The Blaylock Risk Assessment Screening Score in Neurology-A Monocentric Cohort Study.

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2026-07-01 Epub Date: 2025-10-21 DOI:10.1097/QMH.0000000000000543

Andrea Streit, Magdalena Hoffmann, Andreas Blesl, Christine Maria Schwarz, Andrea Borenich, Gerhard Pretterhofer, Gernot Brunner

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引用次数: 0

Abstract

Background and objectives: Effective discharge planning is an important factor of hospital care and should follow a comprehensive assessment of patients at risk for adverse events during discharge. The study's aim was to analyze whether the use of the Blaylock Risk Assessment Screening Score (BRASS) at admission leads to a reduction in the hospital length of stay (LOS), a reduction in readmission rates, an influence on the discharge destination at the University Hospital of Graz, and an increase of the end user's satisfaction.

Methods: BRASS was implemented into the routine nursing assessment at admission for 3 months in 2021 at 2 Neurology wards at the University Hospital of Graz. These data were retrospectively compared to 2 previous time periods without BRASS. For the prospective part of this study, a paper-based survey was performed to analyze the satisfaction of the nurses at the 2 wards with the application of BRASS.

Results: The median LOS was significantly longer during the time of the assessment with BRASS as compared to the 2 years before [8 (4, 14) days in 2021, 6 (4, 10) days in 2020, 6 (4, 9) days in 2019; 2021 vs 2020: P = .002; 2021 vs 2019: P < .001]. Readmission rates did not differ significantly, but outpatient readmission decreased compared to 2019 (17% in 2021, 23% in 2019, P = .040).

Conclusion: The use of BRASS did not reduce the length of hospital stay compared to the 2 years before, but outpatient readmission rates decreased and discharge home was more frequent. Therefore, BRASS might be a helpful tool to improve discharge management and avoid readmissions.

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神经病学Blaylock风险评估筛查评分-一项单中心队列研究。

背景：有效的出院计划是医院护理的重要因素，应遵循出院期间患者不良事件风险的综合评估。本研究的目的是分析在入院时使用Blaylock风险评估筛选评分（BRASS）是否会导致住院时间（LOS）的缩短、再入院率的降低、对格拉茨大学医院出院目的地的影响以及最终用户满意度的提高。方法：在格拉茨大学医院2个神经内科病房2021年入院时进行为期3个月的常规护理评估。这些数据回顾性地与之前2个没有BRASS的时间段进行比较。在本研究的前瞻性部分，我们采用纸质调查的方式，分析两个病房护士对BRASS应用的满意度。结果：与2年前相比，使用BRASS进行评估期间的中位LOS明显更长[2021年为8（4,14）天，2020年为6（4,10）天，2019年为6（4,9）天；2021年vs 2020年：P = 0.002；结论：与2年前相比，使用BRASS并没有减少住院时间，但门诊再入院率下降，出院次数增加。因此，BRASS可能是改善出院管理和避免再入院的有用工具。

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

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.