hospital bed capacity


Summary: The number of beds which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.

Top Publications

  1. Aiken L, Cimiotti J, Sloane D, Smith H, Flynn L, Neff D. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49:1047-53 pubmed publisher
  2. Fong J, Marsh G, Stokan L, Weilian Sang -, Vinson C, Ruhl L. Hospital quality performance report: an application of composite scoring. Am J Med Qual. 2008;23:287-95 pubmed publisher
    ..Additional study is necessary to assess whether the report, as currently constructed, is sufficient to advance patient safety and quality of care in hospitals. ..
  3. Allder S, Silvester K, Walley P. Understanding the current state of patient flow in a hospital. Clin Med (Lond). 2010;10:441-4 pubmed
    ..A reduction in discharge capacity is a major contributory factor that results in unnecessary increases in length of stay. ..
  4. Jha A, Orav E, Zheng J, Epstein A. Patients' perception of hospital care in the United States. N Engl J Med. 2008;359:1921-31 pubmed publisher
  5. Handel D, Hilton J, Ward M, Rabin E, Zwemer F, Pines J. Emergency department throughput, crowding, and financial outcomes for hospitals. Acad Emerg Med. 2010;17:840-7 pubmed publisher
  6. Yasunaga H, Matsuyama Y, Ohe K. Effects of hospital and surgeon volumes on operating times, postoperative complications, and length of stay following laparoscopic colectomy. Surg Today. 2009;39:955-61 pubmed publisher
    ..Our analysis of data related to laparoscopic colectomy revealed that surgeons' experience was associated with faster surgery, but not necessarily with reduced operative morbidity. ..
  7. Moskop J, Sklar D, Geiderman J, Schears R, Bookman K. Emergency department crowding, part 1--concept, causes, and moral consequences. Ann Emerg Med. 2009;53:605-11 pubmed publisher
    ..Part 2 of the series examines barriers to resolving the problem of ED crowding and strategies proposed to overcome those barriers. ..
  8. Chrusch C, Olafson K, McMillan P, Roberts D, Gray P. High occupancy increases the risk of early death or readmission after transfer from intensive care. Crit Care Med. 2009;37:2753-8 pubmed publisher
    ..Overloading the capacity of an intensive care unit to care for critically ill patients may affect physician decision-making, resulting in premature discharge from the intensive care unit. ..
  9. Sjetne I, Veenstra M, Stavem K. The effect of hospital size and teaching status on patient experiences with hospital care: a multilevel analysis. Med Care. 2007;45:252-8 pubmed
    ..1% (Hospital Organization scale). The effect of hospital category on patient experiences with hospital care was small. Hospital category was not a major determinant of patient experiences during hospitalization. ..

More Information


  1. Green L. How many hospital beds?. Inquiry. 2002;39:400-12 pubmed
    For many years, average bed occupancy level has been the primary measure that has guided hospital bed capacity decisions at both policy and managerial levels...
  2. Jha A, Li Z, Orav E, Epstein A. Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-74 pubmed
    ..Given this variation and small differences based on hospitals' characteristics, performance reporting will probably need to include numerous clinical conditions from a broad range of hospitals. ..
  3. Agrawal S. Emergency department crowding: an ethical perspective. Acad Emerg Med. 2007;14:750-1 pubmed
  4. Jha A, Orav E, Zheng J, Epstein A. The characteristics and performance of hospitals that care for elderly Hispanic Americans. Health Aff (Millwood). 2008;27:528-37 pubmed publisher
    ..Our finding that care for Hispanics is concentrated among a small number of hospitals provides an opportunity for targeted efforts to improve care for this group of Americans. ..
  5. Bazzoli G, Brewster L, May J, Kuo S. The transition from excess capacity to strained capacity in U.S. hospitals. Milbank Q. 2006;84:273-304 pubmed
    ..These findings suggest therefore that approaches to dealing with capacity problems might best focus on better matching individual hospitals' supply and demand adjustments. ..
  6. Lloyd J, Elsayed S, Majeed A, Kadambande S, Lewis D, Mothukuri R, et al. The practice of out-lying patients is dangerous: a multicentre comparison study of nursing care provided for trauma patients. Injury. 2005;36:710-3 pubmed
    ..Many of the out-lying wards provide sub-optimal trauma nursing care and a few are positively dangerous. We suggest that trauma patients should not be nursed on outlying wards. ..
  7. Adams A, Bond S. Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. J Nurs Manag. 2003;11:287-92 pubmed
    ..Patients are also likely to benefit from a lower incidence of 'hierarchical practice' associated with having a low nurse/bed ratio within a ward. ..
  8. Green L, Nguyen V. Strategies for cutting hospital beds: the impact on patient service. Health Serv Res. 2001;36:421-42 pubmed
    ..More sophisticated methodologies are needed to support decisions that involve bed capacity and organization in order to understand the impact on patient service. ..
  9. Ashton C, Petersen N, Souchek J, Menke T, Yu H, Pietz K, et al. Geographic variations in utilization rates in Veterans Affairs hospitals and clinics. N Engl J Med. 1999;340:32-9 pubmed
    ..Because VA physicians are unable to increase their income by changing their patterns of practice, our findings suggest that their practice styles are similar to those of other physicians in their geographic regions. ..
  10. Elsayed S, Cosker T, Grant A. Pressure for beds--does it put our orthopaedic patients at risk?. Injury. 2005;36:86-7 pubmed
    ..Compartment syndrome is a limb-threatening condition which requires prompt recognition. Patients at risk should be nursed in an appropriate environment. ..
  11. Salokangas R, Honkonen T, Stengård E, Koivisto A. Mortality in chronic schizophrenia during decreasing number of psychiatric beds in Finland. Schizophr Res. 2002;54:265-75 pubmed
    ..In outpatient treatment, it is important to remember that the risk of unnatural death increases during the first years after discharge from hospital. ..
  12. Mukamel D, Zwanziger J, Tomaszewski K. HMO penetration, competition, and risk-adjusted hospital mortality. Health Serv Res. 2001;36:1019-35 pubmed
    ..These findings may be explained by a positive effect on local practice styles or a preferential selection by HMOs for areas with better hospital care. ..
  13. Hui Z, Jian Shi H, Xiong H, Peng L, Da Long Q. An analysis of the current status of hospital emergency preparedness for infectious disease outbreaks in Beijing, China. Am J Infect Control. 2007;35:62-7 pubmed
    ..Comprehensive measures should be developed and implemented to enhance their capacity for infectious disease emergency. ..
  14. Ribbe M, Ljunggren G, Steel K, Topinkova E, Hawes C, Ikegami N, et al. Nursing homes in 10 nations: a comparison between countries and settings. Age Ageing. 1997;26 Suppl 2:3-12 pubmed
    ..Facing a rapid ageing of their population, many countries are in the process of health and social care reforms. ..
  15. Lay B, Nordt C, Rossler W. Trends in psychiatric hospitalisation of people with schizophrenia: a register-based investigation over the last three decades. Schizophr Res. 2007;97:68-78 pubmed
    ..The considerable decrease in inpatient treatment for people with schizophrenia emphasizes the need to further investigate the current state of coverage for and the appropriateness of health care available to this patient group. ..
  16. Derlet R, Richards J. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2000;35:63-8 pubmed
    ..Unless the problem is solved in the near future, the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people of this country at risk. ..
  17. Proudlove N, Boaden R, Jorgensen J. Developing bed managers: the why and the how. J Nurs Manag. 2007;15:34-42 pubmed
    ..We conclude that the programme is an effective way to enhance the knowledge and skills of bed managers, and that the enhanced profile of bed management raises challenges for nurse managers in many areas of the organization. ..
  18. Akcali E, Côté M, Lin C. A network flow approach to optimizing hospital bed capacity decisions. Health Care Manag Sci. 2006;9:391-404 pubmed
    ..This combination of increased demand and diminished resources makes planning for hospital bed capacity a difficult problem for health care decision makers...
  19. Olshaker J, Rathlev N. Emergency Department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the Emergency Department. J Emerg Med. 2006;30:351-6 pubmed
    ..This article will review how overcrowding occurred with a focus on the significance and potential remedies of extended boarding of admitted patients in the Emergency Department. ..
  20. Hendrich A, Lee N. Intra-unit patient transports: time, motion, and cost impact on hospital efficiency. Nurs Econ. 2005;23:157-64, 147 pubmed
    ..Solid evidence to support the improvement of hospital and patient care efficiency through the identification and suggested elimination of waste patterns within the transport process is presented. ..
  21. Trzeciak S, Rivers E. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003;20:402-5 pubmed
    ..4) Potential solutions for ED overcrowding will require multidisciplinary system-wide support. ..
  22. Schneider S, Gallery M, Schafermeyer R, Zwemer F. Emergency department crowding: a point in time. Ann Emerg Med. 2003;42:167-72 pubmed
    ..Nonetheless, this study, as well as others, demonstrates that EDs throughout the United States are severely crowded. Such crowding raises concerns about the ability of EDs to respond to mass casualty or volume surges. ..
  23. Falvo T, Grove L, Stachura R, Vega D, Stike R, Schlenker M, et al. The opportunity loss of boarding admitted patients in the emergency department. Acad Emerg Med. 2007;14:332-7 pubmed
    ..Significantly higher operational revenues could be generated by reducing output delays that restrict optimal utilization of existing ED treatment capacity. ..
  24. Garrouste Orgeas M, Montuclard L, Timsit J, Reignier J, Desmettre T, Karoubi P, et al. Predictors of intensive care unit refusal in French intensive care units: a multiple-center study. Crit Care Med. 2005;33:750-5 pubmed
    ..Efforts to define ethically optimal ICU admission policies might lead to greater homogeneity in refusal rates, although case-mix variations would be expected to leave an irreducible amount of variation across ICUs. ..
  25. Gallivan S, Utley M, Treasure T, Valencia O. Booked inpatient admissions and hospital capacity: mathematical modelling study. BMJ. 2002;324:280-2 pubmed
    ..Such systems may well result in frequent operational difficulties if there is a high degree of variability in length of stay and where reserve capacity is limited. Both of these are common in the NHS. ..
  26. Rees S, Houlahan B, Lavrenz D. Enhancing capacity management. J Nurs Adm. 2014;44:121-4 pubmed publisher
    ..This organization implemented strategies including communication plans, staffing guidelines, morning rounds, proactive planning, and an escalation process to reverse the trend of not being able to accept all patients. ..
  27. Joynt K, Jha A. Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program. JAMA. 2013;309:342-3 pubmed publisher
  28. Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8:131-9 pubmed publisher
    ..Further research is needed to determine the generalizability of these results to larger sets of hospitals, to hospital units, and to other settings of care. ..
  29. Plaza V, Bellido Casado J, Díaz C, Perez De Llano L, Sanchis J, Villasante C, et al. Involvement of Spanish pulmonology centers in patient care, postgraduate education and research in asthma: the results of the ATENEA survey. Arch Bronconeumol. 2012;48:114-9 pubmed publisher
    ..Likewise, participation in educational activities and research related with the disease is inconsistent and limited to few centers. ..
  30. Rajamani K, Millis S, WATSON S, Mada F, Salowich Palm L, Hinton S, et al. Thrombolysis for acute ischemic stroke in Joint Commission-certified and -noncertified hospitals in Michigan. J Stroke Cerebrovasc Dis. 2013;22:49-54 pubmed publisher
    ..There was a tendency to shorter lengths of stay at JC-certified PSCs, but there was no significant difference in discharge to home, inpatient rehabilitation, or inpatient mortality in this study. ..
  31. Watanabe M, Kato K, Takeda K, Konishi T, Kurai J, Tatsukawa T, et al. Difference of health-care associated pneumonia between large hospitals and small hospitals in Japan. J Med Invest. 2011;58:67-74 pubmed
    ..Patients with severe HCAP were more likely to be admitted to large hospitals. Patients in the very severe A-DROP class should receive intensive antibiotic therapy, but not all patients need broad-spectrum therapy. ..
  32. Lagu T, Goff S, Hannon N, Shatz A, Lindenauer P. A mixed-methods analysis of patient reviews of hospital care in England: implications for public reporting of health care quality data in the United States. Jt Comm J Qual Patient Saf. 2013;39:7-15 pubmed
    ..Online narrative reviews can therefore provide useful and complementary information to consumers (patients) and hospitals, particularly when combined with systematically collected patient experience data. ..
  33. Kawohl W, Nordt C, Warnke I, Kistler C, Ajdacic Gross V, Rossler W. [Usage of inpatient treatments after reduction of inpatient capacities: Supply influences demand]. Neuropsychiatr. 2010;24:27-32 pubmed
    ..This finding is meaningful for the arrangement of alternative offers for this very large group of patients in psychiatric health care planning. ..
  34. Shahani A, Ridley S, Nielsen M. Modelling patient flows as an aid to decision making for critical care capacities and organisation. Anaesthesia. 2008;63:1074-80 pubmed publisher
    ..The model takes variability and uncertainty properly into account and it provides the necessary information for making better decisions about critical care capacity and organisation. ..
  35. Simard L, Branchaud S. [Brain storming. Interview by Charles Meunier]. Perspect Infirm. 2008;5:15-6 pubmed
  36. Tapia N, Fallon S, Brandt M, Scott B, Suliburk J. Assessment and standardization of resident handoff practices: PACT project. J Surg Res. 2013;184:71-7 pubmed publisher
    ..We propose utilization of the mnemonic PACT (Priority, Admissions, Changes, Task) to standardize handoff communication. ..
  37. Ye L, Zhou G, He X, Shen W, Gan J, Zhang M. Prolonged length of stay in the emergency department in high-acuity patients at a Chinese tertiary hospital. Emerg Med Australas. 2012;24:634-40 pubmed publisher
    ..The most significant reason for prolonged LOS was boarding block. Shortage of inpatient beds and reluctance of the wards to admit these patients might be the primary reasons for extremely long boarding. ..
  38. Maffei E, Arcadi T, Zuccarelli A, Clemente A, Torri T, Rossi P, et al. The impact of training on diagnostic accuracy with computed tomography coronary angiography. J Cardiovasc Med (Hagerstown). 2013;14:719-25 pubmed publisher
    ..There is no significant difference in image quality and diagnostic accuracy of CTCA when the investigation is performed by the same properly trained team. CTCA is a robust imaging modality for the detection of coronary artery stenosis. ..
  39. Weiss L, Graf C, Herrmann F, Salomon R, Perrenoud J. [Intermediate geriatric care in Geneva: experience of ten years]. Rev Med Suisse. 2012;8:2133-7 pubmed
    ..We observed a significant reduction in in-hospital mortality after the creation of the IntCU (2000-2001) compared to the 2 years immediately preceding its inception (1998-1999). ..
  40. Wilcox M, Harrison D, Short A, Jonas M, Rowan K. Comparing mortality among adult, general intensive care units in England with varying intensivist cover patterns: a retrospective cohort study. Crit Care. 2014;18:491 pubmed publisher
    ..Intensivist participation in handover was associated with increased mortality; further research to confirm or refute this finding is required. ..
  41. Jorgensen S, Thorlby R, Weinick R, Ayanian J. Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study. BMC Health Serv Res. 2010;10:352 pubmed publisher
  42. Stubnya G, Nagy Z, Lammers C, Rihmer Z, Bitter I. Deinstitutionalization in Europe: two recent examples from Germany and Hungary. Psychiatr Danub. 2010;22:406-12 pubmed
  43. Yanagisawa H. [Role of the independent microbiology laboratory in supporting infection control programs in small to mid-sized hospitals]. Rinsho Byori. 2009;57:463-6 pubmed
  44. Gerdin M, Wladis A, von Schreeb J. Foreign field hospitals after the 2010 Haiti earthquake: how good were we?. Emerg Med J. 2013;30:e8 pubmed publisher
  45. Zobel C, Dörpinghaus M, Reuter H, Erdmann E. Mortality in a cardiac intensive care unit. Clin Res Cardiol. 2012;101:521-4 pubmed publisher
    ..These findings will help in calculating the resources required to meet the increasing demand for intensive care medicine. ..
  46. Shwartz M, Pekoz E, Labonte A, Heineke J, Restuccia J. Bringing responsibility for small area variations in hospitalization rates back to the hospital: the propensity to hospitalize index and a test of the Roemer's Law. Med Care. 2011;49:1062-7 pubmed publisher
  47. Hinson T, Spatz D. Improving nurse retention in a large tertiary acute-care hospital. J Nurs Adm. 2011;41:103-8 pubmed publisher
    ..The authors discuss the implementation of 5 change concepts that resulted in a 91% reduction in voluntary nurse turnover, yielding a savings of $655,949. ..
  48. Stowell A, Claret P, Sebbane M, Bobbia X, Boyard C, Genre Grandpierre R, et al. Hospital out-lying through lack of beds and its impact on care and patient outcome. Scand J Trauma Resusc Emerg Med. 2013;21:17 pubmed publisher
    ..03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). O patients had a worse prognosis than NO patients. ..
  49. Hong S, Cagle J. Factors associated with perceptions of the cancer care system: a multilevel modeling approach. J Psychosoc Oncol. 2013;31:642-58 pubmed publisher
    ..Also, respondents in states where more Christians resided and lower hospital capacity were more likely to indicate satisfaction. Findings suggest implications for practitioners and health policy makers. ..
  50. Oda A, Kuwabara H, Fushimi K. Disparities associated with breast reconstruction in Japan. Plast Reconstr Surg. 2013;132:1392-9 pubmed publisher
    ..Uneven distribution of plastic surgeons might have required patients to travel for breast reconstruction. Therapeutic, III. ..
  51. Yarbrough A, Powers T. The evolution of rural hospitals viewed through a population ecology framework. Health Mark Q. 2008;23:33-48 pubmed
    ..In this paper concepts from population ecology are used to explain the survival of rural hospitals and how new organizational structures are being developed to compensate for environmental changes. ..
  52. Wunsch H, Linde Zwirble W, Angus D, Hartman M, Milbrandt E, Kahn J. The epidemiology of mechanical ventilation use in the United States. Crit Care Med. 2010;38:1947-53 pubmed publisher
    ..Mortality for mechanically ventilated patients is high. Quality improvement and cost-reduction strategies targeted at these patients are warranted. ..
  53. Vevera J, Svarc J, Grohmannova K, Spilkova J, Raboch J, Cerny M, et al. An increase in substance misuse rather than other mental disorders has led to increased forensic treatment rates in the Czech Republic. Eur Psychiatry. 2009;24:380-7 pubmed publisher
    ..This could be explained by a high number of psychiatric hospitalizations protecting the patients from deteriorating to criminal behaviour. ..