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Submitted: 01 June 2018 Modified: 09 November 2018
HERDIN Record #: R07-VSMMC-18060115250778

Factors of delayed hospital discharge among post partum patients admitted at VSMMC: A prospective evaluation.

Yasmin S. Marave

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INTRODUCTION: Delays in discharge from hospitals are a critical challenge for many health care systems in industrialized nations. These delayed discharges are hospital episodes where a patient exceeds the length of stay deemed medically necessary. They are commonly associated with, though not exclusive to, older adults. Delayed discharges represent a minority of hospital cases, yet they often have a substantial influence on patient flow throughout the hospital. A number of studies have reported on factors that influence the duration of hospital stay and delay of discharge from hospital. Less is known, however, about the characteristics of patients who make up the discharge delay list or the incidence and prevalence of such patients.

METHODS: This prospective observational study was conducted at the department of Obstetrics and Gynecology. In the event that delayed discharge was found in particular patient, the researcher identified possible reason of such delays. Several procedures were followed for a specific type of delayed discharge. For cases of unsettled accounts, the researcher asked nurses regarding unsettled bill if this could be considered as culprit, for undischarged baby etc. The researcher inquired in the nursery department for confirmation; for cases of blood transfusion, referrals to patients' medical charts were conducted to verify if this procedure was done. The same procedure was followed for co-morbidities, wherein the researcher reviewed the medical charts of these patients. Lapses were then checked if the main culprit of delayed discharge of patients were doctors and other health care professionals. As soon everything was gathered, the researcher started encoding all data in Excel.

 RESULTS: In this study, many experienced delay in terms of hospital discharge (4,554; 95.8%); and were in the OB abnormal categories (3,124; 68.6%). Most patients were 18 to 29 years of age (190; 94.53%); finished secondary education (255; 97.3%); were earning a minimum wage (267; 94.7%); were employed (266; 94.7%). Majority of patients in this study were single (243; 95.7%); and had one child (131; 94.9%).  Factors for delayed hospital discharge were due to undischarge babies (154; 100%); unsettled accounts (91; 100%); co-morbidities (55; 100%).  The largest number patients have improved medical condition (315; 94.9%).

CONCLUSIONS:The data disclosed in this research yielded that Ninety five percent of OB patients admitted had delayed discharge.  Majority of patients or sixty eight percent with delayed discharged belonged to OB abnormal. Among those with delayed discharge belonged to age group 18 - 29 years old, with educational attainment of secondary level, earning minimum wage, but most were unemployed. Due to this, patients noted in this study were not able to gain good employment which offers higher wage. Strikingly, most patients with delayed discharge were single and have 1-3 children. The factor that caused most of the delay in the discharge of patients was undischarged babies with forty six percent. Most of the patients with delay in discharge had improved maternal outcomes.

Publication Type
Research Project
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Vicente Sotto Memorial Medical Center Abstract Print Format
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