Originales
Influence of available resources on medical practitioners’ decision-making process and practice: study of a reference hospital emergency department
Juan Viñas Salas
, Ramón Casals Garrigó, Ana M. Jiménez Vilchez, Pere Godoy
Autor para correspondencia
Arnau de Vilanova University Hospital, School of Medicine, University of Lleida, Lleida, Spain
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959
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Jiménez Vilchez, Pere Godoy" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Viñas Salas" "email" => array:1 [ 0 => "vinyes@cirurgia.udl.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Ramón" "apellidos" => "Casals Garrigó" ] 2 => array:2 [ "nombre" => "Ana M." "apellidos" => "Jiménez Vilchez" ] 3 => array:2 [ "nombre" => "Pere" "apellidos" => "Godoy" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Arnau de Vilanova University Hospital, School of Medicine, University of Lleida, Lleida, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Juan Viñas Salas. Pintor Benseny, 7. 25008 Lleida. Spain." ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-13" "fechaAceptado" => "2006-12-01" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13845" "palabras" => array:4 [ 0 => "Health care management" 1 => "Emergencies" 2 => "Resources" 3 => "Health care quality" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13846" "palabras" => array:4 [ 0 => "Gestión de servicios sanitarios" 1 => "Urgencias" 2 => "Recursos" 3 => "Calidad de los servicios de salud" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To evaluate variations in the observation period in the emergency department (ED) in response to bed availability.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A quasi-experimental pre-test post-test study without a control group was conducted in the ED observation ward over 2 1-month periods. During this time the only variable that changed was the number of beds available, which decreased from 20 (pre-test period) to 16 (post-test period).</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The ED attended 7,725 patients: 3,706 patients in pre-test period, 335 of whom were admitted to the observation ward, with an average length of stay of 1,105.4 minutes per patient, and 4,019 patients in post-test period, 570 of whom were admitted to the observation ward, with an average length of stay of 686.1 minutes per patient (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001). There was no variation in mortality, re-admissions or complaints.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">A reduction in bed availability for observation purposes shortens patient length of stay.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la variación del indicador “periodo de tiempo de observación” dedicado a cada paciente, en respuesta a una reducción del número de camas disponibles.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio «quasiexperimental preprueba postprueba» sin grupo control en una unidad de urgencias durante 2 períodos de un mes. En este tiempo el único cambio fue el número de camas disponibles, que disminuyeron de 20 (período A) a 16 (período B).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El servicio de urgencias atendió a 7.725 pacientes: 3.706 pacientes en el período A, 335 de los cuales fueron admitidos en la unidad de observación con una estancia media de 1.105,4 minutos por paciente; y 4.019 pacientes en el período B, 570 de los cuales fueron admitidos en la unidad de observación con una estancia media de 686,1 minutos por paciente (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). No hubo variaciones en la mortalidad, readmisiones o quejas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Una disminución en el número de camas disponibles para observación comporta una reducción en el tiempo de estancia de los pacientes.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Heart failure observation units: optimizing care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W.F Peacock" 1 => "J. Young" 2 => "S. Collins" 3 => "D. Diercks" 4 => "C. 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Información del artículo
ISSN: 02139111Idioma original: Inglés
DOI:10.1157/13101039
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