Abstract Background Centers for Medicare and Medicaid Services (CMS) funded demonstration project to evaluate financial incentives nursing facilities providing care 6 clinical conditions reduce potentially avoidable hospitalizations (PAHs). The Optimizing Patient Transfers, Impacting Medical Quality, Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) site tested payment alone in c...

AIM This analysis compares the staffing implications of three measures of nurse staffing requirements: midnight census, turnover adjustment based on length of stay, and volume of admissions, discharges and transfers. BACKGROUND Midnight census is commonly used to determine registered nurse staffing. Unit-level workload increases with patient churn, the movement of patients in and out of the n...

INTRODUCTION Difficulties have been reported in the patient distribution during Mass Casualty Incidents. In this study we analysed the regional patient distribution protocol (PDP) and the actual patient distribution after the 2009 Turkish Airlines crash near Amsterdam. METHODS Analysis of the patient distribution of 126 surviving casualties of the crash by collecting data on medical treatment...

INTRODUCTION The critically-ill undergoing inter-hospital transfers commonly receive sedatives in continuation of their therapeutic regime or to facilitate a safe transfer shielded from external stressors. While sedation assessment is well established in critical care in general, there is only little data available relating to the special conditions during patient transport and their effect on ...

INTRODUCTION As patients move within Australia's increasingly complex healthcare system, it is desirable that they receive uninterrupted, timely and accurate administration of medication. For this to occur, effective communication of medication information is required, and mechanisms must be in place to ensure timely administration. This study focused on these issues as they apply to patients b...

regarding articles 134 and 138 of the constitutional law and in accordance with the notes of 4-37, 8-1, 8-2 and 8-3 of the general policies from the first section of the first five year economic plan, in order to increase efficiency in public enterprises, reduce the size of the government and its intervention in non necessary economic activities, to create economic equilibrium, and to optimize ...

OBJECTIVES To study the extent and execution of redundant processes during inpatient transfers to Radiology, and their impact on errors during the transfer process; to explore the use of causal and reliability analyses for modelling error detection and redundancy in the transfer process; and to provide guidance on potential system improvements. METHODS A prospective observational study at a m...