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Journal articles on the topic '200304 Inpatient hospital care'

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Published: 10 December 2022

Last updated: 28 January 2023

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1

Giardino, Angelo P., Tiffany Glasgow, Jill Sweney, and David Chaulk. "Pediatric inpatient hospital care." Hospital Practice 49, sup1 (October 13, 2021): 391–92. http://dx.doi.org/10.1080/21548331.2022.2050112.

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2

Mitchell, Colby L., Ernest R. Anderson, and Leeann Braun. "Billing for inpatient hospital care." American Journal of Health-System Pharmacy 60, suppl_6 (November 1, 2003): S8—S11. http://dx.doi.org/10.1093/ajhp/60.suppl_6.s8.

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3

Black, Beverly L. "Competitive alternatives to hospital inpatient care." American Journal of Health-System Pharmacy 42, no. 3 (March 1, 1985): 545–53. http://dx.doi.org/10.1093/ajhp/42.3.545.

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4

Laktionova, L. V. "Modern development strategies in hospital care." Journal of Clinical Practice 2, no. 4 (November 15, 2011): 73–80. http://dx.doi.org/10.17816/clinpract83668.

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The article presents the results of modern development strategies of inpatient care in the modernization of the federal multidisciplinary clinic. The problems of health care development in Russian Federation and the possible ways of solution on the local level are discussed to improve the quality and accessibility of medical aid.Keywords: modernization of health care, inpatient care

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5

Uto, Y., F. Muranaga, I. Kumamoto, and C. Matsumoto. "DPC in Acute-phase Inpatient Hospital Care." Methods of Information in Medicine 52, no. 06 (2013): 522–35. http://dx.doi.org/10.3414/me12-01-0090.

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SummaryObjective: The purpose of this study was to improve accessibility to nursing care by clari -fying the relationship between patient characteristics and the amount of nursing care for the Diagnosis Procedure Combination system (DPC).Method: The subjects included 528 lung cancer patients; 170 gastric cancer patients; and 91 colon cancer patients, who were hospitalized from July 1, 2008, to March 31, 2010, at a university hospital. The patients were categorized into groups according to factors that could affect the amount of nursing care. Next, the relationship between the patient characteristics and the amount of nursing care was analyzed. Then the results from this study were used to classify patient characteristics according to the patient type and the amount nursing care required.Results: The patient characteristics, which affected the amount of nursing care, varied according to each DPC code. The major factors affecting the amount of nursing care were whether the patient had received a surgical (under general anesthetics) treatment or a non-surgical treatment and the level of activities of daily living (ADL) of the hospitalized patients. For those who had received a surgical operation for colon cancer, the patient’s age also affected the amount of nursing care.Conclusions: The findings show that the method for the visualization of the amount of nursing care based on the classification of patient characteristics can be implemented into the electronic health record system. This method can then be used as a management tool to assure appropriate distribution of nursing resources.

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Christman, Luther P. "An Introduction to Hospital and Inpatient Care." Nursing Administration Quarterly 28, no. 1 (January 2004): 75. http://dx.doi.org/10.1097/00006216-200401000-00019.

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Firshein, Janet. "Hospital doctors wanted for US inpatient care." Lancet 348, no. 9029 (September 1996): 747. http://dx.doi.org/10.1016/s0140-6736(05)65627-9.

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8

Henderson, J., M. Goldacre, and D. Yeates. "Use of hospital inpatient care in adolescence." Archives of Disease in Childhood 69, no. 5 (November 1, 1993): 559–63. http://dx.doi.org/10.1136/adc.69.5.559.

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9

Walkup, James. "Family involvement in general hospital inpatient care." New Directions for Mental Health Services 21, no. 73 (1997): 51–64. http://dx.doi.org/10.1002/yd.2330217307.

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Walkup, James. "Family involvement in general hospital inpatient care." New Directions for Mental Health Services 1997, no. 73 (1997): 51–64. http://dx.doi.org/10.1002/yd.23319977307.

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11

Neale, Graham, and Sisse Olsen. "Rise and demise of the hospital: Managing hospital inpatient care." BMJ 332, no. 7532 (January 5, 2006): 52.5. http://dx.doi.org/10.1136/bmj.332.7532.52-d.

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Wahyuningrum, Sri Hartuti, and Mustika K. Wardhani. "EFFICIENCY OF INPATIENT LAYOUT IN PRIVATE HOSPITAL (Case Study: Bhakti Asih Hospital, Brebes Central Java)." MODUL 20, no. 01 (March 29, 2020): 1–9. http://dx.doi.org/10.14710/mdl.20.01.2020.1-9.

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In the context of hospital building, inpatient care has large portion in comparasion of the other facility areas within hospitals related to efficiency, such as outpatient services, emergency room, diagnostic and especially inpatient function group services. Even though inpatient care group do not have specific requirements for detailed design and building equipment, it requires efficiency considerations related to correlation with room layout. It is expected that by considering the level of efficiency of service to patients, design can fulfill technical requirements of health and medical aspects. Regarding designs for district-level private hospitals, demand optimization of placement and layout of inpatient care became main topic in this research. This is related to the value of investment in building area development and types of services provided according to inpatient services class. The method used is comparative study of two (2) private hospital design to find the mind factors that most influence of optimization of inpatient layout. The results of study can be used as a guide in architectural design process for designing hospital buildings especially related to design efficiency of inpatient layout so that the building can function sustainability because of optimal service.

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Mielonen, Marja-Leena, Arto Ohinmaa, Juha Moring, and Matti Isohanni. "Psychiatric inpatient care planning via telemedicine." Journal of Telemedicine and Telecare 6, no. 3 (June 1, 2000): 152–57. http://dx.doi.org/10.1258/1357633001935248.

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We assessed the costs of psychiatric inpatient care-planning consultations to remote areas using videoconferencing, instead of the conventional face-to-face consultations at a hospital. The data were collected from all wards at the department of psychiatry of Oulu University Hospital over 11 months. A total of 14 videoconferences were conducted with two primary-care centres located 220 km and 160 km from Oulu. During the same period, 20 conventional consultations at the Oulu University Hospital were also assessed. A questionnaire was completed by a total of 124 patients, relatives and health-care personnel; the response rate was about 90%. Of the respondents, 90% were satisfied with the quality of communication afforded by videoconferencing. At a workload of 20 patients per year, the cost of the videoconferences was FM2510 per patient; the cost of the conventional alternative was FM4750 per patient. At 50 care consultations per year, a remote municipality would save about FM117,000.

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14

Schaum, Kathleen D. "New Acute Care Inpatient Hospital Payment System Affects Wound Care." Advances in Skin & Wound Care 21, no. 10 (October 2008): 458–60. http://dx.doi.org/10.1097/01.asw.0000323569.90379.7b.

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Lu, Bei, Hong Mi, Gaoyun Yan, Jonathan K. H. Lim, and Guanggang Feng. "Substitutional effect of long-term care to hospital inpatient care?" China Economic Review 62 (August 2020): 101466. http://dx.doi.org/10.1016/j.chieco.2020.101466.

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16

Hensher, Martin, Naomi Fulop, Sonja Hood, and Sarah Ujah. "Does Hospital-at-Home Make Economic Sense? Early Discharge Versus Standard Care for Orthopaedic Patients." Journal of the Royal Society of Medicine 89, no. 10 (October 1996): 548–51. http://dx.doi.org/10.1177/014107689608901003.

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Hospital-at-home has been promoted as a potentially effective means of replacing costly inpatient care with cheaper domiciliary care. We studied three hospital-at-home schemes in West London providing intensive home care for early discharge orthopaedic patients, comparing their costs with those of standard inpatient care. Although costs per day of hospital-at-home care were lower than those of inpatient care, the schemes appeared to increase the total duration of orthopaedic episodes, so that the costs of standard care, per episode, were lower than those of hospital-at-home. While hospital-at-home may offer considerable future potential, substitution of home care for inpatient care will not necessarily save resources.

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Raikar, Dayanand R., Nagendra S. Manthale, and Shrinivas R. Raikar. "Inpatient dermatological referrals in a tertiary care hospital." International Journal of Research in Dermatology 3, no. 2 (May 22, 2017): 251. http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20172206.

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<p class="abstract"><strong>Background:</strong> It is not surprising that patients hospitalized on nondermatology inpatient services are frequently found to have skin problems and present as a source of confusion for their admitting physicians. Aims and Objective: To analyse the reasons for dermatology referrals and its frequency, departments sending the referral and the impact on health care management.</p><p class="abstract"><strong>Methods:</strong> We conducted a study on 464 patient referrals over a 4‑year period. The demographic details, specialties requesting consultation, cause of referral, and dermatological advice have been recorded and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Unspecified “skin rash” was the most common dermatologic condition for which skin referral was sought. The final diagnoses made by dermatologists revealed infections as most common skin disorder. Almost 48% of the patients referred as “skin rash” were diagnosed to be suffering from infectious disorders. The referring doctors could provide an accurate dermatological diagnosis only in 32% of cases.</p><p><strong>Conclusions:</strong> Most of the nondermatologists fail to diagnose common skin disorders. This reveals need for more trained dermatologists to combat this problem and more extensive dermatological training for the medical students.</p>

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&NA;. "Costs decline for most HIV hospital inpatient care." Nursing Management (Springhouse) 32 (June 2001): 26. http://dx.doi.org/10.1097/00006247-200106000-00013.

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Neill, Daniel B. "Using Artificial Intelligence to Improve Hospital Inpatient Care." IEEE Intelligent Systems 28, no. 2 (March 2013): 92–95. http://dx.doi.org/10.1109/mis.2013.51.

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Kashiwagi, Deanne T. "Geriatric inpatient care: what should hospital clinicians know?" Hospital Practice 48, sup1 (February 8, 2020): 1–2. http://dx.doi.org/10.1080/21548331.2020.1723354.

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Mathews, Dwight, Lisa Levin, Yevgeniy Latyshev, Mailha Ahmed, Sameen Rahman, and Ziauddin Ahmed. "194 Inadequate Inpatient ESRD Care in Teaching Hospital." American Journal of Kidney Diseases 57, no. 4 (April 2011): B65. http://dx.doi.org/10.1053/j.ajkd.2011.02.197.

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22

PS, Ramkumar, Arjun J. S, Ritudisha Biswas, and Sandeep Patil H G. "Remote Attention System for Inpatient Care." International Journal of Emerging Research in Management and Technology 6, no. 7 (June 29, 2018): 278. http://dx.doi.org/10.23956/ijermt.v6i7.225.

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ICU management has been daunting task for the hospital administration, doctors are expected to rush back to the hospital on call even after returning home, even if it is middle of night, to inspect critical developments of patient’s condition and decide further action immediately. The problem multiplies when doctors are consultants to multiple hospitals. . Hospitals face scarcity of experts who can engage full time, especially when physical presence is required on demand. This paper illustrates an initiative that is driven by collaborating Hospitals as care provider partners and Applied cognition Systems as technology partner to enable virtual presence of remote specialists in collaboration with local doctors as needed in emergency response, remote monitoring and real time consultation for management of patients admitted in wards and ICUs of hospitals.

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Umoren, Rachel A., Megan M. Gray, Sarah Handley, Nathaniel Johnson, Christina Kunimura, Ulrike Mietzsch, Zeenia Billimoria, and Mark D. Lo. "In-Hospital Telehealth Supports Care for Neonatal Patients in Strict Isolation." American Journal of Perinatology 37, no. 08 (April 8, 2020): 857–60. http://dx.doi.org/10.1055/s-0040-1709687.

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The aim of this study is to determine the feasibility of “in-hospital” inpatient telemedicine within a children's referral hospital to facilitate inpatient care activities such as interprofessional rounding and the provision of supportive services such as lactation consultations to pediatric patients in strict isolation. To test the feasibility of in-hospital video telemedicine, a dedicated telemedicine device was set up in the patient's room. This device and the accompanying Bluetooth stethoscope were used by the health care team located just outside the room for inpatient rounding and consultations from supportive services. Video telemedicine facilitated inpatient care and interactions with support services, reducing the number of health care providers with potential exposure to infection and decreasing personal protective equipment use. In the setting of strict isolation for highly infectious viral illness, telemedicine can be used for inpatient care activities such as interprofessional rounding and provision of supportive services. Key Points

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Ahmed, Gazi Ikhtiar, Md Maruf Hasan Zaman, Md Abdulla Hil Kafi, Nahidul Islam, and Syed Atiqur Rahman. "An Evaluation of Medical Record Keeping Status to Assess Health Care Facilities for Hospitalized Patients In A Tertiary Care Hospital." KYAMC Journal 13, no. 2 (September 5, 2022): 81–85. http://dx.doi.org/10.3329/kyamcj.v13i2.61336.

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Background: A patient’s medical record should provide accurate information on who the patient is and who provided health care; what, when, why and how services were provided; and the outcome of care and treatment. Objectives: The study was conducted with the objective of revealing the condition of medical audit of the inpatient department in Rangpur medical college hospital in short duration of time. Materials and Methods: A cross-sectional descriptive study was done in inpatient department in Rangpur Medical College & Hospital. This was carried out on 160 medical documents, interview with providers, record of hospital statistics & personal observation on physical facilities in indoor at the time of the study to find out in what extend medical record exist in patient service. Results: In inpatient department of Hospital, the generation and location of the form in all wards were inpatient, administrative office & type of the forms were mixed pattern. There was no electronic record system in the medicine department. They consisted of forms, sheet & register khata. Medical records were not filled of in most of the cases. A hundred and sixty records were checked where most of the components were not filled up completely (above 30% not filled up). The recording of hospital statistics were satisfactory and maintained regularly in the inpatient department. Conclusion: The standard of documentation by providers in inpatient medical records was found to be acceptable, with improvements required in a number of specific items. KYAMC Journal Vol. 13, No. 02, July 2022: 81-85

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Wallner, Marie, Basharat Andrabi, David Russell-Jones, and Roselle Herring. "Changing inpatient diabetes care in a district general hospital." British Journal of Diabetes 19, no. 1 (June 27, 2019): 49–52. http://dx.doi.org/10.15277/bjd.2019.212.

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Introduction: People with diabetes in hospital have longer lengths of stay and are at higher risk of experiencing avoidable harm. This has a significant impact on patient flow and capacity in any hospital Trust.Aims and Methods: A Trust-wide peripatetic inpatient diabetes service redesign was performed to deliver reduced medication errors, improved patient flow, reduced length of stay and reduced inpatient risk. The service redesign was delivered without new recurring expenditure on senior staff. The model of care was multidisciplinary and introduced consensus and evidence-based care with clear governance processes.Results: Following introduction of the new service on 7 December 2017 to 1 June 2018, a reduction in length of stay in both medicine and surgical divisions was seen with 2,168 ‘saved’ inpatient bed days compared with the same time period in the preceding year, which represented a significant cost saving for the Trust and improvement in patient flow. This was associated with a reduction in the number of diabetes-related Datix reports and serious untoward incidents.Conclusions: This is the first major diabetes service redesign in a small district general hospital. The introduction of a dedicated inpatient diabetes service has led to Trust-wide improvements in patient care and patient flow without additional cost to the Trust.

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Worster, Brooke, Declan Kennedy Bell, Vibin Roy, Amy Cunningham, Marianna LaNoue, and Susan Parks. "Race as a Predictor of Palliative Care Referral Time, Hospice Utilization, and Hospital Length of Stay: A Retrospective Noncomparative Analysis." American Journal of Hospice and Palliative Medicine® 35, no. 1 (January 5, 2017): 110–16. http://dx.doi.org/10.1177/1049909116686733.

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Background: Palliative care is associated with significant benefits, including reduced pain and suffering, an increased likelihood of patients dying in their preferred location, and decreased health-care expenditures. Racial and ethnic disparities are well-documented in hospice use and referral patterns; however, it is unclear whether these disparities apply to inpatient palliative care services. Objective: To determine if race is a significant predictor of time to inpatient palliative care consult, patient enrollment in hospice, and patients’ overall hospital length of stay among patients of an inpatient palliative care service. Design: Retrospective noncomparative analysis. Setting: Urban academic medical center in the United States. Patients: 3207 patients referred to an inpatient palliative care service between March 2006 and April 2015. Measurements: Time to palliative care consult, disposition of hospice/not hospice (excluding patients who died), and hospital length of stay among patients by racial (Asian, black, Native American/Eskimo, Hispanic, white, Unknown) and ethnic (Hispanic/Latino, non-Hispanic, Unknown) background. Results: Race was not a significant predictor of time to inpatient palliative care consult, discharge to hospice, or hospital length of stay. Similarly, black/white, Hispanic/white, and Asian/white variables were not significant predictors of hospice enrollment ( Ps > .05). Limitations: Study was conducted at 1 urban academic medical center, limiting generalizability; hospital race and ethnicity categorizations may also limit interpretation of results. Conclusions: In this urban hospital, race was not a predictor of time to inpatient palliative care service consult, discharge to hospice, or hospital length of stay. Confirmatory studies of inpatient palliative care services in other institutions are needed.

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Barbaro, Ryan P., Philip S. Boonstra, Frank W. Moler, Matthew M. Davis, and Lisa A. Prosser. "Hospital-level variation in inpatient cost among children receiving extracorporeal membrane oxygenation." Perfusion 32, no. 7 (March 24, 2017): 538–46. http://dx.doi.org/10.1177/0267659117702709.

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Objective: Pediatric extracorporeal membrane oxygenation (ECMO) varies in the way care is provided from hospital to hospital. This variability in hospital ECMO care can be represented by the variation in ECMO costs. We hypothesized that hospitals will demonstrate large variations in case-mix-adjusted ECMO inpatient costs for children requiring ECMO and higher volume hospitals will have lower associated costs. Methods: We retrospectively analyzed the inpatient cost of children receiving ECMO in 2006, 2009 and 2012, using the Healthcare Cost and Utilization Project Kids’ Inpatient Database. We used a hierarchical linear regression model and the intraclass correlation coefficient to quantify how much of the difference in ECMO inpatient costs was associated with the hospital where a child received care. To do this, we adjusted for patient factors, hospital factors and potentially modifiable factors such as complications, procedures and length of stay. Results: The median inflation-adjusted inpatient costs for children requiring ECMO were $183,000, $240,000 and $241,000 in years 2006, 2009 and 2012, respectively. The largest median cost for ECMO cases in a given hospital in a given year ($690,000) was more than 11 times that of the smallest median cost ($60,000). After case-mix adjustment, 27% of the variation in inpatient costs was associated with the hospital where ECMO care was provided. Average hospital costs were not associated with hospital ECMO volume. Conclusions: The large variation in ECMO inpatient costs between hospitals suggests great variation in care between hospitals, which is important because hospitals have a co-existing variation in ECMO survival rates.

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Supiano, Katherine P., and Jennifer Gregory. "Transitions of Care: Optimal Communication Between Hospital and Hospice." Home Health Care Management & Practice 20, no. 5 (January 14, 2008): 389–93. http://dx.doi.org/10.1177/1084822307311830.

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In this article, the key elements of a successful transition of terminally ill patients from the inpatient hospital to home hospice care setting are described. This article describes the role and responsibilities inpatient palliative care teams and receiving hospice agencies have for communicating with patients and families and preparing them for hospice care. This article explains one approach to educating the varied members of the health care team and describes how to collaborate on care plans to facilitate an effective and satisfying transfer of care.

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Shekhawat, Shivani, Swati Garg, Drishti Jain, and Urvashi Sharma. "Inpatient satisfaction level survey at a tertiary care hospital." International Journal of Research in Medical Sciences 5, no. 1 (December 19, 2016): 240. http://dx.doi.org/10.18203/2320-6012.ijrms20164557.

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Background: Patient satisfaction is an important measure of quality of services in a healthcare organization. Other than the medical care issues, the satisfaction and experience involves personal relationships, attention to pain and health education, and the status of hospital environment. Patient's opinion is an important because dissatisfaction suggests opportunities for improvement of health services in the hospital. This study was done with the aim to assess the satisfaction levels in inpatients of a tertiary care hospital and to compare interdepartmental satisfaction scores in the same hospital.Methods: This cross-sectional survey was done in inpatients of the department of general medicine, general surgery and obstetrics & gynaecology wards of Mahatma Gandhi Medical College & Hospital, Jaipur for two consecutive days. A total of 150 adult female patients were included in the study. Structured questionnaire was developed from previously used survey tools, and validated in present patients group, and patient satisfaction was checked.Results: The demographic data of patients showed that majority of respondents were belonged to age group 20-30 years (50.7%) followed by less than 20 years (20%), more than 40 years (15.3%) and 30-40 years (12%). About 29.33% respondents were uneducated followed by primary level (25.33%), senior secondary level (24%) and graduation (21.33%). 90% respondents belonged to Hindu religion. 36.6% of the respondents were either technicians or doing a clerical job. Almost equal numbers (33.3%) were unemployed and 30% belonged to the labour class. Only 15 patients (10%) were either professionals or on managerial posts.Conclusions: This study highlighted overall patient satisfaction was good regarding the quality of health care services of Mahatma Gandhi Medical College and Hospital. Areas where patient satisfaction was found to be lowest were patience shown by the nursing staff while communicating with patients and hospital ambiance in terms of peacefulness, both of these are important aspects of health care and there is imperative need to address these problems effectively and urgently in order to improve quality of care.

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Eze, Pius. "An Analytical Model of Demand for Hospital Inpatient Care." International Journal of Social Sciences Perspectives 2, no. 1 (2018): 80–86. http://dx.doi.org/10.33094/7.2017.2018.21.80.86.

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Cowan, John D. "Hospital charges for a community inpatient palliative care program." American Journal of Hospice and Palliative Medicine® 21, no. 3 (May 2004): 177–90. http://dx.doi.org/10.1177/104990910402100306.

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Pickens, Gary, Zeynal Karaca, Eli Cutler, Michael Dworsky, Christine Eibner, Brian Moore, Teresa Gibson, Sharat Iyer, and Herbert S. Wong. "Changes in Hospital Inpatient Utilization Following Health Care Reform." Health Services Research 53, no. 4 (June 30, 2017): 2446–69. http://dx.doi.org/10.1111/1475-6773.12734.

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Larrabee, June H., C. Lynne Ostrow, Mary Lynne Withrow, Michelle A. Janney, Gerald R. Hobbs, and Christopher Burant. "Predictors of patient satisfaction with inpatient hospital nursing care." Research in Nursing & Health 27, no. 4 (2004): 254–68. http://dx.doi.org/10.1002/nur.20021.

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Dembe, Allard E., Martha A. Mastroberti, Sharon E. Fox, Carole Bigelow, and Steven M. Banks. "Inpatient hospital care for work-related injuries and illnesses." American Journal of Industrial Medicine 44, no. 4 (September 16, 2003): 331–42. http://dx.doi.org/10.1002/ajim.10273.

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Brotman, Sheldon, Robert Walters, and Thomas Wandishin. "HOSPITAL INPATIENT REIMBURSEMENT ON LIFE FLIGHT DELIVERED PATIENTS." Critical Care Medicine 15, no. 4 (April 1987): 366. http://dx.doi.org/10.1097/00003246-198704000-00057.

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J., Sheela, and Malarvizhi S. "THE EFFECT OF STRUCTURED NURSING ROUNDS ON THE LEVEL NURSING CARE SATISFACTION OF PATIENT IN A SELECTED TERTIARY CARE HOSPITAL, PUDUCHERRY." International Journal of Advanced Research 10, no. 09 (September 30, 2022): 452–66. http://dx.doi.org/10.21474/ijar01/15377.

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This exploratory study investigated the relationship among staff nurses assessment of organizational culture, job satisfaction, inpatient satisfaction with information about home care and follow-up, and general inpatient satisfaction with nursing care. A conceptual path model was tested using a secondary data analysis research design. Staff nurses and inpatients were sampled from inpatient units. The unit of analysis was patient care units. Pearson correlation and regression analyses were used. We found that strength of organizational culture predicted job satisfaction well and positively job satisfaction predicted inpatient satisfaction significantly and positively and inpatient satisfaction predicted general inpatient satisfaction well and positively. Methodological challenges of this study are discussed.

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Cunha, C., R. Valido, and E. Machado. "Inside out: Taking inpatient care home." European Psychiatry 64, S1 (April 2021): S728—S729. http://dx.doi.org/10.1192/j.eurpsy.2021.1930.

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IntroductionHome hospitalization is an alternative to conventional hospitalization in several areas of medicine. In Portugal, we are now starting to think about its implementation in Psychiatry, given the positive experience of its use in other countries.ObjectivesUnderstand the advantages and disadvantages of a home hospitalization model and its logistical and clinical framework in an integrated community-focused care model.MethodsWe performed a literature review using Pubmed databases and UpToDate on home hospitalization, inpatient care and community-focused care modelResultsWe have found reports of centers with experience in home hospitalization in Psychiatry, but there is still a notable lack of studies in this area. There is a discrepancy between the care needs of patients and the existence of community services for the treatment of mental illness. Home hospitalization is considered when there is partial remission of the symptomatology that motivated the hospitalization. Albeit demanding inclusion criteria limit eligible patients, there are several advantages with this hospitalization model: 1) it favors agility in the transition from hospital to home, with direct observation of contextual factors that may influence psychiatric decompensation, 2) integrates the patient in his natural environment, promoting his autonomy,; 3) allows psychoeducation of the family; 3) guarantees the continuity of the therapeutic process initiated in the hospital, 4) optimizes resources and cost-effectiveness, 5) prevents relapses and the “revolving-door “phenomenon.ConclusionsWe have found that a model of home hospitalization is a valuable element that should be included in an integrated system of psychiatric care.DisclosureNo significant relationships.

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Thongprayoon, Charat, Wisit Kaewput, Tananchai Petnak, Oisin A. O’Corragain, Boonphiphop Boonpheng, Tarun Bathini, Saraschandra Vallabhajosyula, et al. "Impact of Palliative Care Services on Treatment and Resource Utilization for Hepatorenal Syndrome in the United States." Medicines 8, no. 5 (May 12, 2021): 21. http://dx.doi.org/10.3390/medicines8050021.

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Background: This study aimed to determine the rates of inpatient palliative care service use and assess the impact of palliative care service use on in-hospital treatments and resource utilization in hospital admissions for hepatorenal syndrome. Methods: Using the National Inpatient Sample, hospital admissions with a primary diagnosis of hepatorenal syndrome were identified from 2003 through 2014. The primary outcome of interest was the temporal trend and predictors of inpatient palliative care service use. Logistic and linear regression was performed to assess the impact of inpatient palliative care service on in-hospital treatments and resource use. Results: Of 5571 hospital admissions for hepatorenal syndrome, palliative care services were used in 748 (13.4%) admissions. There was an increasing trend in the rate of palliative care service use, from 3.3% in 2003 to 21.1% in 2014 (p < 0.001). Older age, more recent year of hospitalization, acute liver failure, alcoholic cirrhosis, and hepatocellular carcinoma were predictive of increased palliative care service use, whereas race other than Caucasian, African American, and Hispanic and chronic kidney disease were predictive of decreased palliative care service use. Although hospital admission with palliative care service use had higher mortality, palliative care service was associated with lower use of invasive mechanical ventilation, blood product transfusion, paracentesis, renal replacement, vasopressor but higher DNR status. Palliative care services reduced mean length of hospital stay and hospitalization cost. Conclusion: Although there was a substantial increase in the use of palliative care service in hospitalizations for hepatorenal syndrome, inpatient palliative care service was still underutilized. The use of palliative care service was associated with reduced resource use.

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Flanagan, D., E. Moore, S. Baker, D. Wright, and P. Lynch. "Diabetes care in hospital—the impact of a dedicated inpatient care team." Diabetic Medicine 25, no. 2 (February 2008): 147–51. http://dx.doi.org/10.1111/j.1464-5491.2007.02326.x.

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Westman, Göran, Marianne Hanning, and Bengt Mattsson. "Utilization of Inpatient and Emergency Care: Effects of Changes in Primary Care System." Scandinavian Journal of Social Medicine 15, no. 2 (June 1987): 105–9. http://dx.doi.org/10.1177/140349488701500208.

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At the Vännäs Health Centre changes in practice style and work routines were introduced in 1978. The concomitant changes in hospital use in Vännäs and three reference areas were followed. The results were based on recorded visits to the emergency department of the hospital three months each year 1976–1980 and upon all individual admissions to hospital care in the county 1977–1979. We found a decrease in the number of visits to the emergency department and no changes in admissions to inpatient care for inhabitants of the Vännäs catchment area. The question remains unresolved, whether a mere change in the way of working in the health centre, caused a change in hospital use.

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Harris, Roger, Toni Ashton, Joanna Broad, Gary Connolly, and David Richmond. "The effectiveness, acceptability and costs of a hospital-at-home service compared with acute hospital care: a randomized controlled trial." Journal of Health Services Research & Policy 10, no. 3 (July 1, 2005): 158–66. http://dx.doi.org/10.1258/1355819054338988.

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Objective: To compare the safety, effectiveness, acceptability and costs of a hospital-at-home programme with usual acute hospital inpatient care. Method: Patients aged 55 years or over being treated for an acute medical problem were randomized to receive either standard inpatient hospital care or hospital-at-home care. Follow-up was for 90 days after randomization. Health outcome measures included physical and mental function, self-rated recovery, health status as assessed by the SF-36, adverse events and readmissions to hospital. Acceptability was assessed using satisfaction surveys and the Carer Strain Index. Costs comprised hospital care, care in the home, community services, general practitioner services and personal health care expenses. Results: In all, 285 people were randomized with a mean age of 80 years. There were no significant differences in health outcome measures between the two randomized groups. Significantly more patients receiving care at home reported high levels of satisfaction, as did more of their relatives. Relatives of the care-at-home group also reported significantly lower scores on the Carer Strain Index. However, the mean cost per patient was almost twice for patients treated at home (NZ&dollar;6524) as for standard hospital care (NZ&dollar;3525). A sensitivity analysis indicated that, if the service providing care in the home had been operating at full capacity, the mean cost per patient episode would have been similar for both modes of care. Conclusions: This hospital-at-home programme was found to be more acceptable and as effective and safe as inpatient care. While caring for patients at home was significantly more costly than standard inpatient care, this was largely due to the hospital-at-home programme not operating at full capacity.

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Kurniawandari, Erna, and Fatma Siti Fatimah. "Implementation of Documentation of Nursing Care in Wates Hospital." Jurnal Ners dan Kebidanan Indonesia 6, no. 2 (March 31, 2019): 68. http://dx.doi.org/10.21927/jnki.2018.6(2).68-75.

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<p><em>The documentation of nursing care is the important part nurse duty, the best documentation of nursing care process that sees best and have a certain quality should be acurate, complete, and standard. Curently documenting of nursing care in Wates Hospital is practically not yet done according to Standard Operational Procedure. This study aims to know the description of the nursing care of documentation in Inpatient Room of Wates Hospital. This research is descriptive quantitatif which take the sample from inpatient documentation of nursing care in March 2017. The population was about 1106 documents of medical records which the sample obout 111 documents. The technique to take the sample was using cluster random. The research was held on June 2017. The data collection used medical record of patient. The univariat of data analysis used frequency distribution. This research showd that the completeness os documenting of nursing care in assessment aspect (77,5%), diagnosis (93,7%), planning (73,9%), action (45,9%), evaluation (76,6%), nursing care note (45%). The completeness of documentation of nursing care in Inpatient Room of Wates Hospital Kulon Progo is claimed complete (27,9%).</em></p><p> </p><strong>Keywords:</strong> Nursing documentation, nursing process

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Baleva, O. B., N. V. Savchenko, O. V. Kolenko, and V. V. Egorov. "Analysis of quality of medical care in specialized ophthalmological clinic during pandemic of the novel coronavirus disease COVID-19." Modern technologies in ophtalmology, no. 2 (April 13, 2022): 11–16. http://dx.doi.org/10.25276/2312-4911-2022-2-11-16.

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The purpose of article was to study quality of planned medical care in conditions of reprofiling around the clock inpatient care into outpatients care in the Khabarovsk branch of the Eye Microsurgery Federal State Institution (the Khabarovsk branch) during pandemic of the novel coronavirus disease COVID-19. Due to unfavorable epidemic situation in the world and high risk of transmission of infection to patients and medical staff, the Khabarovsk branch was re-profiled from around the clock inpatient care into outpatients care. This form of specialized ophthalmic care has proven to be in high demand. It contributes to increasing the availability of planned specialized care. The percentage of complications from treatment performed predominantly in a day hospital (0.3% in 2021) does not exceed the number of complications from treatment performed in around the clock inpatient care before the COVID-19 pandemic. Practice has shown that in order to minimize the risks of complications during treatment in outpatients care hospital, a more thorough approach to patient preparation is required. Keywords: number of hospital beds, around the clock inpatient care, outpatients care, complications, re-profiling of hospital.

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Paul, Jomon A., Benedikt Quosigk, and Leo MacDonald. "Does Hospital Status Affect Performance?" Nonprofit and Voluntary Sector Quarterly 49, no. 2 (September 27, 2019): 229–51. http://dx.doi.org/10.1177/0899764019877249.

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This article investigates the impact of hospital profit status on quality of care as measured by risk-adjusted, 30-day, inpatient readmission rates gathered by the Centers for Medicare and Medicaid Services. It also evaluates the association between inpatient readmission rates and market concentration, measured by the Herfindahl–Hirschman Index, and various hospital characteristics. It concludes that nonprofit (NP) hospitals have a statistically significant negative association with readmission rates because they can focus on their mission without intense pressure to make a profit. We find no significant association between quality of care and hospital market competitiveness nor any statistically significant evidence to reject the exogeneity assumption of NP status.

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Shepperd, S., D. Harwood, A. Gray, M. Vessey, and P. Morgan. "Randomised controlled trial comparing hospital at home care with inpatient hospital care. II: cost minimisation analysis." BMJ 316, no. 7147 (June 13, 1998): 1791–96. http://dx.doi.org/10.1136/bmj.316.7147.1791.

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Franzosa, Emily, Ksenia Gorbenko, Abigail Baim-Lance, Gabrielle Schiller, Heather Wurtz, Sybil Masse, Katherine Ornstein, and Bruce Leff. "PROVIDING INPATIENT CARE BEYOND HOSPITAL WALLS: GEOGRAPHIC FACTORS IN ACUTE HOSPITAL CARE AT HOME WAIVER PROGRAMS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 22–23. http://dx.doi.org/10.1093/geroni/igac059.084.

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Abstract The Centers for Medicare and Medicaid Services’ (CMS) Acute Hospital Care at Home waiver offers hospital-level reimbursement to provide acute hospital-level care in patients’ homes for the first time. While this initiative may make acute care at home more financially viable for health systems, it also requires aligning Hospital at Home (HaH) operations with inpatient, rather than outpatient, regulatory requirements. We aimed to understand how participating HaH programs adapted to these requirements. We conducted semi-structured interviews with multiple leaders from 14 HaH waiver programs (n=18 clinical/medical, operational and program directors) varying in size, urbanicity, structure, and region, examining data through thematic analysis. Both urban and rural participants described geographic effects of waiver requirements. For instance, to ensure response to patient emergencies within 30 minutes, programs contracted with paramedic services to expand service areas, added program locations or moved primary locations to other system hubs. Programs maximized staff capacity across service areas by “leasing” staff from other home-based programs, focusing on urban hubs with more staff, balancing in-person visits with remote monitoring, and providing “hybrid” in-person/video appointments. However, travel time, length of acute care visits, staffing shortages, the need for new skills (e.g., acute care nurses, dietitians) and limited state scope of practice regulations, particularly for paramedics, limited the area and populations served. Adapting to waiver requirements required significant efforts to address staffing, logistical and regulatory challenges. Future waiver improvements should explicitly consider the unique resources needed to expand hospital-level care in geographically diverse ambulatory environments.

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Livorsi, Daniel J., Jade Feller, Brian Lund, Bruce Alexander, Rajeshwari Nair, Brice Beck, Michihiko Goto, Brett Heintz, and Eli N. Perencevich. "2892. The Relationship Between Inpatient and Post-discharge Antimicrobial Use at the Hospital-level Across an Integrated Healthcare Network." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S79—S80. http://dx.doi.org/10.1093/ofid/ofz359.170.

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Abstract Background Hospital-based antimicrobial stewardship interventions and metrics have typically focused only on inpatient antimicrobial exposure. However, single-center studies have found a large portion of antimicrobial exposure occurs immediately after hospital discharge. We sought to describe antimicrobial-prescribing upon hospital discharge across the Veterans Health Administration (VHA) and to compare inpatient and post-discharge antimicrobial use at the hospital-level. Methods This retrospective study used national VHA administrative data to identify all acute-care admissions from January 1, 2014 to December 31, 2016. Post-discharge antimicrobials were defined as oral outpatient antimicrobials prescribed at the time of hospital discharge. We measured inpatient-days of therapy (DOT) and post-discharge DOTs. At the hospital-level, inpatient DOTs per 100 admissions were compared with post-discharge DOTs per 100 admissions using Spearman’s rank-order correlation. Results Among 1.7 million acute-care admissions across 122 VHA hospitals, 46.1% were administered inpatient antimicrobials and 19.9% were prescribed an oral antimicrobial at discharge. Fluoroquinolones were the most common antimicrobial prescribed at discharge among 335,396 antimicrobial prescriptions (38.3%). At the hospital-level, median inpatient antimicrobial use was 331.3 DOTs per 100 admissions (interquartile range (IQR) 284.9–367.9) and median post-discharge use was 209.5 DOTs per 100 admissions (IQR 181.5–239.6). Thirty-nine percent of the total duration of antimicrobial exposure occurred after hospital discharge. The metrics of inpatient DOTs per 100 admissions and post-discharge DOTs per 100 admissions were weakly correlated at the hospital-level (rho = 0.44, P < 0.0001). Conclusion Antimicrobial-prescribing at hospital discharge was common and contributed substantially to the total antimicrobial exposure associated with an acute-care hospital stay. A hospital’s inpatient antimicrobial use was only weakly correlated with its post-discharge antimicrobial use. Antimicrobial stewardship interventions should specifically target antimicrobial-prescribing at discharge. Disclosures All Authors: No reported Disclosures.

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Jacobs, Philip, Edward M. Hall, Judith R. Lave, and Murray Glendining. "Alberta's Acute Care Funding Project." Healthcare Management Forum 5, no. 3 (October 1992): 4–11. http://dx.doi.org/10.1016/s0840-4704(10)61210-0.

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Alberta initiated the Acute Care Funding Project (ACFP) in 1988, a new hospital funding system that institutes case mix budgeting adjustments to the global budget so that hospitals can be treated more equitably. The initiative is a significant departure in principle from the former method of funding. The ACFP is summarized and critiqued, and focuses on the inpatient side of the picture. The various elements of the project are discussed, such as the hospital performance index, the hospital performance measure, the Refined Diagnostic Related Group, case weights, typical and outlier cases, and the costing mechanisms. Since its implementation, the ACFP has undergone substantial changes; these are discussed, as well as some of the problems that still need to be addressed. Overall, the system offers incentives to reduce length of stay and to increase the efficiency with which inpatient care is provided.

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Samele, C., and N. Urquía. "Psychiatric inpatient care: where do we go from here?" Epidemiology and Psychiatric Sciences 24, no. 5 (July 29, 2015): 371–75. http://dx.doi.org/10.1017/s2045796015000591.

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The significant decline in the number of psychiatric hospital beds for more than two decades across Europe has changed the landscape of mental health services. This has rekindled debates about bed shortages and the reasons for variations in the number of inpatient beds, admissions to hospital and length of stay. Analysis of European Union (EU) level data shows that the UK has a relatively low number of admissions to hospital, yet a much higher than average length of stay compared with 12 other EU Member States. Understanding this is difficult, but recent studies shed some further light on the patterns and predictors of admissions and length of stay.

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Krol, M. W., D. De Boer, H. Sixma, L. Van Der Hoek, J. J. D. J. M. Rademakers, and D. M. Delnoij. "Patient experiences of inpatient hospital care: a department matter and a hospital matter." International Journal for Quality in Health Care 27, no. 1 (December 12, 2014): 17–25. http://dx.doi.org/10.1093/intqhc/mzu090.

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