-Stay Units." ScienceDaily. ScienceDaily, 10 June 2009. <www.sciencedaily.com/releases/2009/06/090610074157.htm>.
Wiley - Blackwell. (2009, June 10). Availability Of Diagnostic Tests Drive Success In Hospitalist-RunShort-Stay Units. ScienceDaily. Retrieved January 28, 2015 from www.sciencedaily.com/releases/2009/06/090610074157.htm
Wiley - Blackwell. "Availability Of Diagnostic Tests Drive Success In Hospitalist-RunShort-Stay Units." ScienceDaily. www.sciencedaily.com/releases/2009/06/090610074157.htm (accessed January 28, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, January 28, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Poultry Culled in Taiwan to Thwart Bird Flu

Poultry Culled in Taiwan to Thwart Bird Flu

Reuters - News Video Online (Jan. 28, 2015) Taiwan culls over a million poultry in efforts to halt various strains of avian flu. Julie Noce reports. Video provided by Reuters
Powered by NewsLook.com
Media Criticizing Parents For Not Vaccinating Children

Media Criticizing Parents For Not Vaccinating Children

Newsy (Jan. 28, 2015) As the Disneyland measles outbreak continues to spread, the media says parents who choose not to vaccinate their children are part of the cause. Video provided by Newsy
Powered by NewsLook.com
Shark Bite Victim Making Amazing Recovery

Shark Bite Victim Making Amazing Recovery

AP (Jan. 27, 2015) A Texas woman who lost more than five pounds of flesh to a shark in the Bahamas earlier this month could be released from a Florida hospital soon. Experts believe she was bitten by a bull shark while snorkeling. (Jan. 27) Video provided by AP
Powered by NewsLook.com
Shoveling Snow: How to Prevent Back Injuries

Shoveling Snow: How to Prevent Back Injuries

Washington Post (Jan. 26, 2015) What&apos;s the proper technique for shoveling snow? A physical therapist offers specific tips for protecting your back while you dig out this winter. Video provided by Washington Post
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins