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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 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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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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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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Home hospital as a disposition for older adults from the

Details: A "home hospital" is the home-based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital-level care.

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The moral responsibility of the hospital

Details: The hospital's primary obligations are to develop norms to which the hospital and staff must conform, to serve patients by providing the best care possible, to allocate resources so as most effectively to respond to the needs of the community, and to create policies which allow staff members to refrain from performing acts which they consider

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Association of Hospital-Level Differences in Care With

Details: These findings suggest that there are significant variations in care and outcomes of patients among the 3 levels of hospitals in China. More efforts should be made to address the identified gaps, particularly in the prefecture-level and county …

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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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Medication-related hospital admissions and readmissions …

Details: Background The number of medication related hospital admissions and readmissions are increasing over the years due to the ageing population. Medication related hospital admissions and readmissions lead to decreased quality of life and high healthcare costs. Aim of the review To assess what is curren …

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Public reporting and pay for performance in hospital

Details: Background: Public reporting and pay for performance are intended to accelerate improvements in hospital care, yet little is known about the benefits of these methods of providing incentives for improving care. Methods: We measured changes in adherence to 10 individual and 4 composite measures of quality over a period of 2 years at 613 hospitals that voluntarily reported …

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› Url: https://pubmed.ncbi.nlm.nih.gov/17259444/ Go Now

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Risks of covid-19 hospital admission and death for people

Details: Objective: To assess the association between learning disability and risk of hospital admission and death from covid-19 in England among adults and children. Design: Population based cohort study on behalf of NHS England using the OpenSAFELY platform. Setting: Patient level data were obtained for more than 17 million people registered with a general practice in England that …

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Hospital-Based Case Management for Suicide High-Risk Group

Details: Consensus was reached in most category of the Hospital Based Case Management for Suicide High-Risk Group. Core of the developed plan was to provide services to patients who visited the hospital, pursue the stability and universalization of services through a medical insurance fee system. In the futu …

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› Url: https://pubmed.ncbi.nlm.nih.gov/34619817/ 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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1-year outcomes in hospital survivors with COVID-19: a

Details: The aim of our study was to comprehensively compare consequences between 6 months and 12 months after symptom onset among hospital survivors with COVID-19. Methods: We undertook an ambidirectional cohort study of COVID-19 survivors who had been discharged from Jin Yin-tan Hospital (Wuhan, China) between Jan 7 and May 29, 2020. At 6-month and 12

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Sarilumab in patients admitted to hospital with severe or

Details: We included adults (≥18 years) admitted to hospital with laboratory-confirmed SARS-CoV-2 infection and pneumonia, who required oxygen supplementation or intensive care. Patients were randomly assigned (2:2:1 with permuted blocks of five) to receive intravenous sarilumab 400 mg, sarilumab 200 mg, or placebo.

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Estimating mean hospital cost as a function of length of

Details: Hospital costs constitute a significant proportion of overall expenditure in health care. With escalating costs, knowing the correlates of LOS and in-hospital cost is important for decisions on allocating resources. However, hospital charge and LOS are correlated.

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[Hospital care of stroke patients: importance of expert

Details: in stroke patients, specialized neurological care, either in a Stroke Unit or by a Stroke Team, decreases mortality and hospital complications, thus lowering disability. A better outcome is sustained at 6 months when patients were admitted to an SNW. They have better functional status and lower rate …

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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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Hospital purchasing alliances: utilization, services, and

Details: Background: Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care management literature for years but have never received much …

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Association Between Hospital Penalty Status Under the

Details: Importance: Readmission rates declined after announcement of the Hospital Readmission Reduction Program (HRRP), which penalizes hospitals for excess readmissions for acute myocardial infarction (AMI), heart failure (HF), and pneumonia. Objective: To compare trends in readmission rates for target and nontarget conditions, stratified by hospital penalty status.

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COVID-19: Interim Guidance on Rehabilitation in the

Details: The Convergence of Opinion on Recommendations and Evidence process was used to make interim recommendation for the rehabilitation in the hospital and post-hospital phase in COVID-19 and post-COVID-19 patients, respectively. Methods: 93 experts were asked to fill out 13 multiple choice questions. Agreement of directionality was tabulated for

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An Electronic Dashboard to Monitor Patient Flow at the

Details: Efforts to monitoring and managing hospital capacity depend on the ability to extract relevant time-stamped data from electronic medical records and other information technologies. However, the various characterizations of patient flow, cohort decisions, sub-processes, and the diverse stakeholders r …

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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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Hospital Surge Preparedness and Response Index

Details: The Hospital Surge Preparedness and Response Index is an all-hazards template developed by a group of emergency management and disaster medicine experts from the United States. The objective of the Hospital Surge Preparedness and Response Index is to improve planning by linking action items to insti …

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Postdischarge venous thromboembolism following hospital

Details: Following 1877 hospital discharges associated with COVID-19, 9 episodes of HA-VTE were diagnosed within 42 days, giving a postdischarge rate of 4.8 per 1000 discharges. Over 2019, following 18 159 discharges associated with a medical admission; there were 56 episodes of HA-VTE within 42 days (3.1 per 1000 discharges).

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Increased in-hospital mortality from COVID-19 in patients

Details: The overall in-hospital mortality rate was 9.0%. The SCZ patients had an increased mortality compared to the non-SCZ patients (26.7% vs. 8.7%, P=0.039), which was confirmed by the multivariable analysis after adjustment for age, sex, smoking status, obesity and comorbidity (adjusted odds ratio 4.36 [95% CI: 1.09-17.44]; P=0.038).

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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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Interventions to Improve Communication at Hospital

Details: Importance: Shortcomings in the education of patients at hospital discharge are associated with higher risks for treatment failure and hospital readmission. Whether improving communication at discharge through specific interventions has an association with patient-relevant outcomes remains unclear.

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A Clinical Risk Score to Predict In-hospital Mortality

Details: A Clinical Risk Score to Predict In-hospital Mortality from COVID-19 in South Korea. J Korean Med Sci. 2021 Apr 19;36 (15):e108. doi: 10.3346/jkms.2021.36.e108.

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Staff perceptions of respiratory rate measurement in a

Details: Staff perceptions of respiratory rate measurement in a general hospital Br J Nurs. 2013 May 23-Jun 12;22(10):570-4. doi: 10.12968/bjon.2013.22.10.570. Authors Keir Philip 1 , Ruth Richardson, Maurice Cohen. Affiliation 1 Royal Free London NHS Foundation, UK

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Bacterial Profiles and Antimicrobial Susceptibility

Details: Introduction: Microbial contamination of the hospital environment plays an important role in the spread of healthcare-associated infections (HCAIs). This study was conducted to determine bacterial contamination, bacterial profiles, and antimicrobial susceptibility pattern of bacterial isolates from environmental surfaces and medical equipment.

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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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Hospital Incidence and Mortality Rates of Sepsis

Details: The in-hospital mortality of sepsis fell over the same period by 2.7%, to 24.3%. In 2013, 67 849 persons died of sepsis in German hospitals (or died of another disease, but also had sepsis). The incidence was highest in the youngest and oldest age groups, and the in-hospital mortality rose nearly linearly with age from age 40 onward.

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Targeted temperature management following out-of-hospital

Details: Purpose: Targeted temperature management (TTM) may improve survival and functional outcome in comatose survivors of out-of-hospital cardiac arrest (OHCA), though the optimal target temperature remains unknown. We conducted a systematic review and network meta-analysis to investigate the efficacy and safety of deep hypothermia (31-32 °C), moderate hypothermia (33 …

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Hospital-Level Variation in Death for Critically Ill

Details: Rationale: Variation in hospital mortality has been described for coronavirus disease 2019 (COVID-19), but the factors that explain these differences remain unclear. Objective: Our objective was to utilize a large, nationally representative dataset of critically ill adults with COVID-19 to determine which factors explain mortality variability.

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Intermediate-dose anticoagulation, aspirin, and in

Details: Thrombotic complications occur at high rates in hospitalized patients with COVID-19, yet the impact of intensive antithrombotic therapy on mortality is uncertain. We examined in-hospital mortality with intermediate- compared to prophylactic-dose anticoagulation, and separately with in-hospital aspir …

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Lack of patient knowledge regarding hospital medications

Details: The patient-completed hospital medication list was compared to the hospital medication administration record. Results: Ninety-six percent of study patients omitted at least one prescribed hospital medication. On average, patients omitted 6.8 hospital medications.

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Association of phase angle with hospital-acquired

Details: PhA was associated with hospital-acquired functional decline in older patients undergoing cardiovascular surgery. PhA is likely to be a comprehensive indicator of physical health that indicates nutritional status, physical function, and geriatric …

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LACE+ index: extension of a validated index to predict

Details: Background: Death or urgent readmission after hospital discharge is a common adverse event that can be used to compare outcomes of care between institutions. To accurately adjust for risk and to allow for interhospital comparisons of readmission rates, we used administrative data to derive and internally validate an extension of the LACE index, a previously validated index for …

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Vasopressin and methylprednisolone for in-hospital cardiac

Details: Objective: To describe the clinical trial "Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest" (VAM-IHCA). Methods: The VAM-IHCA trial is an investigator-initiated, multicenter, randomized, placebo-controlled, parallel group, double-blind, superiority trial of vasopressin and methylprednisolone during adult in-hospital cardiac arrest.

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Can a community optometrist-based referral refinement

Details: Background/aims: To describe the design, activity, and quality of the referral refinement phase of a novel glaucoma shared-care scheme. Methods: Eight Optometrists with a Specialist Interest in glaucoma (OSI) were trained to perform a community-based comprehensive glaucoma evaluation of low-risk glaucoma hospital referrals (only one/none of the following factors noted for either …

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Out-of-hospital cardiac arrest: in-hospital intervention

Details: The prognosis after out-of-hospital cardiac arrest (OHCA) has improved in the past few decades because of advances in interventions used outside and in hospital. About half of patients who have OHCA with initial ventricular tachycardia or ventricular fibrillation and who are admitted to …

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Lessons from a COVID-19 hospital, Republic of Korea

Details: Objective: To document the experiences of converting a general hospital to a coronavirus disease 2019 (COVID-19) designated hospital during an outbreak in Daegu, Republic of Korea. Methods: The hospital management formed an emergency task force team, whose role was to organize the COVID-19 hospital. The task force used different collaborative channels to …

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Opioid-induced respiratory depression increases hospital

Details: The impact of respiratory depression on hospital cost per patient was evaluated using a propensity weighted generalized linear model. Results: Conclusions: Respiratory depression on the general care floor is associated with a significantly longer length of stay and increased hospital costs. Early identification of patients at risk for

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Hospital factors associated with discharge bias in ICU

Details: Hospital-specific discharge biases ranged from -1.3% to 6.6%. Discharge bias was smaller in large hospitals compared with small hospitals, making large hospitals appear comparatively worse from a benchmarking standpoint when using in-hospital mortality instead of 30-day mortality.

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Hospital Readmissions of Discharged Patients with COVID-19

Details: Setting: University hospital in Madrid (Spain). Participants: Sixty-one patients (74% male) who presented COVID-19 were readmitted during the 3 weeks after discharge from hospital. Interventions: Nested case-control study paired (1:1 ratio) by age, sex and period of admission. Outcome measures: Rate of readmission rate of patients discharged

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A mathematical model of COVID-19 transmission in a

Details: A mathematical model was developed for the COVID-19 transmission within a 2500-bed tertiary hospital of South Korea. The SEIR (susceptible-exposed-infectious-recovered) model with a compartment of doctor, nurse, patient, and caregiver was constructed. The effects of different intervention strategies such as front door screening, quarantine unit

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› Url: https://pubmed.ncbi.nlm.nih.gov/33104736/ Go Now

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