The Establishment And Effect Of Hospital Bed Life-cycle Management Model

BackgroundSo far,there are more and more hospitals in China that are deploying bed allocation.The bed allocation can solve the problem of coexistence of "waste and inadequacy" in hospital bed.However,bed allocation only manages free beds which does not manage all beds.Current research shows that unified bed use and management can make full use of bed resources and improve operational efficiency.Due to the different conditions of hospitals,the methods for achieving unified use and management of beds are different,and no norms have been formed.The purpose of this study is to explore the method of unified bed use and management,and to achieve the full process management of bed use,that is,to build the Hospital Bed Life-cycle Management Model,and it also can provide reference for other hospitals.Objectives1.Unify the use and management of hospital beds and build a feasible and effective Hospital Bed Life-cycle Management Model.2.Through the Hospital Bed Life-cycle Management Model,improve the efficiency of bed use and promote the use of bed indicators.Methods1.Through literature review and field research,determine the basic framework of the Hospital Bed Life-cycle Management Model:a.advanced bed arrangement;b.unified hospital beds appointment.Through the trial operation of departments,the specific bed management ways of each department are determined,and the model is continuously improved in the trial implementation.Through the unified bed management function and coordinate the operation of the hospital bed,the pre-hospital bed reservation,the arrangement and operation of the bed in the hospital,the seamless docking of the post-hospital patients’ discharge and the next patient’s admission to the hospital are achieved,and the Hospital Bed Life-cycle Management Model is achieved.2.Extract the current number of patients,the number of normal discharges,the number of transfers to other hospitals,and the number of deaths at 12 o’clock every night in each ward through the hospital information system(HIS),and calculate the bed utilization rate,bed turnover times,and average hospitalization days for each month.And count the number of bed allocations in the same period,and compare the changes of the above indicators to evaluate the effect of the Hospital Bed Life-cycle Management Model.3.Use the self-designed satisfaction questionnaire to survey the medical staff in the model,with a score of 0-10.A score of 0 indicates the lowest degree of approval for the item,a score of 10 indicates the highest degree of approval for the item,and a score of 5 indicates neutrality,that is,there is no difference between before and after the model.Through the satisfaction survey,we can understand the approval degree of medical staff for the model.Results1.The establishment of Hospital Bed Life-cycle Management ModelHospital Bed Life-cycle Management is a model of the whole process of bed control,from pre-hospital bed reservations,to the arrangement and operation of hospital beds(such as surgery,transfer,etc.),to discharge.The ways of the model are unified inpatient appointments,centralized hospital bed arrangement and allocation,balanced inter-departmental admission,overall coordination and transfer of departments,development of bed arrangement plans for departments,unified management of beds in various departments and overall management of all aspects of bed use.2.The effect of Hospital Bed Life-cycle Management Model(1)Bed utilization rateAfter Hospital Bed Life-cycle Management Model,the monthly bed utilization rate was generally higher than that before the development,and the average monthly bed utilization rate increased from 100.48%before the development to 101.08%after the development.There was no statistically significant difference(t=-0.66,P=0.523).(2)Bed turnover timesBed turnover times in each month after the development was generally greater than that before the development,and the average monthly bed turnover times increased from 3.41 times before the development to 3.73 times after the development.The difference was statistically significant(t=-7.16,P<0.001).(3)Average hospitalization daysThe average hospitalization days of each month after the development were shorter than before,and the average monthly hospitalization days were shortened from 8.99 days before the development to 8.24 days after the development,the difference was statistically significant(t=4.32,P=0.001).(4)Total number of bed allocationThe total number of bed allocation in the previous year was 4033,and the total number of bed allocation in the same period after the implementation was 5303.The average number of bed allocation increased from 336.08 person-times to 441.92 person-times,the difference between the two was statistically significant(t=-3.39,P=0.006).(5)Satisfaction degree of medical staffAmong the items,the top three items with the highest scores are:item 8:medical staff support center for bed reservation(7.29 points),item 9:medical staff support center carried out bed arrangement(7.20 points),item 5:medical staff believes to move forward bed arrangement can improve patient satisfaction(6.62 points);and item 1 scored 6.15,ranking sixth,indicating that medical staff believe that the bed allocation center is more suitable for arranging beds.These above results show that medical staff are highly satisfied with full-cycle management.ConclusionsThe Hospital Bed Life-cycle Management Model breaks down barriers to the use of beds by unifying bed use and management,and promotes the seamless use of bed,which improves the efficiency of bed use and the satisfaction of medical staff.