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Results for “Bed Occupancy”

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At least 19 recordsLinked to original sources
PubMed1979

Bed occupancy by diabetic patients.

The Royal Newcastle Hospital Diabetic Education and Stabilization Centre was instituted primarily to improve diabetics' understanding of their disease and its everyday management. Simultaneously with a five-day education course, stabilization if insulin-dependent diabetics was undertaken on an outpatient basis. In order to disseminate diabetic education as widely as possible, trained nurses from near and far were included in each course. It is believed that these nurses will be able to offer good advice to diabetics who have no other source of reliable information. By actively attempting to reduce hospital bed occupancy by diabetics there has been a reduction of 1400 bed days per year. It is recommended that similar centres be instituted throughout Australia.

Acidosis↗
PubMed1977

The overuse of single patient isolation in hospitals.

Single patient isolation of adults to prevent spread of infection was studied in five high occupancy community hospitals. The acceptable standard was a guideline for isolation in hospitals, published by the Center for Disease Control (CDC). Overusage of single patient isolation was found to vary between 4% and 96% of physician's isolation orders. Diagnoses of viral hepatitis, surgical wound infections, skin infections and respiratory infections accounted for the majority of overisolated patients. When infection control personnel rather than attending physicians determined the type and duration of isolation, a decrease in overisolation and a saving of patient (or third party payer) charges could be demonstrated. Reduction in overisolation does not bring about savings for hospitals unless bed occupancy is high and few single rooms are available. No evidence of cross-infection was observed in one hospital as a result of implementation of the CDC guidelines.

Costs and Cost Analysis↗
PubMed1977

Hepatitis-B virus in bedbugs (Cimex hemipterus) from Senegal.

Bedbugs of the species Cimex hemipterus (F) were collected on four separate occasions from the bedding in the huts of village dwellers in Senegal, West Africa. Hepatitis-B surface antigen (HBSAg) was detected in unengorged nymph and adult bedbugs in each of the first three collections. 3 of 28 such specimens were HBSAg(+) in the first collection and 3 of 17 specimens were positive in the second collection. In the third, 6 of 9 were HBSAg(+) when the bed occupant was known to be HBSAg(+). 2 of these 6 positive insects did not contain human serum proteins. Bedbugs in the fourth collection were captured and kept alive without a blood meal for 30 days. 3 of 89 of these samples were HBSAg(+). These are the highest field infection-rates of hepatitis-B virus reported in any insect species. The bedbug must be considered a potential vector of hepatitis-B virus.

Adolescent↗
PubMed1979

Aetiology, diagnosis, treatment and prognosis of acute renal failure in an intensive care unit.

Over a period of 2 years, 82 patients out of 2,390 (3.43%) admitted to an intensive care unit developed acute renal failure (ARF). The diagnosis of ARF was based on the usual criteria of oliguria, a rising blood urea nitrogen and creatinine, urine sodium concentration greater than 20 mmol/l and a U/P osmolality ratio less than 1.1. In 9.2% of patients the latter two criteria were misleading. Sepsis was the commonest cause of vasomotor nephropathy but in 20.7% potentially nephrotoxic agents had been administered before development of ARF. Overall mortality was 73.2%, with patients older than 50 years of age having the highest mortality. ARF is associated with prolonged bed occupancy--an average of 59.8 days for the dialysed patients with ARF versus an average length of stay of 8.4 days for the hospital overall.

Acute Kidney Injury↗
PubMed1975

Bed blocking by elderly patients in general-hospital wards.

A point prevalence survey, using a questionnaire, was performed in three general hospitals to investigate the problem of elderly patients blocking acute-hospital beds. A total of 1010 occupied general beds were surveyed and all patients, over the age of 60 years, who had been in hospital more than four weeks, and who, in the opinion of medical and nursing staff, were no longer in need of the facilities of a general hospital, were investigated. Forty-eight patients (4.8 per cent of the total) were found to be genuinely in bed inappropriate to their needs. Rehabilitation, together with assessment of these patients, appeared disorganized and lacked consistency, and decisions regarding suitable 'disposal' appeared to be made without sufficient consultation and conformed to no detectable pattern. The main reason for the continuing bed occupancy of the patients was the length of the waiting lists for alternative residential accommodation and the main single medical factor preventing discharge home or to a hostel was the problem of mobility. By interviewing staff and patients and scrutinizing the questionnaires, it was found that 23 patients (48 per cent) were only suitable for transfer to a long-stay hospital. Of these, however, 15 (31 per cent) could be placed in specialized accommodation if some degree of nursing care, at present not available, was provided.

Aged↗
PubMed1976

The outpatient diagnosis of breast lumps.

A plan of management, based on a personal experience of 421 cases, has been developed for the outpatient diagnosis of breast symptoms. In the majority of patients the presence of absence of malignancy can be established with a high degree of certainty before biopsy, and benign masses can be safely excised on an outpatient basis. Only those patients whose breast symptoms and findings suggest malignancy need be admitted to hospital and prepared for major breast surgery. This plan has been shown to be safe, while avoiding unnecessary hospital bed occupancy.

Biopsy↗
PubMed1992

[The estimate of nursing personnel: a study of 2 methods].

This study aimed at analysing two methods for the calculation of nursing personnel (traditional formula and nursing progressive care), from statistics information on the atendly of the University Hospital of UFPB, in order to choose the most adequate method. The obtained results showed the nursing progressive care method as being the most viable one, provided is made a study in terms of hospital beds occupation, nursing hours per type of care and personnel performance.

Brazil↗
PubMed1977

A point prevalence study of outpatients and inpatients in the mental health services, general hospital psychiatric units, and under private psychiatrists in Perth, Western Australia.

A one day point prevalence study of all inpatients and a one week point prevalence study of all out-patients, seen by psychiatrists in Perth, Western Australia, was conducted. On the census day in July 1971, 61 per cent of all psychiatric inpatients in Perth were long-stay patients. Of the short-stay patients 75 per cent were in Mental Health Services hospitals, 17 per cent were in general hospital psychiatric units and 8 per cent were under private psychiatrists. The bed occupancy rate was 129.7 per 100,000 population for the whole State--83.2 long-stay and 46.5 short-stay. These rates were low compared with published figures in other countries. The proportions of total outpatients seen during the census week by the Mental Health Services, general hospital units and private psychiatrists were 53.5 per cent, 16.0 per cent and 30.5 per cent respectively. There was a differential use of psychiatric services between immigrants and Australian-born outpatients.

Adult↗
PubMedDate not supplied

[Influence of the kind of anesthesia and length of hospitalization on the frequency of early complications of abortion].

A case-control study of the safety of early vacuum aspiration, when performed as an outpatient/inpatient procedure in local/general anaesthesia was undertaken in Ljubljana. Three thousand and four healthy women were observed. General anaesthesia was applied to 1509 women and local to 1495 women. The inpatient procedure required at least overnight stay, the outpatient one only five hours. No differences in complication rates of any clinical importance between the different types of services and anaesthesia were observed. The overnight stay resulted in no decrease in complications but in an even greater bed occupancy beyond that expected.

Abortion, Induced↗
PubMed1977

A model for certification of need for long-term-care beds.

A model relating bed supply and utilization is presented in the context of the match between need and service, which is controlled by the screening process that allows or denies access to beds. The conventional cost-minimization approach to certification of need, that of seeking to reduce inappropriate use, is contrasted with a service-delivery approach that seeks to promote appropriate use of facilities. The model expresses the quality of the screening process and the sensitivity and specificity of utilization in terms of bed supply, utilization, and need for service, which allows it to be used for needs assessment. The model is applied to data on supply and use of beds in Massachusetts skilled nursing facilities, with screening quality estimated by Monte Carlo methods; the results suggest that need and bed supply are positively associated and that the regional variation in skilled-nursing beds in Massachusetts may reflect real variations in need.

Bed Occupancy↗
PubMed1978

[More effective surgical care and its regional organisation (author's transl)].

The decrease of the number of surgical cases within the past few years was not essentially due to the decrease of the number of hospital surgeons or to the decrease of the number of beds in surgical units. Decrease in the length of stay and increase in bed occupancy rate might effectively respond to increasing demands. A community comprising about 60 000 inhabitants will occupy a fulltime outpatient surgeon. Smaller communities should be served by an integrate inpatient-outpatient service. There is no need for each surgical unit to run a separate emergency service of its own.

Ambulatory Care↗
PubMed1978

Imaging: radioisotope imaging of bone.

Isotope bone scanning is here to stay: it is noninvasive, easy to perform, and economical (6 pounds per scan). The low radiation dose delivered to patients (0.03 rad/mCi to the skeleton) and the high sensitivity (less than 4 per cent of overall false positives) underline the value of this test as a screening procedure. When included in the patient's management protocol it reduces bed-occupancy time, changes the therapeutic approach to several illnesses, and substantiates general hopes that early diagnosis is the basis for progress in the treatment of benign or malignant disease.

Adenocarcinoma↗