Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events.
Michael J ManiaciNancy L DawsonJennifer B CowartEugene M RichieAnil G SuryaprasadDavid O HodgeNicole E JoyceCarol A KernanLaurie A StoneM Caroline BurtonPublished in: American journal of medical quality : the official journal of the American College of Medical Quality (2019)
This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds-Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.
Keyphrases
- end stage renal disease
- patient safety
- ejection fraction
- newly diagnosed
- chronic kidney disease
- healthcare
- quality improvement
- primary care
- mental health
- type diabetes
- emergency department
- stem cells
- adipose tissue
- metabolic syndrome
- insulin resistance
- skeletal muscle
- bone marrow
- electronic health record
- patient reported
- respiratory tract