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

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalAmerican Journal of Medical Quality
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Geographic Locations
Length of Stay
Hospitalists
Hospital Rapid Response Team
Respiratory Therapy
Occupational Therapy
Cardiopulmonary Resuscitation
Case Management
Patient Safety
Nursing
Cohort Studies
Communication
Prospective Studies
Efficiency

Keywords

  • geographic
  • interdisciplinary
  • length of stay
  • risk events
  • rounding

ASJC Scopus subject areas

  • Health Policy

Cite this

Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events. / Maniaci, Michael J.; Dawson, Nancy L.; Cowart, Jennifer B.; Richie, Eugene M.; Suryaprasad, Anil G.; Hodge, David O.; Joyce, Nicole E.; Kernan, Carol A.; Stone, Laurie A.; Burton, M. Caroline.

In: American Journal of Medical Quality, 01.01.2019.

Research output: Contribution to journalArticle

Maniaci, Michael J. ; Dawson, Nancy L. ; Cowart, Jennifer B. ; Richie, Eugene M. ; Suryaprasad, Anil G. ; Hodge, David O. ; Joyce, Nicole E. ; Kernan, Carol A. ; Stone, Laurie A. ; Burton, M. Caroline. / Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events. In: American Journal of Medical Quality. 2019.
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