Volume 10, Issue 4 (9-2016)                   payavard 2016, 10(4): 360-369 | Back to browse issues page

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Meidani Z, Farzandipour M, Gilasi H, Shekrachi M, Nazemibidgoli Z. Investigation of Appropriateness of Patient Hospitalization Based on Appropriateness Evaluation Protocol (AEP). payavard 2016; 10 (4) :360-369
URL: http://payavard.tums.ac.ir/article-1-6085-en.html
Investigation of Appropriateness of Patient Hospitalization Based on Appropriateness Evaluation Protocol (AEP)
Zahra Meidani * 1, Mehrdad Farzandipour2 , Hamidreza Gilasi3 , Manizheh Shekrachi4 , Zahra Nazemibidgoli4
1- Assistant Professor, Health Information Management/Technology Department, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran , meydani_za@kaums.ac.ir
2- Associated Professor, Health Information Management/Technology Department, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
3- Assistant Professor, Vital Statistics & Epidemiology Department, School of Health, Kashan University of Medical Sciences, Kashan, Iran
4- Master of Science in Health Information Management/Technology, Health Information Management/Technology Department, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
Abstract:   (6964 Views)

Background and Aim: In attention to hospital beds serves as an invaluable resource in health system and necessity for appropriate hospital beds utilization through the reduction of patient inappropriate stay, this study aimed to assess the proportion and causes for hospital inappropriate stays. 
Materials and Methods: The proportion and causes for hospital inappropriate stays were analyzed in a cross-sectional survey using a sample of 1925 days of hospital stay based on the Appropriateness Evaluation Protocol. The study was conducted at the tertiary care University Hospital Shahid Beheshti, 510 – bed teaching hospital which is located in the central part of Iran.
Results: Hundred and twenty one days (6.3%) of 1925 days of patient hospitalization were inappropriate. There was relationship between inappropriate stay and patients’ age and types of insurance. Findings relating to analysis of patient non demographic causes revealed that among hospitals, physicians and patient causes, Hospital-related causes and Physicians related causes have the most impact 42 (33.1%) and 37 (29.1%) on patient inappropriate stay  respectively. 
Conclusion: AEP list of reasons provides base line data for performance improvement in health care organizations. For conducting improvement process, developing a multidisciplinary team under title of Utilization Review committee is recommended to pave the way for targeted interventions based on identified potential causes. 

Keywords: Appropriateness Evaluation Protocol, Length of Stay, Causes of Patient Inappropriate Stay
Full-Text [PDF 404 kb]   (4191 Downloads)    
Type of Study: Original Research | Subject: Health Information Technology
ePublished: 1399/07/23
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