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Pahlevani M, Taghavi M, Vanberkel P. A systematic literature review of predicting patient discharges using statistical methods and machine learning. Health Care Manag Sci 2024; 27:458-478. [PMID: 39037567 PMCID: PMC11461599 DOI: 10.1007/s10729-024-09682-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 06/29/2024] [Indexed: 07/23/2024]
Abstract
Discharge planning is integral to patient flow as delays can lead to hospital-wide congestion. Because a structured discharge plan can reduce hospital length of stay while enhancing patient satisfaction, this topic has caught the interest of many healthcare professionals and researchers. Predicting discharge outcomes, such as destination and time, is crucial in discharge planning by helping healthcare providers anticipate patient needs and resource requirements. This article examines the literature on the prediction of various discharge outcomes. Our review discovered papers that explore the use of prediction models to forecast the time, volume, and destination of discharged patients. Of the 101 reviewed papers, 49.5% looked at the prediction with machine learning tools, and 50.5% focused on prediction with statistical methods. The fact that knowing discharge outcomes in advance affects operational, tactical, medical, and administrative aspects is a frequent theme in the papers studied. Furthermore, conducting system-wide optimization, predicting the time and destination of patients after discharge, and addressing the primary causes of discharge delay in the process are among the recommendations for further research in this field.
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Affiliation(s)
- Mahsa Pahlevani
- Department of Industrial Engineering, Dalhousie University, 5269 Morris Street, Halifax, B3H 4R2, NS, Canada
| | - Majid Taghavi
- Department of Industrial Engineering, Dalhousie University, 5269 Morris Street, Halifax, B3H 4R2, NS, Canada
- Sobey School of Business, Saint Mary's University, 923 Robie, Halifax, B3H 3C3, NS, Canada
| | - Peter Vanberkel
- Department of Industrial Engineering, Dalhousie University, 5269 Morris Street, Halifax, B3H 4R2, NS, Canada.
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Jiamsanguanwong A, Ophaswongse C, Chansirinthorn C, Kitirattragarn N, Kittithreerapronchai O. Improving patients’ experience concerning insufficient informational flow to patients during COVID-19 pandemic: Case study of a traditional Chinese medicine clinic. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2022. [DOI: 10.1080/20479700.2022.2071801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Arisara Jiamsanguanwong
- Department of Industrial Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Chayapol Ophaswongse
- Department of Industrial Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Chaianan Chansirinthorn
- Department of Industrial Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Narun Kitirattragarn
- Department of Industrial Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Oran Kittithreerapronchai
- Department of Industrial Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
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When patients get stuck: A systematic literature review on throughput barriers in hospital-wide patient processes. Health Policy 2021; 126:87-98. [PMID: 34969531 DOI: 10.1016/j.healthpol.2021.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 11/08/2021] [Accepted: 12/03/2021] [Indexed: 11/21/2022]
Abstract
Hospital productivity is of great importance to policymakers, and previous research demonstrates that improved hospital productivity can be achieved by directing more focus towards patient throughput at healthcare organizations. There is also a growing body of literature on patient throughput barriers hampering the flow of patients. These projects rarely, however, encompass complete hospitals. Therefore, this paper provides a systematic literature review on hospital-wide patient process throughput barriers by consolidating the substantial body of studies from single settings into a hospital-wide perspective. Our review yielded a total of 2207 articles, of which 92 were finally selected for analysis. The results reveal long lead times, inefficient capacity coordination and inefficient patient process transfer as the main barriers at hospitals. These are caused by inadequate staffing, lack of standards and routines, insufficient operational planning and a lack in IT functions. As such, this review provides new perspectives on whether the root causes of inefficient hospital patient throughput are related to resource insufficiency or inefficient work methods. Finally, this study develops a new hospital-wide framework to be used by policymakers and healthcare managers when deciding what improvement strategies to follow to increase patient throughput at hospitals.
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Benjamin E, Jacelon C. An analysis of the concept of patient flow management. Nurs Forum 2021; 57:429-436. [PMID: 34862615 DOI: 10.1111/nuf.12681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 11/08/2021] [Accepted: 11/23/2021] [Indexed: 12/24/2022]
Abstract
AIM To analyze the concept of patient flow management. BACKGROUND Patient flow has a significant impact on the provision of patient care. The term "patient flow" is widely used, but the related concept of "patient flow management" has been poorly defined. The ability to differentiate and clarify the term patient flow management has implications on strategies to improve patient flow. DESIGN Rodgers evolutionary method of concept analysis. DATA SOURCE Literature published between 2000 and 2021 in the PubMed, CINAHL, and Business Source databases. REVIEW METHODS Inductive analysis of the literature was performed to identify the usage and features of the concept. RESULTS Patient flow management is defined as the application of holistic perspectives, dynamic data, and complex considerations of multiple priorities to enable timely, efficient, and high-quality patient care. Patient flow management requires the identification of a patient, care processes, a flow manager, and frontline staff. It has profound consequences on patient, staff, and hospital system outcomes. CONCLUSIONS Literature should more carefully delineate between "patient flow" and "patient flow management." Effective patient flow management increases the speed and quality of patient care, improves employee satisfaction, and reduces healthcare costs. Strategies to improve patient flow management should focus on understanding the role and interventions of flow management nurses.
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Affiliation(s)
- Ellen Benjamin
- Elaine Marieb College of Nursing, University of Massachusetts, Amherst, Massachusetts, USA
| | - Cynthia Jacelon
- Elaine Marieb College of Nursing, University of Massachusetts, Amherst, Massachusetts, USA
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Shakoor M, Qureshi MR, Jadayil WA, Jaber N, Al-Nasra M. Application of discrete event simulation for performance evaluation in private healthcare: The case of a radiology department. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2021. [DOI: 10.1080/20479700.2020.1757875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Mwafak Shakoor
- Mechanical Engineering Department, American University of Madaba, Madaba, Jordan
| | | | - Wisam Abu Jadayil
- Industrial Engineering and Engineering Management, Abu Dhabi University, Abu Dhabi, UAE
| | - Nasser Jaber
- Department of Mechanical and Industrial Engineering, American University of Ras Kaimah, Ras Kaimah, UAE
| | - Moayyad Al-Nasra
- Department of Civil and Infrastructure Engineering, American University of Ras Kaimah, Ras Kaimah, UAE
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Gualandi R, Masella C, Viglione D, Tartaglini D. Challenges and potential improvements in hospital patient flow: the contribution of frontline, top and middle management professionals. J Health Organ Manag 2021; ahead-of-print. [PMID: 32978906 DOI: 10.1108/jhom-11-2019-0316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
PURPOSE This study aims to describe and understand the contributions of frontline, middle and top management healthcare professionals in detecting areas of potential improvement in hospital patient flow and proposing solutions. DESIGN/METHODOLOGY/APPROACH This is a qualitative interview study. Semistructured interviews were conducted with 22 professionals in the orthopedic department of a 250-bed academic teaching hospital. Data were analyzed through a thematic framework analytical approach by using an a priori framework. The Consolidated Criteria for Reporting Qualitative (COREQ) checklist for qualitative studies was followed. FINDINGS When dealing with a hospital-wide process, the involvement of all professionals, including nonhealth professionals, can reveal priority areas for improvement and for services integration. The improvements identified by the professionals largely focus on covering major gaps detected in the technical and administrative quality. RESEARCH LIMITATIONS/IMPLICATIONS This study focused on the professional viewpoint and the connections between services and further studies should explore the role of patient involvement. The study design could limit the generalizability of findings. PRACTICAL IMPLICATIONS Improving high-quality, efficient hospital patient flow cannot be accomplished without learning the perspective of the healthcare professionals on the process of service delivery. ORIGINALITY/VALUE Few qualitative studies explore professionals' perspectives on patient needs in hospital flow management. This study provides insights into what produces value for the patient within a complex process by analyzing the contribution of professionals from their particular role in the organization.
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Ershadi MM, Shemirani HS. Using mathematical modeling for analysis of the impact of client choice on preventive healthcare facility network design. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1679518] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Mohammad Mahdi Ershadi
- Department of Industrial Engineering and Management Systems, Amirkabir University of Technology, Tehran, Iran
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Idigo FU, Agwu KK, Onwujekwe OE, Okeji MC, Anakwue AMC. Improving patient flows: A case study of a tertiary hospital radiology department. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1620476] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Felicitas U. Idigo
- Department of Medical Radiography and Radiological Sciences, University of Nigeria, Nsukka, Nigeria
| | - Kenneth K. Agwu
- Department of Medical Radiography and Radiological Sciences, University of Nigeria, Nsukka, Nigeria
| | - Obinna E. Onwujekwe
- Department of Health Administration and Management, University of Nigeria, Nsukka, Nigeria
| | - Mark C. Okeji
- Department of Medical Radiography and Radiological Sciences, University of Nigeria, Nsukka, Nigeria
| | - Angel-Mary C. Anakwue
- Department of Medical Radiography and Radiological Sciences, University of Nigeria, Nsukka, Nigeria
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Ziat A, Sefiani N, Reklaoui K, Azzouzi H. A generic framework for hospital supply chain. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1603415] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Anas Ziat
- Engineering Innovation and Management of Industrial Systems Research Laboratory, University Abdelmalek Essaâdi, Tangier, Morocco
| | - Naoufal Sefiani
- Engineering Innovation and Management of Industrial Systems Research Laboratory, University Abdelmalek Essaâdi, Tangier, Morocco
| | - Kamal Reklaoui
- Engineering Innovation and Management of Industrial Systems Research Laboratory, University Abdelmalek Essaâdi, Tangier, Morocco
| | - Hamid Azzouzi
- Engineering Innovation and Management of Industrial Systems Research Laboratory, University Abdelmalek Essaâdi, Tangier, Morocco
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Feibert DC, Andersen B, Jacobsen P. Benchmarking healthcare logistics processes – a comparative case study of Danish and US hospitals. TOTAL QUALITY MANAGEMENT & BUSINESS EXCELLENCE 2019. [DOI: 10.1080/14783363.2017.1299570] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Diana Cordes Feibert
- Department of Management Engineering, Technical University of Denmark, Produktionstorvet, Building 424, Kongens Lyngby, 2800, Denmark
| | - Bjørn Andersen
- Department of Production and Quality Engineering, Norwegian University of Science and Technology, S. P. Andersens veg 5, Trondheim, Norway
| | - Peter Jacobsen
- Department of Production and Quality Engineering, Norwegian University of Science and Technology, S. P. Andersens veg 5, Trondheim, Norway
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van der Ham A, Boersma H, van Raak A, Ruwaard D, van Merode F. Identifying logistical parameters in hospitals: Does literature reflect integration in hospitals? A scoping study. Health Serv Manage Res 2018; 32:158-165. [PMID: 30463453 PMCID: PMC7324119 DOI: 10.1177/0951484818813488] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In order to improve the quality and efficiency of hospitals, they can be viewed as a logistical system in which integration is a critical factor for performance. This paper describes the results of a scoping study that identifies the logistical parameters mentioned in international research on hospitals and indicates whether literature reflects system integration. When subsystems collaborate in order to accomplish the task of the entire organization, there is integration. A total number of 106 logistical parameters are identified in our study. In addition, the flow type – patients, materials and staff – and hospital subsystems were registered. The results presented in international literature show that logistics is highly fragmented in hospitals. Studies also show integration, although this takes place mainly within the subsystems of hospitals. A multi-agent perspective on hospitals is proposed, following the view that both integration and differentiation are essential for effective organizational performance. Given the widely recognised importance of controlling hospital costs and the potential of logistics to help in this process, it is important to gain more knowledge of hospitals as network organizations, as well as knowledge regarding the degree of integration and the logistical parameters that are required for better hospital performance.
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Affiliation(s)
- Annelies van der Ham
- CAPHRI School for Public Health and Primary Care, Maastricht University Maastricht, Netherlands
| | - Henri Boersma
- CAPHRI School for Public Health and Primary Care, Maastricht University Maastricht, Netherlands
| | - Arno van Raak
- CAPHRI School for Public Health and Primary Care, Maastricht University Maastricht, Netherlands
| | - Dirk Ruwaard
- CAPHRI School for Public Health and Primary Care, Maastricht University Maastricht, Netherlands
| | - Frits van Merode
- CAPHRI School for Public Health and Primary Care, Maastricht University Maastricht, Netherlands
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Züger GV, Ammann B, Santis A, Hofer S. New ways in patient catering: Breakfast in Swiss hospitals becomes mobile. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2018. [DOI: 10.1080/20479700.2018.1427906] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Gabriela V. Züger
- Institute of Facility Management, Zurich University of Applied Sciences, Wädenswil, Switzerland
| | - Beatrice Ammann
- Institute of Facility Management, Zurich University of Applied Sciences, Wädenswil, Switzerland
| | - Alejandro Santis
- BFH-CSEM Energy Storage Research Centre, Bern University of Applied Sciences, Nidau, Switzerland
| | - Susanne Hofer
- Institute of Facility Management, Zurich University of Applied Sciences, Wädenswil, Switzerland
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Kriegel J, Tuttle-Weidinger L, Schiefer L, Schwarz S. Management of support processes in Austrian hospitals: Integrated network of primary care processes and support processes. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2017. [DOI: 10.1080/20479700.2017.1343759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Johannes Kriegel
- School of Applied Health and Social Sciences, University of Applied Sciences Upper Austria, Linz, Austria
| | - Linda Tuttle-Weidinger
- School of Applied Health and Social Sciences, University of Applied Sciences Upper Austria, Linz, Austria
| | - Lisa Schiefer
- Department of Anesthesiology and Perioperative Medicine, University Hospital Salzburg, Salzburg, Austria
| | - Stefan Schwarz
- School of Applied Health and Social Sciences, University of Applied Sciences Upper Austria, Linz, Austria
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Kriegel J, Jehle F, Moser H, Tuttle-Weidinger L. Patient logistics management of patient flows in hospitals: A comparison of Bavarian and Austrian hospitals. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2016. [DOI: 10.1080/20479700.2015.1119370] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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