Summary: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.
Publications201 found, 100 shown here
- 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...
- Measuring appropriate use of acute beds. A systematic review of methods and resultsM S McDonagh
Centre for Reviews and Dissemination, University of York, Heslington, Y010 5DD, York, UK
Health Policy 53:157-84. 2000..Before definitive conclusions on the inappropriate use of acute beds can be made, future research needs to take into account the methodological problems discussed here...
- 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...
- Bed occupancy and turnover interval as determinant factors in MRSA infections in acute settings in Northern Ireland: 1 April 2001 to 31 March 2003J B Cunningham
Faculty of Life and Health Sciences, The University of Ulster at Jordanstown, Shore Road, Newtownabbey BT37 0QB, Co Antrim, Northern Ireland, UK
J Hosp Infect 61:189-93. 2005..Centre (CDSC) Northern Ireland for 2001-2002 and 2002-2003: bed turnover interval (TI), percentage bed occupancy (PO) and methicillin-resistant Staphylococcus aureus rates per 1000 bed-days of patient episodes [MRSA (PE)]...
- 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...
- A waiting list to go home: an analysis of delayed discharges from surgical bedsR T Benson
Department of Surgery, Royal Berkshire Hospital, Reading, UK
Ann R Coll Surg Engl 88:650-2. 2006..The aim of this paper was to analyse patients who were unable to be discharged from a surgical ward despite being surgically fit to leave...
- Carrot and sticks? The Community Care Act (2003) and the effect of financial incentives on delays in discharge from hospitals in EnglandD McCoy
Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK
J Public Health (Oxf) 29:281-7. 2007..The belief that many delays in discharge from hospital were caused by social service departments (SSDs) led to the Community Care Act 2003 giving NHS hospitals in England the power to charge SSDs...
- Time-series analysis of the impact of bed occupancy rates on the incidence of methicillin-resistant Staphylococcus aureus infection in overcrowded general wardsMichael A Borg
Infection Control Unit, Mater Dei Hospital, Msida, Malta
Infect Control Hosp Epidemiol 29:496-502. 2008We investigated the impact of bed occupancy, particularly overcrowding, on the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in general ward settings.
- The patient experience of being a delayed dischargeAngela Kydd
The University of Paisley, Paisley, UK
J Nurs Manag 16:121-6. 2008..To explore what life was like for frail older people, classed as 'delayed discharges'...
- Health-care organisation, hospital-bed occupancy, and MRSAJeorge Orendi
Department of Medical Microbiology and Infection Control, University Hospital of North Staffordshire, Stoke on Trent, Staffordshire ST4 7PX, UK
Lancet 371:1401-2. 2008
- The acute-aged care interface: exploring the dynamics of 'bed blocking'Catherine M Travers
Academic Unit in Geriatric Medicine, Princess Alexandra Hospital, Wooloongabba, Queensland, Australia
Australas J Ageing 27:116-20. 2008..To understand the dynamics underlying 'bed-blocking' in Australian public hospitals that is frequently blamed on older patients...
- Policy on the rebound: trends and causes of delayed discharges in the NHSS Godden
Department of Epidemiology and Public Health UCL, London, UK
J R Soc Med 102:22-8. 2009..This study aims to assess how far the subsequent reduction in delays has been due to the operation of the Act, and to evaluate the extent that the legislation increased efficiency across health and social care...
- The effect of hospital bed occupancy on throughput in the pediatric emergency departmentDebra F Hillier
Children s Hospital Boston, Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA
Ann Emerg Med 53:767-76.e3. 2009..The objective of this study is to examine whether high inpatient hospital occupancy negatively affects throughput in a pediatric ED...
- Bed occupancy rates and hospital-acquired infections--should beds be kept empty?K Kaier
Department of Environmental Health Sciences, University Medical Centre Freiburg, Freiburg, Germany
Clin Microbiol Infect 18:941-5. 2012There is growing evidence that bed occupancy (BO) rates, overcrowding and understaffing influence the spread of hospital-acquired infections (HAIs)...
- 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...
- Annual bed statistics give a misleading picture of hospital surge capacityDerek DeLia
Center for State Health Policy, The Institute for Health, Health Care Policy, and Aging Research, Rutgers, The State University, New Brunswick, NJ 08901 1340, USA
Ann Emerg Med 48:384-8, 388.e1-2. 2006..I describe how annual hospital surge capacity is affected by within-year variation in patient volume and bed supply...
- Children's hospitals do not acutely respond to high occupancyEvan S Fieldston
University of Pennsylvania School of Medicine, Robert Wood Johnson Clinical Scholars Program, Philadelphia, PA 19104, USA
Pediatrics 125:974-81. 2010..It is not known how children's hospitals acutely respond to high occupancy. The objective of this study was to describe the frequency, direction, and magnitude of children's hospitals' acute responses to high occupancy...
- 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.
- 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 ..
- Hospital emergency surge capacity: an empiric New York statewide studyRobert K Kanter
Department of Pediatrics, State University of New York Upstate Medical University, Syracuse, NY 13210, USA
Ann Emerg Med 50:314-9. 2007..We describe typical statewide and regional hospital occupancy and patterns of variation in occupancy and estimate the ability of hospitals to accommodate new inpatients...
- 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, 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 ..
- 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..To assess the value of cusum analysis in hospital bed management...
- 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
- 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
- Critical role of functional decline in delayed discharge from an acute geriatric unitJ J Chin
Department of Geriatric Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433
Ann Acad Med Singapore 30:593-9. 2001..The aim of this study was to determine the factors associated with delayed discharge from an acute geriatric unit...
- Surge capacity associated with restrictions on nonurgent hospital utilization and expected admissions during an influenza pandemic: lessons from the Toronto severe acute respiratory syndrome outbreakMichael J Schull
Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Acad Emerg Med 13:1228-31. 2006..One proposed strategy to increase hospital surge capacity is to restrict elective hospitalizations, yet the degree to which this measure would meet the anticipated is unknown...
- 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...
- 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...
- "Stay, just a little bit longer..."Gavin D Leslie
Aust Crit Care 19:119. 2006
- 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
- 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...
- Capacity planning seeing the forest for the treesDean C Coddington
McManis Consulting, Greenwood Village, Colo, USA
Healthc Financ Manage 57:50-7. 2003....
- 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...
- 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...
- 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...
- Disaster readiness. Is this bed taken?Douglas Page
Hosp Health Netw 78:14, 16, 19. 2004
- 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...
- Internet-accessible emergency department workload information reduces ambulance diversionPeter Sprivulis
Department of Health, Western Australia, Perth
Prehosp Emerg Care 9:285-91. 2005....
- 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...
- 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...
- 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%).
- Placing emergency department crowding on the decision agendaVictoria M Bradley
University of Kentucky Hospital, Lexington, KY, USA
J Emerg Nurs 31:247-58. 2005
- 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
- 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...
- Analyzing fluctuating unit census for timely staffing interventionCheryl Wagner
School of Nursing, Kaplan University, Davenport, IA, USA
Nurs Econ 23:85-90, 55. 2005....
- 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...
- 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....
- 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
- Can we safely discharge patients from the intensive care unit after hours?Karen Brasel
Crit Care Med 36:2443-4. 2008
- 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...
- Emergency department overcrowding: what is the answer?Gordon B Natal
J Emerg Nurs 33:99-100. 2007
- 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...
- 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....
- 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...
- 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...
- Seeing is believingZoe Packman
King s College Hospital NHS Foundation Trust, London
Nurs Manag (Harrow) 14:20-3. 2007
- Elderly face longer bed wait times in hospitalsShawna Lessard
CMAJ 178:18. 2008
- 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...
- 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...
- [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....
- All accounted for--handling the daily fluctuations of today's hospital censusPhil Lee
Health Facil Manage 16:40-4. 2003
- [Brain storming. Interview by Charles Meunier]Liette Simard
Perspect Infirm 5:15-6. 2008
- 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....
- 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...
- Maximizing hospital capacity. Expediting patient throughput can provide an immediate solution to capacity shortagesLaurie N Smith
Healthc Exec 18:58-9. 2003
- 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)...
- 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...
- 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...
- 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..To compare measurements of emergency department (ED) patient flow during periods of acute ED overcrowding and times of normal patient volume (NPV)...
- 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...
- 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..This paper describes and analyses the role of bed managers within hospitals, and how this can be supported through a development programme...
- Take a numberScott D Smith
Minn Med 90:26-30. 2007
- 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...
- 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...
- [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...
- 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...
- 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...
- 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....
- [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 ..
- 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...
- [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 ..
- 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...
- 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...
- 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...
- 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...
- 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> ..