• Using the 2005-2014 National Inpatient Sample, we identified all adult hospitalizations for cardiac surgery using the International Classification of Diseases, Ninth Revision, Clinical Modification as any procedure code and AF as any diagnosis code. (bvsalud.org)
  • To bridge this gap, we performed an analysis of admissions for AF in HT patients from the National Inpatient Sample (NIS) years 2000 to 2014. (bvsalud.org)
  • CDC used the Healthcare Cost and Utilization Project (HCUP) 2013 National Inpatient Sample (NIS), a 20% stratified sample of discharges from nonfederal community hospitals, to estimate the annual cost of birth defect-associated hospitalizations in the United States, both for persons of all ages and by age group. (medscape.com)
  • There were more than 76,464 outpatient visits and more than 2,352 inpatient admissions during that period. (wikipedia.org)
  • Admission ward of the municipal non-profit institution (MNI) is an independent structural unit of the specialized medical center MNI Vinnytsia Regional Clinical Medical and Diagnostic Center for Cardiovascular Pathology, which provides secondary (specialized) inpatient, outpatient and consultative-diagnostic medical care for patients with cardiovascular pathologies. (vincardiocenter.com)
  • referring patients taken to the admission ward by ambulance crews or those applied individually, which do not require further hospitalization, for outpatient treatment. (vincardiocenter.com)
  • Let's talk about some of these items: outpatient care - includes advising spetsialastov, conduct diagnostic and outpatient studies, procedures, manipulation, kursvo outpatient-based treatment centers. (dpstudios.net)
  • Updated guidance recommends posthospitalization outpatient follow-up, optimally within 48 hours of discharge, and emphasizes the importance of preparation for hospital discharge and postdischarge care coordination to reduce risk of rehospitalization and death among hospitalized EVALI patients. (cdc.gov)
  • With the progressive deinstitutionalization of psychiatric care, outpatient care has changed significantly in recent decades. (frontiersin.org)
  • The COACH trial randomized acute HF patients presenting to the ED to either a standardized clinical risk stratification algorithm (based on the EHMRG30-ST score) with associated rapid outpatient HF clinic or to standard of care. (cardiologynownews.org)
  • When discussing the clinical implications of the study at AHA, Dr. Lee stated: "Systematic use of the EHMRG30-ST, a point-of-care tool to support clinical decision-making, coupled with rapid outpatient follow-up, reduced the risk of death or cardiovascular hospitalizations within 30 days and 20 months. (cardiologynownews.org)
  • WCI provides comprehensive, interdisciplinary care including surgical, radiation, robotic and medical oncology services as well as counseling for patients and families, cancer education, community outreach program and clinical research trials. (wikipedia.org)
  • Objectives To examine links between clinical and other characteristics of people with Alzheimer's disease living in the community, likelihood of care home or hospital admission, and associated costs. (bmj.com)
  • Main outcome measures Risk of admission to, and days spent in three settings during 6-month period following routine clinical assessment: care home, mental health inpatient care and general hospital inpatient care. (bmj.com)
  • At Center for Change, our holistic approach, rigorous medical and clinical program, wide range of levels of care and nurturing environment set us apart. (centerforchange.com)
  • Our Clinical Futures strategy continues to enhance and promote care closer to home as well as high quality hospital care when needed. (bmj.com)
  • Our patients are our highest priority, so we welcome innovative suggestions for evolving the clinical role whilst delivering excellence in pharmaceutical care. (bmj.com)
  • Clinical rotations will include opportunities to work at The Grange University Hospital, Nevill Hall Hospital and Royal Gwent Hospital.GUH: As a Specialist Critical Care Centre, we specialise in high acuity care and can offer exposure to Adult and Neonatal Critical Care, Paediatrics, Haematology as well as acute Medicine and Surgery. (bmj.com)
  • We offer exposure to a respiratory ward, haematology clinics, medical admissions, Care of the Elderly (COTE), and mental health for clinical skills, as well as opportunities to develop non-clinical skills in Quality Management Systems and Prescribing Support. (bmj.com)
  • RGH: As an Enhanced Local General Hospital we offer access to experienced clinical pharmacists to support and facilitate further learning and are the base for the Health Board Secondary Care Education & Training Team. (bmj.com)
  • The purpose of our study was to investigate whether the operation of a trauma center in a single tertiary general hospital has improved emergency care and clinical outcomes for patients with TBI. (jtraumainj.org)
  • Differences in detailed emergency care time, hospital stay, and clinical outcomes were investigated in this study. (jtraumainj.org)
  • Early and accurate diagnosis of dementia subtype is critical to improving clinical care and developing better treatments. (nihr.ac.uk)
  • The data do not allow and is utilized to identify emerging hazards, for an assessment of the available diagnos- to focus prevention and education pro- tic and treatment facilities and expertise at grammes and to guide clinical research and each health care level. (who.int)
  • Although clinical data retrieved from patients' records can yield accurate estimation of multimorbidity, our chart review of four urban primary care practices found that multiple chronic conditions are often not recorded in practice. (hindawi.com)
  • The AKI outcomes (which is relevant in primary and secondary care) will be reported quarterly to clinical commissioning groups. (theysolditanyway.com)
  • The Iowa City VA Health Care System (ICVAHCS) is currently recruiting for one (1) Full-Time Registered Nurse - Community Care Clinical Manager position. (aann.org)
  • The Community Care Clinical Manager Registered Nurse falls under the clinical pathway, and reports to the Nurse Administrator. (aann.org)
  • Relevance to clinical practice: This study highlights the needs for redefining the cut-off points of the inpatient fall risk screening tool to effectively identify inpatients at a high risk of falls. (tmu.edu.tw)
  • Objective: Comparison of the epidemiology and clinical characteristics of COVID-19 patients during the pandemic with those of influenza patients in previous influenza seasons at the same hospital Design: Admission rates, clinical measurements, and clinical outcomes from confirmed COVID-19 cases between March 1 and April 30, 2020, were compared with those from confirmed influenza cases in the previous five influenza seasons (8 months each) beginning September 1, 2014. (elsevierpure.com)
  • The COACH study ( NCT02674438 ) was a prospective multi-center stepped wedge cluster randomized clinical trial conducted at 10 sites in Ontario, Canada which evaluated the effects of both a) the utilization of a clinical algorithm for prognostication and (2) post-discharge follow-up in the RAPID-HF clinic within 48-72 hours for patients presenting to the ED with HF. (cardiologynownews.org)
  • The validated Emergency Heart Failure Mortality Risk Grade simultaneous 7- and 30-day ( EHMRG30-ST ) risk score was used as the clinical algorithm to determine the necessity of inpatient admission. (cardiologynownews.org)
  • Compulsory admission and use of coercive measures are accepted as necessary (and justified by the laws of most countries) in certain situations in clinical psychiatry: Compulsory admission is mandatory in cases of considerable danger to oneself or to others due to psychiatric illness. (biomedcentral.com)
  • Extensive self-isolation practices and decreased utilisation of healthcare services has potentially impacted on direct care for both COVID-19 and non-COVID-19 clinical presentations. (biomedcentral.com)
  • To this end, we conducted a clinical review of all patients admitted to the tertiary care VA hospital in Minneapolis, MN, USA, during the fiscal years 2010 and 2011 to assess the reasons for hospitalization, the inpatient course and readmissions. (biomedcentral.com)
  • Physicians (n=20) at three hospitals were provided with clinical scenarios of patients with cirrhosis, and the admission orders made with and without the CirrODS tool were compared. (jmir.org)
  • We developed a novel Web-based combined clinical decision-making and workflow support tool to alert and assist clinicians caring for patients with cirrhosis. (jmir.org)
  • We estimated the impact of AF on inpatient mortality, length of stay (LOS), and cost of hospitalization using survey-weighted, multivariable logistic, accelerated failure-time log-normal, and log-transformed linear regressions, respectively. (bvsalud.org)
  • therefore, regional trauma centers have been opened and operating since 2012, and, partially because of these efforts, the preventable mortality rate of patients with severe trauma is on the decline [ 7 ]. (jtraumainj.org)
  • HIV-EU children behaved similarly to HIV-U children in terms of mortality, duration of PICU admission and length of mechanical ventilation. (who.int)
  • Conclusion Our findings suggest that delays at home, in transport and in accessing tertiary care are risk factors for mortality from febrile illness in northern Tanzania. (bmj.com)
  • Interventions that may reduce mortality include community education regarding severe symptoms, expanding transportation infrastructure and streamlining referrals to tertiary care for the sickest patients. (bmj.com)
  • Secondary outcomes include the incidence of delirium, mortality, new long-term residential care, cognitive impairment, activities of daily living, quality of life and quality-adjusted survival, length of stay, readmission or transfer to hospital. (ox.ac.uk)
  • Use of the HES and Civil Registration Mortality data to report centre-level differences in duration of admission to hospital for RRT patients: 1. (theysolditanyway.com)
  • Advancements in modern medicine and technology have led to new medical interventions and promote high-quality care, creating possibilities to effectively treat acute diseases and leading to a decline in mortality and increased life expectancy [ 1 ]. (biomedcentral.com)
  • No significant associations were found with upper or lower respiratory infections, otitis media, any infectious diseases, neoplasms, sensory disorders, urgent and inpatient health services use, pediatric complex chronic conditions, or mortality. (bmj.com)
  • Setting: Large tertiary care teaching hospital in Boston, MA Participants: Laboratory-confirmed COVID-19 and influenza inpatients Measurements: Patient demographics and medical history, mortality, incidence and duration of mechanical ventilation, incidences of vasopressor support and renal replacement therapy, and hospital and intensive care admissions. (elsevierpure.com)
  • We examined whether income disparities in diabetes-related morbidity or mortality decline after age 65 in a setting where much of health care is publicly funded yet universal drug coverage starts only at age 65. (diabetesjournals.org)
  • Viral testing resulted in more resource utilization, including intensive care unit admission, but positive test results were not associated with less antibiotic use or shorter duration of isolation. (cdc.gov)
  • The MAQ-PC contained items on chronic conditions, health care utilization, health related quality of life, disease severity, and sociodemographics. (hindawi.com)
  • Multimorbidity, the concurrent presence of two or more chronic conditions in individuals, is emerging as a daunting health challenge globally with substantial impact on health care utilization, quality of life, and health outcomes [ 1 , 2 ]. (hindawi.com)
  • This investigation indicated the importance of assessing the reported surveillance data within the context of health care utilization behaviour of the population under surveillance. (who.int)
  • 3,9,10 Health care utilization, if differential by gender, would bias the gender distribution in the surveillance data. (who.int)
  • While numerous risk stratification algorithms have been developed to best determine the level of care a given HF patient may need, the utilization of these scores on a large scale to improve outcomes has not been rigorously examined. (cardiologynownews.org)
  • Utilization of burdensome and expensive health care resources of little therapeutic benefit. (cancer.gov)
  • There is a paucity of data on inpatient resource utilization by veterans with IBD. (biomedcentral.com)
  • Medical records were reviewed to determine survival to PICU discharge, duration of PICU admission and duration of mechanical ventilation. (who.int)
  • The top-down approach (gross costing) uses the total facility cost, disaggregates the expenditures to cost centres (departments or units to which costs are assigned), and divides the department by the number of patients to generate the cost per patient visit or discharge. (who.int)
  • The aims of this study were to 1) map coordination and team collaboration across healthcare and social care organisations, 2) describe interdependencies and system variability in the discharge process for older people with complex care needs, and 3) evaluate the alignment between discharge planning and the needs in the home. (biomedcentral.com)
  • The Functional Resonance Analysis Method (FRAM) was used to model the discharge process and visualise and analyse coordination of care across healthcare and social care organisations. (biomedcentral.com)
  • Flexibility and appropriate resources enable for handling variability and responding to uncertainties in care after discharge. (biomedcentral.com)
  • An illustrative example of complexity in healthcare is the multidisciplinary teamwork in coordinated discharge planning [ 12 ] and the coordination of care for older people with complex care needs. (biomedcentral.com)
  • Other available information technologies that may prove effective for inpatients include computerized medication administration records, robots, automated pharmacy systems, bar coding, "smart" intravenous devices, and computerized discharge prescriptions and instructions. (bmj.com)
  • Facilitate early discharge from hospital after elective and non-elective admissions. (transformationpartnersinhealthandcare.nhs.uk)
  • o Nutrition assessment o High protein/energy diet choices o High protein/energy dietary advice o High protein/energy oral nutrition supplements o Medical management of nutrition impacting symptoms o Mealtime assistance and support o Coordination of care including consideration of post-discharge oral nutrition supplements and/or Meals on Wheels, referral to primary care provider including discharge summary with nutrition status / nutrition care plan documented. (who.int)
  • The admission ward accepts individuals delivered by ambulance crews, persons sent for hospitalization by physicians of medical and preventive institutions, or those referred to independently. (vincardiocenter.com)
  • Over half of the COVID-19 hospital admissions captured in this study (52%) resulted in at least one antibiotic prescription, with 36% of admissions resulting in a patient being prescribed multiple antibiotics during hospitalization. (pewtrusts.org)
  • In 96% of admissions for patients diagnosed with COVID-19 in which an antibiotic was prescribed, the patient received the first antibiotic at admission or within the first 48 hours of hospitalization. (pewtrusts.org)
  • The study's objectives were to identify the reasons for hospitalization among patients with inflammatory bowel diseases, and compare inpatient courses and readmission rates for IBD-related admissions versus non-IBD-related admissions. (biomedcentral.com)
  • Researchers describe how commonly medicines which block the chemical acetylcholine are prescribed to older adults admitted to hospital as an emergency and explore links between these medicines and death during or soon after hospital admission. (nihr.ac.uk)
  • We aim to evaluate whether geriatrician-led admission avoidance to hospital at home is an effective alternative to hospital admission.We are conducting a multi-site randomised open trial of geriatrician-led admission avoidance hospital at home, compared with admission to hospital. (ox.ac.uk)
  • This trial is the first large multi-site randomised trial of geriatrician-led admission avoidance hospital at home, and will provide evidence on alternative models of healthcare for older people who require hospital admission.ISRCTN60477865 : Registered on 10 March 2014. (ox.ac.uk)
  • Hospital admission rates after the intervention increased in the intervention and control groups for all population categories and conditions with the exception of acute hospital admissions among Pacific Peoples (rate ratio 0.94, 95% confidence interval 0.90 to 0.98), asthma (0.92, 0.86 to 0.99), cardiovascular disease … The history relating to your current medical problem, The possibility your medical problem could be serious. (iyama.org)
  • Dengue surveillance data from Savannakhet Province, and aggregate hospital admission data from the Savannakhet Provincial Hospital for outpatients and inpatients were analysed by age and sex. (who.int)
  • There are a number of predictive risk models available, each of which aims to identify individuals at risk of an unplanned hospital admission. (aridhia.com)
  • 1, 2 The 1984 Harvard Medical Practice Study (MPS) found that 3.7 of every 100 inpatients suffered an iatrogenic injury during their hospital admission. (bmj.com)
  • To determine the association between viral testing, patient outcomes, and care processes, we identified adults hospitalized with respiratory symptoms from 2004 through 2012 at a large, academic, tertiary hospital in Canada. (cdc.gov)
  • Our in-patient bed base includes MAU, COTE, elective orthopaedic surgery, urology admissions, stepdown general and trauma surgeries and endocrinology. (bmj.com)
  • Moreover, based on previous studies, the importance of specialized trauma teams and trauma centers in charge of treating patients with severe trauma is understood, and the positive effects of trauma centers and trauma teams on overall trauma patient treatment outcomes have been demonstrated [ 4 - 6 ]. (jtraumainj.org)
  • and were more likely to be current or recent recipients of in-patient care. (sprc.org)
  • Again, just like an emergency inpatient admission, these can be day cases (where a patient does not stay overnight) or an overnight stay. (iyama.org)
  • Additional Clarification of Guidance on the Physician Order and Physician Certification for Hospital Inpatient Admissions On August 19, 2013, in the FY2014 IPPS/LTCH final rule CMS clarified and revised the conditions of payment for hospital inpatient services under Medicare Part A related to patient status. (iyama.org)
  • Your personal doctor or the service (hospitalist) doctor is responsible for your care while you are boarded once he or she accepts and admits the patient. (iyama.org)
  • Elective hospital admissions occur when a doctor requests a bed to be reserved for a patient on a specific day. (iyama.org)
  • The greatest vulnerability can be found when the patient arrives at home, as maladaptation earlier in the care chain can lead to an accumulation of issues for the municipal personnel in health and social care working closest to the patient. (biomedcentral.com)
  • In-patient care for people who have mental health or behavioural disorders resulting from alcohol misuse, has also increased significantly, rising to126,300 admissions in 2004-05, from 72,500 in 1995-96 (75 per cent over the ten years). (ias.org.uk)
  • Few data exist on the effect of short call on quality of patient care. (wustl.edu)
  • In a breaking presentation at the 2022 AHA Scientific Sessions today, Dr. Douglas Lee (University of Toronto) and his team presented their study: "A Patient-Risk Based Health System Intervention for Acute Heart Failure Care: The Comparison of Outcomes and Access to Care for Heart Failure," or the COACH trial. (cardiologynownews.org)
  • Participants were recruited after admission to an in-patient programme at a private hospital. (nih.gov)
  • Oncology clinicians are obligated to explore, with the patient and family, the potential impact of continued disease-directed treatments or care directed at the patient's symptoms and QOL. (cancer.gov)
  • All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. (biomedcentral.com)
  • Notwithstanding that compulsory admission is regarded as indispensable to cope with violence and to prevent possible physical and psychological damage to the patient and/or others, the use and potential misuse of coercion in psychiatry has been accompanied for quite some time by critical debate [ 1 ]. (biomedcentral.com)
  • In most medical fields today, a primary aim of health care strategies is to prevent inpatient treatment and to minimise the length of hospital stays without diminishing the quality of care for the patient. (biomedcentral.com)
  • However, disease morbidity remains high, with an estimated mean annual direct health care cost per IBD patient in the US of roughly $8265 and $5066 for Crohn's disease (CD) and ulcerative colitis (UC), respectively. (biomedcentral.com)
  • The number of hospitalizations and in-hospital deaths for patients aged less than 18 years is presented overall and by patient characteristics across 13 States using quarterly HCUP inpatient data and the HCUP State Inpatient Databases (SID). (ahrq.gov)
  • Global efforts to reduce the burden of patient harm have not achieved substantial change over the past 15 years despite pioneering work in some health care settings. (who.int)
  • Global action on patient safety will enable universal health coverage to be delivered while reassuring communities that they can trust their health care systems to keep them and their families safe. (who.int)
  • Many medical practices and risks associated with health care are emerging as major challenges for patient safety and contribute significantly to the burden of harm due to unsafe care. (who.int)
  • Health care-associated infections prevalence in mixed patient populations of high-income countries is about 7.6% and about 10% in low- and middle-income countries, according to data from a number of countries.5 In addition, people with methicillin-resistant staphylococcus aureus are estimated to be 64% more likely to die than people with a non-resistant form of the infection. (who.int)
  • Health services in primary, secondary and tertiary care are offered to adult and neonatal patients. (wikipedia.org)
  • Centers for Disease Control and Prevention. (cdc.gov)
  • The Centers for Disease Control and Prevention (CDC) considers schistosomiasis one of several Neglected Tropical Diseases, a group of preventable and treatable infectious diseases affecting more than one billion people globally. (medscape.com)
  • According to the US Centers for Disease Control and Prevention (CDC), there were approximately 2.8 million TBI-related emergency department visits, hospitalizations, and deaths in the United States in 2013. (medscape.com)
  • The USA does not generally distinguish between planned and unplanned admissions, so calculated readmission rates include both. (aridhia.com)
  • The participants of this study were all TBI patients, patients with isolated TBI, and patients with TBI who underwent surgery within 24 hours, who visited our level 1 trauma center from March 1, 2012 to February 28, 2020. (jtraumainj.org)
  • In addition, based on the Statistical Yearbook of the National Emergency Medical Center, as of December 31, 2020, 34,318 trauma patients visited 17 medical institutions designated as regional trauma centers in Korea. (jtraumainj.org)
  • After the intensity of handling the first virus peak in 2020, the UK's health system faced a further pressure point in dealing with the backlog in elective care amidst the second major peak causing further surge capacity in secondary care. (dacbeachcroft.com)
  • To better understand these aspects of the pandemic, The Pew Charitable Trusts conducted one of the largest studies to date of antibiotic use in hospitalized COVID-19 patients, using IBM Watson Health's electronic health records database to capture data about approximately 5,000 patients and nearly 6,000 hospital admissions from February through July 2020. (pewtrusts.org)
  • A bipartisan agreement for the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), commonly referred to as Phase 3 of the federal government's response to the coronavirus outbreak, was passed by the Senate on March 25, 2020. (ropesgray.com)
  • Previously, on Thursday night, March 18, 2020, Mitch McConnell introduced into the Senate a prior version of the CARES Act (the "Senate Proposal") that did not pass the Senate. (ropesgray.com)
  • With NHS England data suggesting that emergency presentations to secondary care were down 29.4% in March 2020 compared to March 2019 [ 9 ], there are concerns over delayed or missed presentations with non-COVID-19 infections. (biomedcentral.com)
  • Data collection carried out through a questionnaire, via Google Forms, with professionals from seven Home Care Services, from April to July 2020. (bvs.br)
  • however, a study carried out in a pediatric inpatient unit of a teaching hospital in southern Brazil showed that 44% of hospitalized children were CSHCN ( 4 ) . (bvs.br)
  • The Hospital Center is home to the region's adult burn center. (wikipedia.org)
  • The UKRR collects, analyses and reports on data from 71 adult and 13 paediatric renal centres. (theysolditanyway.com)
  • A 2004 survey of adult drinking found that three quarters of the men interviewed (74 per cent) and over half of all women (59 per cent) had taken a drink in the previous week. (ias.org.uk)
  • A multi-centre randomised trial to compare the effectiveness of geriatrician-led admission avoidance hospital at home versus inpatient admission. (ox.ac.uk)
  • However, no significant differences existed in the length of intensive care unit stay, ventilator days, and total length of stay for TBI patients who visited the hospital before and after the operation of the trauma center. (jtraumainj.org)
  • Pneumonia is one of the leading causes of under-5 death in South Africa and accounts for a substantial burden of paediatric intensive care unit (PICU) admissions. (who.int)
  • This study describes the population of children admitted to the of pneumonia, which increases the demands on scarce paediatric PICU at Chris Hani Baragwanath Academic Hospital (CHBAH) intensive care unit (PICU) services in the region. (who.int)
  • Before the introduction of this new violence prevention program, there was a program which was successfully running in the neonatal intensive care unit of Westmead Hospital. (myassignment-services.com)
  • You may be admitted to a floor, a specialized unit (for example, the medical or surgical intensive care unit), or a holding (observation) unit. (iyama.org)
  • The Iowa City VA Health Care System (ICVAHCS) is currently recruiting for Full-Time RN - Intensive Care Unit positions. (argentum.org)
  • In addition, information about outcomes associated with cardiopulmonary resuscitation (CPR) and admission to the intensive care unit (ICU) at the EOL will allow the oncology clinician to better present options to patients with advanced cancer who are near the EOL. (cancer.gov)
  • Whereas postoperative patients commonly find themselves in the PACU and the intensive care unit (ICU), these areas are intensively monitored as a rule. (medscape.com)
  • In Europe, the Netherlands use the calculated rate of avoidable admissions - as opposed to readmissions - as a proxy for measuring quality in primary care. (aridhia.com)
  • Both HIV-EU and HIV-U children had significantly shorter PICU admissions and fewer days of mechanical ventilation compared with HIV-infected children (p=0.011 and p=0.004, respectively). (who.int)
  • The fall risk factor was also significantly associated with days of hospital stay and with admission to surgical wards. (tmu.edu.tw)
  • PTSD symptoms in the intervention group significantly reduced compared with the usual care group (mean difference=-5.4, 95% CI -10.5 to -0.3, P=0.04, n=58). (nih.gov)
  • This applies particularly to chronic diseases where institutionalised care affects the life of the patients to a maximum, while at the same time significantly increasing the financial burden of the funding agencies. (biomedcentral.com)
  • Computerized physician order entry with decision support significantly reduces serious inpatient medication error rates in adults. (bmj.com)
  • Patients with an index admission directly related to IBD were significantly younger and had developed IBD more recently. (biomedcentral.com)
  • Unsurprisingly, the IBD admission group had significantly more gastrointestinal endoscopies and abdominal surgeries, and was more likely to be started on medication for IBD during the index stay. (biomedcentral.com)
  • involuntary admission and emergency involuntary admission. (iyama.org)
  • Many patients with severe mental disorders experience involuntary admissions which can be potentially traumatic. (frontiersin.org)
  • In this study, we assessed the effect of ACT on reducing involuntary admissions over an observation period of 4 years. (frontiersin.org)
  • The primary outcome was rate of involuntary admissions during 48 months. (frontiersin.org)
  • Secondary outcomes were differences between those with and without involuntary admissions in the 2 years prior to ACCESS regarding change of psychopathology, severity of illness, psychosocial functioning, quality of life, satisfaction with care, medication non-adherence, and service-disengagement. (frontiersin.org)
  • 001). Comparing the two groups, larger improvements in severity of illness (p = .004) and functional status (p = .043) were detected in the group with no history of involuntary admissions. (frontiersin.org)
  • In this long-term study, we were able to demonstrate a reduction in involuntary admissions in four treatment years compared to the 2 years prior to admission to the ACCESS model in patients with severe and mostly multiphase schizophrenia spectrum disorders and affective disorders with psychotic features. (frontiersin.org)
  • A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. (biomedcentral.com)
  • Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. (biomedcentral.com)
  • It takes care of the person from prevention through early detection, early intervention, triage assessment, sub-acute and acute care and other different phases of treatment and ongoing support in the community. (myassignment-services.com)
  • 2013). Therefore, the most important part of the role of health care staff is prevention. (myassignment-services.com)
  • Thus, prevention of violence comprises of primary, secondary and tertiary prevention activities. (myassignment-services.com)
  • Secondary prevention activities aim to avoid imminent violence whereas trial prevention actions include interventions that are done at the time of occurrence of violence. (myassignment-services.com)
  • Irrespective of how quality is measured, identifying potentially modifiable predictors of ill health is an important first step in designing any interventions aimed at the primary or secondary prevention of ill health. (aridhia.com)
  • Estimates of the cost of birth defect-associated hospitalizations offer important information about the impact of birth defects among persons of all ages on the overall health care system and can be used to prioritize prevention, early detection, and care. (medscape.com)
  • CONCLUSIONS: Admission to short call is predictive of increased length of stay, a decreased number of diuretic doses, and delays in the timing of diuretics among patients with acute decompensated heart failure. (wustl.edu)
  • Methods We interviewed febrile inpatients to determine prevalence of barriers in seeking or receiving care and grouped these barriers using the Three Delays model (delays at home, in transport and at healthcare facilities). (bmj.com)
  • We undertook a study to assess the prevalence, correlates, and outcomes of multimorbidity in primary care settings in India. (hindawi.com)
  • Moreover, only prevalence of multimorbidity may not be sufficient to inform health services as the typology of conditions and severity level also influence the health care to be delivered and the subsequent outcomes [ 11 ]. (hindawi.com)
  • The Hospital Center occupies a 47-acre (19 ha) campus in Northwest Washington that it shares with three other medical facilities. (wikipedia.org)
  • Immediately adjacent to MedStar Washington Hospital Center are the National Rehabilitation Hospital and the central branch of Children's National Medical Center. (wikipedia.org)
  • The Hospital Center has a medical/dental staff of 1,407. (wikipedia.org)
  • Only 148 medical centers in the U.S. were ranked in one or more of 16 specialties designated in U.S. News & World Report's survey. (wikipedia.org)
  • Exclusionary criteria include a primary diagnosis of psychosis with florid psychotic symptoms, severe suicide risk with suicidal intention, history of sexual aggression or sexual predatory behavior, history of and deemed high risk for aggressive or violent behavior toward others, and physical or medical condition which demand admission into a medical/surgical or ICU unit. (centerforchange.com)
  • We are the major centre for elective surgery in the Health Board as well as offering non-medical prescribing opportunities including HIV and Haematology clinics. (bmj.com)
  • Researchers use data collected as part of routine medical care at one university hospital to describe how often these medicines are prescribed in a large sample of older adults admitted to hospital as an emergency. (nihr.ac.uk)
  • Inappropriate use of proton pump inhibitors among medical inpatients: a questionnaire-based observational study. (ox.ac.uk)
  • OBJECTIVES: To evaluate the appropriateness of proton pump inhibitor (PPI) prescribing by conducting an audit of medical inpatients against recommended guidelines. (ox.ac.uk)
  • RESULTS: During the audit period, 205 consecutive medical inpatients were assessed. (ox.ac.uk)
  • We are recruiting older people with markers of frailty or prior dependence who have been referred to admission avoidance hospital at home for an acute medical event. (ox.ac.uk)
  • Primary Care Medical Director in Downtown Waterville, Maine! (namcp.org)
  • Medical Director - Primary Care, located in Beautiful and Historic Portland, Maine! (namcp.org)
  • You have the right to privacy - your doctors or health care providers cannot talk to anyone about your medical care without your permission. (iyama.org)
  • The admission ward of the MNI VRCCP is located and operates at the premises of the Division of Emergency (Urgent) Medical Care of the MNI Vinnytsia Municipal University Hospital No. 1. (vincardiocenter.com)
  • The admission ward directly interacts with the Division of Emergency (Urgent) Medical Care of the MNI Vinnytsia Municipal University Hospital No.1 around the clock to provide emergency (urgent) medical care to patients with cardiac diseases admitted or referred to the ward with involvement of medical staff of the Center. (vincardiocenter.com)
  • The admission ward is equipped in accordance with the requirements of Order of the Ministry of Health on Approval of the Model table (list) For Equipment of Structural Units of Emergency Medical Care Institutions No.101 dated February 06, 2014. (vincardiocenter.com)
  • Methods: A subset of inpatient data for the period from June 2011-June 2014 was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei. (tmu.edu.tw)
  • Emergency admission made in such a state of health of the insured, which requires urgent medical care in a hospital. (dpstudios.net)
  • Linked to the above, is the as yet not revealed, cohort of patients who need medical intervention to diagnose health conditions but who are resistant to attend primary care for referral and investigation. (dacbeachcroft.com)
  • METHODS AND RESULTS: We conducted a retrospective cohort study of 218 patients admitted with acute decompensated heart failure to the Nashville VA Medical Center between July 1, 2003, and June 30, 2005. (wustl.edu)
  • Inflammatory bowel diseases (IBDs) are group of chronic inflammatory illnesses with a remitting and relapsing course that may result in appreciable morbidity and high medical costs secondary to repeated hospitalizations. (biomedcentral.com)
  • A retrospective chart review was performed on all patients with IBD admitted to the Minneapolis VA Medical Center between September 2010 and September 2012. (biomedcentral.com)
  • The global burden of unsafe medical care: analytic modelling of observational studies. (who.int)
  • Throw into the mix the fact that there is a sizeable backlog of elective care to be worked through, and healthcare providers have an unprecedented set of challenges currently and for the foreseeable future. (dacbeachcroft.com)
  • The (again essential) use of current capacity due to the high number of inpatient admissions with COVID, reducing capacity and resulting in reduction of elective admissions and procedures. (dacbeachcroft.com)
  • Secondary objectives were to explore predictors of bleeding and thrombosis outcomes, and dosing practices of antiplatelet therapy and LMWH.Methods. (bvsalud.org)
  • These tables were also used to create the HCUP Visualization of Inpatient Trends in COVID-19 and Other Conditions 7 and will be updated as more quarterly data become available. (ahrq.gov)
  • CDC used the HCUP hospital-specific all-payer inpatient cost-to-charge ratio when available, or the weighted group average all-payer inpatient cost-to-charge ratio otherwise. (medscape.com)
  • On May 7, 1998, Medlantic Healthcare Group, the Hospital Center's not-for-profit parent company, merged with Helix Health, a group of four Baltimore, MD-based hospitals, making the combined company the largest health care provider in the mid-Atlantic region. (wikipedia.org)
  • The advancements also lead to increased specialisation and differentiation which may create gaps in communication and knowledge transfer between different healthcare professions and care providers. (biomedcentral.com)
  • Viral testing in these patients should improve diagnostic clarity, reduce the number of subsequent diagnostic tests and procedures required, and prevent infection transmission to other patients and health care workers by guiding the use of isolation precautions. (cdc.gov)
  • Better treatment in the community that reduces health and social care needs of Alzheimer's patients would reduce admission rates. (bmj.com)
  • It is high time to reduce the risk associated with working in the mental health care units. (myassignment-services.com)
  • Innovative interventions have to be established to prevent patients with mental disorders from undergoing the experience of compulsory admission and, with regard to society as a whole, to reduce the costs of health care (and detention). (biomedcentral.com)
  • Reduce avoidable hospital admissions of acutely ill children and young people. (transformationpartnersinhealthandcare.nhs.uk)
  • Reduce inpatient admissions and length of stay. (transformationpartnersinhealthandcare.nhs.uk)
  • Ask to speak with your doctor: Ask why you need to be admitted and discuss the risks and benefits of admission versus going home. (iyama.org)
  • Identifying the reasons for the patients' index admission, IBD flares versus all other causes, may provide valuable information concerning admission care and the subsequent admission history. (biomedcentral.com)
  • BACKGROUND: The use of cardiac telemetry in the inpatient setting is widespread and has become integral in managing hospitalized patients. (bvsalud.org)
  • They recommend further research to identify more accurate ways of identifying suicide risk in patients with bipolar disorder which may involve screening patients for "factors such as alcohol dependence/misuse, personality disorder, depressive episode, multiple psychiatric admissions, and current or recent admissions. (sprc.org)
  • National guidelines suggest that patients admitted to acute care hospitals with infectious respiratory symptoms should receive screening for viral infections by answering symptom-based questionnaires, and they should be placed under droplet isolation precautions until definitive evidence rules out a transmissible respiratory illness ( 7 , 9 ). (cdc.gov)
  • The MedStar Washington Hospital Center was founded on March 10, 1958, when three specialty hospitals, Central Dispensary and Emergency Center, Episcopal Eye, Ear and Throat Hospital, and Garfield Hospital, merged into one. (wikipedia.org)
  • In 2012-13, the MedStar Washington Hospital Center was named among "America's Best Hospitals" for Cardiology & Heart Surgery by U.S. News & World Report in the magazine's 22nd annual survey of nearly 5,000 health care facilities. (wikipedia.org)
  • Background: Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients. (tmu.edu.tw)
  • There are approximately 100,000 emergency admissions per week to hospitals in NHS England. (aridhia.com)
  • The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. (biomedcentral.com)
  • [ 3 ] The NIS is a 20% stratified sample of discharges from nonfederal community hospitals and does not include rehabilitation and long-term care hospitals. (medscape.com)
  • Patients were divided into two groups: patients who visited before and after the operation of the trauma center. (jtraumainj.org)
  • The findings confirmed that overall TBI patients and patients with isolated brain injury had improved treatment results and emergency care through the operation of a trauma center in a tertiary general hospital. (jtraumainj.org)
  • This finding suggests that patients with head injury account for a large proportion of patients treated at trauma centers. (jtraumainj.org)
  • The development of the trauma care system, which started in developed countries such as the United States and Canada, has contributed to reducing preventable trauma deaths and increasing the survival rate of trauma patients. (jtraumainj.org)
  • Patients with TBI have an increased survival rate when treated at trauma centers, compared to nontrauma centers [ 8 ]. (jtraumainj.org)
  • However, in Korea, the effect of operating a regional trauma center on patients with TBI remains unknown. (jtraumainj.org)
  • Trauma Center - visits to a trauma center/hospital as licensed or designated by the State or local government authority authorized to do so, or as verified by the American College of Surgeons and involving a trauma activation. (iyama.org)
  • You are not near a trauma center or the local ambulance service does not go to a trauma or stroke center. (iyama.org)
  • Mild TBI appears to be vastly underdiagnosed in the setting of systemic trauma, even in trauma centers. (medscape.com)
  • Take care to avoid injection of the tissues and to prevent additional trauma. (medscape.com)
  • Routinely collected data can be used to reveal local patterns of admission and costs. (bmj.com)
  • Data on AF hospitalizations after HT are limited to single-center experiences. (bvsalud.org)
  • The primary endpoint 'living at home' (the inverse of death or living in a residential care setting) is measured at 6 months follow-up, and we also collect data on this outcome at 12 months. (ox.ac.uk)
  • Gross costing first calculates the total costs of the service at the organizational, provider, or departmental level, then disaggregates the total costs to the cost centres (departments or units to which costs are assigned), depending on the richness of the available data and the homogeneity of the services provided. (who.int)
  • This paper describes the process of development and validation of our data collection tool "Multimorbidity Assessment Questionnaire for Primary Care (MAQ-PC). (hindawi.com)
  • Contrastingly, multimorbidity is still underexplored in India with the available evidence being mostly from secondary data sources, confined to selected population groups and encompassing few chronic conditions [ 9 ]. (hindawi.com)
  • The excess of male dengue cases in the surveillance data appeared to be associated with a truly higher risk of dengue rather than greater health care access or health care-seeking behaviour by young men. (who.int)
  • Design: Secondary data analysis. (tmu.edu.tw)
  • The secondary outcomes--diuretic dosing, weight monitoring, and hospital complications--were determined through a combination of administrative data and chart review. (wustl.edu)
  • It provides data on the programme did not show up for it) ate as a recovery-oriented system of performance on an annual basis to its care. (who.int)
  • MedStar Washington Hospital Center's neurosciences program offers the full range of surgical and minimally invasive treatment and operates the first JCAHO-accredited Primary Stroke Center in the District. (wikipedia.org)
  • The ACCESS treatment model offers assertive community treatment (ACT) embedded in an integrated care program to patients with severe psychotic disorders. (frontiersin.org)
  • 1 ] Anticipating the end of life (EOL) and making health care decisions about appropriate or preferred treatment or care near the EOL is intellectually challenging and emotionally distressing for patients with advanced cancer, their families and friends, oncology clinicians, and other professional caregivers. (cancer.gov)
  • This section summarizes information that will allow oncology clinicians and patients with advanced cancer to create a plan of care to improve QOL at the end of life (EOL) by making informed choices about the potential harms of continued aggressive treatment and the potential benefits of palliative or hospice care. (cancer.gov)
  • Participants Every individual with diagnosis of Alzheimer's disease seen and treated by mental health services in the catchment area, with at least one rating of cognition, not resident in care home at time of assessment (n=3075). (bmj.com)
  • 31 percent had a primary or a secondary diagnosis. (hourdetroit.com)
  • They were also less likely to have a formal secondary diagnosis. (sprc.org)
  • Numbers admitted to hospital with a diagnosis of alcoholic liver disease have more than doubled over the past ten years with 35,400 admissions in 2004- 05, up from 14,400 in 1995-96. (ias.org.uk)
  • Eligible birth defect codes found in any diagnosis field (i.e., primary or any of 24 reported secondary fields) were analyzed for all birth defects combined, for categories of birth defects broadly defined by organ system, [ 4 ] and for individual defects. (medscape.com)
  • The CBO was asked to conduct an examination of how the costs of health care provided by the Veterans Health Administration (VHA) compare with the costs of care provided by the private sector. (legion.org)
  • This occurs as a result of the vertebral compression fracture causing an additional kyphosis, shifting the patient's center of gravity anteriorly and producing a longer moment arm. (medscape.com)
  • Implementation phase: % of intervention meals consistent with patient's choice, % patients receiving weekly call centre phone call, field notes on any aspect of intervention meal delivery (including adaptations). (who.int)
  • In addition to its cardiac care specialties, the Hospital Center is respected as a top facility in other areas including cancer, neurosciences, gastrointestinal disorders, endocrinology, women's services, transplantation and burn. (wikipedia.org)
  • Center for Change's Stabilization program is designed to meet the needs of families who need inpatient rehabilitation services but may have limited financial resources and/or limited insurance benefit coverage. (centerforchange.com)
  • There is concern that existing models of acute hospital care will become unworkable as the health service admits an increasing number of frail older people with complex health needs, and that there is inadequate evidence to guide the planning of acute hospital level services. (ox.ac.uk)
  • From a societal perspective, the price is the amount that must be paid to elicit from providers the supply of health care services that the society wishes to have and is willing to pay for. (who.int)
  • This is a vitally important knowledge gap, as primary care constitutes the scaffold of health care delivery in the country and the complex care needs of multimorbid patients require appropriate redesigning of primary care services [ 11 ]. (hindawi.com)
  • Most western countries are experiencing greater pressure on community care services due to increased life expectancy and changes in policy toward prioritizing independent living. (jmir.org)
  • The main established technological innovation in home care services for older people is the personal emergency response system (PERS), which is widely adopted and used throughout most western countries aiming to support "aging safely in place. (jmir.org)
  • The review presents an overview of the body of research on this well-established telecare solution, indicating what is important for different actors in regard to accepting and using this technology in community care services. (jmir.org)
  • We offer high-quality bespoke consultancy services, and support programmes and projects from neighbourhoods to a national level, working with a range of partners from integrated care systems, local councils, and NHS organisations. (transformationpartnersinhealthandcare.nhs.uk)
  • ABSTRACT The aim of this study was to measure the performance of the National Rehabilitation Center (NRC) programme and the services it provides. (who.int)
  • RÉSUMÉ : La présente étude avait pour objectif de mesurer la performance du programme du Centre national de réadaptation et les services qu'il fournit. (who.int)
  • To characterize Home Care Services in the state of Santa Catarina, Brazil, and to know the care demands of children with special health care needs. (bvs.br)
  • Opening hours in most services are during the day, on weekdays and weekends, and all of them receive referrals from Primary Health Care teams. (bvs.br)
  • There are gaps in delivering evidence-based care for patients with chronic liver disease and cirrhosis. (jmir.org)
  • Home care presents complexities due to chronic conditions and the use of technological devices. (bvs.br)
  • In Brazil, children with special health care needs (CSHCN) are understood as the group of children who have one or more chronic health conditions, demanding continuous, temporary and, sometimes, permanent care, requiring a greater number of health visits than a healthy child. (bvs.br)
  • Washington Hospital Center is home to Washington's only 256-slice Cardiac CT scanner and has the only onsite 24/7 cardiac catheterization team in the region. (wikipedia.org)
  • Viral testing was performed in 11% (2,722/24,567) of hospital admissions and was not associated with reduced odds for death (odds ratio 0.90, 95% CI 0.76-1.10) or longer length of stay (+1 day for those tested). (cdc.gov)
  • Participants are randomised using a computerised random number generator to geriatrician-led admission avoidance hospital at home or a control group of inpatient admission in a 2:1 ratio in favour of the intervention. (ox.ac.uk)
  • The rate of admission was approximately 80 % greater in the group whose index admission was related to an IBD flare or complication compared to the other types of admission (rate ratio 1.8, 95 % confidence interval 0.96 to 3.4), although this difference did not reach statistical significance ( P = 0.07). (biomedcentral.com)
  • To investigate the impact of a 12-week exercise programme in addition to usual care for post-traumatic stress disorder (PTSD). (nih.gov)
  • The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. (biomedcentral.com)
  • In order to prove its effectiveness the intervention programme will be compared with standard care procedures (control group). (biomedcentral.com)
  • Usual care involved psychotherapy, pharmaceutical interventions, and group therapy. (nih.gov)
  • To increase the sensitivity values, the Youden index suggests at least 1·5 points to be the most suitable cut-off point for the inpatient fall risk screening tool. (tmu.edu.tw)
  • This calls for a recognition that place and actors matter, as does a sensitivity to technology as an integrated part of complex caring practices. (jmir.org)
  • Even though antibiotics won't cure viruses, including COVID-19, physicians concerned about secondary bacterial infections may nevertheless prescribe antibiotics to COVID-19 patients, sometimes before a bacterial infection is confirmed. (pewtrusts.org)
  • Our systematic review of multimorbidity studies in the south of Asia has confirmed the lack of uniformity in assessment of multimorbidity with the conspicuous absence of reports from primary care in India [ 9 ]. (hindawi.com)
  • Alongside the acute team, the Community Nursing Service also incorporates complex care team, palliative care team, continence, epilepsy, asthma specialist teams and special needs community and school nursing. (transformationpartnersinhealthandcare.nhs.uk)
  • Primary outcome was PTSD symptoms assessed via the PTSD checklist-civilian version (PCL-C). Secondary outcomes included symptoms of depression, anthropometry, physical activity, mobility, strength, and sleep quality. (nih.gov)
  • It is observed that around 17 per cent of the inpatients commit minimum one act at the time of admission (lozzino et al. (myassignment-services.com)
  • Physicians viewed the tool positively and suggested that it would be most useful at the time of admission. (jmir.org)
  • It was first tested with twelve adults for comprehensibility followed by test-retest reliability with 103 patients from four primary care practices. (hindawi.com)
  • This has led to a demand for change and innovation in caring practices with an expected increased use of technology. (jmir.org)
  • This integrative review examines how research literature describes use of the PERS focusing on the users' perspective, thus exploring how different actors experience the technology in use and how it affects the complex interactions between multiple actors in caring practices. (jmir.org)
  • The overall focus was on the end users' experiences and the consequences of having and using the alarm, and how the technology changes caring practices and interactions between the actors. (jmir.org)
  • The PERS is a widespread, integrated, and accepted technology innovation in care practices. (jmir.org)
  • Through focusing on the users` perspectives, this review explores how different actors experience the technology in use and how it affects the complex interactions between multiple actors in caring practices. (jmir.org)
  • Statistical analyses examined effects of cognition, physical health, mental health, sociodemographic factors and living circumstances on risk of admission to care home or hospital over 6 months and associated costs, adjusting for repeated observations. (bmj.com)
  • We looked at three institutional destinations separately: care home, general hospital inpatient and mental health inpatient. (bmj.com)
  • less than half of patients with a mental health emergency are referred for inpatient psychiatric care. (hourdetroit.com)
  • Like coming in with physical chest pains, those with mental health emergencies don't always fit the criteria for admission. (hourdetroit.com)
  • Unstructured informal interviews were conducted with local health care workers, primary and secondary school officials and villagers. (who.int)
  • Some have questioned the appropriateness of this as a performance indicator because other factors unrelated to the quality of care can affect the probability of readmission. (aridhia.com)
  • Effect of short call admission on length of stay and quality of care for acute decompensated heart failure. (wustl.edu)
  • Our objective was to examine the effect of short call admission on length of stay and quality of care for patients with acute decompensated heart failure. (wustl.edu)
  • Additional studies are needed to clarify the impact of short call admission on inpatient quality of care. (wustl.edu)
  • Reviews the concept of quality EOL care. (cancer.gov)
  • Summarizes and evaluates the commonly cited indicators of quality EOL care. (cancer.gov)
  • Surveys and interviews of patients with life-threatening illnesses, not restricted to cancer, can contribute to the understanding of what constitutes high-quality EOL care. (cancer.gov)
  • A variety of indicators have been proposed to measure the quality of EOL care in patients with advanced cancer. (cancer.gov)
  • Six themes relating to barriers and facilitators to lung-cancer care were identified, and the authors concluded that these factors must be addressed to improve quality of care among lung cancer patients. (ahrq.gov)
  • Further studies are underway to assess the impact on quality of care for patients with cirrhosis in actual practice. (jmir.org)
  • Crossing the global quality chasm: Improving health care worldwide. (who.int)
  • Although you should not delay care and should go to the closest appropriate emergency department, you should notify your insurance company or health maintenance organization (HMO) of your admission as soon as safely possible. (iyama.org)
  • If you are feeling very ill, you may seek help at a hospital's emergency department, but for fast and effective care, the illness should be an emergency condition. (iyama.org)
  • You can always go back to an emergency department to be considered for admission to a hospital at any time, but you may need to go through all of the diagnostic testing, even if you go back to the same hospital, depending on the time interval and the judgment of the admitting doctor(s). (iyama.org)