Better Management of ICU Beds
The new method was developed by Dr. Julio Barado, a critical care specialist of the Intensive Care Service at the Hospital Complex of Navarre (Spain), as part of his PhD thesis read at the NUP/UPNA-Public University of Navarre.
ICUs are costly due to their technological and healthcare staffing requirements. “In Navarre the daily cost of an ICU bed is reckoned to be about 1,431 euros,” said Dr. Barado. “The recovery options for those patients needing to be admitted to an ICU are reduced, but they cannot recover unless there is a bed available for them.”
According to Dr. Barado, there are two sides to the problem about the choice of the number of beds in an ICU: on one hand, a high number of beds entails excessive expenditure; on the other hand, an insufficient number could cause a healthcare problem.
To find a solution to this problem, Dr. Barado has developed a mathematical simulation model to predict bed occupancy in the ICU-A section of the Hospital Complex of Navarre, based on admittance and length of stay data from 6,300 patients treated over a nine-year period in that unit.
When building this model, he noted, problems remaining in other simulation models were resolved, such as the adjusting of prolonged stays and, above all, the incorporation of medical decisions geared towards modifying the length of stay of certain patients.
These decisions are manifested in the reduction of the stay of some patients in the ICU when they have reached a level of recovery allowing them to continue their process in a regular hospital ward, because their beds are needed by other patients in a more serious state; whereas when occupancy is lower, the discharging of these patients would be delayed for a certain time.
“In this respect, the doctor acts simultaneously as a doctor and as the manager of a common resource which, on occasions, is in short supply,” explained Dr. Barado. “Incorporating this behaviour into a mathematical simulation model has been an unprecedented fact that has allowed the occupancy of ICU-A section beds at the Hospital Complex of Navarre to be correctly represented.”
He says the methodology followed in this research can be adapted to other ICUs to make bed occupancy prognoses.
Source and image credit: NUP/UPNA-Public University of Navarre
Published on : Mon, 27 Jul 2015
Print as PDF
NovaPort cannulas are designed specially to meet the needs of extracorporeal lung and heart support circuits and perioperative perfusion in minimally invasive heart surgery.All blood-contact surfaces of the NovaPort cannulas are coated with the bio- and...
The technical and clinical reference standard for all B·R·A·H·M·S PCT assays. All clinical cut-offs and algorithms were developed based on B·R·A·H·M·S PCT sensitive KRYPTOR. Homogeneous immunoassay for the quantitative d
Always in sight, always in mind Features Mindray believes the best way to predict the future is to create it. The revolutionary BeneVision N22/N19 is designed to optimize user experience by satisfying all your clinical demands. With visionary-stimulating...
Monitor vital signs of sensitive patients with reliable, smart and intuitive technology Not available in the US Sensitive patients, like neonates, require comfortable care. With transcutaneous monitoring, you can easily keep track of the oxygenation...
The iLA Membrane Ventilator is an extrapulmonary ventilation system which is used primarily to remove carbon dioxide. The heart pumps blood through it as it does through a natural organ. The gas exchange takes place via a plasma-tight, heparin-coated...