SHM Converge Scientific Abstract ePoster Gallery-Impact of a Medical Procedure Service on Hospital Operational Efficiency

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A retrospective cohort study at an academic medical center evaluated whether a Hospital Medicine medical procedure service (MPS) improved operational efficiency. The study included 4,952 bedside procedures performed between July 2021 and July 2023: paracentesis, thoracentesis, and lumbar puncture. Procedures were classified as performed by MPS or non-MPS clinicians. Researchers used statistical tests and adjusted regression models to compare patient characteristics and outcomes, accounting for demographics, BMI, and Charlson comorbidity score.<br /><br />Patients who received MPS procedures were older and had greater comorbidity burden than those in the non-MPS group. Despite this higher-risk population, MPS involvement was associated with better operational outcomes. MPS procedures were more likely to occur on weekends, with nearly double the odds of weekend performance compared with non-MPS procedures (OR 1.99, 95% CI 1.70–2.33). MPS was also associated with shorter post-procedure length of stay (IRR 0.81, 95% CI 0.76–0.87) and slightly shorter total hospital length of stay (IRR 0.93, 95% CI 0.87–0.99).<br /><br />The authors conclude that a medical procedure service can improve hospital efficiency by increasing weekend procedure availability and reducing both post-procedure and overall hospital length of stay. Possible explanations include faster completion of procedures, improved access to evidence-based bedside procedures, and quicker acquisition of diagnostic samples for time-sensitive conditions such as spontaneous bacterial peritonitis.

Asset Subtitle

Brett Curtis

Meta Tag

Author List Blake Haller, Brett Curtis, David Paje, Jonathan T. Sebolt, Michael Adams, Sachita Shrestha, Shuo Tian, Stephanie Taylor, Trevor Denton

Category Research

Concept Medical Procedure Service

Concept Retrospective Cohort Study

Concept Bedside Procedure

Concept Procedure Provider Type

Concept Length of Stay

Distinguished Non-Finalist

Presenter Organization University of Michigan

Presenting Author Brett Curtis

Track Quality Improvement

Keywords

Hospital Medicine

medical procedure service

bedside procedures

operational efficiency

retrospective cohort study

paracentesis

thoracentesis

lumbar puncture

length of stay

weekend procedures

Medical Procedure Service

Retrospective Cohort Study

Bedside Procedure

Procedure Provider Type

Length of Stay