Table 5. Disease specific process of care measures for general internal medicine (GIM) vs. bedspaced patients.
| General Internal Medicine (GIM) ward | Bedspaced offservice | Test statistic (risk ratio; matched analysis unless *) | |
| Congestive Heart Failure (CHF) (n = 24) | |||
| Daily weights ordered | 4/12(33.3%) | 4/12 (33.3%) | No difference |
| Fluid restriction ordered | 2/12 (16.7%) | 5/12 (41.6%) | 2.5 (0.63–9.99) |
| Fluid balance ordered | 5/12 (41.7%) | 4/12 (33.3%) | 0.80 (0.25–2.55) |
| Low salt diet ordered | 6/12 (50.0%) | 3/12 (25.0%) | 0.50 (0.17–1.40) |
| >3 vitals on day 2 of admission | 7/12 (58.3%) | 8/10 (80%) | 1.37 (0.78–2.42)* |
| Progress notes with volume status (%) | 79.2% | 79.6% | No difference |
| Left ventricular (LV) function evaluation completed or arranged prior to discharge | 11/12(91.7%) | 10/12 (83.3%) | 0.91 (0.66–1.26) |
| Angiotensin-converting enzyme (ACE) inhibitor prescribed at discharge | 9/12 (66.7%) | 8/12 (75.0%) | 0.89 (0.53–1.49) |
| Beta blocker (BB) prescribed at discharge | 11/12 (92%) | 11/12 (92%) | 1.0 (0.78–1.29) |
| Warfarin prescribed at discharge if atrial fibrillation | 11/12 (92%) | 11/12 (92%) | 1.0 (0.78–1.29) |
| Chronic Obstructive Pulmonary Disease (COPD) (n = 30) | |||
| ABG on admission if oxygen saturation noted to be<90% | 4/5 (80%) | 5/8 (62.5%) | 0.99 (0.74–1.32)* |
| Antibiotics if appropriate | 9/9 (100%) | 12/12 (100%) | No difference |
| Oxygen parameters set to 88–92% saturation if pH<7.45 | 14/15 (93.3%) | 9/15 (60.0%) | 0.64 (0.44–0.95) |
| New/increased BB dose NOT ordered | 11/12(93.3%) | 11/12 (93.3%) | No difference |
| Respiratory peak flow ordered | 3/15 (20%) | 1/15 (6.7%) | 0.3 (0.03–2.85) |
| Smoking cessation discussed | 4/15 (26.7%) | 4/15 (26.7%) | No difference |
| Pneumonia (n = 24) | |||
| Antibiotics within 6 hours of triage | 7/12 (58.3%) | 8/12 (66.7%) | 1.14 (0.61–2.13) |
| Oxygen saturation documented | 12/12 (100%) | 12/12 (100%) | No difference |
| 2 blood cultures prior to antibiotics | 10/12 (83.3%) | 9/12 (75.0%) | 0.90 (0.73–1.11) |
| Appropriate antibiotics | 1/1 (100%) | 4/4 (100%) | No difference |
| Pneumococcus vaccine given if appropriate (or reasons as to why not) | 5/12 (41.7%) | 8/12 (66.7%) | 1.60 (0.73–3.49) |
| Influenza vaccine if appropriate (or reasons as to why not) | 6/12 (50.0%) | 5/12 (41.7%) | 0.83 (0.35–2.0) |
| Smoking cessation discussed if applicable | 0/7 (0%) | 0/7 (0%) | No difference |
*unmatched risk ratio reported because matching process was broken.