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640 records – page 1 of 64.

[10 years' experience of the operation of a nephrological day hospital].

https://arctichealth.org/en/permalink/ahliterature215286
Source
Urol Nefrol (Mosk). 1995 May-Jun;(3):41-3
Publication Type
Article
Author
S O Androsova
N G Miroshnichenko
O N Lavrova
T A Panina
Source
Urol Nefrol (Mosk). 1995 May-Jun;(3):41-3
Language
Russian
Publication Type
Article
Keywords
Adult
Day Care - statistics & numerical data - utilization
Female
Hospital Bed Capacity, under 100
Hospitals, Special - statistics & numerical data - utilization
Humans
Kidney Diseases - diagnosis - therapy
Moscow
Nephrology - statistics & numerical data
Abstract
For a decade 324 patients with nephropathy have been admitted to a day hospital for obtaining more accurate data on nephropathy activity, on the role of hemodynamic and metabolic factor in the disease progression. The treatment group patients received repeated courses of high-dose cytostatics and corticosteroids. Pregnant women at risk of nephropathy were given small doses of aspirin and curantil.
PubMed ID
7618224 View in PubMed
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A 12-month fever surveillance study in a veterans' long-stay institution.

https://arctichealth.org/en/permalink/ahliterature238375
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Publication Type
Article
Date
Sep-1985
Author
T P Finnegan
T W Austin
R D Cape
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Date
Sep-1985
Language
English
Publication Type
Article
Keywords
Aged
Bacterial Infections - complications
Cross Infection - epidemiology
Epidemiologic Methods
Female
Fever - epidemiology - etiology - mortality
Hospital Bed Capacity, 100 to 299
Hospitals, Veterans
Humans
Length of Stay
Male
Ontario
Abstract
This report describes a 12-month fever surveillance survey in a 258-bed veterans long-term care institution. There were 128 episodes of fever (one episode per 24 patient-months); 114 were studied. Lower respiratory tract infections were most frequent, 36 (32%), with 26 (23%) urinary tract infections. Streptococcus pneumoniae was the most common pathogen in the chest infections and Proteus mirabilis the most common of the urinary tract infections. In 40 (35%) there was no evidence of a lower respiratory tract, urinary tract, or other bacterial infection. Most recovered rapidly, many with no specific treatment. There was a 16% mortality associated with the febrile episodes.
PubMed ID
4031336 View in PubMed
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Source
Dimens Health Serv. 1988 Feb;65(1):10-1, 14
Publication Type
Article
Date
Feb-1988
Author
A M Malek
Author Affiliation
University of Alberta, Edmonton.
Source
Dimens Health Serv. 1988 Feb;65(1):10-1, 14
Date
Feb-1988
Language
English
Publication Type
Article
Keywords
Absenteeism
Alberta
Hospital Bed Capacity, 100 to 299
Hospitals, Pediatric
Humans
Motivation
Nursing Staff, Hospital - psychology
Seasons
Stress, Physiological
PubMed ID
3342947 View in PubMed
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Source
Fag Tidsskr Sykepleien. 1990 Oct 18;78(7):18-9
Publication Type
Article
Date
Oct-18-1990

Accreditation and improvement in process quality of care: a nationwide study.

https://arctichealth.org/en/permalink/ahliterature274471
Source
Int J Qual Health Care. 2015 Oct;27(5):336-43
Publication Type
Article
Date
Oct-2015
Author
Søren Bie Bogh
Anne Mette Falstie-Jensen
Paul Bartels
Erik Hollnagel
Søren Paaske Johnsen
Source
Int J Qual Health Care. 2015 Oct;27(5):336-43
Date
Oct-2015
Language
English
Publication Type
Article
Keywords
Accreditation - statistics & numerical data
Denmark
Follow-Up Studies
Guideline Adherence - statistics & numerical data
Heart Failure - therapy
Hospital Bed Capacity
Hospitals, Public - statistics & numerical data
Humans
Peptic Ulcer - therapy
Practice Guidelines as Topic
Quality Improvement - statistics & numerical data
Quality Indicators, Health Care - statistics & numerical data
Residence Characteristics
Stroke - therapy
Abstract
To examine whether performance measures improve more in accredited hospitals than in non-accredited hospital.
A historical follow-up study was performed using process of care data from all public Danish hospitals in order to examine the development over time in performance measures according to participation in accreditation programs.
All patients admitted for acute stroke, heart failure or ulcer at Danish hospitals.
Hospital accreditation by either The Joint Commission International or The Health Quality Service.
The primary outcome was a change in opportunity-based composite score and the secondary outcome was a change in all-or-none scores, both measures were based on the individual processes of care. These processes included seven processes related to stroke, six processes to heart failure, four to bleeding ulcer and four to perforated ulcer.
A total of 27 273 patients were included. The overall opportunity-based composite score improved for both non-accredited and accredited hospitals (13.7% [95% CI 10.6; 16.8] and 9.9% [95% 5.4; 14.4], respectively), but the improvements were significantly higher for non-accredited hospitals (absolute difference: 3.8% [95% 0.8; 8.3]). No significant differences were found at disease level. The overall all-or-none score increased significantly for non-accredited hospitals, but not for accredited hospitals. The absolute difference between improvements in the all-or-none score at non-accredited and accredited hospitals was not significant (3.2% [95% -3.6:9.9]).
Participating in accreditation was not associated with larger improvement in performance measures for acute stroke, heart failure or ulcer.
PubMed ID
26239473 View in PubMed
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Acute day hospitalization as an alternative to inpatient treatment.

https://arctichealth.org/en/permalink/ahliterature210487
Source
Can J Psychiatry. 1996 Dec;41(10):629-37
Publication Type
Article
Date
Dec-1996
Author
V. Russell
F. Mai
K. Busby
D. Attwood
M. Davis
M. Brown
Author Affiliation
Cavan General Hospital, Republic of Ireland.
Source
Can J Psychiatry. 1996 Dec;41(10):629-37
Date
Dec-1996
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Day Care - utilization
Female
Hospital Bed Capacity - statistics & numerical data
Hospital Restructuring
Humans
Length of Stay - statistics & numerical data
Male
Mental Disorders - diagnosis - epidemiology - therapy
Middle Aged
Ontario
Patient Admission - statistics & numerical data
Patient satisfaction
Referral and Consultation - utilization
Treatment Outcome
Utilization Review
Abstract
This paper describes the administrative process by which the Ottawa General Hospital (OGH) closed 6 beds and used the staff and space resources thus released to set up an acute day hospital (ADH) for the treatment of 8 acutely ill psychiatric patients. Outcome data are presented on the first 160 patients admitted to the ADH.
Demographic and clinical information including diagnostic (DSM-III-R; Global Assessment of Functioning [GAF]) and questionnaire data (Symptom Checklist-90 Revised [SCL-90R]; Beck Depression Inventory [BDI]; State-Trait Anxiety Inventory [STAI]; patient satisfaction) were obtained from 160 ADH patients at admission and discharge. Forty-two of these patients provided follow-up data 3 to 6 months postdischarge. The outcome of ADH patients was compared with that of a retrospectively obtained random sample (n = 100) of inpatients on selected diagnostic and demographic variables.
On clinician-rated and self-report clinical scales, ADH patients showed significant clinical improvement reflected in higher GAF scores and less psychological distress, depression, and anxiety at discharge relative to admission. There were no significant group differences in outcome indices except for shorter length of stay in the ADH group compared with inpatients. The ADH group rated the program highly in help received and quality of service. Short-term follow-up showed that gains made during treatment were maintained 3 to 6 months later.
These results show that a time-limited day hospital program is clinically effective for acutely ill psychiatric patients and leads to a more efficient use of inpatient resources. We believe that partial hospitalization for the treatment of acute psychiatric disorders may have wide application in psychiatric hospital practice.
PubMed ID
8978941 View in PubMed
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640 records – page 1 of 64.