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Hospital nurse-staffing models and patient- and staff

Details: Objectives: The purpose of this review was to explore the effect of hospital nurse-staffing models on patient and staff-related outcomes in the hospital setting, specifically to identify which staffing model(s) are associated with: 1) better outcomes for patients, 2) better staff-related outcomes, and, 3) the impact of staffing model(s) on cost

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ESPEN guideline on hospital nutrition

Details: In hospitals through Europe and worldwide, the practices regarding hospital diets are very heterogeneous. Hospital diets are rarely prescribed by physicians, and sometimes the choices of diets are based on arbitrary reasons. Often prescriptions are made independently from the evaluation of nutrition …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34742138/ Go Now

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Discharge planning from hospital

Details: Background: Discharge planning is a routine feature of health systems in many countries. The aim of discharge planning is to reduce hospital length of stay and unplanned readmission to hospital, and to improve the co-ordination of services following discharge from hospital.This is the third update of the original review.

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› Url: https://pubmed.ncbi.nlm.nih.gov/26816297/ Go Now

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COVID-19: anxiety among hospital staff and associated

Details: Hospital staff experienced a variety of work-related stress and anxiety issues that should be visible to hospital administrators and policymakers alike. The anxiety is independent of whether the worker is directly involved in caring for or in any way coming into contact with COVID-19 patients. Key m …

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› Url: https://pubmed.ncbi.nlm.nih.gov/33350869/ Go Now

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How many hospital beds

Details: 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. Even now, the common wisdom that there is an excess of beds nationally has been based on a federal target of 85% occupancy that was developed …

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› Url: https://pubmed.ncbi.nlm.nih.gov/12638714/ Go Now

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Hospital at home versus in-patient hospital care

Details: Background: Hospital at home is defined as a service that provides active treatment by health care professionals, in the patient's home, of a condition that otherwise would require acute hospital in-patient care, always for a limited period. Objectives: To assess the effects of hospital at home compared with in-patient hospital care.

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› Url: https://pubmed.ncbi.nlm.nih.gov/16034853/ Go Now

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Early discharge hospital at home

Details: Background: Early discharge hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care. This is an update of a Cochrane review. Objectives: To determine the effectiveness and cost of managing patients with early discharge hospital at home compared …

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› Url: https://pubmed.ncbi.nlm.nih.gov/28651296/ Go Now

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Mold remediation in a hospital

Details: As occupants in a hospital, patients are susceptible to air contaminants that can include biological agents dispersed throughout the premise. An exposed patient can become ill and require medical intervention. A consideration for patients is that they may have become environmentally sensitive and re …

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› Url: https://pubmed.ncbi.nlm.nih.gov/19854823/ Go Now

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A study on building data warehouse of hospital …

Details: Background: Existing hospital information systems with simple statistical functions cannot meet current management needs. It is well known that hospital resources are distributed with private property rights among hospitals, such as in the case of …

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› Url: https://pubmed.ncbi.nlm.nih.gov/21933571/ Go Now

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A Nurse-Driven Oral Care Protocol to Reduce Hospital

Details: The following funding sources contributed to the completion of this project: the Sparrow Hospital Department of Nursing Evidence-Based Practice Fellowship Program, Sparrow Foundation Sue Tadgerson Nursing Research Fund, and Delta Dental Foundation, an affiliate of Delta Dental of Michigan, Ohio, and Indiana, which provided an unrestricted

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› Url: https://pubmed.ncbi.nlm.nih.gov/30681478/ Go Now

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Patient safety in hospital acute care units

Details: The most visible threats to patient safety associated with nursing care occur on hospital inpatient units. Patient safety research is a new phenomenon, but it builds on the knowledge provided by quality-of-care research done previously. The purpose of this chapter is …

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› Url: https://pubmed.ncbi.nlm.nih.gov/17078412/ Go Now

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Hospital value-based purchasing

Details: Hospital Value Based Purchasing (VBP) aims to incentivize inpatient providers to delivery high value, as opposed to high volume, health care. The formal mandate of hospitals to provide high value health care through financial incentives marks an important change in Medicare and Medicaid policy. In t …

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› Url: https://pubmed.ncbi.nlm.nih.gov/23589485/ Go Now

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Hospital Elder Life Program: Systematic Review and Meta

Details: The Hospital Elder Life Program (HELP) is the original evidence-based approach targeted to delirium risk factors, which has been widely disseminated. Objective: To summarize the current state of the evidence regarding HELP and to highlight its effectiveness and cost savings.

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› Url: https://pubmed.ncbi.nlm.nih.gov/30076080/ Go Now

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Length of stay has minimal impact on the cost of hospital

Details: Background: Hospital cost containment, cost reduction, and alternative care delivery systems continue to preoccupy health care providers, payers, employers, and policy makers throughout the United States. The universal metric for gauging the success of these efforts is hospital length of stay (LOS). Reducing the LOS purportedly yields large cost savings.

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› Url: https://pubmed.ncbi.nlm.nih.gov/10945354/ Go Now

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Introduction to hospital information systems

Details: The phrase, 'hospital information system', is frequently used in discussions about the flow of information throughout a hospital with the assumption that everybody has the same concept in mind. Closer examination shows that this is not necessarily the case. The author draws on his experience as the …

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› Url: https://pubmed.ncbi.nlm.nih.gov/3585130/ Go Now

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The Internet Hospital as a Telehealth Model in China

Details: Background: The internet hospital is an innovative organizational form and service mode under the tide of internet plus in the Chinese medical industry. It is the product of the interaction between consumer health needs and supply-side reform. However, there has still been no systematic summary of its establishment and definition, nor has there been an analysis of its service content.

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› Url: https://pubmed.ncbi.nlm.nih.gov/32723721/ Go Now

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Inpatient Hospital Costs for COVID-19 Patients in the

Details: The burden from COVID-19 in terms of hospital and ICU costs and LOS has been substantial, though significant decreases in cost and LOS and increases in the share of hospital discharges to home were observed from April to December 2020. These estimates will be useful for inputs to economic models, di …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34609704/ Go Now

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The Psychological Impact of COVID-19 on Hospital Staff

Details: Methods: The design is a single-center, cross-sectional, online survey evaluating depression and anxiety among all hospital employees (n = 3,500) at a safety-net hospital with a moderate cumulative COVID-19 hospitalization rate between April 30-May 22, 2020. We assessed depression with the Patient Health Questionnaire-9.

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› Url: https://pubmed.ncbi.nlm.nih.gov/33856322/ Go Now

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Hospital workload and adverse events

Details: At that hospital, admissions and patients per nurse were significantly related to the likelihood of an AE (P < 0.05); occupancy rate, discharges, and DRG-weighted census were significant at P < 0.10. For example, a 0.1% increase in the patient-to-nurse ratio led to a 28% increase in the AE rate. Results at the other 3 hospitals varied and were

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› Url: https://pubmed.ncbi.nlm.nih.gov/17446831/ Go Now

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Changing nutrition care practices in hospital: a thematic

Details: Hospital staff, including management, needs to work towards optimizing nutrition care in hospitals to improve the prevention, detection and treatment of malnutrition. The objective of this study was to understand how staff members perceived and described the necessary ingredients to support change efforts required to improve nutrition care in

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› Url: https://pubmed.ncbi.nlm.nih.gov/28724373/ Go Now

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The effects of hospital noise

Details: Research clearly shows that hospital noise levels exceed noise level recommendations and has the potential to increase complications in patients. What is less known is the effect hospital noise has on nurses. The purpose of this article is to discuss hospital noise and …

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› Url: https://pubmed.ncbi.nlm.nih.gov/20838178/ Go Now

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Management of disease-related malnutrition for patients

Details: Disease-related malnutrition in adult patients who have been admitted to hospital is a syndrome associated with substantially increased morbidity, disability, short-term and long-term mortality, impaired recovery from illness, and cost of care. There is …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34656286/ Go Now

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Families as Partners in Hospital Error and Adverse Event

Details: 27 Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. 28 Lucile Packard Children's Hospital, Stanford University, Stanford, California. 29 Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. 30 Primary Children's Hospital, Salt Lake City, Utah. 31 Benioff Children's Hospital, San Francisco, California.

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› Url: https://pubmed.ncbi.nlm.nih.gov/28241211/ Go Now

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Virtual monitoring of suicide risk in the general hospital

Details: Objective: To determine whether continuous virtual monitoring, an intervention that facilitates patient observation through video technology, can be used to monitor suicide risk in the general hospital and emergency department (ED). Method: This was a retrospective analysis of a protocol in which select patients on suicide precautions in the general hospital and ED …

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› Url: https://pubmed.ncbi.nlm.nih.gov/30665667/ Go Now

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Hospital Readmissions after Surgery: How Important Are

Details: Hospital readmission rates for orthopaedic, vascular, and general surgery were not correlated between specialties; within each of the 3 specialties, modest correlations were found between 2 procedures within 2 of these specialties. These findings suggest that hospital surgical readmission rates are …

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› Url: https://pubmed.ncbi.nlm.nih.gov/28088603/ Go Now

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Medicare Program; Hospital Inpatient Prospective Payment

Details: We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2018. Some of these changes implement certain statutory provisions …

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› Url: https://pubmed.ncbi.nlm.nih.gov/28805361/ Go Now

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Pre-hospital, in-hospital and post-hospital factors

Details: Background: Understanding factors associated with post-discharge sleep quality among COVID-19 survivors is important for intervention development. Aims: This study investigated sleep quality and its correlates among COVID-19 patients 6 months after their most recent hospital discharge. Method: Healthcare providers at hospitals located in five different …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34659795/ Go Now

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Benefits of a hospital-based peer intervention program for

Details: This hospital-based peer intervention program reduces the risk of criminal justice system involvement, is more effective with younger patients, and is cost effective. Any effect on reinjury and death will require a larger sample size and longer followup.

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› Url: https://pubmed.ncbi.nlm.nih.gov/17964444/ Go Now

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Smoking by patients in a smoke-free hospital: prevalence

Details: Smoking by patients in a smoke-free hospital was common. Craving for cigarettes and symptoms consistent with nicotine withdrawal occurred frequently in hospitalized smokers and were associated with smoking during hospitalization, which was itself strongly linked with continuing to smoke after discha …

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› Url: https://pubmed.ncbi.nlm.nih.gov/10938217/ Go Now

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Hospital at Home-Plus: A Platform of Facility-Based Care

Details: Objectives: To describe the evolution of a hospital at home (HaH) program to a HaH with a 30-day posthospitalization transition period (HaH-Plus) and results of a retrospective review of cases. Design: After launching HaH-Plus, we used the same interdisciplinary clinical team to provide acute home-based care for a broader range of home-based acute-level services than originally …

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› Url: https://pubmed.ncbi.nlm.nih.gov/30481382/ Go Now

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Continuous Glucose Monitoring in the Hospital

Details: A hospital CGM program requires cooperation of physicians, bedside nurses, diabetes educators, and hospital administrators to appropriately select and manage patients. Processes for collecting, reviewing, storing, and responding to CGM data must be established for such a program to be successful.

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The extra resource burden of in-hospital falls: a cost of

Details: Objective: To quantify the additional hospital length of stay (LOS) and costs associated with in-hospital falls and fall injuries in acute hospitals in Australia. Design, setting and participants: A multisite prospective cohort study conducted during 2011-2013 in the control wards of a falls prevention trial (6-PACK). The trial included all admissions to 12 acute medical and surgical …

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Hospital-related cost of sepsis: A systematic review

Details: Estimates of the hospital-related costs of sepsis varied considerably across the included studies depending on the method used for cost calculation, the type of sepsis and the population that was examined. A standard model for conducting cost improve the …

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› Url: https://pubmed.ncbi.nlm.nih.gov/27884733/ Go Now

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The national cost of hospital-acquired pressure injuries

Details: Our objective was to estimate the US national cost burden of hospital-acquired pressure injury (HAPI) using economic simulation methods. We created a Markov simulation to estimate costs for staged pressure injuries acquired during hospitalisation from the hospital perspective. The model analysed out …

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› Url: https://pubmed.ncbi.nlm.nih.gov/30693644/ Go Now

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CEO compensation and hospital financial performance

Details: Growing interest in pay-for-performance and the level of chief executive officers' (CEOs') pay raises questions about the link between performance and compensation in the health sector. This study compares the compensation of nonprofit hospital CEOs in Ontario, Canada to the three longest reported a …

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Endovascular aortic repair is a cost-effective option for

Details: Total direct medical costs were higher for AAA patients receiving EVAR regardless of rupture status; however, the cost is offset by lower odds of postoperative complications and in-hospital mortality. The observed decrease in ICER with age and EVAR use warrants further analysis. Our findings further …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34261982/ Go Now

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Epidemiology of Hospital System Patient Falls: A

Details: Patient falls are the most common type of in-hospital accidents. The objective of this retrospective descriptive study was to describe the locations and characteristics of hospital-related falls. Data on patient characteristics, including locations and fall circumstances, were collected through inci …

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Hospital and Community Characteristics Associated With

Details: Direct admission rates were associated with several hospital and community characteristics, but the majority of variation in hospitals' direct admission rates was not explained by these factors. These findings suggest opportunities for diverse hospital types to …

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Hospital overcrowding: an opportunity for case managers

Details: Hospital overcrowding is primarily a shortage of inpatient beds, not a lack of emergency department capacity, as initially assumed. According to Asplin et al., many factors contribute to overcrowding, including inadequate or inflexible nurse-to-patient staffing ratios, isolation precautions, or delays in cleaning rooms after patient discharge; an overreliance on intensive …

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› Url: https://pubmed.ncbi.nlm.nih.gov/16061159/ Go Now

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Neighborhood Disadvantage and Hospital Quality Ratings in

Details: Measures: Hospital summary scores and 7 quality group scores (100 percentile scale), including effectiveness of care, efficiency of care, hospital readmission, mortality, patient experience, safety of care, and timeliness of care.

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The relationship between physical activity and post

Details: The amount of physical activity performed post-operatively negatively correlates with the length of hospital stay. This suggests that objective physical activity data collected by body worn sensors may be capable of predicting functional recovery post-operatively.

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Impact of Hospital Context on Transitioning Patients From

Details: Background: Twenty-five percentage of patients who are transferred from hospital settings to skilled nursing facilities (SNFs) are rehospitalized within 30 days. One significant factor in poorly executed transitions is the discharge process used by hospital providers. Objective: The objective of this study was to examine how health care providers in hospitals transition care …

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Bacterial colonization and succession in a newly opened

Details: To develop a community-level understanding of how microorganisms colonize and move through the hospital environment, we characterized the bacterial dynamics among hospital surfaces, patients, and staff over the course of 1 year as a new hospital became operational. The bacteria in patient rooms, particularly on bedrails, consistently resembled

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Hospital-acquired urinary tract infection

Details: Nosocomial urinary tract infections (UTIs) account for up to 40% of all hospital-acquired infections. The associated morbidity and mortality are a major drain on hospital resources. Patients with indwelling urinary catheters, patients undergoing urological manipulations, long-stay elderly male patie …

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› Url: https://pubmed.ncbi.nlm.nih.gov/12846343/ Go Now

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Resuscitation Practices Associated With Survival After In

Details: Using survey information from acute care hospitals participating in a national quality improvement registry, we identified 3 resuscitation strategies associated with higher hospital rates of survival for patients with in-hospital cardiac arrest. These strategies can form the foundation for best prac …

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› Url: https://pubmed.ncbi.nlm.nih.gov/27437890/ Go Now

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In-Hospital Cardiac Arrest: A Review

Details: Importance: In-hospital cardiac arrest is common and associated with a high mortality rate. Despite this, in-hospital cardiac arrest has received little attention compared with other high-risk cardiovascular conditions, such as stroke, myocardial infarction, and …

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Retrograde Recanalization of Chronic Total Occlusions in

Details: Affiliations 1 Department of Medical Sciences and Pediatrics, Catheterization Laboratory and Cardiovascular Interventional Unit, Cannizzaro Hospital, University of Catania, Italy. Electronic address: [email protected] 2 Department of Cardiology, American Hellenic Educational Progressive Association University Hospital, Thessaloniki, Greece.

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