Reducing hospital admission delay times using a structured, systematic, multi-disciplinary approach.

Baskin, Javaherian, Zapata, Litwin, Wray. Reducing hospital admission delay times using a structured, systematic, multi-disciplinary approach. Journal of hospital medicine. 2025 Apr 15 DOI: 10.1002/jhm.70050.

Related HSR&D Project(s)

• CDA 19-349 – Improving Access Through Targeted Delivery of Telemedicine

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.    Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions

Search for Abstract from PubMed

---

Abstract:

A 6-month audit at the San Francisco VA Health Care System (October 2020 to March 2021) found a median admission delay of 207 min, higher than the national VA median of 146 min. A multi-disciplinary team found that factors contributing to this delay included unclear bed assignment processes, nursing handoff delays, and over-reliance on inpatient teams to initiate admission processes. After implementing three countermeasures-(1) bed assignment standardization, (2) nursing handoff improvement, and (3) skeletal admission orders-median admission delay decreased by 29.5%, from 207 to 145 min, over a 3-month period which has sustained since the changes were implemented.