Defining and disseminating the hospital-at-home model

Defining and disseminating the hospital-at-home model.

Continuous peripheral nerve blocks in the hospital and at home.

A single-injection peripheral nerve block using long-acting local anesthetic provides analgesia for 12 to 24 hours; however, many surgical procedures result in pain that lasts far longer. One relatively new option is a continuous peripheral nerve block (CPNB): local anesthetic is perfused via a perineural catheter directly adjacent to the peripheral nerve(s) supplying the surgical site, providi...

Satisfaction with hospital at home care.

OBJECTIVES To examine differences in satisfaction with acute care between patients who received treatment in a physician-led substitutive Hospital at Home program and those who received usual acute hospital care. DESIGN Survey questionnaire of participants in prospective, nonrandomized clinical trial. SETTING Three Medicare-managed care health systems and a Department of Veterans Affairs Me...

Hospital at home: the right place for the right patient.

Hospitals have existed for centuries, linked to religious beliefs in ancient times, then shifting focus to care for the poor and sick, before evolving into the modern beacons of health care with dense concentrations of specialty care, expertise, and technologic advances. For the very ill, optimal or best care became synonymous with care in a hospital, and the model of health care shifted from h...

Beyond the hospital: continuous peripheral nerve blocks at home.

PROVIDING extended analgesia after painful surgery remains one of the main barriers to expanding the types of cases performed on an ambulatory basis. This fundamental obstacle also hampers the compassionate care we provide to many current outpatients because they suffer from inadequate analgesia. Chung et al. helped quantify failure of outpatient pain management and noted that after some orthop...