Document Type : Original Article

Authors

1 Jagatpur, Near Jagatpur High School, P.O. Gouranganagar, North 24 Parganas, Kolkata 700162, West Bengal, India

2 Department of Community Medicine, Kolkata Medical College and Hospital, Kolkata, West Bengal

Abstract

Background: Efficient hospital bed utilization is an important function of hospital administrators. Scarcity of beds, overcrowding, flooring is often the picture in tertiary hospitals.

Objective: To find out hospital bed utilization indicators like average daily census, bed occupancy rate (BOR), average length of stay (ALS), bed turnover rate (BTR) and bed turnover interval (BTI) in Medicine ward of a tertiary hospital in West Bengal

Methods: A descriptive cross-sectional study was conducted in acute male, acute female, chronic male and chronic female ward under Medicine Department of a tertiary hospital in West Bengal from June to August 2018.The record of active beds, patient days, daily admissions and discharge were reviewed for May 2018 by complete enumeration method from admission, discharge and death registers and recorded in a pre-designed pretested checklist. Average daily census, BOR, ALS, BTR and BTI were computed using standard formula. Pabon Lasso model was used to analyse the performance of Medicine ward

Results: Average daily census, ALS, BOR, BTR, BTI in medicine ward were 261.81, 8 days, 108.55%, 4.22 and -0.63 respectively. Pabon Lasso graph reflected high BOR and high discharges per bed (productivity) in acute medicine wards reflecting good quantitative performance in contrast to chronic medicine wards with low discharges per bed (productivity or BTR) and higher ALS

Conclusions: Medicine ward reflected higher BOR and ALS but lower BTR (productivity) as per the Pabon Lasso graph. Efforts must be taken to reduce ALS in chronic medicine wards.

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