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High‐dependency care: findings of a prospective needs assessment study

C. Kalayi (C. Kalayi is Audit Project Manager, Clinical Practice Research Unit, S. D. Blair is a Consultant Vascular and General Surgeon, and M. Maxwell is Head of Clinical Practice Research Unit/Honorary Researcher, Department of Primary Care, Clinical Practice Research Unit, all at the Wirral Hospital NHS Trust, Wirral, UK.)
S.D. Blair (C. Kalayi is Audit Project Manager, Clinical Practice Research Unit, S. D. Blair is a Consultant Vascular and General Surgeon, and M. Maxwell is Head of Clinical Practice Research Unit/Honorary Researcher, Department of Primary Care, Clinical Practice Research Unit, all at the Wirral Hospital NHS Trust, Wirral, UK.)
M. Maxwell (C. Kalayi is Audit Project Manager, Clinical Practice Research Unit, S.D. Blair is a Consultant Vascular and General Surgeon, and M. Maxwell is Head of Clinical Practice Research Unit/Honorary Researcher, Department of Primary Care, Clinical Practice Research Unit, all at the Wirral Hospital NHS Trust, Wirral, UK.)

British Journal of Clinical Governance

ISSN: 1466-4100

Article publication date: 1 September 2001

581

Abstract

Aims to determine the bed requirement for a large district general hospital with a four‐bedded surgical high‐dependency unit (HDU). All admissions from 1 December 1997 to 28 February 1998 (aged over 15 years) were used in this study. Overall, the study showed that an estimated 1.6 per cent of adult, in‐patient admissions required HDU care (there were 10,949 admissions to the hospital during the study period). The bed occupancy for the surgical HDU during the study period was 90 per cent (319 actual bed days/356 potential bed days). The average length of stay was four days. The mean, median and modal daily bed requirement was six. The needs assessment study clearly demonstrated that it was essential for the Trust to provide more comprehensive care to a wider range of patients than was currently available in the hospital, particularly those with serious medical conditions, and recommended the provision of an eight‐bedded HDU.

Keywords

Citation

Kalayi, C., Blair, S.D. and Maxwell, M. (2001), "High‐dependency care: findings of a prospective needs assessment study", British Journal of Clinical Governance, Vol. 6 No. 3, pp. 183-189. https://doi.org/10.1108/14664100110400714

Publisher

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MCB UP Ltd

Copyright © 2001, MCB UP Limited

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