Delayed hospital discharges and the trolley crisis

Ir J Med Sci. 2023 Feb;192(1):11-14. doi: 10.1007/s11845-022-02924-z. Epub 2022 Feb 19.

Abstract

We audited use of acute hospital beds in Connolly Hospital over a 3-month period (January-March 2020) which coincided with increased provision of step-down (nursing home) beds. Our results show both ineffective and inefficient baseline uses of these acute beds. Increased step-down beds improve patient care by reducing the trolley count, shortening average length of stay and reducing waiting lists. These data confirm that more step-down beds are a high priority for our Health Service to improve the effectiveness and efficiency of our hospitals i.e. better care at less cost.

Keywords: Acute hospital bed; Step-down bed; Trolley crisis.

MeSH terms

  • Bed Occupancy
  • Hospitals*
  • Humans
  • Length of Stay
  • Nursing Homes
  • Patient Discharge*
  • Waiting Lists