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An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care
Joint Authors
Peltonen, Laura-Maria
McCallum, Louise
Siirala, Eriikka
Haataja, Marjaana
Lundgrén-Laine, Heljä
Salanterä, Sanna
Lin, Frances
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-19
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
The literature shows that delayed admission to the intensive care unit (ICU) and discharge delays from the ICU are associated with increased adverse events and higher costs.
Identifying factors related to delays will provide information to practice improvements, which contribute to better patient outcomes.
The aim of this integrative review was to explore the incidence of patients’ admission and discharge delays in critical care and to identify organisational factors associated with these delays.
Seven studies were included.
The major findings are as follows: (1) explanatory research about discharge delays is scarce and one study on admission delays was found, (2) delays are a common problem mostly due to organisational factors, occurring in 38% of admissions and 22–67% of discharges, and (3) redesigning care processes by improving information management and coordination between units and interdisciplinary teams could reduce discharge delays.
In conclusion, patient outcomes can be improved through efficient and safe care processes.
More exploratory research is needed to identify factors that contribute to admission and discharge delays to provide evidence for clinical practice improvements.
Shortening delays requires an interdisciplinary and multifaceted approach to the whole patient flow process.
Conclusions should be made with caution due to the limited number of articles included in this review.
American Psychological Association (APA)
Peltonen, Laura-Maria& McCallum, Louise& Siirala, Eriikka& Haataja, Marjaana& Lundgrén-Laine, Heljä& Salanterä, Sanna…[et al.]. 2015. An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care. BioMed Research International،Vol. 2015, no. 2015, pp.1-12.
https://search.emarefa.net/detail/BIM-1057073
Modern Language Association (MLA)
Peltonen, Laura-Maria…[et al.]. An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care. BioMed Research International No. 2015 (2015), pp.1-12.
https://search.emarefa.net/detail/BIM-1057073
American Medical Association (AMA)
Peltonen, Laura-Maria& McCallum, Louise& Siirala, Eriikka& Haataja, Marjaana& Lundgrén-Laine, Heljä& Salanterä, Sanna…[et al.]. An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-12.
https://search.emarefa.net/detail/BIM-1057073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057073