Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events

Michael J. Maniaci; Nancy L. Dawson; Jennifer B. Cowart; Eugene M. Richie; Anil G. Suryaprasad; David O. Hodge; Nicole E. Joyce; Carol A. Kernan; Laurie A. Stone; M. Caroline Burton

doi:10.1177/1062860619879977

Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events

Michael J. Maniaci, Nancy L. Dawson, Jennifer B. Cowart, Eugene M. Richie, Anil G. Suryaprasad, David O. Hodge, Nicole E. Joyce, Carol A. Kernan, Laurie A. Stone, M. Caroline Burton

Hospital Internal Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	323-329
Number of pages	7
Journal	American Journal of Medical Quality
Volume	35
Issue number	4
DOIs	https://doi.org/10.1177/1062860619879977
State	Published - Jul 1 2020

Keywords

geographic
interdisciplinary
length of stay
risk events
rounding

ASJC Scopus subject areas

Health Policy

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10.1177/1062860619879977

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title = "Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events",

abstract = "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.",

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AU - Richie, Eugene M.

AU - Suryaprasad, Anil G.

AU - Hodge, David O.

AU - Joyce, Nicole E.

AU - Kernan, Carol A.

AU - Stone, Laurie A.

AU - Burton, M. Caroline

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Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events

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Keywords

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