Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Similares en SciELO
Compartir
Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
GUTIERREZ-MENDOZA, Luis M.; MARTINEZ-TURRUBIARTES, Laura C.; NIETO-CARAVEO, Amado y JIMENEZ-GONZALEZ, Carlos A.. Cold bed: A challenge for an academic medical center in San Luis Potosi, Mexico. Cir. cir. [online]. 2020, vol.88, n.2, pp.189-193. Epub 15-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19001198.
Objective:
The objective of this study was to identify the time period during which a hospital bed could be virtually available according to the informatics and administrative hospital system while still being physically occupied by a patient in a hospital in Mexico.
Materials and methods:
A cross-sectional study was conducted in a 250-bed Academic Medical Center located in Central Northern Mexico during February 2015. Both administrative and real patient discharges were registered in a hospital format. Central tendency measures were used to present collected data and bed/day costs were obtained from official national published costs.
Results:
Nine hundred and forty-three patients were followed up during their hospital discharge process. Overall, 2.4% of hospital beds were occupied by discharged patients. The annual cost only for cold beds was $959,220.00 US$ ($14,348,304.00 MNX), without bringing about any benefits for patients. Cold beds represented 1.31% of the 2015 annual hospital budget.
Conclusions:
Quality improvement initiatives must be implemented to allocate beds to patients more efficiently. The discharge process must be standardized to reduce bed/day direct hospital costs and strengthen the supervision of medical residents during this process.
Palabras llave : Patient discharge; Hospital bed capacity 100-299; Bed occupancy; Academic medical center.