Date of Submission
Fall 12-14-2021
Document Type
Manuscript
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Juli Maxworthy
Second Advisor
Mary Bittner
Third Advisor
Elena Capella
Abstract
Abstract
Background
Inattention to the frequency of patient movement has been correlated with system-induced harm events, diminished favorable health outcomes, and reduction in patient and staff satisfaction. The incidence of adverse events increases significantly when multiple unnecessary lateral relocations result from secondary efforts to relieve hospital capacity constraints and improve efficiency.
Methods
A systematic review of literature was conducted to evaluate the impact of adverse events, patient and staff perceptions, and resource utilization on frequent patient placement events.
Results
Results of the analysis demonstrate that increased adverse events, negative patient and staff perceptions, increased workload, and resource utilization is significantly associated with intra-hospital transfer events.
Conclusion
The operational workflows designed to decrease throughput, address capacity constraints, and improve efficiency has a negative effect on the outcomes of patients within the acute care setting. Further research is indicated, with consideration of a composite metric, aimed at capturing potential adverse events and associated outcomes aligned with frequent clinically unnecessary bed movement along with interventions to reduce the occurrence of these events.
Recommended Citation
Strinden, Jacqueline, "Patient Placement Matters: A Systematic Review of the Impact of Multiple Patient Placement" (2021). DNP Qualifying Manuscripts. 39.
https://repository.usfca.edu/dnp_qualifying/39
