Prospective Analysis of Operating Room and Discharge Delays in a Burn Center

Journal of Burn Care & Research : Official Publication of the American Burn Association
Tarik D MadniSteven E Wolf

Abstract

Delays to the operating room (OR) or discharge (DC) lead to longer lengths of stay and increased costs. Surprisingly, little work has been done to quantify the number and cost of delays for inpatients to the OR, and to DC to outpatient status. They reviewed their burn admissions to determine how often a patient experiences delays in healthcare delivery. Data for all burn admissions were prospectively collected from 2014 to 2016. A quality improvement filter was created to define acceptable parameters for patient throughput. Every hospital day was labeled as 1) No delay, 2) Operation, 3) Delay to the OR, or 4) Delay to DC. They had 1633 admissions: 432 ICU admissions (26%) and 1201 floor admissions (74%). Six hundred fifteen patients (37.7%) received an operation. Patients with delays included 331 with OR delays (20.3%) and 503 with DC delays (30.8%). Average delay days included (Mean ± SD): OR delay days = 4.7 ± 6.2 and DC delay days = 4.1 ± 4.4. Total number of hospital days was 13,009, divided into 1616 OR delay days (12%) and 2096 DC delay days (16%). Significant OR delays were due to patient unstable for OR (n = 387 [24%]), OR space availability (n = 662 [41%]), indeterminate wound depth (n = 437 [27%]), and donor site avai...Continue Reading

References

Apr 1, 1988·The American Journal of Medicine·S M SaviteerW A Rutala
Aug 17, 2000·Journal of the American College of Surgeons·P A TaheriL J Greenfield
Jan 11, 2005·The Journal of Burn Care & Rehabilitation·Alan DimickDavid Mozingo
Jan 28, 2005·The Journal of Trauma·Shakira N ThomasLoring W Rue
May 23, 2007·Archives of Surgery·Karen J BraselJohn A Weigelt
Dec 17, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·James H Holmes
Nov 13, 2008·The Journal of Trauma·Jennifer K ParksShahid Shafi
Sep 5, 2009·Clinical Medicine : Journal of the Royal College of Physicians of London·Philip Dainty, Jimmy Elizabeth
Apr 28, 2010·Journal of the American College of Surgeons·Samir M FakhryE Douglass Norcross
Sep 15, 2010·The Journal of Trauma·Gerard C NiemeijerKlaus W Wendt
Dec 7, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Laura S JohnsonMarion H Jordan
Mar 23, 2011·Journal of the American College of Surgeons·Robert R CimaUNKNOWN Surgical Process Improvement Team, Mayo Clinic, Rochester
Jan 10, 2013·The Journal of Surgical Research·Christopher R PortaRobert Rush
Jan 1, 2014·The Journal of Surgical Research·Bhavani S KodaliRichard D Urman
Mar 20, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Palmer Q BesseyJohn A Krichbaum
Mar 29, 2014·The Journal of Surgical Research·Robert A BeaulieuPriti P Parikh
Oct 16, 2014·American Journal of Surgery·Jeffrey R WatkinsErnest Dunn
Nov 4, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Joseph J PariserAlexander Langerman
Mar 26, 2016·The Journal of Trauma and Acute Care Surgery·Thomas G CheslikMary C McCarthy
Apr 6, 2016·Annals of Medicine and Surgery·W W AngC M Gupte
Jun 16, 2016·Lancet· The Lancet
Aug 28, 2016·The Journal of Surgical Research·Abigail J FongAlexander Langerman
Sep 25, 2016·The Journal of Surgical Research·Audra ClarkSarah C Oltmann
Nov 5, 2016·American Journal of Surgery·Romina DeldarMichael W Chu
Jan 4, 2017·Burns : Journal of the International Society for Burn Injuries·Sandra L TaylorTina L Palmieri
Sep 13, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Antonio Rojas-GarcíaRosalind Raine

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