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Hospital planning: challenges or opportunities

Details: The hospital of the future ‘should not be constrained by macro-service organisation (eg trust boundaries)’ and ‘links with primary and community care’.1. The existing structures and concepts of ‘ownership’ of healthcare facilities, whether acute hospitals, specialist hospitals, community hospitals or primary care centres, are not

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Hospital admission and emergency care attendance risk …

Details: Hospital use and admission risk might be influenced by heterogenous health-care-seeking behaviour and transmission across the variants, ethnic groups, and particularly over time and area. Changes over time in hospital admission policy might have occurred—eg,

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Readmission Rates and Their Impact on Hospital Financial

Details: Hospital readmission is defined as “a hospital admission that occurs within a specified time frame after discharge from the first admission.” 21 Readmission rates have been considered a hospital quality measure 22,23 and have been shown to reflect dimensions of quality of patient care. 24,25 Prior studies have discussed the relationship

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Hospital discharge and patient safety: reviews of the

Details: This chapter reviews the two literatures that inform this study. The first addresses the safety challenge of hospital discharge, elaborating this as a problem of co-ordination and collaboration among various health and social care agencies. Attention is given to major policy changes and interventions aimed at enhancing discharge, as well as research evidence on clinical risk and …

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INTERVENTIONS TO IMPROVE HOSPITAL PATIENT …

Details: Many hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the current experimental evidence could inform these efforts and does

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HOSPITAL GENERATED WASTE: A PLAN FOR ITS PROPER …

Details: The management of hospital generated waste is not only the responsibility of the hospital administration but also of every department and every healthcare providing personnel in the hospital. It is a process that should begin at the site of generation where medical waste has to be properly collected and segregated from other non-hazardous waste

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Hospitals Negotiating Leverage with Health Plans: How …

Details: Background. Over the past fifteen years, much has been learned about how managed care affects plan–hospital contracting and hospital prices. 4 Following is a brief review of the literature. Selective contracting was one of the major innovations of managed care that changed competitive dynamics in the hospital sector and increased plans' negotiating leverage with hospitals.

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Quality Improvement Implementation and Hospital

Details: Data Sources. Secondary data from 1997 mailed survey of hospital QI practices, Medicare Inpatient Database, American Hospital Association's Annual Survey of Hospitals, the Bureau of Health Professions' Area Resource File, and two proprietary data sets compiled by Solucient Inc. containing data on managed care penetration and hospital financial performance.

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Urban and rural hospitals: How do they differ

Details: For urban hospital ancillary charges per discharge, the range is defined by the States of New Hampshire, $2,037 and Nevada, $5,713. By State, ancillary charges as a percent of total charges for rural hospitals are characterized by less variation, with Vermont beginning the range at 45 percent, and Louisiana limiting the range at 71 percent.

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Health care-associated infections – an overview

Details: Abstract. Health care-associated infections (HCAIs) are infections that occur while receiving health care, developed in a hospital or other health care facility that first appear 48 hours or more after hospital admission, or within 30 days after having received health care. Multiple studies indicate that the common types of adverse events

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Prevention of falls in hospital

Details: Introduction. Falls among hospital inpatients are the most frequently reported safety incident with more than 250,000 recorded annually in England and Wales. 1 The most recent audit data 2 show an average of 6.63 falls per 1,000 occupied bed days (OBDs), which equates to more than 1,700 falls every year in an 800-bed general hospital at current bed occupancy rates. 30–50% of …

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Hospital Board Infrastructure and Functions: The Role of

Details: Hospital boards, to large extent, used financial information routinely to evaluate the organizational performance. They also used financial benchmarks to compare their performance with other hospitals, and even shared these indicators internally and with the community. A very large proportion of hospital boards informed their executive bodies

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Hospital falls prevention with patient education: a

Details: Hospital falls remain a frequent and debilitating problem worldwide. Most hospital falls prevention strategies have targeted clinician education, environmental modifications, assistive devices, hospital systems and medication reviews. The role that patients can play in preventing falls whilst in hospital has received less attention.

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Analysis of length of hospital stay using electronic

Details: Background. The length of stay (LOS) is an important indicator of the efficiency of hospital management. Reduction in the number of inpatient days results in decreased risk of infection and medication side effects, improvement in the quality of treatment, and increased hospital profit with more efficient bed management.

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Mandatory Vaccination of Health Care Workers

Details: The Department of Health issued a rule last August that would have barred workers who declined either seasonal or H1N1 influenza vaccination from assignments involving patient contact in any hospital, outpatient clinic or home-care program. 7 However, a group of nurses sued and obtained a restraining order suspending enforcement.

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Inter-hospital and intra-hospital patient transfer: Recent

Details: The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to …

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› Url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966347/ Go Now

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Hospital design for better infection control

Details: The physical design and infrastructure of a hospital or institution is an essential component of its infection control measure. Thus is must be a prerequisite to take these into consideration from the initial conception and planning stages of the building.

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Hospital-Acquired Pressure Injury

Details: A hospital-acquired pressure injury (HAPI; formerly known as a pressure ulcer) is a localized injury to the skin and/or underlying tissue during an inpatient hospital stay. The result of pressure, shear, or both, HAPI development is additionally associated with other factors (e.g.,

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A Closer Look Into Global Hospital Beds Capacity and

Details: The relative shortage of hospital resources is a growing issue that can influence the practices of physicians and the subsequent care provided to their patients. The primary aim of this study is to investigate global hospital resources categorized as hospital beds (HBs), acute care beds (ACBs), and ICU beds.

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Hospital wastewater treatment scenario around the globe

Details: The hospital WWTP was designed to treat wastewater originated from Herlev hospital which discharged approximately 150,000 m 3 /year of wastewater and expected to discharge 200,000 m 3 of wastewater by 2020 . The various department of Herlev hospital such as oncology department, radiology department, cardiology department, cancer treatment

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The Effect of COVID-19 Pandemic on Service Sector

Details: This move seemed to be very effective in ensuring routine patients stay home, allocating the hospital's resources toward designated COVID-19 wards. The abrupt and strict lockdown in the urban and rural areas has halted traffic, and, as a result, there has been a global decrease in the influx of road-related emergency patients.

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Home Care: More Than Just A Visiting Nurse

Details: Problems in Home Healthcare. Home health nurses experience inadequate communication of basic patient information between the hospital, primary care, and home care after hospital discharge 14.Home care nurses receive either too much information (i.e., all clinical documentation associated with an admission) or too little information (i.e., just the patient’s …

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Cybersecurity in Hospitals: A Systematic, Organizational

Details: Hospital data security breaches in particular have the potential to cost a single hospital as much as US $7 million, including fines, litigation, and damaged reputation . A data breach has a combined estimated effect on the health care industry of about US $6 billion .

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Hospital Malnutrition: Prevalence, Identification and

Details: Malnutrition is a debilitating and highly prevalent condition in the acute hospital setting, with Australian and international studies reporting rates of approximately 40%. Malnutrition is associated with many adverse outcomes including depression of

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Staffing and Quality of Care in Hospitals

Details: Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes. Twenty-four hour nursing care is one of the distinctive hallmarks of inpatient care in hospitals. Historically, hospitals have been at the core of the U.S. health care system, and nursing services are central to the provision of hospital care.

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Hospital/clinical ethics committees' notion: an overview

Details: Hospital ethics committees (HECs) help clinicians deal with the ethical challenges which have been raised during clinical practice. A comprehensive literature review was conducted to provide a historical background of the development of HECs internationally and describe their functions and practical challenges of their day to day work.

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Nosocomial Infections

Details: Nosocomial infections also referred to as healthcare-associated infections (HAI), are infection(s) acquired during the process of receiving health care that was not present during the time of admission. They may occur in different areas of healthcare delivery, such as in hospitals, long-term care facilities, and ambulatory settings, and may also appear after …

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In-Hospital Cardiac Arrest

Details: In-hospital cardiac arrest is an acute event that can potentially affect any hospitalized patient. For the purposes of clinical care, research, and guideline development, in-hospital cardiac arrest (as opposed to death without resuscitation) is most commonly defined as the loss of circulation prompting resuscitation with chest compressions, defibrillation, or both.

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Hospital at home: home-based end-of-life care

Details: Admission to hospital varied among the trials (range of RR 0.62, 95% CI 0.48 to 0.79, to RR 2.61, 95% CI 1.50 to 4.55). The effect on patient outcomes and control of symptoms was uncertain. Home-based end-of-life care may slightly improve patient satisfaction at one-month follow-up, with little or no difference at six-month follow-up (2 trials

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Patient neglect in healthcare institutions: a systematic

Details: Patient neglect is an issue of increasing public concern in Europe and North America, yet remains poorly understood. This is the first systematic review on the nature, frequency and causes of patient neglect as distinct from patient safety topics such

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Teaching Hospitals and Quality of Care: A Review of the

Details: Teaching hospitals are widely reputed to provide high-quality care, eliciting very positive public opinions in surveys across the United States (Boscarino 1992).The U.S. News and World Report's listing of “America's Best Hospitals” (2000), based in part on the opinions of academic and community physicians, highly ranks many major teaching hospitals.

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Strategies to Reduce Hospital Readmission Rates in a Non

Details: Literature Review. Reducing hospital readmissions is a critical objective for hospital leaders because readmissions affect the financial viability of both the hospital and the community in which the hospital resides. 18 Although hospital readmissions have recently become a priority for CMS, the problem is not new. Here, we provide an overview of prior …

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Ethical dilemmas in the era of COVID-19

Details: The coronavirus disease 2019 (COVID-19) pandemic placed an extraordinary demand on health systems and healthcare providers all over the world. The pandemic presented a number of unprecedented challenging ethical issues. Across the globe, hospitals are being challenged by a large number of patients

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Impact and experiences of delayed discharge: A mixed

Details: In‐hospital mortality or hospital‐acquired infection happened in 32 patients (31%). The first 3 inappropriate days was the most harmful time where 63.7% of patients experienced a medical condition and 44% of the total number of complications took place during this length of time.

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COVID-19 length of hospital stay: a systematic review and

Details: Estimated summary hospital LoS distributions for studies from China and studies outside China are shown in Fig. 4. The median and IQR for total hospital was estimated to be 14 (10–19) for China and 5 (3–9) excluding China. This was also repeated for ICU LoS, with a median and IQR 8 (5–13) for China and 7 (4–11) outside China.

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Polymyalgia rheumatica as uncommon adverse event following

Details: 2. CASE REPORT. In February 2021, the day after the first dose of the BNT182b2 vaccine, a 69‐year‐old woman complained of sudden bilateral pain in the shoulder and pelvic girdles associated with morning stiffness lasting > 2 hours, fever, and general malaise.

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Expert consensus on nebulization therapy in pre-hospital

Details: Basic principles and SOPs for nebulization therapy in pre-hospital and in-hospital emergency care. Nebulization therapy aims to deliver a therapeutic dosage of a drug by inhalation of the drug-aerosol, which is generated with a drug solution or suspension by a nebulizer, through the mouth, nose or artificial airway (including endotracheal and tracheotomy tubes) into …

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An Exploration of the Role of Hospital Committees to

Details: By hospital services improvement and by help of health care presentation and by quality and productivity improvement we can lead to better management and control of current sources of hospital (Arid, 1996). Also, hospital committees should be more active in planning such as participating in setting strategic and operational programs in hospitals.

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6-month consequences of COVID-19 in patients discharged

Details: The median duration of hospital stay was 14·0 (10·0–19·0) days and time exclusively in the ICU was 14·0 (6·5–25·5) days. The proportion of men is higher among participants with a higher severity scale: 49% (214 of 439) for severity scale 3, 52% (605 of 1172) for scale 4, and 64% (78 of 122) for scale 5–6.

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Reducing the carbon footprint of hospital-based care

Details: Hospital-based healthcare generates large quantities of greenhouse gas emissions. Reducing the carbon footprint of healthcare requires direct action to reduce waste and energy use, but also requires radical reform of care pathways so that the only patients who come to or stay in hospital are people whose healthcare cannot safely be delivered

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Knowledge, Attitude and Practice Towards COVID-19 Among

Details: To assure the quality of data, the questioner was pre-tested on 19 chronic disease patients at another hospital having the same demographic characteristics (Debre Tabor hospital) before running the actual data. Necessary modifications of the questionnaires were carried out based on the pre-test feedback.

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Hospital-onset COVID-19 infection surveillance systems: a

Details: Hospital-onset COVID-19 infections (HOCIs) are associated with excess morbidity and mortality in patients and healthcare workers. The aim of this review was to explore and describe the current literature in HOCI surveillance. Medline, EMBASE, the Cochrane Database of Systematic Reviews, the Cochrane …

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Hospital Staff Nurses’ Shift Length Associated With Safety

Details: Hospital structural characteristics were derived from the American Hospital Association’s Annual Survey. Three characteristics were used: teaching status, level of technology, and bed size. Hospitals without medical residents were classified as nonteaching, hospitals that had a 1:4 ratio of residents to patients were classified as minor

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Factors associated with prolonged length of stay in older

Details: The hospital bed crunch problem raises concerns about patient safety and the adequacy of healthcare infrastructure. It is therefore timely and pertinent to evaluate the factors underlying prolonged hospitalisation among older patients to guide the design of interventions that can be trialled to ameliorate the problem.

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1-year outcomes in hospital survivors with COVID-19: a

Details: After COVID-19 discharge from hospital, 228 (18%) patients visited the outpatient clinic, 13 (1%) visited the emergency department, and 161 (13%) were admitted to hospital, but no one was admitted to ICU. 11 patients visited the rehabilitation department and five participated in the professional rehabilitation programme because of physical

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Effect of Medicare's Nonpayment for Hospital-Acquired

Details: The Hospital-Acquired Conditions (HACs) Initiative, mandated by Congress in the Deficit Reduction Act of 2005 and implemented in 2008, was one in a series of Centers for Medicare & Medicaid Services (CMS) payment reforms intended to increase emphasis on value-based purchasing. 1 Eight complications, known as never events, were identified by the Department …

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Translating research findings to clinical nursing practice

Details: In our complex and multidisciplinary healthcare system, aside from our patients, who are at the centre of care, those impacted are likely to include multiple services and medical specialties from outside of the instigating department. This could include the hospital switch board, pathology, radiology, allied health, as well as hospital executive.

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