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Audit of Bed Usage Vascular Ward RVH

Audit of Bed Usage Vascular Ward RVH. Mr Peter Gordon Dr Debbie Collins Mr Paul Blair. Bed Usage Audit. Audit of bed usage on the vascular ward in the Royal Victoria Hospital Designed to assess the numbers and causes for delayed discharges from the vascular ward

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Audit of Bed Usage Vascular Ward RVH

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  1. Audit of Bed Usage Vascular Ward RVH Mr Peter Gordon Dr Debbie Collins Mr Paul Blair

  2. Bed Usage Audit • Audit of bed usage on the vascular ward in the Royal Victoria Hospital • Designed to assess the numbers and causes for delayed discharges from the vascular ward • All bed occupants on the ward were assessed and deemed either DELAYED or NON DELAYED • Timescales of what constituted DELAYED or NON DELAYED were agreed before commencement of data collection

  3. Bed Usage Audit • Audit periods: • 6 weeks preceding amalgamation • 5 weeks following amalgamation • Audit numbers: • 576 bed occupants preceding • 651 bed occupants following • Total: 1,227 bed occupants

  4. Data Collection • Clinical Categories of Bed Occupant • Pre-operative • Post-operative • Fit for discharge from the vascular ward • Urgent admission for non surgical treatment • Elective Investigation admission • Urgent Investigation admission • Outlier • Empty / Closed bed • Other

  5. Data Collection Clinical CatergoryDelay StatusCause of Delay Post operative Within Recovery Period Over Recovery Period Wound Management issues Prolonged IV antibiotics Prolonged HDU/ICU stay Major post-operative complication Systemic complication developed ID / Community Antiobiotic delays Other

  6. Clinical classification percentages Period 1 Period 2

  7. Overall delay rates of bed occupants Period 2 Period 1

  8. Clinical category causes of delays in Period 2

  9. Fit for Discharge – Period 2

  10. Post operative delays – Period 2

  11. Urgent admission, non surgical – Period 2

  12. Pre-operative Delays – Period 2

  13. Elective Investigation delays – Period 2

  14. Daily Bed Requirement • On average daily bed requirement was 3.8 beds • Ward did not meet the number of beds required 30% of time • Bed shortfall was on average 2.1 beds

  15. Key findings • 35% of all patients on vascular are delayed • Main cause of delay are social issues (47%) • Third of these patients have avoidable delays • Outliers and patients awaiting return to referring hospital account for 2 beds per day • Bed requirements not met on 30% of days

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