Pooled data of six hospitals | Before intervention mean±SD | After intervention mean±SD | Mean difference (95% CI) | P value | |
Measure type | Measures | ||||
Outcome | Boarding time | 16.6±14.9 | 9.5±12.9 | −7.1 (−2.5 to 11.7) | 0.003 |
Process | Daily consultant rounds | 69%± 30% | 98%±3% | 29% (-0.5% to 60%) | 0.053 |
Discharge before 12:00 pm | 16%±6% | 36%±14% | 20% (6% to 35%) | 0.01 | |
Time till discharge | 265±104 | 117±43 | −147.8 (−250 to 44) | 0.0095 | |
Early discharge planning | 66%±22% | 95%±5.9% | 29% (8% to 50%) | 0.011 | |
MDT review for 7 day outliers | 29%±3% | 86%±14% | 51% (25% to 89%) | 0.002 | |
7 days outliers | 16.3%±7.1% | 17.2%±7.5% | 0.89% (−1.9% to 3.7%) | 0.531 | |
30 days outliers | 18.8%±9.9% | 15.9%±10.3% | −2.9% (−6.8% to 1.0%) | 0.149 | |
Bed turn over | 3.9±1.1 | 4.3±1.6 | 0.32 (−0.09 to 0.73) | 0.125 | |
Average length of stay | 6.5±2.00 | 6.8±2.00 | 0.32 (−0.32 to 0.96) | 0.325 | |
Balancing | Readmission % within 30 days | 5.2%±4.8% | 5.6%±4.9% | 0.5% (−1.1% to 2.0%) | 0.543 |
Bed occupancy | 76.9%±8.9% | 76.0%±7.0% | −0.9 (−3.6 to 1.7) | 0.49 | |
Percentage of ED LWBS | 1.8%±1.5% | 1.5%±0.8% | −0.3% (−0.8% to 0.2%) | 0.208 | |
No of ED deaths | 2.4±2.1 | 2.3±2.1 | −0.10 (−0.78 to 0.57) | 0.763 | |
Other | Admission | 1699±584 | 1977±567 | 277 (92to 462) | 0.004 |
Discharge | 1767±478 | 2111±444 | 343 (196 to 491) | <0.001 | |
No of ED visits | 10 589±4870 | 12 100±3396 | 1511(222 to 2800) | 0.022 |
ED, emergency department; LWBS, left without being seen.