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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 Acquired Infections

Details: Hospital-acquired infections, also known as healthcare-associated infections (HAI), are nosocomially acquired infections that are typically not present or might be incubating at the time of admission. These infections are usually acquired after …

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Hospital Acquired Infections

Details: Hospital-acquired infections, also known as healthcare-associated infections (HAI), are nosocomially acquired infections that are typically not present or might be incubating at the time of admission. These infections are usually acquired after hospitalization and manifest 48 hours after admission to the hospital. The infections are monitored closely by agencies such …

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Hospital admission and emergency care attendance risk for

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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Preventing Falls in Hospitalized Patients: State of the

Details: 1. Introduction. Although hospital falls have been decreasing over the past several years, they remain a significant problem. 1 Patient falls are the most common adverse events reported in hospitals. 2–5 Each year, roughly 700,000 to 1 million patient falls occur in U.S. hospitals resulting in around 250,000 injuries and up to 11,000 deaths. 6 About 2% of hospitalized patients fall at …

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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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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 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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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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Fall Prevention in Acute Care Hospitals

Details: A total of 2 medical units from each hospital met these criteria. Patient fall was defined as an “unplanned descent to the floor during the course of their hospital stay.” 18 At each hospital, the 2 matched units were randomized to be the intervention or control unit (Figure 2). The study protocol and waiver of informed consent were

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Hospital Textiles, Are They a Possible Vehicle for

Details: The purpose of laundering hospital textiles is therefore to ensure clean and safe textiles for patients and staff and thus enable uninterrupted implementation of healthcare [5,6]. The most common found microorganisms on hospital textiles are: Gram negative bacteria, coagulase negative staphylococci, Bacillus sp. and typical skin flora .

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Multidisciplinary in-hospital teams improve patient

Details: Hospital-based “multidisciplinary teams” often involve all levels of “staff” on the treatment pyramid including aides, nurses, physician assistants, physical therapists, social workers, anesthesiologists, and attending physicians. These “teams” are consistently more effective than randomly assigning staff to the emergency room (ER

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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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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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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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Toward a better understanding of hospital occupancy rates

Details: Hospital size. Consider Table 1 which displays the occupancy rates of community hospitals by bed-size class. Successively larger hospitals have successively higher average occupancy rates. This may be explained by the fact that the larger the hospital, the greater its ability to maintain a higher level of occupancy rate consistent with a given protection level. 2 The statistical …

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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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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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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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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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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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How to conduct a clinical audit and quality improvement

Details: Achievable—limit yourself to 1 or 2 outcomes. Ensure the data are easily collectable, and that you have all the relevant access before you start, for example, computer logins. Are you at the hospital long enough to do several reaudits? Realistic—are you the right person for this audit?

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Trends in hospital librarianship and hospital library

Details: A hospital library was defined as an entity that “serves health service professionals in hospitals or elsewhere, whether in the private or public sector” and provides all of the following: (1) documents (print and other materials) held locally and remote resources (such as electronic resources) for which permanent or temporary access rights

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Health care-associated infections – an overview

Details: Background. Health care-associated infections (HCAIs) are those infections that patients acquire while receiving health care. 1 The term HCAIs initially referred to those infections linked with admission to an acute-care hospital (earlier called nosocomial infections), but the term now includes infections developed in various settings where patients obtain health care (eg, …

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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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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 discharge.

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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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Guidelines for prevention of hospital acquired infections

Details: Introduction. Hospital acquired infections (HAIs) is a major safety concern for both health care providers and the patients. Considering morbidity, mortality, increased length of stay and the cost, efforts should be made to make the hospitals as safe as possible by preventing such infections.[1,2]These guidelines have been developed for health care personnel involved in …

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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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Bigger But Not Better: Hospital Mergers Increase Costs and

Details: Hospital competition improves quality of care. This is true under both administered price systems such as Medicare and the English National Health Service, and market determined pricing such as the private health insurance market. The evidence is more mixed from studies of market determined systems, however. 2.

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Hospital–Physician Affiliations and Patient Treatments

Details: Hospital–physician affiliations diffused rapidly across the United States in the 1990s. Whether they took the form of hospital employment of physicians, physician–hospital organizations (PHOs), or an alphabet soup of other organizations, these affiliations had the potential to serve a variety of hospital goals (Burns and Pauly 2002).A hospital might establish an affiliation to …

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Hospital falls prevention with patient education: a

Details: 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. This critical review scopes patient falls education interventions for hospitals.

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Characteristics and Circumstances of Falls in a Hospital

Details: Falls among hospital inpatients are common, generally ranging from 2.3 to 7 falls per 1,000 patient-days. 1 – 4 Approximately 30% of inpatient falls result in injury, with 4% to 6% resulting in serious injury. 5, 6 These serious fall-related injuries can include fractures, subdural hematomas, excessive bleeding, and even death. Injuries due to falls also increase health care costs.

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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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Distribution of variable vs fixed costs of hospital care

Details: Results: In 1993, the hospital had nearly 114000 emergency department visits, 40000 hospital admissions, 240000 inpatient days, and more than 500000 outpatient clinic visits. The total budget for 1993 was $429.2 million, of which $360.3 million (84%) was fixed and $68.8 million (16%) was variable.

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The Short Stay Unit as a new option for hospitals: A

Details: The use of SSUs also positively affects hospital organization through improved use of resources related to an expanded bed pool and increased hospital turnover. The reduced use of hospital beds and optimization of the turnover rate of hospital staff could minimize economic losses, and reduce hospital costs and waste of personnel time [11,15,20].

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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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Hospital- and patient-related characteristics determining

Details: Methods: California hospital discharge data on maternity patients (n = 499,912) were analyzed. Hierarchical linear modeling was used to adjust for patient case mix and hospital characteristics and to account for the dependence of outcome variables within hospitals.

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Hospital food: a survey of patients' perceptions

Details: There was a negative correlation (P=0.005) between duration of hospital stay and satisfaction with the food provided: 121 (39%) respondents stated that their appetite was the same as at home, and 50% stated that it had decreased during their time in the hospital.

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Falls among Adult Patients Hospitalized in the United

Details: Hospital and Nursing Unit Characteristics. A total of 6,100 nursing units (1,949 medical; 1,530 surgical; 2,621 medical-surgical) contributed data during the study period. These units represented 1,263 distinct hospitals. Hospital and unit characteristics appear in Table 1, along with the rate of falls and injurious falls observed within each

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Hospital-Acquired SARS-Cov-2 Infections in Patients

Details: Hospital-acquired COVID-19 represents a serious public health problem and the first articles indicate there was an alarming rate of HAIs. It is a problem that could cause reluctance of patients to seek hospital care for fear of becoming infected. Scientific studies have proven that in-hospital transmission of COVID-19 is not negligible.

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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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Hospital-Acquired Infections Due to Gram-Negative Bacteria

Details: Types of Infections. Hospital-acquired infections are a major challenge to patient safety. It is estimated that in 2002, a total of 1.7 million hospital-acquired infections occurred (4.5 per 100 admissions), 1 and almost 99,000 deaths resulted from or were associated with a hospital-acquired infection, 1 making hospital-acquired infections the sixth leading cause of …

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Tools and Checklists Used for the Evaluation of Hospital

Details: Hospitals need to be fully operative during disasters. It is therefore essential to be able to evaluate hospital preparedness. However, there is no consensus of a standardized, comprehensive and reliable tool with which to measure hospital preparedness. The aim of …

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The alarming reality of medication error: a patient case

Details: Office and hospital medication reconciliation should be ultimately done by the prescriber, without being solely delegated to ancillary staff. The development of unusual symptoms or poor treatment response should trigger an evaluation by the physician and/or pharmacist along with a pill bottle review.

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Visual art in hospitals: case studies and review of the

Details: The new Stobhill Hospital is an Ambulatory Care and Diagnostic Centre and opened in June 2009. In 2005 an Arts and Environment Working Group for the hospital was set up by Jackie Sands, Arts and Health Co-ordinator for NHS Greater Glasgow and Clyde.

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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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