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Situational assessment of hospital facilities for

Details: Modernization of hospital facilities is one of the objectives of administrators and decision-makers of healthcare systems. Hospital facilities are both complex and critical infrastructures, because they are characterized by high level of interconnections, dynamism, technological innovation, and because they offer health and social essential services.

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Assessment of Adherence to the Core Elements of …

Details: Background: To restrain antibiotic resistance, the Centers for Disease Control and Prevention (CDC), United States of America, urges all hospital settings to implement the Core Elements of Hospital Antibiotic Stewardship Programs (CEHASP). However, the concept of hospital-based antibiotic stewardship programs is relatively new in Low- and Middle-Income Countries.

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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 t …

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The prognostic role of in-hospital transfusion of fresh

Details: In a large European cohort of patients, in-hospital transfusion of FFP was identified as a novel independent prognostic marker in CCA patients undergoing curative-intent liver surgery. A restrictive transfusion policy is therefore recommended to improve long-term outcome in these patients.

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Hospital antibiogram: a necessity

Details: The hospital antibiogram is a periodic summary of antimicrobial susceptibilities of local bacterial isolates submitted to the hospital's clinical microbiology laboratory. Antibiograms are often used by clinicians to assess local susceptibility rates, as an aid in selecting empiric antibiotic therapy …

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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 with inpatient

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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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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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Still an Epidemic: The Burnout Syndrome in Hospital

Details: The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout-the state of emotional exhaustion in which the individual feels overwhelmed by work …

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Hospital Readmissions after Surgery: How Important …

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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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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Management of diabetes and hyperglycaemia in the …

Details: Hyperglycaemia in people with and without diabetes admitted to the hospital is associated with a substantial increase in morbidity, mortality, and health-care costs. Professional societies have recommended insulin therapy as the cornerstone of inpatient pharmacological management. Intravenous insuli …

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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 out-of-hospital cardiac arrest.

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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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Major differences in 1-month survival between …

Details: There is a marked variability between hospitals in the rate of 1-month survival among patients who were alive on hospital admission after an out-of-hospital cardiac arrest. One possible contributory factor is the standard of post-resuscitation care.

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Sources of hospital-level variation in functional …

Details: Background: Functional recovery is an important clinical outcome for patients with stroke. Hospital-level variation occurs in functional outcome after stroke. However, the extent to which patient characteristics, hospital characteristics, process of care, and medication persistence contribute to the hospital variation in poor functional outcome after ischemic stroke is unknown in China.

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Hospital-Acquired Infections in Critically Ill Patients

Details: Background: Few small studies have described hospital-acquired infections (HAIs) occurring in patients with COVID-19. Research question: What characteristics in critically ill patients with COVID-19 are associated with HAIs and how are HAIs associated with outcomes in these patients? Study design and methods: Multicenter retrospective analysis of prospectively collected data including adult

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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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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

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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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False-negative RT-PCR for COVID-19 and a diagnostic …

Details: 7 Department of Radiology, Northwick Park Hospital, London North West University Healthcare NHS Trust, Harrow, UK. # Contributed equally. PMID: 33563629 PMCID: PMC7874904 DOI: 10.1136/bmjopen-2020-047110 Abstract Objective: To

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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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Length of stay has minimal impact on the cost of …

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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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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Derivation and validation of an index to predict early

Details: Background: Readmissions to hospital are common, costly and often preventable. An easy-to-use index to quantify the risk of readmission or death after discharge from hospital would help clinicians identify patients who might benefit from more intensive post-discharge care.

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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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Intravenous fluid therapy in adults in hospital

Details: Many adult hospital inpatients need intravenous (IV) fluid therapy to prevent or correct problems with their fluid and/or electrolyte status. Deciding on the optimal amount and composition of IV fluids to be administered and the best rate at which to give them can be a difficult and complex task, and decisions must be based on careful assessment of the patient’s individual needs.

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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 the regional coordination of medical services.

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Families as Partners in Hospital Error and Adverse …

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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Hospital Elder Life Program: Systematic Review and …

Details: The Hospital Elder Life Program is effective in reducing incidence of delirium and rate of falls, with a trend toward decreasing length of stay and preventing institutionalization. With ongoing efforts in continuous program improvement, implementation, adaptations, and sustainability, HELP has emerg …

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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 redistribute resources and expertise to

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Association of Hospital Telestroke Adoption With …

Details: Importance: It has been proposed that the implementation of telestroke services (a web-based approach to using video telecommunication to treat patients with stroke before hospital admission) changes where patients with stroke symptoms receive care, but this proposal has not been rigorously assessed. Objective: To assess whether the implementation of telestroke services is associated with

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Hospital preparedness and response in CBRN …

Details: Introduction: Chemical, biological, radiological, and nuclear (CBRN) emergencies need particular hospital preparedness and resources availability. Also, specific skills and capabilities are required for efficient response to these types of events. The aim of this study was to develop an assessment tool to evaluate hospital preparedness and response performance with respect to CBRN emergencies.

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Board engagement in quality: findings of a survey of

Details: Hospital governing boards assume an important role in improving delivery of quality care in the hospital. More knowledge about the prevalence and impact of particular board activities can help them perform this role more effectively. This study draws from a survey of hospital and system leaders (pre …

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The hospital oxygen supply: an "O2K" problem

Details: Background: As an essential hospital facility, the central oxygen supply system should be designed with features allowing backup and/or redundancy in the event of system failure. As part of an organized institutional review of The Cleveland Clinic Foundation hospital inpatient central oxygen supply system, we undertook a survey of all hospitals in two Ohio cities to determine the

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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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Association of Remdesivir Treatment With Survival and

Details: Importance: Randomized clinical trials have yielded conflicting results about the effects of remdesivir therapy on survival and length of hospital stay among people with COVID-19. Objective: To examine associations between remdesivir treatment and survival and length of hospital stay among people hospitalized with COVID-19 in routine care settings.

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In-hospital stroke

Details: Risk factors for in-hospital stroke include specific operations and procedures (eg, cardiac surgery), previous medical disorders (especially a history of stroke), and certain physiological characteristics (including fever and dehydration). The stroke subtype is embolic in a large proportion, and there are various possible precipitating mechanisms.

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Factors affecting mental illness and social stress in

Details: Hospital workers are at high risk of mental illness, such as anxiety and depression. Furthermore, they also face many social stresses, such as deterioration of human relations and income reduction. Apart from mental illness, these social stresses can reduce motivation and lead to voluntary absenteeism, which contribute to a collapse of medical

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Evaluating hospital discharge planning: a randomized

Details: Length of the index hospital stay was not affected by early planning, however. The major clinical implication is the potential for discharge planners to decrease the need for, and use of, health care resources after hospital admission.

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Smoking by patients in a smoke-free hospital: …

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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Clinic- and Hospital-Based Home Care, Outpatient

Details: Hospital in the Home (HITH), also termed Hospital at Home (HaH) in parts of Europe and America, is a common and important example of this type of care. Other examples include infusion centers, skilled nursing facilities (particularly in the USA), self-administration models (including home infusion services) and administration through outpatient

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Hospital-Associated Complications of Older People: A

Details: Objectives: To propose a new multicomponent measure of hospital-associated complications of older people (HAC-OP) and evaluate its validity in a large hospital sample. Design: Observational study using baseline (pre-intervention) data from the Collaboration for Hospitalised Elders Reducing the Impact of Stays in Hospital cluster randomized controlled trial.

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Hospital Utilization Among Rural Children Served by

Details: Objective: To evaluate the association between access to telemedicine clinics and hospital utilization among underserved children with neurologic conditions. Design, setting, and participants: This retrospective cross-sectional study included 4169 patients who received outpatient care from pediatric neurologists affiliated with an academic

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Hospital Anxiety and Depression Scale (HADS) …

Details: Purpose: The Hospital Anxiety and Depression Scale (HADS) is a self-report questionnaire designed to screen anxious and depressive states in patients in non-psychiatric settings. In spite of its large use, no agreement exists in literature on HADS accuracy in case finding. The present research addresses the issue of HADS accuracy in cancer patients, comparing its two subscales (HADS-A and HADS

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Antimicrobial resistance in hospital organisms and its

Details: A causal relationship between antibiotic usage and resistance of hospital organisms is supported by consistent association and concurrent variation in several populations, presence of a dose-response pattern, and existence of a reasonable biologic model to explain the relationship. Major influences on emergence of resistant hospital bacteria

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Administrative structure of an accredited hospital

Details: The administrative structure of an accredited hospital is defined by the Joint Commission on Accreditation of Hospitals. It includes a governing board that represents the community, an executive committee that is responsible for patient care activities and is supported by standing committees, and a hospital administrative unit consisting of a chief administrator and numerous assistants.

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Acute kidney injury after in-hospital cardiac arrest

Details: Aim: Determine 1) frequency and risk factors for acute kidney injury (AKI) after in-hospital cardiac arrest (IHCA) in the Therapeutic Hypothermia after Pediatric Cardiac Arrest In-Hospital (THAPCA-IH) trial and associated outcomes; 2) impact of temperature management on post-IHCA AKI. Methods: Secondary analysis of THAPCA-IH; a randomized controlled multi-national trial at 37 children's hospitals.

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