PMID- 27455082
OWN - NLM
STAT- MEDLINE
DCOM- 20170605
LR  - 20200728
IS  - 2090-262X (Electronic)
IS  - 0013-2446 (Linking)
VI  - 91
IP  - 2
DP  - 2016 Jun
TI  - Hospital utilization pattern in a hepatogastroenterology department of a research 
      institute hospital, from 2004 to 2013.
PG  - 59-64
LID - 10.1097/01.EPX.0000482537.88140.0c [doi]
AB  - BACKGROUND: The Theodor Bilharz Research Institute (TBRI) Hospital is a research 
      and referral center for gastroenterology and hepatology. The 
      Hepatogastroenterology (HGE) Department in TBRI Hospital is a center for 
      endoscopy and sonography. The department also has a hepatology ICU. As a part of 
      hospital performance improvement, medical records that satisfy the needs and 
      demands of the healthcare team, setting a practical framework to improve the 
      quality of medical care in TBRI Hospital, were generated. OBJECTIVE: The aim of 
      the study was to assess the performance of the HGE Department in TBRI Hospital 
      during the 10-year period from 2004 to 2013. MATERIALS AND METHODS: This is a 
      retrospective observational study. Data were sourced from the electronic database 
      of patient records in the form of automated summary discharge forms and from 
      annual reports from the year 2004 until the year 2013, which are available in the 
      Medical Record Unit in TBRI Hospital. HGE Department data include utilization of 
      outpatient and emergency services and inpatient and ICU services. Hospital 
      admission rates and readmission rates (RARs) were also used. Other utilization 
      indices such as ultrasonography and endoscopy and hospital bed utilization 
      indices such as average length of hospital stay (ALOS), bed occupancy rate (BOR), 
      bed turnover rate, and mortality rate (MR) were also included. RESULTS: 
      Outpatient cases almost doubled from 2004 to 2013 (from 6209 to14241). Inpatient 
      cases increased by 40.5% (from 2003 to 2829). On average, the emergency 
      admissions and ICU admissions formed about one-fourth of total admissions. RAR 
      decreased over the 10 years (from 14.2 to 0.6). ALOS also decreased (from 9.4 to 
      6.1). BOR increased from 2004 to 2012 only (from 54.3 to 86.3). Bed turnover rate 
      ranged from 21.1 to 28.5, but in 2012 it increased to 47.7 as a result of the 
      increased BOR that year. MR decreased from 8.9 in 2004 to 0.3 in 2013. 
      Ultrasonography increased from 3384 to 3973. Over the 10 years, the number of 
      endoscopies increased about two-fold (from 2677 to 5100) and endoscopic ligation 
      increased more than 10-fold. CONCLUSION AND RECOMMENDATIONS: There is an 
      improvement in the hospital performance indicators represented in the form of 
      increased outpatient services, decreased RAR, decreased ALOS, decreased MR, and 
      increased utilization of endoscopies. It is recommended to implement a strategy 
      based on the present findings for continual improvement for competency even in 
      the future.
FAU - Elayyat, Afaf H A
AU  - Elayyat AH
AD  - aPublic Health Department bHepatogastroenterology Department, Theodor Bilharz 
      Research Institute, Giza, Egypt.
FAU - Sadek, Ahmed
AU  - Sadek A
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - J Egypt Public Health Assoc
JT  - The Journal of the Egyptian Public Health Association
JID - 7505602
SB  - IM
MH  - Diagnosis-Related Groups
MH  - Gastroenterology
MH  - Hospital Departments/*organization & administration
MH  - Hospitalization/statistics & numerical data
MH  - Hospitals, University/*organization & administration
MH  - Humans
MH  - Length of Stay/*statistics & numerical data
MH  - Patient Care Management/*organization & administration
MH  - Quality of Health Care
MH  - Retrospective Studies
EDAT- 2016/07/28 06:00
MHDA- 2017/06/06 06:00
CRDT- 2016/07/26 06:00
PHST- 2016/07/26 06:00 [entrez]
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2017/06/06 06:00 [medline]
AID - 00004765-201606000-00002 [pii]
AID - 10.1097/01.EPX.0000482537.88140.0c [doi]
PST - ppublish
SO  - J Egypt Public Health Assoc. 2016 Jun;91(2):59-64. doi: 
      10.1097/01.EPX.0000482537.88140.0c.