Relevant bibliographies by topics / Hospital patients – Care

Academic literature on the topic 'Hospital patients – Care'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Hospital patients – Care"

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O, Faour Martín. "Elderly Patients with Pertrochanteric Hip Fracture: In Hospital Care." Journal of Orthopaedics & Bone Disorders 3, no. 4 (2019): 1–8. http://dx.doi.org/10.23880/jobd-16000190.

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Objective: To evaluate the improvement in the care of elderly patients hospitalized due to pertrochanteric hip fractures. Methods: A comparative study of two cohorts of patients admitted due to pertrochanteric hip fractu re before (2010) and after the application of in hospital management protocols (2018). The intervention consisted in the implementation of multidisciplinary measures during hospitalization based on current scientific evidence. An evaluation of the clinical results was performed, as well as the health care impact. Results: The characteristics of patients admitted for hip fracture in 2010 (216 patients) and 2018 (205 patients) were similar in age, sex, Barthel index and the Charlson abbreviated index. In 2018 patients had more comorbidity. A significant reduction of preoperative stay and overall stay in the cohort of 2018 was achieved. Detection of delirium, malnutrition and anaemia was higher in 2018, and a reduced incidence of infection and a better function al efficiency was achieved in this period. Conclusion: The introduction of measures for the improvement of the pertrochanteric hip fracture management reduces hospitalization with consequent cost reduction. Unification of criteria among professionals may b e an opportunity for better clinical results and reduction of complications.
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Hawley, Carmel M. "Holistic care in hospital patients." Medical Journal of Australia 175, no. 6 (September 2001): 292–93. http://dx.doi.org/10.5694/j.1326-5377.2001.tb143583.x.

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Finch, John. "Patients transferring from hospital care." British Journal of Community Nursing 25, no. 10 (October 2, 2020): 502–5. http://dx.doi.org/10.12968/bjcn.2020.25.10.502.

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Toms, Rhinedd. "Meeting the Need—from Institutional to Community Care." Bulletin of the Royal College of Psychiatrists 11, no. 11 (November 1987): 373–74. http://dx.doi.org/10.1192/s0140078900018447.

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Severalls Hospital is a large psychiatric hospital, established in 1913 and originally designed for about 2000 patients. With the changes in attitudes to mental health over the last 70 years the hospital's aims and objectives have altered several times. Now, with the number of in-patients already reduced to approximately 650 and the movement to run down large hospitals such as this, preparation needs to be made for the shift to the community as the main future base for psychiatric services. Over the years the hospital has recognised the importance of preserving close links with the patient's home and has always maintained that regular activity and work is vital in the process of re-establishing patients in the community and in employment.
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Duke, Graeme J., Frank Shann, Cameron I. Knott, Felix Oberender, David V. Pilcher, Owen Roodenburg, and John D. Santamaria. "Hospital-acquired complications in critically ill patients." Critical Care and Resuscitation 23, no. 3 (September 6, 2021): 285–91. http://dx.doi.org/10.51893/2021.3.oa5.

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BACKGROUND: The national hospital-acquired complications (HAC) system has been promoted as a method to identify health care errors that may be mitigated by clinical interventions. OBJECTIVES: To quantify the rate of HAC in multiday stay adults admitted to major hospitals. DESIGN: Retrospective observational analysis of 5-year (July 2014 – June 2019) administrative dataset abstracted from medical records. SETTING: All 47 hospitals with on-site intensive care units (ICUs) in the State of Victoria. PARTICIPANTS: All adults (aged ≥ 18 years) stratified into planned or unplanned, surgical or medical, ICU or other ward, and by hospital peer group (tertiary referral, metropolitan, regional). MAIN OUTCOME MEASURES: HAC rates in ICU compared with ward, and mixed-effects regression estimates of the association between HAC and i) risk of clinical deterioration, and ii) admission hospital site (intraclass correlation coefficient [ICC] > 0.3). RESULTS: 211 120 adult ICU separations with mean hospital mortality of 7.3% (95% CI, 7.2–7.4%) reported 110 132 (42.6%) HAC events (commonly, delirium, infection, arrhythmia and respiratory failure) in 62 945 records (29.8%). Higher HAC rates were reported in elective (cardiac [50.3%] and non-cardiac [40.6%]) surgical subgroups compared with emergency medical subgroup (23.9%), and in tertiary (35.4%) compared with non-tertiary (22.7%) hospitals. HAC was strongly associated with on-admission patient characteristics (P < 0.001), but was weakly associated with hospital site (ICC, 0.08; 95% CI, 0.05–0.11). CONCLUSIONS: Critically ill patients have a high burden of HAC events, which appear to be associated with patient admission characteristics. HAC may an indicator of hospital admission complexity rather than hospital-acquired complications.
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Purushotham, Sapna, and Ravikar Jayaraj. "Clinical Profile of Patients with Varicose Vein Attending Tertiary Care Hospital." Academia Journal of Surgery 2, no. 2 (August 18, 2019): 52–54. http://dx.doi.org/10.21276/ajs.2019.2.2.14.

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Dev K, Chethan. "Clinical Profile of Patients with Diabetes Mellitus Attending Tertiary Care Hospital." Indian Journal of Emergency Medicine 4, no. 4 (2018): 307–11. http://dx.doi.org/10.21088/ijem.2395.311x.4418.8.

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B.H., Chethan, Vivek Tirlapur, and Chandru Lamani. "Clinical Profile of Patients with Rheumatoid Arthritis Attending Tertiary Care Hospital." Indian Journal of Emergency Medicine 3, no. 1 (2017): 102–6. http://dx.doi.org/10.21088/ijem.2395.311x.3117.16.

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Anand, Rahul, Subhendu Das, and Neha Singh. "Profile of Burn Patients in a Tertiary Care Hospital in India." Indian Journal of Emergency Medicine 2, no. 1 (2016): 19–26. http://dx.doi.org/10.21088/ijem.2395.311x.2116.3.

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Duffy, Lisa. "Care of immunocompromised patients in hospital." Nursing Standard 23, no. 36 (May 13, 2009): 35–41. http://dx.doi.org/10.7748/ns2009.05.23.36.35.c6968.

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Dissertations / Theses on the topic "Hospital patients – Care"

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Wendall, Pamela S. "Clients' spiritual perspective of care." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1191724.

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Spiritual dimensions are an important focus for nursing care and nurses can be catalysts for spiritual care. The purpose of this descriptive comparative analysis is to examine the spiritual care needs as perceived by terminally ill clients, non-terminally ill clients, and well adults. The theoretical framework for this study is Leininger's "Cultural Care Theory" that supports the notion that spiritual care needs to be culturally congruent.Participants were obtained from a 225-bed hospital, hospice, home care, and a wellness program in a midwestern city. Permission was obtained from the hospital President, Vice President of Nursing, the directors of Hospice and Home Care, and the community's Wellness Program. The number of participants was 76. The process for the protection of human rights was followed.Findings were that terminally ill, non-terminally ill, and well-adults all agree that receiving spiritual care that is congruent with beliefs is important. The terminally ill clients rated spiritual needs higher than both non-terminally ill and well-adults. All groups rated the same in the persons from whom it was wished to receive spiritual care. Common themes of spiritual care desired from these persons for the terminally ill group was: pray for/with me and talk to me. For the non-terminally ill group it was: give me information, The understanding, and provide emotional and spiritual support. Finally, for the well-adults it was: listen to me, talk to me, be confident, and support me.No statistical difference between groups (.940) on the SPS. On the SPC, the terminally ill group was more satisfied (5.20) with spiritual support they were receiving than the non-terminally ill group or well-adults.It was concluded that regardless of the stage of illness, the same spiritual needs are prominent, all individuals have spiritual needs, and several types of interventions are preferred. It has been demonstrated in this study that prayer is the most sought after component of spiritual care among all three groups. Second to that would be someone to talk to and someone to listen to them.Implications call for nurses to facilitate spiritual care from family, friends, minister or priest, and hospital chaplain. This could be written into the plan of care by having the client describe the type of spiritual care they want to receive. Nursing Administration needs to work with nursing staff to define spirituality and religion and what they mean to the nurse.
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Gong, Zhiping. "Developing casemix classification for acute hospital inpatients in Chengdu, China /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050314.195349/index.html.

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Submitted to the School of Public Health, Faculty of Health Sciences. Thesis (Ph.D.) -- La Trobe University, 2004.
Includes bibliographical references (leaves 320-329). Also available via the World Wide Web.
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Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.

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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital." Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.

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There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.
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Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.

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The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explored organisational structures, decision-making processes and management systems of the Project and included an examination of the difficulties and conflicts that ensued. The broader context of health care reform was also considered. The study found that an effective change management strategy requires clarity around the definition of primary task in health care delivery, particularly when the task is complex and the environment uncertain. This requires a management and support structure able to accommodate the tensions that exists between providing care and managing cost, in a changing and complex system. The case study indicated that where tensions were not managed the functions of providing care and managing costs became disconnected, undermining the integrity of the task and impacting on the effective facilitation of the change process and hence, the capacity of stakeholders to embrace the model of co-ordinated care. Moreover, the micro dynamics of the project team seemed to parallel the macro dynamics of the broader system where economic and health care provision imperatives clash. Through its close analysis of change dynamics, the study provides suggestions for the improved engagement of stakeholders in health care change.
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Bechel, Diane Lynn. "The effect of patient-centered care on hospital inpatient cost and quality outcomes the experience in southeast Michigan." Ann Arbor, Mich. : University of Michigan, 1998. http://books.google.com/books?id=bhUvAAAAMAAJ.

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Sutton, Jane C. "Accidents to patients in hospital." Thesis, University of Nottingham, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.292535.

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Beattie, Michelle. "Measuring the patient experience of hospital quality of care." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23410.

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The primary motivation of this PhD by publication has been the apparent disconnect between the metrics of hospital quality of care at national and board level and patients’ experiences. Exploration of the gap led to the realisation of two key points. Firstly, the concept of healthcare quality continually evolves. Secondly, the NHS Scotland Measurement Framework does not include a measure of patient experience at the microsystem level (e.g. hospital ward). This is needed to counterbalance easier to obtain metrics of quality (e.g. waiting times). Resource tends to follow measurement. Papers 1 and 2 were exploratory, investigating theoretical and practical aspects of measuring quality of hospital care at the clinical microsystem level. With the associated Chapters, they highlighted both the necessity and the possibility of measuring the patient experience at the micro level of the healthcare system. They also drew attention to the inadequacy of “satisfaction” as a metric, leading to closer examination of “experience” as the decisive metric. This required the development of a systematic review protocol (Paper Three), then a systematic review (Paper Four). The review (Paper Four) examined the utility (validity, reliability, cost efficiency, acceptability and educational impact) of questionnaires to measure the patient experience of hospital quality of care, with a newly devised matrix tool. Findings highlighted a gap for an instrument with high utility for use at the clinical microsystem level of healthcare. Paper Five presents the development and preliminary psychometric testing of such an instrument; the Care Experience Feedback Improvement Tool (CEFIT). The thesis provides, as well as the matrix tool and CEFIT, theoretical and methodological contributions in the field of healthcare quality. It contributes to an aspiration that the patient’s voice can be heard and acknowledged, in order to direct improvements in the quality of hospital care.
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Trofino, Joan Alhanati. "A study of the consistency of nursing care hours and patient length of stay per DRG category in selected joint commission on accreditation of health care organizations as measured by diverse patient classification systems /." Access Digital Full Text version, 1988. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10810626.

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Quinlan, John. "The essence of pastoral care an investigation of patient satisfaction with pastoral care in an acute general and psychiatric hospital /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.

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Books on the topic "Hospital patients – Care"

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Crichton, Michael. Five Patients. London: Random House Group Limited, 2001.

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Crichton, Michael. Five patients: The hospital explained. London: Arrow, 1995.

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Crichton, Michael. Five patients: The hospital explained. New York, NY: Ballantine, 1989.

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Crichton, Michael. Five patients: The hospital explained. New York: Ballantine Books, 1989.

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The strategic approach to quality service in health care. Rockville, Md: Aspen, 1988.

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Health Smart hospital handbook. Indianapolis, IN: Alpha, 2003.

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Twelve patients: Life and death at Bellevue Hospital. New York: Grand Central Pub., 2012.

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Mark, Lefton, ed. Hospitals and patients. New Brunswick, U.S.A: AldineTransaction, 2007.

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Hass-Unger, Joan. How to survive in the hospital: Understanding and coping with hospital personnel, procedures, and protocol. Canfield, Ohio: Fischer Pub. Corp., 1986.

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Hass-Unger, Joan. How to survive in the hospital: Understanding and coping with hospital personnel, procedures, and protocol. Canfield, Ohio: Fischer Pub. Corp., 1986.

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Book chapters on the topic "Hospital patients – Care"

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Raheja, Dev. "Protect Patients from Dangers in Medical Devices." In Safer Hospital Care, 131–37. 2nd edition. | Boca Raton : Taylor & Francis, 2019.: Productivity Press, 2019. http://dx.doi.org/10.4324/9780429058042-12.

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Glare, Paul, Yvona Griffo, Alberta Alickaj, and Barbara Egan. "Palliative Care Emergencies in Hospitalized Patients." In Hospital-Based Palliative Medicine, 169–94. Hoboken, NJ: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118772607.ch13.

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Schmailzl, Kurt J. G., and Hans H. Th Sendler. "Networked Care: IT-Assisted Tools (Wearable Sensors) for Patients at Risk." In Boundaryless Hospital, 103–18. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49012-9_6.

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Gross, Dawn M., and Jane Hawgood. "Interdisciplinary Team Care of Seriously Ill Hospitalized Patients." In Hospital-Based Palliative Medicine, 250–59. Hoboken, NJ: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118772607.ch18.

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Costello, John. "Improving care for dying patients in hospital." In Nursing the Dying Patient, 88–105. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-137-26647-7_5.

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Lockhart, Peter B. "In-Hospital Care of the Dental Patient." In Oral Medicine and Medically Complex Patients, 1–32. West Sussex, UK: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118783467.ch1.

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Pantilat, Steven Z., Wendy G. Anderson, Matthew J. Gonzales, and Eric W. Widera. "Hospital Care for Seriously Ill Patients and Their Families." In Hospital-Based Palliative Medicine, 1–8. Hoboken, NJ: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118772607.ch1.

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De Monte, A., and G. Nardi. "Care of Trauma Patients: In-hospital Phase." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 491–97. Milano: Springer Milan, 1996. http://dx.doi.org/10.1007/978-88-470-2203-4_45.

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Zejnilović, Leid, Pedro Oliveira, and Helena Canhão. "Innovations by and for Patients, and Their Place in the Future Health Care System." In Boundaryless Hospital, 341–57. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49012-9_19.

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Perring, Christine. "The experience and perspectives of patients and care staff of the transition from hospital to community-based care." In Psychiatric Hospital Closure, 122–68. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-7142-5_4.

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Conference papers on the topic "Hospital patients – Care"

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Evans, Ruth, Victoria Barber, Padmanabhan Ramnarayan, and Jo Wray. "97 Paediatric intensive care retrieval – families’ experience of their child’s journey to intensive care." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.97.

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Kindness, Peter, Chris Mellish, and Judith Masthoff. "Identifying and measuring stressors present in pre-hospital care." In ICTs for improving Patients Rehabilitation Research Techniques. IEEE, 2013. http://dx.doi.org/10.4108/icst.pervasivehealth.2013.252094.

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Roberts, Cathy, Mark Clement, and Maeve O’Connor. "101 COVID proofing a paediatric intensive care transport service." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.101.

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Simpson, Gabrielle, Kathryn Martinello, and Amy Gilbert. "92 Establishing a satellite simulation suite on the neonatal intensive care unit." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.92.

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Watt, E., S. Kricke, S. Adams, and G. Davies. "016 Driving diagnostic change; microchimerism in thymus transplant patients." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.16.

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Lobel, Brian, Emily Underwood-Lee, and Susie Hall. "72 ‘Kicking up our heels’ workshop – an arts intervention to support staff self care." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.72.

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Carter, Lee, Jemma Woyda, and Emma Shkurka. "17 GOSH Go! a service evaluation investigating early rehabilitation on cardiac intensive care (CICU)." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.17.

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Ciliberti, Rosella, Alessandro Bonsignore, Liliana Lorettu, Maurizio Secchi, Michele Minuto, Pierluigi Santi, and Ilaria Baldelli. "Physician/patient relationship following hospital discharge – new methods of therapeutic and care continuity." In the 8th International Workshop on Innovative Simulation for Healthcare. CAL-TEK srl, 2019. http://dx.doi.org/10.46354/i3m.2019.iwish.013.

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"Healthcare organization aims to shorten hospitalization times, both to facilitate patient turnover and to avoid the risks of the nosocomial environment. Between March and September 2018, patients that were discharged after hospitalization for scheduled reconstructive breast surgery were given a portable device with the Dr. Link app installed, created to allow real-time communication with physicians. Patients and physicians completed a satisfaction survey on their experience with the use of the device. Analysis shows overall patient satisfaction in terms of improvement in relationships and quality of life. Physicians reported more responsible patient behaviour, better compliance, and earlier treatment of complications. Continuous interactive assistance can improve the discharged patient’s quality of life and therapeutic path. However, the device risks becoming a negative tool if the health care professional has not made the proper initial emotional investment in the relationship, delegating the totality of the therapeutic relationship to the tablet."
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East, Abigail, Samiran Ray, Rebecca Pope, Mario Cortina-Borja, and Neil J. Sebire. "45 Predicting long length of stay in a paediatric intensive care unit using machine learning." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.45.

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Cheng, I., B. Aldous, H. Thoong, and C. Pilkington. "101 Shortened infusion of infliximab in 33 paediatric rheumatology patients." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.101.

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Reports on the topic "Hospital patients – Care"

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Hadley, Kay. Continuity of Care for Cancer Patients at Irwin Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, January 2008. http://dx.doi.org/10.21236/ada494309.

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Jeffrey Schnipper, Jeffrey Schnipper, Nyryan Nolido, Michelle Potter, Cherlie Magny-Normilus, Hilary Heyison, Catherine Yoon, Asaf Bitton, et al. Using a Transitional Care Program to Prepare Patients to Take Care of Themselves after Leaving the Hospital. Patient-Centered Outcomes Research Institute® (PCORI), October 2019. http://dx.doi.org/10.25302/5.2019.cer.811.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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W, Nedra, Laura B. Strange, Sara M. Kennedy, Katrina D. Burson, and Gina L. Kilpatrick. Completeness of Prenatal Records in Community Hospital Charts. RTI Press, February 2018. http://dx.doi.org/10.3768/rtipress.2018.rr.0032.1802.

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We describe the completeness of prenatal data in maternal delivery records and the prevalence of selected medical conditions and complications among patients delivering at community hospitals around Atlanta, Georgia. Medical charts for 199 maternal-infant dyads (99 infants in normal newborn nurseries and 104 infants in newborn intensive care nurseries) were identified by medical records staff at 9 hospitals and abstracted on site. Ninety-eight percent of hospital charts included prenatal records, but over 20 percent were missing results for common laboratory tests and prenatal procedures. Forty-nine percent of women had a pre-existing medical condition, 64 percent had a prenatal complication, and 63 percent had a labor or delivery complication. Missing prenatal information limits the usefulness of these records for research and may result in unnecessary tests or procedures or inappropriate medical care.
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Eliason, Paul, Paul L. Grieco, Ryan McDevitt, and James Roberts. Strategic Patient Discharge: The Case of Long-Term Care Hospitals. Cambridge, MA: National Bureau of Economic Research, September 2016. http://dx.doi.org/10.3386/w22598.

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Kessler, Daniel. Can Ranking Hospitals on the Basis of Patients' Travel Distances Improve Quality of Care? Cambridge, MA: National Bureau of Economic Research, June 2005. http://dx.doi.org/10.3386/w11419.

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Grey, Carolyn M. An Assessment of Patient Satisfaction with Health Care Delivered at Ireland Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, January 1996. http://dx.doi.org/10.21236/ada313777.

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Chavez, Jose L. Analysis of Patient Cycle Times at the Urgent Care Clinic at Moncrief Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, June 2004. http://dx.doi.org/10.21236/ada432681.

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Bartel, Ann, Carri Chan, and Song-Hee (Hailey) Kim. Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality. Cambridge, MA: National Bureau of Economic Research, September 2014. http://dx.doi.org/10.3386/w20499.

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Kiefe, Catarina, Milena Anatchkova, Heena Santry, David McManus, and Rebecca Gigliello. Developing a Survey with Patient and Caregiver Input that Measures the Quality of Care Transitions from Hospital to Home. Patient-Centered Outcomes Research Institute, June 2020. http://dx.doi.org/10.25302/06.2020.me.131007682.

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