Increasing hospital patient throughput: A gamification case study

Andrew R. Gillam, Sally W. Gillam and Peggy H. Mcdaniel

Management in Healthcare: A Peer-Reviewed Journal, 2019, vol. 3, issue 4, 317-328

Abstract: Unpredictable activity in nursing units hindered patient discharges at a 328-bed Texas hospital. The delays consequently interfered with timely admittance of patients from the emergency department. Several earlier initiatives to address the concern resulted in marginal performance improvement, but notable delays persisted. This case study describes activities and outcomes of a gamified nursing intervention to address the persistent delays. A gamified initiative expedited discharges in six nursing units (179 beds, n = 6,955 patients), where more than 70 per cent of nursing staff were Generation Y age cohort members. The initiative was led by first-level unit managers, two-thirds of whom were also Generation Y (Gen Y) members. The proportion of medical-surgical discharges completed in less than 2 hours increased by more than 54 per cent: χ2(1,N = 6,955) = 115.785, p

Keywords: patient throughput; gamified productivity improvement; employee motivation and age cohorts; hospital patient discharge processes (search for similar items in EconPapers)
JEL-codes: I1 I10 (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:aza:mih000:y:2019:v:3:i:4:p:317-328

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