The transition from hospital to home or alternate care setting is a time of vulnerability for all patients and particularly for our elders. If not handled appropriately there is a risk to our elders for readmission to the hospital environment that may decrease their overall quality of life and further compromise their health status. in addition to the individual risks associated with patient readmissions, there are societal impacts that reach far beyond our current generation of elders 65 and older. This impact may have dire implications for the future fiscal health of the next generation. a review of the current and past literature shows that there are a limited number of resources available for hospitals to use in order to comply with the new Value Based Purchasing initiatives that are being implemented by CMS regarding the reduction in readmission rates. the problem of hospital readmissions is confounded by the many processes that are available for study, from pre-hospitalization conditions and care through hospitalization, discharge, and finally to post discharge processes. While most research and literature reviews have focused on individual disease causes, there is a need to provide hospitals with a resource that outlines the available options and interventions that have been shown to be effective in reducing hospital readmissions. the purpose of this study is to review relevant literature related to the problem of hospital readmissions for our elder population. This study is designed to look at interventions, both disease based and non-disease based, that have been previously implemented and have shown effective reductions in readmission rates. This analysis and synthesis can provide an important contribution to our understanding of the factors and variables that influence the readmission rates of our elder population. This review has the potential to assist and direct hospital administrators and to discharge planners, social workers, and other health professions to implement intervention strategies that promote the continuing health status of our elder population while reducing their overall rates of readmissions.

Unidad de práctica para optar al título de Químico Farmacéutico / Autor no autoriza el acceso a texto completo de su documento / El presente trabajo se realizó con el objetivo de evaluar, desde la perspectiva del Hospital Clínico San Borja Arriarán, si la centralización del fraccionamiento de medicamentos inyectables en los servicios de pediatría y neonatología, la elaboración de preparados citotóxicos inyectables, nutriciones parenterales y preparados magistrales no estériles tiene un costo menor que la preparación y adquisición actual, considerando la implementación de las respectivas áreas de elaboración. Un análisis de comparación de costos se realizó de forma retrospectiva. Los costos actuales se determinaron mediante datos de consumo del Servicio de Farmacia del Hospital desde agosto del 2014 hasta julio del 2015. Los costos de la centralización de los preparados mencionados se estimaron al igual que el costo de la implementación de sus áreas de elaboración. Para el análisis se utilizaron muestras representativas del período de estudio. Los resultados demostraron que la centralización de la elaboración de nutriciones parenterales, preparados citotóxicos inyectables y magistrales no estériles tendría un costo menor en comparación con su externalización. En cambio la centralización del fraccionamiento de inyectables tendría un costo mayor en comparación con la preparación en los servicios clínicos evaluados

Magister Curationis - MCur / In our constantly changing healthcare system and with large numbers of staff shortages in hospitals, newly qualified professional nurses are expected to be competent and work unsupervised in leadership capacities soon after they have completed their nursing programs. The study was aimed at determining the perceptions of professional nurses of newly qualified professional nurses' competency as well as factors that influence competency. A quantitative approach using a descriptive survey design was employed, using 34 experienced professional nurses working in selected private hospitals in the Western Cape. Data was collected by means of a peer evaluation questionnaire, namely the Competency Inventory for Registered nurses. Data was analyzed, using IBM SPSS 19 with the assistance of a statistician. The results of the 55-item Competency Inventory for Registered Nurses indicate that newly qualified nurses were perceived as highly competent in clinical care, leadership, interpersonal relation, legal/ethical and professional development. Newly qualified nurses were perceived as low in competency in teaching/coaching, critical thinking and research aptitude. All the factors identified using literature, were perceived as having an influence on competency. Recommendations were made to the institutions to assist newly qualified nurses in competence development.

Objetivos: Evaluar el género como factor de riesgo que determina una mayor letalidad por el COVID-19 en pacientes del Hospital Militar Central. Diseño: Estudio cuantitativo de tipo observacional de alcance cohorte analítico retrospectivo que se realizará en el Hospital Militar Central en el año 2020. Cuantitativo: utilizaremos herramientas estadísticas para aceptar o rechazar nuestra hipótesis.

Práctica prolongada para optar al título de Químico Farmacéutico / Introducción: De acuerdo con el reporte To err is human: Building a Safer Health System, del año 1999 en Estados Unidos de Norteamérica, se informó que anualmente entre 44.000 y 98.000 estadounidenses morían producto de un “Error de Medicación” (EM), demostrando así, la necesidad de proponer acciones con el fin de promover la seguridad del paciente. Dentro del complejo Sistema de Utilización de Medicamentos (SUM), cualquier fallo en alguno de sus procesos puede llevar a un EM. Instituciones de la salud han recomendado una serie prácticas para el uso seguro de medicamentos para implementar. Con la finalidad de evitar fallos que puedan llevar a un EM, se consideró pertinente la implementación de prácticas viables para el proceso de Dispensación del Servicio de Farmacia del Hospital Clínico de la Universidad de Chile (HCUCH). Objetivo: Implementar prácticas para el uso seguro de medicamentos en el proceso de Dispensación del HCUCH. Método: Se diseñó un estudio prospectivo y de intervención farmacéutica en cuatro etapas. La primera etapa correspondió a una etapa de identificación y selección de prácticas posibles de implementar en el HCUCH. Segundo, una etapa de análisis del “Formulario para el registro de Errores de Dispensación (ED)” como instrumento del servicio de Farmacia para el registro y posterior análisis de ED cometidos durante el proceso. Tercero, implementación de prácticas seleccionadas y Cuarto una etapa de evaluación comparativa entre el periodo previo y posterior a la implementación a través de información recopilada mediante el Formulario. Resultados: De las 9 prácticas identificadas, se seleccionaron a implementar 4 de estas, las cuales fueron: La identificación de los 85 medicamentos de Alto Riesgo (AR) presentes en el Arsenal Farmacoterapéutico (AFT) y su diferenciación a través de un color diferenciador en el etiquetado de gavetas de medicamentos del área de Farmacia Central; La diferenciación de aquellos medicamentos LOOK-ALIKE and SOUND-ALIKE (LASA) gracias al formato TALL-MAN en conjunto con la estandarización de términos, abreviaciones y signos presentes en el AFT; y el establecimiento de un nuevo almacenamiento y conservación de medicamentos del área de trabajo de la sección de Farmacia Central. Se realizó una encuesta a 10 Enfermeros(as) de diversos servicios a cerca del formato prototipo para el Formulario, para así realizar las modificaciones finales y obtener nuevo formato, la que incluyó la nueva sección “Vía de entrega de Medicamentos utilizada”. Tras una comparación entre los periodos en que se recopilaron ED con el formato antiguo y con el formato nuevo, mediante el uso del nuevo formato se obtuvo un porcentaje de 100% de registros llenados completamente, a diferencia de registros con el antiguo que nunca se logró esto. Una evaluación preliminar entre periodos previos y post implementación de prácticas, mostró como se registró en ambos periodos en mayor numero el tipo de error relacionado con la omisión completa en la cantidad del Medicamento solicitado, además, como el servicio de Medicina Interna en ambos periodos fue el que registró el mayor número de ED. Conclusión: Se logró la implementación de aquellas prácticas identificadas y seleccionadas previamente para el proceso de Dispensación, como también el análisis y validación del instrumento para el registro de ED que demostró lo necesario de realizar un cambio en el formato del Formulario y así obtener datos confiables, completos y capaces de permitir un análisis veraz de los ED cometidos durante el proceso, tomando en cuenta variables como la implementación de prácticas puestas en marcha durante este estudio

archives@tulane.edu / 1 / Mengde Liu

The purpose of this thesis is to provide a descriptive study of psychiatric and social variables related to aged first admissions to a private psychiatric hospital in the calendar years 1959 through 1963. The study also seeks to determine what, if any, relationship exists between background characteristics of the patients and their diagnoses. Finally, the diagnosis of the patient is compared with a series of patient outcome variables to determine the relationship, if any, between diagnosis and selected recovery variables. Due to the nature of the data used, the emphasis of the thesis is upon describing relationships rather than testing hypotheses.

Thesis (MPH.) -- University of Limpopo, 2021 / Background:Patient satisfaction is an important means of measuring the effectiveness of health care delivery and medical care. Patient satisfaction provides a picture of the extent to which the general health care needs of the patient provided by health care professionals are met to the satisfaction of the patient. Administration of patient satisfaction surveys provide an opportunity to identify and resolve potential problems before they become serious. Enhancing quality of service delivery in public health facilities is a prerequisite for the increased utilisation and sustainability of health care services to the population. The aim of the study was to investigate the level of patient satisfaction regarding service delivery provided by the doctors and nurses at a hospital in Botswana. Purpose:The study’s aim was to investigate the level of patient satisfaction regarding service delivery at a hospital in Botswana. Methods:Aquantitative approach using a self-administered structured questionnaire to collect data regarding patient satisfaction regarding service delivery at hospital was used.A consecutive sampling technique was used to select patients who fulfilled the study’s inclusion criteria. A sample size of 360 patients was required for the study, which was calculated based on the Taro Yamane formula. Data was analysed using SPSS version V.21.0. Results:The mean age of the outpatients was 38.5(SD ±15.6) years while,for the inpatients, the mean agewas 33.3(SD±12.4) years. The greater proportion of respondents in both groups was females. Nearly half (47%) of the outpatients were employed, whereas more than half (53%) of the inpatients were unemployed. The majority of the participants had a low level of education. The mean satisfaction level was 58.9 (SD±7.9)for outpatients, while for in patients, the mean satisfaction level was 70.3 (SD±12.5). A large proportion (65%) of the outpatients were satisfied compared to the inpatients (54%), however, the results were not statistically significant (p>0.05). There was no statistically significant relationship between the age, gender, employment status, level of education of the outpatients and their level of satisfaction. For inpatient variables, age, gender, and level of education were not associated with level of satisfaction (p>0.05). Conclusion: Inconclusion, regardless of the fact that certain aspects of care provided a t this hospital were unsatisfactory, the results of the present study revealed that, overall,more than half of the patients were satisfied with the inpatients and outpatient aspects of the xiv care they were provided.

There are several essential qualities required for success as a chair of surgery. These include determination and resilience, thoughtful planning, superb organization skills, a balance of hard (accounting, management and finance) and soft skills (interpersonal including faculty development), and careful execution is absolutely essential as is a commitment to maintaining momentum.

Introduction and Background: Domestic violence and abuse (DVA) is a growing global concern that affects patients encountered by nurses. DVA is defined as anything that is used to establish and maintain control over another person. The occurrence of DVA has ongoing negative consequences for patients related to their safety, especially if nurses are not properly trained to detect and control the situation. Purpose Statement: For all registered nurses, does ongoing training opportunities and implemented universal screening processes on DVA, as compared to inadequate training and generalized screening processes, lead to effectively detecting DVA and providing better emotional, physical, and safety interventions for patients? Literature Review: The process of our literature review included the use of searching the ETSU library scholarly database and comparing our findings from twenty different peer-reviewed research articles. In the search methods used, we chose to look at multiple studies that researched DVA globally. Findings: The major findings of our research as a team included: communication barriers that exist for patients who are victims of DVA, establishing rapport to build better trust with patients, the necessity of standardized screening tools to assess for DVA, the incorporation of the entire healthcare team to create a more supportive network that includes on-call domestic violence advisors, and continuing education for nurses. Conclusions: Key takeaways that were found in our research included eliminating communication barriers with patients, using developed tools to strategically screen for domestic violence and abuse, and the importance of ongoing DVA training for nurses.