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ORIGINAL ARTICLE
Year : 2022  |  Volume : 3  |  Issue : 1  |  Page : 13-20

A study of the causes of delay in patient discharge process in a large multi-speciality hospital with recommendations to improve the turn around time


Independent Quality Professional, Bengaluru, Karnataka, India

Correspondence Address:
Mr. Jatin Kumar
Independent Quality Professional, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/QAIJ.QAIJ_14_22

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On an average, around 25–30 discharges occur/day which includes cash and insurance patients. Approximately 45% are cash discharges and 55% are insurance discharges. This study deals with an analysis and evaluation of the delay in discharge process of cash and insurance patients once the discharge advice is given by the treating doctor. Methods of analysis include pareto analysis and descriptive statistics. The study draws attention to the fact that the average time taken for discharge of cash patients is 3 h and 57 min and for insurance patients is 5 h and 9 min that is a delay of 1 h and 41 min and 1 h and 23 min for cash and insurance patients, respectively. Results of the analyzed data show the delay in each process of discharge excluding the process of file sent to billing after discharge intimation is done by the nurse. Hence, improvement is required at each and every step involved in discharge process. Pareto analysis is used to prioritize the factors responsible for causing major delays and recommendations are given for the same. Most of the time was consumed in the process of bill preparation due to the delay in getting clearance from laboratory, pharmacy, and radiology department followed by finalization of discharge summary. Following are the recommendations based on the study:
  • Reducing the time taken for clearance from various departments
  • Improving and making some changes in the Hospital Information System (HIS)
  • Delegation of work.


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