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Curtis BR, Tian S, Shrestha S, Denton T, Haller B, Sebolt J, Adams M, Taylor SP, Paje D. The association of hospitalist medical procedure service with operational efficiency at an academic medical center. J Hosp Med 2024. [PMID: 39154285 DOI: 10.1002/jhm.13484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 07/14/2024] [Accepted: 07/28/2024] [Indexed: 08/19/2024]
Abstract
We examined the impact of a hospital medicine medical procedure service (MPS) on hospital length of stay (LOS), postprocedure LOS, and completion of procedures on weekends. We included 4952 patients admitted to our large academic hospital between July 1, 2021 and July 31, 2023 who underwent thoracentesis, paracentesis, or lumbar puncture (LP). MPS performed 30% (1499) of these procedures. After adjusting for age, sex, body mass index, Charlson comorbidity score, and procedure type, procedure performance by MPS was associated with a shorter total hospital LOS (incidence rate ratio [IRR]: 0.93; 95% confidence interval [CI]: 0.87-0.99) and postprocedure LOS (IRR: 0.82; 95% CI: 0.76-0.88). Also, MPS-performed procedures were twice as likely to occur on weekends compared to non-MPS-performed procedures (odds ratio [OR]: 2.05; 95% CI: 1.75-2.41). These findings support the beneficial impact of MPS on operational efficiency, an important outcome for both patients and hospitals.
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Affiliation(s)
- Brett R Curtis
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Shuo Tian
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Sachita Shrestha
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Trevor Denton
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Blake Haller
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Jonathan Sebolt
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Michael Adams
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Stephanie P Taylor
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - David Paje
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
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Blank JA, Peters KK, O'Donnell MA, Mansoor AM. Clinical Progress Note: Consolidated Guidelines on Management of Coagulopathy and Antithrombotic Agents for Common Bedside Procedures. J Hosp Med 2021; 16:675-679. [PMID: 34730498 DOI: 10.12788/jhm.3700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 08/24/2021] [Indexed: 11/20/2022]
Affiliation(s)
- Jessica A Blank
- School of Medicine, Oregon Health & Science University, Portland, Oregon
| | - Kyle K Peters
- Internal Medicine Residency Program, Oregon Health & Science University, Portland, Oregon
| | - Matt A O'Donnell
- Department of Medicine, Oregon Health & Science University, Portland, Oregon
| | - André M Mansoor
- Department of Medicine, Oregon Health & Science University, Portland, Oregon
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