The association of hospitalist medical procedure service with operational efficiency at an academic medical center

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of hospital medicine Pub Date : 2024-08-18 DOI:10.1002/jhm.13484

Brett R. Curtis MD, MS, Shuo Tian PhD, Sachita Shrestha MPH, Trevor Denton DPT, Blake Haller MD, Jonathan Sebolt MD, Michael Adams MD, Stephanie P. Taylor MD, MSc, David Paje MD, MPH

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引用次数: 0

Abstract

We examined the impact of a hospital medicine medical procedure service (MPS) on hospital length of stay (LOS), postprocedure LOS, and completion of procedures on weekends. We included 4952 patients admitted to our large academic hospital between July 1, 2021 and July 31, 2023 who underwent thoracentesis, paracentesis, or lumbar puncture (LP). MPS performed 30% (1499) of these procedures. After adjusting for age, sex, body mass index, Charlson comorbidity score, and procedure type, procedure performance by MPS was associated with a shorter total hospital LOS (incidence rate ratio [IRR]: 0.93; 95% confidence interval [CI]: 0.87–0.99) and postprocedure LOS (IRR: 0.82; 95% CI: 0.76–0.88). Also, MPS-performed procedures were twice as likely to occur on weekends compared to non-MPS-performed procedures (odds ratio [OR]: 2.05; 95% CI: 1.75–2.41). These findings support the beneficial impact of MPS on operational efficiency, an important outcome for both patients and hospitals.

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一家学术医疗中心的住院医生医疗程序服务与运营效率的关联。

我们研究了医院内科医疗程序服务（MPS）对住院时间（LOS）、术后 LOS 和周末完成程序的影响。我们纳入了 2021 年 7 月 1 日至 2023 年 7 月 31 日期间入住我们大型学术医院的 4952 名患者，他们都接受了胸腔穿刺术、旁路穿刺术或腰椎穿刺术（LP）。MPS实施了其中30%（1499例）的手术。在对年龄、性别、体重指数、Charlson 合并症评分和手术类型进行调整后，由 MPS 执行的手术与较短的总住院时间（发生率比 [IRR]：0.93；95% 置信区间 [CI]：0.87-0.99）和术后住院时间（IRR：0.82；95% 置信区间 [CI]：0.76-0.88）相关。此外，与非 MPS 手术相比，MPS 手术在周末进行的可能性是后者的两倍（几率比 [OR]：2.05；95% CI：1.75-2.41）。这些研究结果支持了 MPS 对运营效率的有益影响，这对患者和医院都是一个重要的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of hospital medicine 医学-医学：内科

CiteScore

4.40

自引率

11.50%

发文量

233

审稿时长

4-8 weeks

期刊介绍： JHM is a peer-reviewed publication of the Society of Hospital Medicine and is published 12 times per year. JHM publishes manuscripts that address the care of hospitalized adults or children. Broad areas of interest include (1) Treatments for common inpatient conditions; (2) Approaches to improving perioperative care; (3) Improving care for hospitalized patients with geriatric or pediatric vulnerabilities (such as mobility problems, or those with complex longitudinal care); (4) Evaluation of innovative healthcare delivery or educational models; (5) Approaches to improving the quality, safety, and value of healthcare across the acute- and postacute-continuum of care; and (6) Evaluation of policy and payment changes that affect hospital and postacute care.