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The Active Hospital pilot: A qualitative study exploring

Details: The Active Hospital pilot was a multi-component complex intervention; each pathway had a different intervention protocol to suit the varying physical and cultural environments, each with the aim of increasing in-hospital and post-discharge PA levels.

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A national survey of hospital readiness during the COVID

Details: Introduction The COVID-19 pandemic continues to overwhelm health systems across the globe. We aimed to assess the readiness of hospitals in Nigeria to respond to the COVID-19 outbreak. Method Between April and October 2020, hospital representatives completed a modified World Health Organisation (WHO) COVID-19 hospital readiness checklist consisting of 13 components and 124 …

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The pace of hospital life: A mixed methods study

Details: Hospital pace can be measured in different formats (perception, transaction, walking) consistently. There is a relationship between faster pace and a negative workplace hospital culture. Faster hospital pace is linked to lower job satisfaction. Faster hospital pace is linked to higher burnout.

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The efficiency in the ordinary hospital bed management: …

Details: Considering the use of the hospital resources, even if Germany counts a high availability of hospital beds per 100000 inhabitants, it is the country with the lowest number of hospitalizations in the general wards (N = 40,8) compared with the other countries (Italy, N = 91,1; France, N = 105,4 and Spain, N = 220,7).

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The impact of COVID-19 on hospital admissions and

Details: Background As a result of the novel coronavirus disease 2019 (COVID-19), there have been widespread changes in healthcare access. We conducted a retrospective population-based study in Alberta, Canada (population 4.4 million), where there have been approximately 1550 hospital admissions for COVID-19, to determine the impact of COVID-19 on hospital admissions and emergency …

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Efficiency and optimal size of hospitals: Results of a

Details: Concerning hospital location, choices were associated with analysis goals. Most authors (46%) included Urban and Rural Hospitals to compare hospitals in terms of size. Finally, concerning hospital ownership, the popular choice of setting for scale efficiency studies was Public Hospitals (50%). This choice is not surprising, given that the

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Forecasting hospital demand in metropolitan areas during

Details: We present a forecasting model aim to predict hospital occupancy in metropolitan areas during the current COVID-19 pandemic. Our SEIRD type model features asymptomatic and symptomatic infections with detailed hospital dynamics. We model explicitly branching probabilities and non-exponential residence times in each latent and infected compartments.

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Predictors of hospital expenses and hospital stay among

Details: Objective To determine the predictive factors of postoperative hospital stay and total hospital medical cost among patients who underwent total laryngectomy. Methods A total of 213 patients who underwent total laryngectomy in a tertiary referral center for tumor ablation were enrolled retrospectively between January 2009 and May 2018.

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Understanding factors influencing the length of hospital

Details: As a novel concept of responding to disease epidemics, Fangcang shelter hospitals were deployed to expand the health system’s capacity and provide medical services for non-severe COVID-19 patients during the outbreak in Wuhan. To give insights on patient management within Fangcang hospitals, we conducted a retrospective analysis to: 1) describe the characteristics of the patients …

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Illicit drug use while admitted to hospital: Patient and

Details: Background Across North America, the opioid overdose epidemic is leading to increasing hospitalizations of people who use drugs (PWUD). However, hospitals are ill-prepared to meet the needs of PWUD. We focus on illicit drug use while admitted to hospital and how PWUD and health care providers describe, respond, and attempt to manage its use.

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Dealing with highly skewed hospital length of stay

Details: Hospital 27 has the largest effect of women more likely to belong to component B. Hospital 27 is a level 4 teaching hospital with 61% of the deliveries covered by private insurance and 72% of the women who delivered aged 30 years and older. Hospital 32 has the largest effect of women more likely to belong to component A (shorter LOS).

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Drug Administration Errors in Hospital Inpatients: A

Details: Barker KN, Harris JA, Webster DB, Stringer JF, Pearson RE et al. (1984) Consultant evaluation of a hospital medication system: analysis of the existing system. Am J Hosp Pharm 41: 2009-2016. PubMed: 6496488. View Article Google Scholar 29.

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Hospital-based evidence on cost-effectiveness of

Details: The reason for the discrepancy is that Hospital B is a government funded public health facility where costs are often subsidized to promote equity in access to services and individual treatment. Hospital F, on the other hand, is a private facility where costs are higher since patients can afford health insurance or out-of-pocket payment.

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Hospital Standardized Mortality Ratio: Consequences of

Details: Background The hospital standardized mortality ratio (HSMR) is developed to evaluate and improve hospital quality. Different methods can be used to standardize the hospital mortality ratio. Our aim was to assess the validity and applicability of directly and indirectly standardized hospital mortality ratios. Methods Retrospective scenario analysis using routinely collected hospital data to

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Transmission of community- and hospital-acquired SARS-CoV

Details: Of the 4 hospital sites, 2 (hospitals A and C) have an emergency department and admitted symptomatic SARS-CoV-2 patients directly from the community. Patient data included patient demographics, location in the hospital on every day of stay, total length of …

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Prediction of risk of acquiring urinary tract infection

Details: Background Healthcare associated infections (HAI) are a major burden for the healthcare system and associated with prolonged hospital stay, increased morbidity, mortality and costs. Healthcare associated urinary tract infections (HA-UTI) accounts for about 20–30% of all HAI’s, and with the emergence of multi-resistant urinary tract pathogens, the total burden of HA-UTI will most likely

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Ethical and psychosocial considerations for hospital

Details: This study aims at investigating the nature of resilience and stress experience of health care workers during the COVID-19 pandemic. Thirteen healthcare workers from Italian and Austrian hospitals specifically dealing with COVID-19 patients during the first phase of the pandemic were interviewed. Data was analysed using grounded theory methodology. Psychosocial effects on stress …

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Clinical characteristics of COVID-19 patients hospitalized

Details: Objectives To describe the clinical characteristics of patients infected with SARS-CoV-2 at Clinique Ngaliema, a public hospital, in Kinshasa, in the Democratic Republic of Congo (DRC). Methods This retrospective study analyzed medical records including socio-demographics, past medical history, clinical manifestation, comorbidities, laboratory data, treatment and disease outcome of 160

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Characteristics and outcomes of COVID-19 patients in New

Details: The city’s public hospital system has cared for a disproportionate number of cases, with many of its hospitals having neared capacity and having needed additional support. Reports published to date on COVID-19 patients in NYC have been of cohorts within private health systems that typically serve primarily insured, higher-income patients [2

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COVID-19: Spatial analysis of hospital case-fatality rate

Details: The hospital healthcare system in France offer a mean of 621 Hospital beds per 100,000 people. The hospital healthcare system is fairly evenly distributed throughout the metropolitan territory, as shown in Table 3 for regions (www.ecosante.fr).

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Association of hospital nursing and postsurgical sepsis

Details: Hospital nursing resources, including staffing , education , and the work environment , have been shown repeatedly to help explain facility-level variation in hospital infection and complication rates [10, 11], as well as measures of mortality and failure to rescue [12–15]. Little is known about the impact of nurse staffing, education, and

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The efficiency in the ordinary hospital bed management in

Details: Since the end of February 2020 a severe diffusion of COVID-19 has affected Italy and in particular its northern regions, resulting in a high demand of hospitalizations in particular in the intensive care units (ICUs). Hospitals are suffering the high degree of patients to be treated for respiratory diseases and the majority of the health structures, especially in the north of Italy, are or are

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Economic impact of the first wave of the COVID-19 pandemic

Details: Regression results indicated that the hospital charges in April and May 2020 decreased by 6.3% for hospitals without COVID-19 patients. For hospitals with COVID-19 patients, there was an additional decrease in proportion with the length of hospital stay of COVID-19 patients including suspected cases.

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Impact of COVID-19 on hospital admission of acute stroke

Details: Background With the proposed pathophysiologic mechanism of neurologic injury by SARS CoV-2, the frequency of stroke and henceforth the related hospital admissions were expected to rise. This paper investigated this presumption by comparing the frequency of admissions of stroke cases in Bangladesh before and during the pandemic. Methods This is a retrospective analysis of stroke …

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Determinants of in-hospital mortality in COVID-19; a

Details: A prospective cohort study was conducted at the Indus Hospital Karachi, Pakistan between March and June 2020 to estimate the in-hospital mortality among hospitalized COVID-19 patients and its determinants. A total of 170 adult patients were enrolled and all-cause mortality was found to be 39% (67/170). Most non-survivors were above 60 years of age (64%) while gender …

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Relative risks of adverse events among older adults

Details: Pain is highly prevalent in the hospital setting [1,2], and opioid use is common, occurring in more than half of hospitalized patients [3,4]. Inpatient opioid use is often continued after discharge, with 15% of previously opioid naïve older adults filling a new opioid prescription within 7 days of hospital discharge . With more than 12 million

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Impact of onset-to-door time on outcomes and factors

Details: Background and purpose Previous studies have reported that early hospital arrival improves clinical outcomes in patients with acute ischemic stroke; however, whether early arrival is associated with favorable outcomes regardless of reperfusion therapy and the type of stroke onset time is unclear. Thus, we investigated the impact of onset-to-door time on outcomes and evaluated the …

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A scoping review of internal hospital crises and disasters

Details: Background Internal hospital crises and disasters (IHCDs) are events that disrupt the routine functioning of a hospital while threatening the well-being of patients and staff. IHCDs may cause hospital closure, evacuations of patients and loss of healthcare capacity. The consequences may be ruinous for local communities. Although IHCDs occur with regularity, information on the frequency and

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The views of patients, healthcare professionals and

Details: ” (Hospital 2, hospital official [deputy matrons office head], male, 36) According to the HCPs, this kind of tradition was established in the hospital setting a long time ago. “There has been an existing trend for a long time that a patient has to be able to beat the pain and professionals will not respond quickly if the patient is in pain

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Equity in Health Care Financing in Low- and Middle-Income

Details: At the hospital outpatient level, the pro-rich distribution was particularly strong with 12 out of 14 studies (86%) reporting this finding compared to 7 out of 15 (47%) at the primary health care (PHC) level. Ten of the BIA studies from sub-Saharan Africa reported the distribution of …

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WhatsApp in hospital

Details: Data were collected through a survey administered to physicians and nurses in an Italian University Hospital in Rome; a total of 191 high-quality responses were received. The results show that WhatsApp is widely used in the Hospital, and that its use is mainly due to the perception of numerous advantages and benefits reported in clinical practice.

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Projected impact of COVID-19 mitigation strategies on

Details: Hospital market share is defined as the percentage of patients who are likely to present to the hospitals included in the analysis, and it is estimated by the number of hospital beds included in the study compared to the total number of hospital beds in the region .

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The Hospital Anxiety and Depression Scale (HADS) applied

Details: Psychological distress is a common problem associated with cancer. The main objective of the present study was to test the Hospital Anxiety and Depression Scale (HADS) in a sample of Ethiopian cancer patients and to compare the results with those obtained from a sample in Germany. Data were collected from 256 cancer patients who visited the University of Gondar Hospital between …

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Man vs. machine: Predicting hospital bed demand from an

Details: Background The recent literature reports promising results from using intelligent systems to support decision making in healthcare operations. Using these systems may lead to improved diagnostic and treatment protocols and to predict hospital bed demand. Predicting hospital bed demand in emergency department (ED) attendances could help resource allocation and reduce pressure on …

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Healthcare workers’ knowledge, attitude and practices

Details: The hospital has recently stepped up its efforts to support the government in its fight towards COVID 19. UCMSTH is a teaching hospital serving as a tertiary care centre located in the southwest border of Nepal. All the healthcare providers working in the hospital during the COVID-19 pandemic response were included in the study.

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Fatal opioid overdoses during and shortly after hospital

Details: The risk during hospital admissions was similar or lower than periods neither admitted to the hospital nor recently discharged, with odds ratios 1.03 (95% CI 0.87 to 1.21; p = 0.75) for the first 14 days of an admission and 0.41 (95% CI 0.30 to 0.56; p < 0.001) for days 15 onwards. 1,088/13,609 deaths (8.0%) occurred in the 14 days after discharge.

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Development and evaluation of a social inclusion framework

Details: A framework of social inclusion can promote equity and aid in preventing and addressing the abuse of older adults. Our objective was to build a social inclusion framework for a comprehensive hospital-based elder abuse intervention being developed. Potential components of such a framework, namely, health determinants and guiding principles, were extracted from a systematic scoping review …

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Low serum sodium levels at hospital admission: Outcomes

Details: At hospital admission 14.4% of hospitalized patients had serum sodium levels [Na] <135 mEq/L. In adjusted multinomial logistic regression analysis, we found that the risk of in-hospital mortality significantly increases for [Na] levels < 135 or ≥143 to ≤145 mEq/L compared to the reference interval of 140 to <143 mEq/L (p<0.001).

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Burden of kidney disease on the discrepancy between

Details: Background Physicians have long noted a substantial discrepancy between the reasons for hospital admission and ultimate causes of death, particularly among older adults or patients with complex underlying diseases. However, objective data on this phenomenon are lacking. We aimed to examine the risk of in-hospital death caused by a reason other than the original reason for …

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Hospital and outpatient models for Hematopoietic Stem Cell

Details: The hospital stay is shown to be shorter in the outpatient care model for both autologous and for allogeneic transplants . In autologous transplants, all studies, 8 out 8, report a reduction of the length of hospital stay in the outpatient model, ranging from a 3 days reduction, up to 17 days difference.

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Patient Satisfaction with Hospital Inpatient Care: Effects

Details: Objective Deteriorations in the patient-provider relationship in China have attracted increasing attention in the international community. This study aims to explore the role of trust in patient satisfaction with hospital inpatient care, and how patient-provider trust is shaped from the perspectives of both patients and providers. Methods We adopted a mixed methods approach comprising a

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The association between major complications of immobility

Details: Hospital-level variables included hospital type (tertiary and non-tertiary hospitals), ward-level variables included ward classification (medicine, surgery and critical care). Patient-level variables including age, gender, education, length of bedridden experience, length of stay, mobility at admission, modified Braden score, number of

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In-hospital mortality is associated with inflammatory

Details: At the time of outcomes update collection (10 th June), 9(5%) patients were still in hospital, 125(65%) were discharged and 59 (30%) died. In those with a complete outcome (i.e. discharged from hospital or death), the median length of stay was 7 days (4–12).

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The Relationship between Social Capital and Quality

Details: BackgroundStrategic leadership is an important organizational capability and is essential for quality improvement in hospital settings. Furthermore, the quality of leadership depends crucially on a common set of shared values and mutual trust between hospital management board members. According to the concept of social capital, these are essential requirements for successful cooperation …

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Impact of chronic liver disease upon admission on COVID-19

Details: The endpoint was in-hospital mortality, assessed either from data at discharge or death certificate, whilst all exposure variables were collected at hospital admission. Results Among 618 COVID-19 hospitalized patients included in the study, 143 in-hospital mortality events were recorded, with a cumulative incidence of about 23%.

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Internal consistency reliability, construct validity, and

Details: The present study investigated the internal consistency reliability, construct validity, and item response characteristics of a newly developed Vietnamese version of the Kessler 6 (K6) scale among hospital nurses in Hanoi, Vietnam. The K6 was translated into the Vietnamese language following a standard procedure. A survey was conducted of nurses in a large general hospital in …

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The impact of dementia on hospital outcomes for elderly

Details: Although in both groups hospital admission was primarily non-elective through emergency departments, there were differences between groups, and planned admission was significantly lower in cases with dementia. Before hospital admission, 11.9% of the cases with dementia were institutionalized compared to 3.1% of those without dementia.

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