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Management: Hospitals

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Total 262 results found since Jan 2013.

Application of a Robot for Critical Care Rounding in Small Rural Hospitals
This article discusses improvements in quality and finance outcomes as well as care team and patient satisfaction associated with this model. Discussion also includes expansion of the care model to the emergency department for acute stroke care.
Source: Critical Care Nursing Clinics of North America - September 19, 2014 Category: Nursing Authors: Cindy Murray, Elizabeth Ortiz, Cay Kubin Source Type: research

Complication rate for diabetes patients leads to higher death rates
One in five people admitted to hospital for angina; stroke; heart attack; and heart failure have diabetes
Source: The IC : Infant Feeding - January 29, 2015 Category: Nursing Source Type: news

Fasting may not be required before percutaneous coronary intervention
Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are rou...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: de Aguilar-Nascimento, J. E., Feguri, G. R. Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research

A pilot randomized controlled trial on the effectiveness of a ‘lung age’ intervention on smoking cessation: study protocol
This study offers an additional intervention to improve smoking cessation rates in Singapore. It aims to reduce or delay the onset of smoking‐related chronic diseases such as coronary heart diseases and cancer, which would eventually reduce the healthcare burden in an increasingly ageing society.Trial registration number: ISRCTN15839687.
Source: Journal of Advanced Nursing - May 21, 2015 Category: Nursing Authors: Imran Muhammad, Wenqi Mok, Hai Moy Toh, Daniel Sii, Wenru Wang Tags: Protocol Source Type: research

Difficult decisions.
Abstract UNIVERSITY HOSPITALS of Morecambe Bay NHS Foundation Trust is one of only two acute trusts to gain national Gold Standards Framework (GSF) accreditation for its end of life care on a stroke ward. PMID: 26018479 [PubMed - as supplied by publisher]
Source: Nursing Older People - May 28, 2015 Category: Nursing Authors: Scott A Tags: Nurs Older People Source Type: research

A Novel Noninvasive Device to Assess Sympathetic Nervous System Function in Patients With Heart Failure
Discussion: Although the VU-AMS version 5fs system detected anticipated hemodynamic and sympathetic nervous system changes to postural shift in participants (n = 10), the elimination of 64% (n = 18) of the sample because of scoring difficulties limits the use of this impedance cardiography device using standard scoring algorithms in persons with heart failure with reduced ejection fraction.
Source: Nursing Research - September 1, 2015 Category: Nursing Tags: Feature Articles Source Type: research

Pediatric neurocritical care in the 21st century: from empiricism to evidence
Purpose of review: Approximately one in five children admitted to a pediatric ICU have a new central nervous system injury or a neurological complication of their critical illness. The spectrum of neurologic insults in children is diverse and clinical practice is largely empirical, as few randomized, controlled trials have been reported. This lack of data poses a substantial challenge to the practice of pediatric neurocritical care (PNCC). PNCC has emerged as a novel subspecialty, and its presence is expanding within tertiary care centers. This review highlights the recent advances in the field, with a focus on traumatic b...
Source: Current Opinion in Critical Care - March 6, 2016 Category: Nursing Tags: NEUROSCIENCE: Edited by J. Claude Hemphill Source Type: research

Trust shuts beds after raising of nurse ratio concerns
Southend University Hospital NHS Foundation Trust has been forced into significant bed closures after inspectors raised concerns about staff ratios and its stroke services.
Source: Nursing Times - March 22, 2016 Category: Nursing Source Type: news

Improving Sepsis Recognition and Utilization of Early Goal-Directed Therapy in the Prehospital Environment: A Review of the Literature
The Agency for Healthcare Research and Quality ranks septicemia as the most expensive condition treated in United States hospitals, resulting in an aggregate cost of $20.3 billion (5.2%) of the total aggregate cost for all hospitalizations.1 For many years, emphasis has been placed on improving acute myocardial infarction (AMI) and stroke outcomes through implementation and management of the hospital quality core measures mandated by the Centers for Medicare and Medicaid Services (CMS), which has resulted in better outcomes and reduced morbidity and mortality from these conditions.
Source: Journal of Emergency Nursing: JEN - March 27, 2016 Category: Nursing Authors: Scott David Baker Tags: /Baker Source Type: research

All that glisters….
Abstract I had never been to a memory clinic before accompanying my mother a year ago. Months earlier, during a short hospital spell following a suspected mini-stroke, she had taken a routine dementia test - standard procedure for all over 75s - with worrying results. PMID: 27353786 [PubMed - in process]
Source: Nursing Older People - June 28, 2016 Category: Nursing Authors: Harrison T Tags: Nurs Older People Source Type: research

Using Simulation to Better Prepare Perianesthesia Nurses to Handle Emergency Situations in the Post Anesthesia Care Unit (PACU)
The Post Anesthesia Care Unit (PACU) is a unique environment. The patients who come through the PACU are at a state in their recovery that puts them at greater risk for an emergent (airway, cardiac, stroke, shock, etc) event. Keeping the PACU staff ready to respond to these intermittent events is key to improving critically ill patient outcomes. At The Johns Hopkins Hospital, the inpatient PACU staff are trained at the same level as the surgical Intensive Care Unit (ICU) staff to be able to care for ICU patients boarding in the PACU and to handle emergent events.
Source: Journal of PeriAnesthesia Nursing - July 19, 2016 Category: Nursing Authors: Patricia L. Ryan, Elena Lara, Michelle Porter, Laura Kaiser Source Type: research

All that glisters ….
All that glisters…. Nurs Older People. 2016 Jun 29;28(6):14 Authors: Harrison T Abstract I had never been to a memory clinic before accompanying my mother a year ago. Months earlier, during a short hospital spell following a suspected mini-stroke, she had taken a routine dementia test - standard procedure for all over 75s - with worrying results. PMID: 27353786 [PubMed - in process]
Source: Nursing Older People - June 28, 2016 Category: Nursing Authors: Harrison T Tags: Nurs Older People Source Type: research

Using Simulation to Better Prepare Perianesthesia Nurses to Handle Emergency Situations in the Post Anesthesia Care Unit (PACU)
The Post Anesthesia Care Unit (PACU) is a unique environment. The patients who come through the PACU are at a state in their recovery that puts them at greater risk for an emergent (airway, cardiac, stroke, shock, etc) event. Keeping the PACU staff ready to respond to these intermittent events is key to improving critically ill patient outcomes. At The Johns Hopkins Hospital, the inpatient PACU staff are trained at the same level as the surgical Intensive Care Unit (ICU) staff to be able to care for ICU patients boarding in the PACU and to handle emergent events.
Source: Journal of PeriAnesthesia Nursing - July 28, 2016 Category: Nursing Authors: Patricia L. Ryan, Elena Lara, Michelle Porter, Laura Kaiser Source Type: research

Improving Sepsis Recognition and Utilization of Early Goal-Directed Therapy in the Prehospital Environment: A Review of the Literature
The Agency for Healthcare Research and Quality ranks septicemia as the most expensive condition treated in United States hospitals, resulting in an aggregate cost of $20.3 billion (5.2%) of the total aggregate cost for all hospitalizations.1 For many years, emphasis has been placed on improving acute myocardial infarction (AMI) and stroke outcomes through implementation and management of the hospital quality core measures mandated by the Centers for Medicare and Medicaid Services (CMS), which has resulted in better outcomes and reduced morbidity and mortality from these conditions.
Source: Journal of Emergency Nursing: JEN - March 27, 2016 Category: Nursing Authors: Scott David Baker Tags: /Baker Source Type: research