Abstract：
:Hospital beds are a scarce resource and always in need. The beds are often organized by clinical specialties for better patient care. When the Accident & Emergency Department (A&E) admits a patient, there may not be an available bed that matches the requested specialty. The patient may be thus asked to wait at the A&E till a matching bed is available, or assigned a bed from a different specialty, which results in bed overflow. While this allows the patient to have faster access to an inpatient bed and treatment, it creates other problems. For instance, nursing care may be suboptimal and the doctors will need to spend more time to locate the overflow patients. The decision to allocate an overflow bed, or to let the patient wait a bit longer, can be a complicated one. While there can be a policy to guide the bed allocation decision, in reality it depends on clinical calls, current supply and waiting list, projected supply (i.e. planned discharges) and demand. The extent of bed overflow can therefore vary greatly, both in time dimension and across specialties. In this study, we extracted hospital data and used statistical and data mining approaches to identify the patterns behind bed overflow. With this insight, the hospital administration can be better equipped to devise strategies to reduce bed overflow and therefore improve patient care. Computational results show the viability of these intelligent data analysis techniques for understanding and managing the bed overflow problem.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Teow KL,El-Darzi E,Foo C,Jin X,Sim Jdoi
10.1007/s10916-010-9646-1subject
Has Abstractpub_date
2012-06-01 00:00:00pages
1873-82issue
3eissn
0148-5598issn
1573-689Xjournal_volume
36pub_type
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