Date of Submission
Doctor of Nursing Practice (DNP)
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.
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 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.
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.
Strinden, Jacqueline, "Patient Placement Matters: A Systematic Review of the Impact of Multiple Patient Placement" (2021). DNP Qualifying Manuscripts. 39.