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Modeling intensive care unit census.

A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intensive care unit simulations and to data from a variety of real intensive care units. This methodology applies to any intensive care unit or hospital ward. There is no significant (p < 0.05) difference between measured utilization and overfill rates assessed in actual intensive care units, the rates obtained by discrete event simulations, and the rates predicted by the intensive care unit model. The intensive care unit census model can enhance rational determination of intensive care unit bed and staff requirements.

Bed Occupancy↗

Trends in nonprinted U.S. census and survey data and some research implications.

I have raised a number of issues related to research using computerized data, which must be considered by supplying agencies, libraries, funding agencies. and researchers. Before the 1980 census data are released, researchers should suggest ways in which the data could be made easier and more useful to work with, and data supplying institutions should both respond to and take a lead in finding new approaches that will allow scientists to take full advantage of the opportunities provided by computerized data.

Computers↗

Census variation staffing.

A Census Variation Staffing (CVS) model has been used successfully on all nursing units for 4 years. Historical data and nursing hours per patient day (NHPPD) are used to determine the staffing needs of each unit on a daily, shift-by-shift basis. CVS has been heralded as the single largest factor in the hospital's consistent profitability--averaging annual savings of $485,100.

Bed Occupancy↗

Economic activity and mortality of the 1981 Census cohort in the OPCS Longitudinal Study.

This article presents mortality from 1981 to 1989 for men and women in England and Wales of working ages by their economic activity at the 1981 Census. Both men and women in employment had lower overall mortality compared with that of all men, while those seeking work had higher mortality. The social class distribution of the unemployed did not explain all their excess deaths. The overall mortality of both employed and unemployed men relative to all men in the 1980s was lower than that of employed and unemployed men in the 1970s (1971-79) relative to all men in the 1970s.

Adolescent↗

Impact of vestibular disorders on fitness to drive: a census of the American Neurotology Society.

BACKGROUND: Legislation for reporting unfit-to-drive patients by physicians varies dramatically among U.S. states and Canadian provinces. The impact of vestibular disease on driving safety is not well described in the literature. OBJECTIVES: (1) to learn more about the critical issues and current practices of neurotologists regarding reporting of vestibular patients and (2) to make recommendations for reporting patients with vestibular disorders. STUDY DESIGN: A mailed census of members of the American Neurotology Society using a questionnaire based on a modified Dillman Total Design Survey Method. RESULTS: Most respondents are aware of the potential safety risks of patients who drive with vestibular diseases, most notably those with Tumarkins' attacks. Although many have counselled patients (94%) and considered reporting vestibular patients (75%), few actually have (14%). There was no consensus of opinion on a method of reporting unfit-to-drive patients. Only 18.9% of respondents supported mandatory physician reporting. Respondents who live in states where reporting is not mandatory and who are aware of this fact are (a) more satisfied with their state's legislation (chi 2 = 60.1, p = 0.001) and (b) less likely to report patients who they consider unfit-to-drive (chi 2 = 10.6, p = 0.03). CONCLUSIONS: In that there is no general consensus amongst respondents and the relative safety risks seem low in comparison to other disorders, at present we do not advocate mandatory reporting of patients with vestibular disorders.

Accidents, Traffic↗