medRxivJClub
Impact of a hospital digital coordination centre on patient flow in a large tertiary centre
medRxiv · · Preprint · Open access
Davey, Shaw + 10 more
Abstract ↗AI summary
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A digital coordination centre in an Australian metropolitan tertiary hospital is linked to a 33% decrease in emergency department length of stay after its August 28th, 2023 rollout.
- Why it matters: Hospitals face rising demand and constrained capacity, and patient flow bottlenecks in emergency and inpatient services need operational approaches that can adapt in real time.
- What they did: In an interrupted-time-series analysis of 191,415 ED arrivals and 187,783 acute inpatient episodes from July 2020 to July 2025, a multidisciplinary team used real-time dashboards to optimise flow.
- The result: After implementation, ED admissions within four hours increased by 73%, inpatient length of stay fell by 7%, and discharges completed before noon rose by 5%, supporting digitally enabled coordination centres as a useful component of broader operational reform.
The findingWhy it mattersWhat they didThe result
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