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|Title:||Reducing process barriers in acute hospital for spinal cord damage patients needing spinal rehabilitation unit admission|
|Epworth Authors:||New, Peter|
Acute Hospital Journey
Spinal Cord Myelopathy
Epworth-Monash Rehabilitation Medicine Unit, Monash University, Melbourne, Victoria, Australia.
|Citation:||Spinal Cord. 2014 Jun;52(6):472-6|
|Abstract:||Objectives: To identify opportunities for improvement by recording duration of key processes from acute hospital admission until spinal rehabilitation unit (SRU) admission. Setting: SRU, Victoria, Australia. Methods: Consecutive referrals of patients with recent spinal cord damage had prospective documentation of the key clinical and demographic characteristics and duration (days) of the following sequential discrete processes: acute hospital admission until referral to SRU, referral until SRU assessment, SRU assessment until ready for transfer to SRU and ready for transfer until SRU admission. Results: A total of 347 patients were referred with median age (interquartile range (IQR)) of 65 (52–76) years. Most patients were male (n=203, 58.5%), had paraplegia (n=267, 77%) and an aetiology due to spinal cord myelopathy (n=280, 80.7%). There was a median of 12 days (IQR 6–20) from acute hospital admission until referral, a median of 1 day (IQR 0–2) from referral till assessment, a median of 0 (IQR 0–3.5) days from assessment till deemed ready and a median of 7 (IQR 2–20) days from deemed ready until transfer to SRU. Overall, patients spent 34.2% (4951/14 478 days) of their acute hospital length of stay waiting for a SRU bed. Conclusions: There are opportunities to improve the efficiency of the acute hospital journey for patients referred to a SRU. The biggest opportunities exist for reducing the time from acute hospital admission till referral to SRU and the time from deemed ready for transfer to SRU till admission.|
|Journal Title:||Spinal Cord|
|Affiliated Organisations:||Spinal Rehabilitation Unit, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia.|
|Type of Clinical Study or Trial:||Prospective Cohort Study|
|Appears in Collections:||Neurosciences|
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