Satisfaction with bed allocation in a tertiary care hospital
DOI:
https://doi.org/10.60108/ce.381Keywords:
Patient satisfaction, Management, Beds, HospitalAbstract
Introduction
The term 'bed management' might initially suggest something structural, but in fact, it is linked to a complex system for handling hospital admissions.
The entire strategy involved in the bed allocation process remains completely hidden to the patient, not only the concept itself but also the lack of awareness that this process depends on nurses, who as the first caregivers, assign the most appropiate location based on the patient’s needs.
Objectives
To assess patient satisfaction with the Bed Management Unit, to analyze patients’ awareness and understanding of its functions, and to identify potential areas for improvement in its functioning.
Methodology
A prospective, descriptive, observational study was conducted, including adult patients admitted with scheduled admissions. Data were collected using a self-designed survey accessible via a QR code.
Results
85% of patients did not experience any delay in bed assignment. 86% remained in the same room throughout their hospital stay, and among those who were transferred, 66% reported an improvement in their accommodation. More than 83% of respondents were unaware of the existence of the Bed Management Department and that it is staffed by nurses. 93% rated their satisfaction with the bed assignment process as excellent or good.
Discussion
Although the level of satisfaction collected has been very positive overall, it is necessary to promote greater interaction between our department and patients, so that the role of the Bed Management Nurse becomes more visible and patients become involved in the administrative process of hospitalization.
References
1.Román López P. La comunicación en los gestores de Enfermería: un papel fundamental. Revista Española de Comunicación en Salud, Vol. 2(1), 2011.
2. Lua Perimal-L, Bradle C, Hakendorf PH, Whitehead C, Heuzenroeder L, Crotty M. The relationship between in-hospital location and outcomes of care in patients diagnosed with dementia and/or delirium diagnoses: analysis of patient journey. BMC Geriatrics Vol 16(1), 2016. doi: 10.1186/s12877-016-0372-5
3.Moreno Domene, P., Estévez Lucas, J., Moreno Ruiz. J.A. Indicadores de gestión hospitalaria. Sedisa s XXI nº 16, 2010.
4. National Audit Office. Inpatient admissions and bed management in NHS acute hospitals.
http://www.nao.org.uk/wp-content/uploads/2000/02/9900254es.pdf. June 2015
5. Grübler, M.S. Da Costa, C.A. Rigui, R.D.R. Rigo, S.J. Chiwiacowsky, L.D. A hospital bed allocation hybrid model based on situation awareness. Revista Computers Informatics Nursing. Vol. 36 (5). 2018.
6. Moore PT, Sharma M. Enhanced patient management in a hospital setting. IT Convergence Practice (INPRA) Vol 1(3). 2013.
7. Ramos López, J.M, Gómez Montero, G, Cortés Valdés, A, Guerra Pérez, C. Adecuación de la oferta de camas. Revista electrónica de portales médicos, Vol. XV nº 7 (257). Abril 2020.
8. Sánchez Pardo J, Atance Werner IM, Daga Aranda FR, Pérez Sobrecasas N, Barrera Carballo FJ, Sierra Aparicio A. La gestión de camas en el hospital. Un enfoque integral. Revista Ocronos. 2024;7(6):619.
https://revistamedica.com/gestion-camas-hospital-enfoque-integral
9. Cabanilla Guerra M. Diseño de un modelo administrativo para optimizar la gestión de camas en los hospitales públicos de Machala. Revista Universidad y sociedad 2021:13(2). http://scielo.sld.cu/scielo.phpscript=sci_arttext&pid=S2218-36202021000200489
10. De la Garza-Carranza MT, Calderón-Pérez A, Reyes-Berlanga ML, García-Torres MA. Calidad en el servicio mediante la metodología Servqual y satisfacción en pacientes hospitalizados. Horiz Sanitario 2024;23(1)
https://surl.li/mqqkdc [scielo.org.mx]
11. Padilla-Florián M, Pozo-Olivera MC. Percepción de calidad y satisfacción del paciente en hospitales especializados del centro del Perú. Rev Perú Cienc Salud 2023;5(4). doi:10.37711/rpcs.2023.5.4.434.
https://dialnet.unirioja.es/descarga/articulo/9303717.pdf [dialnet.unirioja.es]
12. Feldman L, Vivas E, Lugli Z, Alviarez V, Pérez MG, Bustamante S. La satisfacción del paciente hospitalario: una propuesta de evaluación. Rev Calidad Asistencial. 2007;22(3):133–140. doi:10.1016/S1134-282X(07)71208-3.
13. Bartlett BN, Vanhoudt NN, Wang H, et al. Optimizing inpatient bed management in a rural community-based hospital: a quality improvement initiative. BMC Health Serv Res. 2023; 23:1000. doi:10.1186/s12913-023-10008-6.
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-10008-6 [bmchealths...entral.com]
14. Schäfer F, Walther M, Grimm DG, Hübner A. Combining machine learning and optimization for the operational patient-bed assignment problem. Health Care Manag Sci. 2023;26:785–806. doi:10.1007/s10729-023-09652-5. https://link.springer.com/article/10.1007/s10729-023-09652-5 [link.springer.com]
15. Cidoncha Moreno M.A, Campo Martínez C. Evolución del rol del supervisor de Enfermería hacia el gestor de cuidados. Revista Metas de Enfermería, Vol. 9(3), 2006
16. Commission A. Lying in Wait: The use of medical beds in acute hospitals. Honeypress Ltd. London, UK 1992
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