Establishing a dedicated toxicology unit reduces length of stay of poisoned patients and saves hospital bed days

Isoardi, Katherine Z. , Armitage, Melanie C. , Harris, Keith and Page, Colin B. (2017) Establishing a dedicated toxicology unit reduces length of stay of poisoned patients and saves hospital bed days. Emergency Medicine Australasia, 29 3: 310-314. doi:10.1111/1742-6723.12755


Author Isoardi, Katherine Z.
Armitage, Melanie C.
Harris, Keith
Page, Colin B.
Title Establishing a dedicated toxicology unit reduces length of stay of poisoned patients and saves hospital bed days
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6723
1742-6731
Publication date 2017-03-07
Sub-type Article (original research)
DOI 10.1111/1742-6723.12755
Open Access Status Not yet assessed
Volume 29
Issue 3
Start page 310
End page 314
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2018
Language eng
Formatted abstract
Objective: This study evaluates the effect on the average length of stay (LOS), relative stay index (RSI), bed days and costs saved following the establishment of a dedicated clinical toxicology unit in an Australian tertiary referral hospital.

Methods: This retrospective descriptive study uses Health Roundtable and other state and federal data to compare the average LOS, RSI, estimated bed days and costs saved by patients admitted with a diagnosis-related group (DRG) of X62 (Poisoning/Toxic Effects of Drugs and Other Substances), over the 4 year period 2012-2015. This period corresponds to before and after the introduction of the clinical toxicology unit in February 2014 at the Princess Alexandra Hospital, a tertiary referral teaching hospital in Brisbane, Queensland, Australia.

Results: There was a reduction in the average LOS and RSI from 2.1days and 122% in 2012 to 0.9days and 52% in 2015, respectively. This reduction correlates with a reduction in 1350 bed days and a saving of $2.25 million over the 2 year period 2014-2015 since the clinical toxicology unit was established.

Conclusion: The reduction in average LOS is similar to results previously published by two Australian toxicology units over 15 years ago. Despite changes in healthcare delivery since this time, these results continue to support the efficiency and associated cost saving of a dedicated toxicology unit in managing poisoned patients.
Keyword Cost savings
Inpatients
Length of stay
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 28 Mar 2017, 00:20:19 EST by Web Cron on behalf of Learning and Research Services (UQ Library)