Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays
Bibliographic Data
| ID | 11173587 |
|---|---|
| Authors | Pedro Antón (Unidad de Investigación en cuidados y servicios de salud (Investén-isciii)), Salvador Peiró (0000-0002-3902-569X, Unidad de Investigación en cuidados y servicios de salud (Investén-isciii)), Jesús M Aranaz, Jesús María Aranaz Andrés (0000-0002-3658-0321, Universitat de Miguel Hernández d'Elx), Rafael Calpena (Hospital General Universitario de Elche), Antonio Compañ (0000-0002-8166-396X), Edith Leutscher (Hospital Marina Baixa), Vicenta Ruíz (Hospital General Universitario de Elche) |
| Year | 2007 |
| Volume | 61 |
| Issue | 2 |
| Pages | 128-134 |
| Publication date | 2007-02-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Epidemiology and Community Health (JOURNAL) |
| Journal identifiers | ISSN: 0143-005X • E-ISSN: 1470-2738 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/jech.2005.040428 |
| PMID | 17234871 |
| PMCID | PMC2465655 |
| OpenAlex | W2167944396 |
| Language | EN |
| Citations received | 1 |
| References cited | 17 |
Objective: To evaluate the effectiveness of a combined intervention to reduce inappropriate hospital stays. Design: Quasi-experimental pre-test/post-test with a non-equivalent control group. Setting: Three teaching hospitals in the National Health System in Alicante, Spain. Study participants: Intervention group (2 Surgical Units with 1451 hospital stays) and control group (1 Surgical Unit with 1268 hospital stays). Intervention: Structured oral presentation followed by direct feedback to surgeons about their own percentages of inappropriate stays and daily evaluation of appropriateness by the surgeons during their rounds. Main outcome measures: Reduction in the percentage of inappropriate stays identified by the Appropriateness Evaluation Protocol during the intervention period compared to the basal period. Results: The intervention group reduced its percentage of inappropriate stays from 14.3% to 7.9% (absolute reduction: –6.40; 95% CI –10.7 to –2.14; relative reduction: 44.8%), while no changes occurred in the control group. The reduction was in the number of inappropriate stays attributable to the patients’ medical management that went from 12.7% to 5.8% (absolute reduction: –6.92; 95% CI –10.90 to –2.92), while no significant changes occurred in inappropriate stays due to other causes. Conclusions: A combined intervention of feedback and physician participation in appropriateness evaluations is effective in reducing the percentage of inappropriate hospital stays, particularly those attributable to conservative medical patterns at discharge
Group B · Intervention (counseling) · Emergency and Acute Care Studies · Emergency Medicine · Healthcare cost, quality, practices · Heart Failure Treatment and Management · Medicine · Nursing · Surgery · Pediatrics
| Citations per year | 0.17 |
|---|---|
| Citation span | 2020 - 2020 (1) |
| Highly cited | No |