title: A medical center's experience with managing specialty bed usage.
abstract: The focus of this case study was the escalating use of specialty beds at a large military medical center. Members of a multidisciplinary task force looked at current use of specialty beds, clinical appropriateness of past decisions regarding use of these beds, and education of staff members. They concluded that specialty beds were being ordered randomly from multiple vendors without the benefit of sound clinical decision making. The task force narrowed the types of beds used from 16 to only 7, limited the number of primary bed vendors to two and placed them under contract, educated staff regarding proper selection of specialty beds, and established a protocol specifying WOC nurses and physicians as responsible personnel for ordering specialty beds. These efforts resulted in a marked decline in the use of specialty beds, better patient clinical outcomes, and a sizable cost reduction.
authors.affiliation: ET Nursing Department, Naval Medical Center San Diego, San Diego, California 92134-1005, USA.
authors.forename: T
authors.initials: T
authors.lastname: Russell
authors.forename: A L
authors.initials: AL
authors.lastname: Bsn
authors.forename: J A
authors.initials: JA
authors.lastname: Lohman
mesh_terms: D001513:Beds / Q000191:economics / Q000600:supply & distribution*; D002140:California; D003363:Cost Control; D003362:Cost-Benefit Analysis; D004867:Equipment Design; D017408:Guidelines as Topic; D006772:Hospitals, Military / Q000458:organization & administration; D006801:Humans; D007324:Institutional Management Teams; D019982:Organizational Case Studies; D003668:Pressure Ulcer / Q000517:prevention & control; D011682:Purchasing, Hospital / Q000379:methods*; D018570:Risk Assessment