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S. Gilligan, S. Shouls
A matter of life and death – improving hospital mortality rates and end of life care
- Publisher
- Emerald Publishing
- Copyright
- Copyright © 2008 Emerald Group Publishing Limited. All rights reserved.
- ISSN
- 1477-7274
- DOI
- 10.1108/14777270810850607
- Publisher site
- See Article on Publisher Site
Abstract
Purpose – The purpose of ths paper is to report that timely interventions to facilitate medical patient flow and reduce medical outliers may be associated with a reduction in hospital mortality. Design/methodology/approach – Interventions to improve the flow of medical patients were used to unblock and facilitate the discharge process allowing a reduction in medical outliers. SPC run charts of mortality were used to quality control the changes. Findings – Timeliness in daily senior medical review and discharge planning, a level 1 medical ward, and outreach including ALERT training and early warning scoring allowed a rationalisation in medical beds and a reduction in mortality for emergency medical admissions, reflected in a lower hospital standarised mortality rate (HSMR). Practical implications – Interventions to improve flow can also lead to a reduction in mortality. Originality/value – This paper emphasises how quantitative flow improvements can also generate qualitative improvements.
Journal
Clinical Governance An International Journal – Emerald Publishing
Published: Jan 25, 2008
Keywords: Quality improvement; Hospitals; Patients