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Increasing hospital patient throughput: A gamification case study

Author

Listed:
  • Gillam, Andrew R.
  • Gillam, Sally W.
  • Mcdaniel, Peggy H.

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

Suggested Citation

  • Gillam, Andrew R. & Gillam, Sally W. & Mcdaniel, Peggy H., 2019. "Increasing hospital patient throughput: A gamification case study," Management in Healthcare: A Peer-Reviewed Journal, Henry Stewart Publications, vol. 3(4), pages 317-328, March.
    • Handle: RePEc:aza:mih000:y:2019:v:3:i:4:p:317-328
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    More about this item

    Keywords

    patient throughput; gamified productivity improvement; employee motivation and age cohorts; hospital patient discharge processes;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I10 - Health, Education, and Welfare - - Health - - - General

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