Research Topics
| bed occupancySummarySummary: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time. Top Publications
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Publications
A conceptual model of emergency department crowdingBrent R Asplin
Department of Emergency Medicine, Regions Hospital and HealthPartners Research Foundation, and University of Minnesota Medical School, St Paul and Minneapolis, MN 55101, USA
Ann Emerg Med 42:173-80. 2003..The goal of the conceptual model is to provide a practical framework on which an organized research, policy, and operations management agenda can be based to alleviate ED crowding...
Emergency department crowding: a point in timeSandra M Schneider
Department of Emergency Medicine, University of Rochester, Rochester, NY 14642
Ann Emerg Med 42:167-72. 2003..In addition, we sought to measure the degree of physical crowding and personnel shortage in our sample...
Bed occupancy, turnover interval and MRSA rates in Northern IrelandJoseph B Cunningham
Faculty of Life and Health Sciences, The University of Ulster at Jordanstown, Shore Road, Newtown Abbey, Co Antrim, Northern Ireland
Br J Nurs 15:324-8. 2006..49 (ns). The conclusions drawn from the study are that in many Trusts the rates of bed occupancy for general surgery and general medicine is in excess of national guidelines and rapid turnover of patients is ..
Emergency Department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the Emergency DepartmentJonathan S Olshaker
Department of Emergency Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
J Emerg Med 30:351-6. 2006..This article will review how overcrowding occurred with a focus on the significance and potential remedies of extended boarding of admitted patients in the Emergency Department...
Evaluation of Fast TrackShane Combs
Joondalup Health Campus, Shenton Avenue, Perth, WA 6027, Australia
Accid Emerg Nurs 15:40-7. 2007..As a result of Fast Track, the Emergency Department waiting area is less congested and staff moral has increased. A further consequence of Fast Track is that nurses are providing more advanced clinical services to patients...
Total and excess bed occupancy by age, specialty and insulin use for nearly one million diabetes patients discharged from all English Acute HospitalsMike J Sampson
Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
Diabetes Res Clin Pract 77:92-8. 2007To investigate total diabetes bed occupancy and prolonged inpatient length of stay (LOS) in all English Acute Hospitals, we analysed hospital episode statistics (HES) discharge data for all English Acute Hospitals over 4 years for ICD10 ..
Trends in bed occupancy for inpatients with diabetes before and after the introduction of a diabetes inpatient specialist nurse serviceM J Sampson
Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
Diabet Med 23:1008-15. 2006To compare diabetes bed occupancy and inpatient length of stay, before and after the introduction of a dedicated diabetes inpatient specialist nurse (DISN) service in a large UK Hospital.
Organization of intensive care units in Europe: lessons from the EPIC studyJ L Vincent
Department of Intensive Care, Erasme University Hospital, Belgium
Intensive Care Med 23:1181-4. 1997..To study differences related to intensive care unit (ICU) structure and patient demography between the various countries of Western Europe...
Managing capacity and workload in children's servicesWyatt Matt
Women's and Children's Services, Princess of Wales Hospital, Bro Morgannwg NHS Trust, Bridgend
Paediatr Nurs 17:31-4. 2005
The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departmentsPeter C Sprivulis
Department of Emergency Medicine, University of Western Australia, 2nd Floor R Block, Queen Elizabeth II, Medical Centre, Verdun Street, Nedlands, WA 6009, Australia
Med J Aust 184:208-12. 2006..To examine the relationship between hospital and emergency department (ED) occupancy, as indicators of hospital overcrowding, and mortality after emergency admission...
The use of cusum analysis in the early detection and management of hospital bed occupancy crisesClaire M Burns
Queensland Clinical Practice Improvement Centre, Queensland Health, Brisbane, QLD, Australia
Med J Aust 183:291-4. 2005..DESIGN: Comparative analysis of medical patient flows, bed occupancy, and emergency department admission rates and access block over 2 years...
Bed occupancy, turnover intervals and MRSA rates in English hospitalsJoseph B Cunningham
Faculty of Life and Health Sciences, The University of Ulster at Jordanstown, Newtownabbey, Co Antrim, Northern Ireland
Br J Nurs 15:656-60. 2006..a follow on from an article concentrating on Northern Ireland) examines the relationship between percentage bed occupancy (PO), turnover interval (TI) and methicillin-resistant Staphylococcus aureus (MRSA) rates in the acute beds of ..
Total time in English accident and emergency departments is related to bed occupancyM W Cooke
Emergency Medicine Research Group, Centre for Primary Health Care Studies, University of Warwick, Coventry, UK
Emerg Med J 21:575-6. 2004
Reinstitutionalisation in mental health care: comparison of data on service provision from six European countriesStefan Priebe
Unit for Social and Community Psychiatry, Queen Mary University of London, Newham Centre for Mental Health, London E13 8SP
BMJ 330:123-6. 2005..To establish whether reinstitutionalisation is occurring in mental health care and, if so, with what variations between western European countries...
Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costsNeil A Halpern
Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA
Crit Care Med 32:1254-9. 2004..To establish a database that permits description and analysis of the evolving role, patterns of use, and costs of critical care medicine (CCM) in the United States from 1985 to 2000...
Bed occupancy and overcrowding as determinant factors in the incidence of MRSA infections within general ward settingsM A Borg
Infection Control Unit, St Luke s Hospital, G Mangia MSD08, Malta
J Hosp Infect 54:316-8. 2003Methicillin-resistant Staphylococcus aureus (MRSA) incidence and bed occupancy rates at St Luke's Hospital, Malta, were assessed over a 24-month period. A significant positive correlation was established (r=0.463; P<0...
Strategies for cutting hospital beds: the impact on patient serviceL V Green
Graduate School of Business, Columbia University, New York, NY 10027 6902, USA
Health Serv Res 36:421-42. 2001..To develop insights on the impact of size, average length of stay, variability, and organization of clinical services on the relationship between occupancy rates and delays for beds...
Using autoregressive integrated moving average (ARIMA) models to predict and monitor the number of beds occupied during a SARS outbreak in a tertiary hospital in SingaporeArul Earnest
Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore
BMC Health Serv Res 5:36. 2005..The main objective of this study is to apply autoregressive integrated moving average (ARIMA) models to make real-time predictions on the number of beds occupied in Tan Tock Seng Hospital, during the recent SARS outbreak...
[Failure of a special winter programme aimed to alleviate negative effects of winter overload on an emergency department]Emilio Salgado
Sección de Urgencias de Medicina, Area de Urgencias, Hospital Clinic, Barcelona, Espana
Med Clin (Barc) 130:286-91. 2008....
A retrospective audit of paediatric surgical admission in a sub-urban tertiary hospitalL O A Thanni
Department of Orthopaedics and Traumlatology, College of Health Sciences, Olabisi Onabanjo University, P M B 2022, Sagamu, Ogun State
West Afr J Med 24:10-2. 2005..Data on utilization of paediatric surgical services and the burden of paediatric surgical diseases in the West African subregion is scarce...
Elderly face longer bed wait times in hospitalsShawna Lessard
CMAJ 178:18. 2008
Demand and availability of Intensive Care beds. A study based on the data collected at the SUEM 118 Central of Padua from October 1996 to December 2001S Barbieri
Department of Pharmacology and Anesthesia E Meneghetti, University of Padua, Padua, Italy
Minerva Anestesiol 69:625-34, 634-9. 2003..A secondary objective was to evaluate if the critically ill patients had been admitted and treated in the most appropriate medical facility...
Cyclic fluctuations in hospital bed occupancy in Roma (Italy): supply or demand driven?D Fusco
Department of Epidemiology, Local Health Authority RME, Roma, Italy
Health Serv Manage Res 16:268-75. 2003The objective of this study was to assess hospital bed occupancy both by planned and unplanned cases, and to assess how supply and demand affect bed occupancy...
Relieving an overcrowded ED and increasing capacity for regional transfers: one hospital's bed management strategiesRuth Hemphill
Emergency Services and Critical Care, Saint Francis Hospital, 6161 S Yale Ave, Tulsa, OK 74136, USA
J Emerg Nurs 31:243-6; quiz 323. 2005
Placing emergency department crowding on the decision agendaVictoria M Bradley
University of Kentucky Hospital, Lexington, KY, USA
J Emerg Nurs 31:247-58. 2005
Multidisciplinary meetings in medical admissions unitsAlexandra Gallagher
Lister Hospital, East and North Hertfordshire NHS Trust
Nurs Times 100:34-6. 2004..The number of medical patients occupying surgical beds decreased by 100 per cent, which reduced disruption to elective surgery schedules...
Analyzing fluctuating unit census for timely staffing interventionCheryl Wagner
School of Nursing, Kaplan University, Davenport, IA, USA
Nurs Econ 23:85-90, 55. 2005....
Impact of emergency admissions on elective surgical workloadA Nasr
Department of Surgery, James Connolly Memorial Hospital, Dublin, Ireland
Ir J Med Sci 173:133-5. 2004..Day case surgery is the most cost-effective approach for all minor, most intermediate and some major surgery...
Are elective surgical operations cancelled due to increasing medical admissions?W B Robb
Department of Surgery, Beaumont Hospital and The Royal College of Surgeons in Ireland
Ir J Med Sci 173:129-32. 2004..Cancellation of operations increases theatre costs and decreases efficiency. We examined the causes of theatre cancellations in general surgery...
A strategy to manage overcrowding: development of an ED holding areaLaura T Gantt
Division of Emergency and Transport Services, Pitt County Memorial Hospital, Greenville, NC, USA
J Emerg Nurs 30:237-42. 2004
Avoiding a crowd in the EDLinda Jinks Honeycutt
Children's Hospital, Birmingham, AL, USA
Nurs Manage 35:47-9. 2004..Successfully respond to patient throughput challenges, such as bottlenecks and lack of resources...
Crowded EDs: the challengePatricia Kunz Howard
RN 68:9. 2005
Disaster readiness. Is this bed taken?Douglas Page
Hosp Health Netw 78:14, 16, 19. 2004
Bed usage in a Dublin teaching hospital: a prospective auditA John
Department of Respiratory Medicine, James Connolly Memorial Hospital, Dublin, Ireland
Ir J Med Sci 173:126-8. 2004....
A clinical audit of neurosurgical bed usageR Chelvarajah
Department of Neurosurgery, Essex Centre for Neurosciences, Queen s Hospital, Romford, UK
Br J Neurosurg 21:610-3; discussion 614-5. 2007..To investigate inefficiencies during patients' stay in neurosurgical beds...
Hospital overcrowding: an opportunity for case managersFlorence M Simmons
Medical University of South Carolina, Charleston, USA
Case Manager 16:52-4; quiz 55. 2005..Trauma patients may have to be diverted to other hospitals to receive the appropriate level of care. Patients who require specialty services may have to wait for extended periods to obtain a bed in a referral center...
Emergency department overcrowding: what is the answer?Gordon B Natal
J Emerg Nurs 33:99-100. 2007
Hospital financial performance in the United States of America: a follow-up studyM Z Younis
Department of Health Policy and Management, Robert Stempel School of Public Health, Florida International University, Miami, United States of America
East Mediterr Health J 12:670-8. 2006..Among the explanatory variables considered, geographic location, competition, hospital size and occupancy rate were identified as the main contributors to hospital profitability...
The opportunity loss of boarding admitted patients in the emergency departmentThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:332-7. 2007....
[Capacity in Danish intensive care units. A national survey of capacity, cancellations and transfers of critically ill patients]Anne Lippert
Ugeskr Laeger 169:712-6. 2007..transfer to other intensive care units, cancellation of operations, tighter visitation criteria and an increase in the work-load. The problem is illustrated in a national survey...
"Stay, just a little bit longer..."Gavin D Leslie
Aust Crit Care 19:119. 2006
The financial impact of ambulance diversions and patient elopementsThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:58-62. 2007..The objective of this study was to develop a practical method for quantifying the revenues that are potentially lost as a result of patient elopements and ambulance diversion...
Developing bed managers: the why and the howNathan Proudlove
Operational Research, Manchester Business School, University of Manchester, Booth Street West, Manchester, UK
J Nurs Manag 15:34-42. 2007..We conclude that the programme is an effective way to enhance the knowledge and skills of bed managers, and that the enhanced profile of bed management raises challenges for nurse managers in many areas of the organization...
Incorporating efficiency in hospital-capacity planning in GermanyLudwig Kuntz
Department of Healthcare Management, University of Cologne, Cologne, Germany
Eur J Health Econ 8:213-23. 2007..On the upside, we identified 15 efficient hospitals. The developed model and analysis has affected the federal state's most recent medium term planning cycle...
Inpatient nursing unit volume, length of stay, cost, and mortalityJoan M Rimar
Decision Support, Yale-New Haven Health System, New Haven, CT, USA
Nurs Econ 24:298-307, 279. 2006..This finding suggests that, in some cases, aggregating inpatients with similar clinical conditions may result in lower cost of care, shorter length of stay, and fewer hospital deaths...
The effect of emergency department expansion on emergency department overcrowdingJin H Han
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
Acad Emerg Med 14:338-43. 2007..To examine the effects of emergency department (ED) expansion on ambulance diversion at an urban, academic Level 1 trauma center...
Association between hospital size and pharmacy department productivityShiraz R Gupta
Center for Pharmacoeconomic Research and Department of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago UIC 60612, and Saint Clare s Hospital, Denville, NJ, USA
Am J Health Syst Pharm 64:937-44. 2007....
Facilitating EMS turnaround intervals at hospitals in the face of receiving facility overcrowdingMarc Eckstein
Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, USA
Prehosp Emerg Care 9:267-75. 2005..Federal and state health officials should also play an active role in monitoring progress and compliance...
Internet-accessible emergency department workload information reduces ambulance diversionPeter Sprivulis
Department of Health, Western Australia, Perth
Prehosp Emerg Care 9:285-91. 2005....
Intra-unit patient transports: time, motion, and cost impact on hospital efficiencyAnn L Hendrich
Ascension Health, St. Louis, MO, USA
Nurs Econ 23:157-64, 147. 2005..Solid evidence to support the improvement of hospital and patient care efficiency through the identification and suggested elimination of waste patterns within the transport process is presented...
A study on bed utilization in the gynaecological ward of a district hospital in West BengalS Dutta
N B Medical College, West Bengal
Indian J Public Health 49:263-4. 2005..7days. Bed turnover rate was 13.8 and was higher for emergency beds (22.1) compared to OPD beds (9). Bed occupancy rate was 61.3% with significant difference between OPD beds (57.5%) and emergency beds (65.4%).
The emergency department occupancy rate: a simple measure of emergency department crowding?Melissa L McCarthy
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21209, USA
Ann Emerg Med 51:15-24, 24.e1-2. 2008..We examine the validity of the emergency department (ED) occupancy rate as a measure of crowding by comparing it to the Emergency Department Work Index Score (EDWIN), a previously validated scale...
Seeing is believingZoe Packman
King's College Hospital NHS Foundation Trust, London
Nurs Manag (Harrow) 14:20-3. 2007
Emergency department patient preferences for boarding locations when hospitals are at full capacityChad Garson
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 51:9-12, 12.e1-3. 2008..One alternative is to board admitted patients in inpatient hallways. We assess ED patient preferences for boarding location...
Time series analysis of variables associated with daily mean emergency department length of stayNiels K Rathlev
Department of Emergency Medicine, Boston Medical Center, One Boston Medical Center Place, Boston, MA 02118, USA
Ann Emerg Med 49:265-71. 2007..We measure the effect of various input, throughput, and output factors on daily emergency department (ED) mean length of stay per patient (daily mean length of stay)...
Capacity planning seeing the forest for the treesDean C Coddington
McManis Consulting, Greenwood Village, Colo, USA
Healthc Financ Manage 57:50-7. 2003....
Take a numberScott D Smith
Minn Med 90:26-30. 2007
Clinical decision units: A new development for emergency medicine in the United KingdomAlastair McGowan
St James University Hospital and The General Infirmary at Leeds, Leeds Teaching Hospitals Trust, Leeds, United Kingdom
Emerg Med (Fremantle) 15:18-21. 2003..3,4 The problems are best seen as a failure in the overall system with inadequacies in the bed base (bed occupancy levels are frequently in excess of 95%), inefficiencies in the way patients are managed within the ED and ..
An evaluation of bed management in a rural hospital adjacent to Indo-Nepal border in West BengalV Thapa
Naxalbari Rural Hospital
Indian J Public Health 46:57-60. 2002..The turnover rate, turnover interval, bed occupancy rate and average length of stay were closely corroborating.
Can good bed management solve the overcrowding in accident and emergency departments?N C Proudlove
Manchester School of Management, UMIST, PO Box 88, Manchester M60 1QD, UK
Emerg Med J 20:149-55. 2003
Assessing the performance of rural hospitalsPatricia J Martens
Manitoba Centre for Health Policy
Healthc Manage Forum . 2002..Hospital type was also an important factor for performance. The rural hospital indicators would be useful to hospital planners and regional policy makers for comparison purposes and for highlighting issues that need to be addressed...
Can we safely discharge patients from the intensive care unit after hours?Karen Brasel
Crit Care Med 36:2443-4. 2008
The effect of hospital occupancy on emergency department length of stay and patient dispositionAlan J Forster
Departments of Medicine, University of Ottawa, Ottawa, Ontario, Canada
Acad Emerg Med 10:127-33. 2003..Emergency department (ED) overcrowding is a common problem. Despite a widespread belief that low hospital bed availability contributes to ED overcrowding, there are few data demonstrating this effect...
Maximizing hospital capacity. Expediting patient throughput can provide an immediate solution to capacity shortagesLaurie N Smith
Healthc Exec 18:58-9. 2003
Delays in implementing admission orders for critical care patients associated with length of stay in emergency departments in six mid-Atlantic statesKaren Clark
PinnacleHealth System, Harrisburg, PA, USA
J Emerg Nurs 28:489-95. 2002..Little or no literature exists on this topic...
So many patients, so few bedsMyrna Loy McAnderson Spencer
Providence Medical Center, Kansas City, KS, USA
Nurs Manage 33:41-2. 2002..Limited bed availability can cause bottlenecks within post-anesthesia care units and emergency departments. Here, review several solutions for decreasing inpatient delays...
Striving towards efficiency in the Greek hospitals by reviewing case mix classificationsNicholas M Polyzos
Onassis Cardiac Surgery Center, 356, Sygrou 356 Ave, 176 74, Kallithea, Greece
Health Policy 61:305-28. 2002..Further to the scientific results, such studies will enhance much necessary discussions on the organisation of service delivery and financing, by following case mix classification...
Impact of critical bed status on emergency department patient flow and overcrowdingStephen Liu
Stanford/Kaiser Emergency Medicine Residency Program, Stanford University, Palo Alto, CA, USA
Acad Emerg Med 10:382-5. 2003..02) but did not experience other significant delays. CONCLUSIONS: During times of acute overcrowding, the most significant delay occurs awaiting placement in the ED bed...
[Brain storming. Interview by Charles Meunier]Liette Simard
Perspect Infirm 5:15-6. 2008
All accounted for--handling the daily fluctuations of today's hospital censusPhil Lee
Health Facil Manage 16:40-4. 2003
The cost of inefficiency in US hospitals, 1985-1997Bimal R Shah
Stanford University Hospitals, USA
J Health Care Finance 30:1-9. 2003..Hospital overhead costs are increasing faster than would be expected if efficiency were the primary goal of hospital management...
Emergency department overcrowding in the United States: an emerging threat to patient safety and public healthS Trzeciak
Department of Emergency Medicine, Section of Critical Care Medicine, Robert Wood Johnson Medical School at Camden, University of Medicine and Dentistry of New Jersey, Cooper Health System, Camden, USA
Emerg Med J 20:402-5. 2003..4) Potential solutions for ED overcrowding will require multidisciplinary system-wide support...
Foreign field hospitals in the recent sudden-onset disasters in Iran, Haiti, Indonesia, and PakistanJohan von Schreeb
Division of International Health IHCAR, Karolinska Institutet, Stockholm, Sweden
Prehosp Disaster Med 23:144-51; discussion 152-3. 2008..Foreign field hospitals (FFHs) may provide care for the injured and substitute for destroyed hospitals in the aftermath of sudden-onset disasters...
Building rehabilitation capacity in rural in New South WalesJulie Pryor
Royal Rehabilitation Centre Sydney, Ryde, New South Wales, Australia
Rural Remote Health 9:1113. 2009....
Center differences in NEC within one health-care system may depend on feeding protocolSusan E Wiedmeier
LDS Hospital and the University of Utah School of Medicine, Salt Lake City, Utah
Am J Perinatol 25:5-11. 2008..This difference could not be accounted for by differences in maternal or neonatal demographic characteristics, bed occupancy rates, or a higher incidence of culture-proven nosocomial bacterial or fungal infections...
[Intensive care in Africa: a report of the first two years of activity of the intensive care unit of Ouagadougou national hospital (Burkina Faso)]Nazinigouba Ouedraogo
Centre hospitalier national Yalgado Ouédraogo 01, Ouagadougou, 01, Burkina Faso
Sante 12:375-82. 2002..The analysis of such experience raises the issues related to intensive care in a developing country in terms of technical and social efficiency...
Two ophthalmology departments financed by compulsory health insurance: what is it that makes a difference in costs and clinical effectiveness?Mirjana Nasic
Department of Ophthalmology, Zagreb University Hospital Center, Kispaticeva 12, 10000 Zagreb, Croatia
Croat Med J 43:433-8. 2002..To identify factors contributing to significant differences between two university hospital departments of ophthalmology, one in Paris, France, and the other in Zagreb, Croatia, in their clinical effectiveness and cost-efficiency...
Marital status and bed occupancy in health and social care facilities in the United KingdomP M Prior
School of Sociology and Social Policy, Queen s University Belfast, Belfast, Northern Ireland
Public Health 115:401-6. 2001..Using bed occupancy in health and social care facilities as a proxy for ill health, this paper investigates the relationship ..
[Public, decentralized and community health networks in Bolivia]F Lavadenz
Servicos de Salud, Ministerio de Salud y Previsión Social, Capitán Ravelo 2199, Zona Central, La Paz, Bolivia
Rev Panam Salud Publica 9:182-9. 2001..b>Bed occupancy rates are generally very low in secondary hospitals in Bolivia, with that figure being just 43% in the ..
Measuring the effect of enhanced cleaning in a UK hospital: a prospective cross-over studyStephanie J Dancer
Department of Microbiology, Hairmyres Hospital, East Kilbride, UK
BMC Med 7:28. 2009..This study aimed to evaluate the potential impact of one additional cleaner by using microbiological standards based on aerobic colony counts and the presence of Staphylococcus aureus including meticillin-resistant S. aureus...
An economic evaluation of a perindopril-based blood pressure lowering regimen for patients who have suffered a cerebrovascular eventManouchehr Tavakoli
School of Management, University of St Andrews, St Andrews, KY16 9SS, UK
Eur J Health Econ 10:111-9. 2009..The economic impact of stroke is clearly seen, as it is the largest single cause of bed occupancy in hospitals in England and accounts for 6% of hospital costs...
The changing impact of HIV/AIDS on Kenyatta National Hospital, Nairobi from 1988/89 through 1992 to 1997G Arthur
Tropical Medicine Division, Liverpool School of Tropical Medicine, UK
AIDS 14:1625-31. 2000..The main outcome measures were clinical stage, HIV status, bacteraemia, length of stay, bed occupancy, final diagnosis and outcome of hospital admission...
Does daily nurse staffing match ward workload variability? Three hospitals' experiencesUri Gabbay
Epidemiology Section, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Int J Health Care Qual Assur 22:625-41. 2009..Nurse shortage and rising healthcare resource burdens mean that appropriate workforce use is imperative. This paper aims to evaluate whether daily nursing staffing meets ward workload needs...
Influenza outbreaks and hospital bed occupancy in Rome (Italy): current management does not accommodate for seasonal variations in demandD Fusco
Department of Epidemiology, Local Health Authority RME, Roma, Italy
Health Serv Manage Res 19:36-43. 2006..Time series analysis of daily bed occupancy in different specialty areas by influenza-related and influenza-unrelated cases was performed...
Redesigning acute mental health services: an audit into the quality of inpatient care before and after service redesign in GrampianM Melvin
Adult Mental Health Services, Grampian Primary Care NHS Trust, Royal Cornhill Hospital, Aberdeen, UK
J Psychiatr Ment Health Nurs 12:733-8. 2005..This audit focused on the number of admissions, the bed occupancy, the number of incidents, the number of days the ward doors were locked, observation levels, sickness levels ..
Communication of bed allocation decisions in a critical care unit and accountability for reasonablenessAndrew B Cooper
Department of Critical Care Medicine, Sunnybrook and Women s College Health Science Centre, University of Toronto, Toronto, Canada
BMC Health Serv Res 5:67. 2005..Communication may affect perceptions of fair process for intensive care unit bed allocation decisions through its impact on the publicity condition of accountability for reasonableness...
Risk factors associated with falls among Chinese hospital inpatients in TaiwanYu Chih Chen
Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan
Arch Gerontol Geriatr 48:132-6. 2009..and were associated with physical, functional and psychological morbidity for patients and excess cost, bed occupancy, complaints and litigation for hospitals...
Changes in bed resources and admission patterns in acute public hospitals in Victoria, 1987-1995C R Macintyre
Victorian Infectious Diseases Service, Royal Melbourne Hospital
Med J Aust 167:186-9. 1997..To describe changes in admission patterns, bed resources and hospital use in acute public hospitals and their relationship with early readmissions and interhospital transfers in Victoria between 1987 and 1995...
Gender trends in occupancy rates in mental health beds in Northern IrelandP M Prior
School of Sociology and Social Policy, Queen s University of Belfast, Northern Ireland, UK
Soc Sci Med 52:537-45. 2001..between war and mental health and gender and mental health respectively--it explores changing patterns in bed occupancy in terms of both gender and age differences within this society...
Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation modelAlan B Storrow
Department of Emergency Medicine, Vanderbilt University, Nashville, TN, USA
Acad Emerg Med 15:1130-5. 2008..Furthermore, such models may suggest the advantage of bedside or point-of-care testing and how they might affect efficiency measures...
Diagnostic utility, safety, and cost-effectiveness of emergency department-initiated early scheduled technetium-99m single photon emission computed tomography imaging followed by expedited outpatient cardiac clinic visits in acute chest pain syndromesRaymond C Wong
Cardiac Department, National University Heart Centre, National University Hospital, 5 Lower Kent Ridge Road, Level 3 Main Building, Singapore, Singapore, 119074
Emerg Radiol 17:375-80. 2010..approach to triaging acute chest pain syndromes may lead to unnecessary admissions, resulting to in-hospital bed occupancy and increased healthcare costs...
Knowledge, attitude and practice of home-based care for HIV/AIDS patients by their family/ caregivers at Jimma TownTefera Belachew
Department of Population and Family Health, Public Health Faculty, Jimma University
Ethiop Med J 45:283-92. 2007..The current prevalence rate of infection is estimated at 4.4% nationally. Hospital bed occupancy rate due to AIDS has reached over 50% in urban hospitals creating a severe burden to the health service system ..
Negative predictive value and potential cost savings of acute nuclear myocardial perfusion imaging in low risk patients with suspected acute coronary syndrome: a prospective single blinded studyJakob L Forberg
Divisions of Emergency Medicine, Department of Clinical Sciences, Lund University Hospital, Lund, Sweden
BMC Emerg Med 9:12. 2009..The aim of this study was to evaluate the utility and hospital economics of acute MPI in Swedish ED patients with suspected ACS...
Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reportsF Healey
National Patient Safety Agency, London, UK
Qual Saf Health Care 17:424-30. 2008....
An objective method for bed capacity planning in a hospital department - a comparison with target ratio methodsJ M Nguyen
PIMESP, CHU Nantes, rue Saint Jacques, 44093 Nantes Cedex 1, France
Methods Inf Med 46:399-405. 2007..To propose an objective approach in order to determine the number of beds required for a hospital department by considering how recruitment fluctuates over time. To compare this approach with classical bed capacity planning techniques...
Sustaining the implementation of an evidence-based guideline for bronchiolitisP H Perlstein
Division of Health Policy and Clinical Effectiveness, Children s Hospital Medical Center, Cincinnati, OH, USA
Arch Pediatr Adolesc Med 154:1001-7. 2000..To describe the changes occurring over a 3-year period after implementation of an evidence-based clinical practice guideline for the care of infants with bronchiolitis...
Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for GhanaB Akpalu
Kintampo Health Research Centre, Ghana
Afr J Psychiatry (Johannesbg) 13:109-15. 2010..This paper aims to explore the options available for developing community-based care and improving the quality of care in psychiatric hospitals in Ghana...
Investigation of an outbreak of Enterobacter cloacae in a neonatal unit and review of the literatureM Dalben
Hospital das Clinicas, University of Sao Paulo, Department of Infectious Diseases, Sao Paulo, Brazil
J Hosp Infect 70:7-14. 2008..02). Multivariate analysis did not find any independent risk factor. Bed occupancy rate in March 2006 was 109.6%, indicating overcrowding...
What do we know about life on acute psychiatric wards in the UK? A review of the research evidenceA Quirk
Royal College of Psychiatrists Research Unit, London, UK
Soc Sci Med 53:1565-74. 2001..this include that there have been increases in admission rates, the proportion of compulsory admissions, and bed occupancy rates...
Evaluation of an evidence-based guideline for bronchiolitisP H Perlstein
Division of Health Policy, Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
Pediatrics 104:1334-41. 1999..To describe the effect of implementing an evidence-based clinical practice guideline for the inpatient care of infants with bronchiolitis at the Children's Hospital Medical Center in Cincinnati, Ohio...
Restricted weekend service inappropriately delays discharge after acute myocardial infarctionA M Varnava
Department of Cardiology, London Chest Hospital, Bonner Road, London E2, UK
Heart 87:216-9. 2002Early discharge after myocardial infarction is safe and feasible. Factors that delay discharge need to be identified in order to improve care and reduce bed occupancy.
Research Grants
- Development, Implementation, and Evaluation of the Surgical Bed Management SystemKATHERINE ROWELL; Fiscal Year: 2009..Secondary outcomes will be user satisfaction assessed with a survey instrument and an assessment of marketability based on structured interviews with key hospital leadership personnel. ..
- Development, Implementation, and Evaluation of the Surgical Bed Management SystemKATHERINE ROWELL; Fiscal Year: 2007..Secondary outcomes will be user satisfaction assessed with a survey instrument and an assessment of marketability based on structured interviews with key hospital leadership personnel. ..
- EXAMINING NURSING HOME COMPARENicholas Castle; Fiscal Year: 2005..abstract_text> ..
- POOR QUALITY IN PSYCHOACTIVE DRUG USENicholas Castle; Fiscal Year: 2004..abstract_text> ..
- Agency Staffing and Nursing Home QualityNicholas G Castle; Fiscal Year: 2010..This investigation examines use of agency staff and quality of care. Our results will have implications for policy makers, practitioners, and consumers. ..
- Staffing Characteristics of Nursing Homes and QualityNicholas Castle; Fiscal Year: 2007..We will examine the associations between staffing levels, turnover, stability, and use of agency staff and quality, not only for licensed practical nurses (LPNs), and registered nurses (RNs), but also for nurse aides (NAs). ..
- The Influence of Staff Turnover on QualityNicholas Castle; Fiscal Year: 2007....
- INCIDENT REPORTING IN NURSING HOMESNicholas Castle; Fiscal Year: 2007..This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. ..
- Rural Hospital Nursing: Environment, Effects and EvidenceRobin Newhouse; Fiscal Year: 2007..This project has promising potential to improve quality of care to the rural population using the novel approach of focusing on an understudied area, nursing in rural hospitals. ..
- EMERGENCY DEPARTMENT OVERCROWDING AND QUALITY OF ACUTE ASTHMA CARE FOR CHILDRENMarion Sills; Fiscal Year: 2007..Because the study centers on a priority population-children-it also addresses the AHRQ mission of assessing the quality of care for vulnerable populations. ..
- Improving Heart Failure Risk Stratification in the EDAlan Storrow; Fiscal Year: 2009..In collaboration with outcomes and effectiveness researchers, we plan to conduct further studies to test the efficacy of our risk model. ..
- Impact of Nurse Work Environment on Rural Quality of Care and Clinical OutcomesMarianne Baernholdt; Fiscal Year: 2007....
- Improving Heart Failure Risk Stratification in the EDAlan B Storrow; Fiscal Year: 2010..In collaboration with outcomes and effectiveness researchers, we plan to conduct further studies to test the efficacy of our risk model. ..
- Impact of Nurse Work Environment on Rural Quality of Care and Clinical OutcomesMarianne Baernholdt; Fiscal Year: 2009....
- Post-Trial Access for Insured and Uninsured ParticipantsJoel Weissman; Fiscal Year: 2007....
- Improving Heart Failure Risk Stratification in the EDAlan Storrow; Fiscal Year: 2007..In collaboration with outcomes and effectiveness researchers, we plan to conduct further studies to test the efficacy of our risk model. ..
- The Relation of Hospital Workload to Patient SafetyJoel Weissman; Fiscal Year: 2003..A second potential outcome will be to make available cost-effective screening tools for monitoring adverse events and errors. ..
- MANAGED CARE AND HEALTH CARE MARKETSLaurence Baker; Fiscal Year: 2003..abstract_text> ..
- Race, Ethnicity and Quality of Health Care for NewbornsLaurence Baker; Fiscal Year: 2005..Our work will focus on Black-White differences, disparities for Hispanics (including subgroups like Mexican and Puerto Rican), and disparities for Asian and Pacific Islanders. ..
- EMERGEncy ID Net StudyDavid Talan; Fiscal Year: 2007....
- Clinical Implications of Serotonin in BoneElizabeth Haney; Fiscal Year: 2007....
- Improving Safety Culture and Outcomes in HealthcareLaurence Baker; Fiscal Year: 2006..abstract_text> ..
- E-Prescribing Impact on Patient Safety, Use, and CostJoel Weissman; Fiscal Year: 2006..abstract_text> ..
