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Research ArticleOriginal Article
Open Access

Impact of restructuring an inpatient pediatric service on length of stay and patient flow

Tahir K. Hameed, Syed F. Jamil, Omar S. Aldibasi and Hamad A. AlKhalaf
Saudi Medical Journal November 2023, 44 (11) 1127-1131; DOI: https://doi.org/10.15537/smj.2023.44.11.20230511
Tahir K. Hameed
From the Department of Pediatrics (Hameed, Jamil, AlKhalaf), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Hameed, Jamil, AlKhalaf); from the College of Dentistry (Aldibasi), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Hameed, Jamil, Aldibasi, AlKhalaf), Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
MD, MMEd
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  • ORCID record for Tahir K. Hameed
  • For correspondence: [email protected]
Syed F. Jamil
From the Department of Pediatrics (Hameed, Jamil, AlKhalaf), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Hameed, Jamil, AlKhalaf); from the College of Dentistry (Aldibasi), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Hameed, Jamil, Aldibasi, AlKhalaf), Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
MBBS, FRCPCH
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Omar S. Aldibasi
From the Department of Pediatrics (Hameed, Jamil, AlKhalaf), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Hameed, Jamil, AlKhalaf); from the College of Dentistry (Aldibasi), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Hameed, Jamil, Aldibasi, AlKhalaf), Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
PhD
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Hamad A. AlKhalaf
From the Department of Pediatrics (Hameed, Jamil, AlKhalaf), King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Hameed, Jamil, AlKhalaf); from the College of Dentistry (Aldibasi), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Hameed, Jamil, Aldibasi, AlKhalaf), Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
MBBS, Med.
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    Figure 1

    - Annotated run chart of length of stay and number of discharges after clinical teaching unit implementation. LOS: length of stay, CTU: clinical teaching unit

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    Table 1

    - Length of stay, weekend discharges, and daytime discharges during pre-clinical teaching unit implementation and post-clinical teaching unit implementation.

    VariablesJuly-December 2015 (pre-CTU)July-December 2016 (post-CTU)P-values
    Number of discharges11671598-
    LOS, mean±SD4.87±7.914.68±16.610.6875
    LOS, median (IQR)2.80 (2.97)2.63 (2.08)<0.0001
    Weekend discharges (%)18.021.50.0243
    Daytime discharges (%)6.925.6<0.0001

    CTU: clinical teaching unit, LOS: length of stay, SD: standard deviation, IQR: interquartile range

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      Table 2

      - Patient-level outcomes post-clinical teaching unit implementation.

      PeriodNumber of dischargesLOS mean±SDLOS median (IQR)Admissions discharged within 24 hours (%)Daytime discharges (%)Weekend discharges (%)Unscheduled readmissions within 7 days (%)
      201633735.03±13.922.71 (2.97)15.1720.8419.953.50
      201736944.72±20.652.68 (2.73)16.9525.1821.363.84
      201840543.92±6.292.6 (2.1)21.9330.5821.894.00

      LOS: length of stay, SD: standard deviation, IQR: interquartile range

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      Saudi Medical Journal: 44 (11)
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      1 Nov 2023
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      Impact of restructuring an inpatient pediatric service on length of stay and patient flow
      Tahir K. Hameed, Syed F. Jamil, Omar S. Aldibasi, Hamad A. AlKhalaf
      Saudi Medical Journal Nov 2023, 44 (11) 1127-1131; DOI: 10.15537/smj.2023.44.11.20230511

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      Impact of restructuring an inpatient pediatric service on length of stay and patient flow
      Tahir K. Hameed, Syed F. Jamil, Omar S. Aldibasi, Hamad A. AlKhalaf
      Saudi Medical Journal Nov 2023, 44 (11) 1127-1131; DOI: 10.15537/smj.2023.44.11.20230511
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      Keywords

      • pediatrics
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