June 1, 2021
When visiting a hospital, innumerable factors contribute to the overall quality of the patient experience. One of the most challenging to address is patient turnover itself — the process of bringing patients to and from medical departments or units while simultaneously ensuring that their medical needs are met. Giving doctors and nurses enough time to assist patients while keeping turnover rate high is vital to building a successful medical practice, but it’s easier said than done.
This article will define patient turnover, explore the ways medical professionals can measure it, and recommend a path for optimizing patient turnover through indoor navigation solutions like Vera Concierge, and appropriate staffing decisions.
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Patient turnover is the process and measurement of moving patients to or from a given hospital or nursing unit. It can refer to any type of relocation — be it admittance, discharge, or even transfer to another department — and occurs at any time during staff shifts. Many hospitals use patient turnover as a metric to partially inform staff scheduling, but its primary use is for measuring the efficacy of a particular facility’s practices, especially in the context of scale.
Turnover is an everyday reality of any care unit, but it’s also a major factor in measuring the quality of patient care being delivered. While many factors contribute to patient care, a high turnover rate can sometimes indicate reduced quality, but it’s not always the case. The reason is apparent — when nurses and doctors can focus on individual patients, they can better understand and address their needs. However, if medical staff constantly transfer or discharge patients, that can mean less time to attend to each issue adequately, which is why it’s always best to measure patient turnover in the context of other core healthcare facility metrics.
One common problem associated with patient turnover is unfinished nursing care, which refers to any care that is delayed, partially completed, or simply never completed. High patient turnover is typically a strong indicator of high unfinished care, the latter of which has direct links to mortality and failure-to-rescue cases. According to a literature review in the International Journal of Nursing Studies, up to 95% of nurses report leaving at least one task undone.
Despite these concerns, the goal is not necessarily to reduce patient turnover, which occurs for many legitimate reasons. Instead, hospitals and nursing care units must optimize staffing and daily schedules around turnover to ensure patients receive the best possible level of care while still keeping turnover rates relatively high. Medical departments must be appropriately staffed at the correct times of day to prepare for expected turnover, but there are also a variety of technological solutions that can positively impact the patient experience factors that contribute to turnover rate.
For example, the Vera Concierge augmented reality application can offer healthcare facility guests an intuitive indoor wayfinding experience that lets them navigate to and from their appointments faster, reducing turnover rate without negatively impacting the level of care they receive.
Patient turnover can be calculated and analyzed in various ways, depending on your needs. The most common example is the patient turnover rate, which technicians calculate by dividing one by the average length of stay (LOS). Hospitals and medical units track LOS in daily, hourly, or thirty-minute increments depending on the expectations of a given department.
A turnover rate that approaches one will have a higher frequency of turnovers than a rate closer to zero. However, this metric does not reflect patient volume, available nurses, or other relevant data. For this information, technicians can frame turnover in the following contexts:
While high patient turnover is not the sole contributor to quality of care or failure-to-rescue cases, it may indicate a problem with existing staffing levels. Thankfully, medical units can use turnover rates and other metrics to determine an optimal staff-to-patient ratio that supports the highest quality of care.
It’s important to note that turnover rates vary wildly depending on the medical unit category under discussion. Maternity wards, surgery departments, intensive care units, and emergency rooms all have significantly different patient turnover standards that reflect their specialization. For this reason, every facility and department will need to determine its optimal staffing arrangements that align with expected turnaround times.
While these numbers vary by unit, patient turnover research does reveal some general trends.
Optimizing hospital schedules to meet patient turnover is challenging, but augmented reality tools can make the job far easier. Resonai’s contribution is Vera, an augmented reality platform that allows healthcare professionals to design dynamic, patient-centric experiences through the use of digital twins and a comprehensive suite of augmented reality applications. In a hospital setting, Vera offers several solutions that can optimize the turnover process.
Are you ready to see how Vera can enhance your facility’s value-based care? Get in touch with Resonai today and set up a free demonstration.
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