Version 1
: Received: 13 January 2023 / Approved: 16 January 2023 / Online: 16 January 2023 (03:14:01 CET)
Version 2
: Received: 18 January 2023 / Approved: 19 January 2023 / Online: 19 January 2023 (03:45:21 CET)
Porto , B. M., Terra, S. X., & Philippi , D. A. (2023). A qualitative analysis of the main factors in bed management in high complexity hospital emergencies. Revista de Gestão e Secretariado (Management and Administrative Professional Review), 14(2), 1682–1717.
Porto , B. M., Terra, S. X., & Philippi , D. A. (2023). A qualitative analysis of the main factors in bed management in high complexity hospital emergencies. Revista de Gestão e Secretariado (Management and Administrative Professional Review), 14(2), 1682–1717.
Porto , B. M., Terra, S. X., & Philippi , D. A. (2023). A qualitative analysis of the main factors in bed management in high complexity hospital emergencies. Revista de Gestão e Secretariado (Management and Administrative Professional Review), 14(2), 1682–1717.
Porto , B. M., Terra, S. X., & Philippi , D. A. (2023). A qualitative analysis of the main factors in bed management in high complexity hospital emergencies. Revista de Gestão e Secretariado (Management and Administrative Professional Review), 14(2), 1682–1717.
Abstract
Overcrowding in the emergency department is a problem that generates several implications for bed management, which is deemed one of a hospital's most critical processes. Effective management of hospital production capacity includes bed management processes, which can be improved in order to leverage hospital performance. Thus, this study sought to understand how bed management works and identify the main factors that influence its management. The study was performed through a case study, with data collected from semi-structured interviews and bibliographic research, which were triangulated. Thematic content analysis of the interviews and cross-analysis were performed. As a result, the main factors that influence hospital Bed management were identified: communication between teams and units; definition of performance goals; decisions shared between units; occupation and discharge planning by the teams; length of stay; the role of the nurses; and COVID-19. The greatest difficulties in the management process are related to these factors. Additionally, suggestions are provided to mitigate such reported difficulties.
Keywords
Bed management; COVID-19; Emergency Department; Overcrowding; Efficiency; Hospital management
Subject
Business, Economics and Management, Business and Management
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received:
19 January 2023
Commenter:
Bruno Matos Porto
Commenter's Conflict of Interests:
Author
Comment:
The article was edited and improved in all sections by the authors, the category of COVID-19 was inserted in the discussion of results. The Abstract, keywords and references were also edited.
Commenter: Bruno Matos Porto
Commenter's Conflict of Interests: Author