Hospital Topics最新文献_第3页

Advancing Diabetes Diagnosis in South India Using Artificial Intelligence: A Hub-and-Spoke Model for Early Intervention. 利用人工智能在印度南部推进糖尿病诊断：早期干预的中心辐射型模型。

Hospital Topics Pub Date : 2025-04-10 DOI: 10.1080/00185868.2025.2488262

Mrinmoy Roy, G Dhruva, Maninder Singh, Mohit Jamwal

引用次数: 0

Clinical and Nonclinical Predictors of Health-Related Quality of Life, One Year After Percutaneous Coronary Intervention (PCI). 经皮冠状动脉介入治疗（PCI）后一年健康相关生活质量的临床和非临床预测因素

Hospital Topics Pub Date : 2025-04-10 DOI: 10.1080/00185868.2025.2488258

Soheil Soltanipour, Arsalan Salari, Zahra Ahmadnia, Amir Reza Rodbarchi, Tolou Hasandokht

{"title":"Clinical and Nonclinical Predictors of Health-Related Quality of Life, One Year After Percutaneous Coronary Intervention (PCI).","authors":"Soheil Soltanipour, Arsalan Salari, Zahra Ahmadnia, Amir Reza Rodbarchi, Tolou Hasandokht","doi":"10.1080/00185868.2025.2488258","DOIUrl":"https://doi.org/10.1080/00185868.2025.2488258","url":null,"abstract":"Background: According to the high prevalence of cardiovascular diseases and the need to know the factors associated with the important outcome of quality of life after therapeutic interventions, this study was conducted with the aim of determining the factors associated with health-related quality of life (HRQoL), one year after percutaneous coronary intervention (PCI). Methods: This cross-sectional study was conducted on 912 patients undergoing PCI in a referral-educational hospital in Iran. Data collection was done using a HRQoL questionnaire (SF-36) and a checklist containing other study variables by face-to-face interview. To analyze the variables, the descriptive statistics and multivariate linear regression were used. All statistical analyses were performed using IBM SPSS Statistics for Windows, Version 16.0 (IBM Corp., Armonk, NY, USA). In this study, the significance level is p < 0.05. Results: The mean ± SD age of the participants was 59.47 ± 9.94 years, and 62.94% of them were male. The mean score of HRQoL in men (69.44 ± 21.18) was significantly higher than women (60.26 ± 21.8) (p < 0.001). In linear regression analysis, the variables of unemployment, age, loss of spouse, comorbidity, re-angioplasty, rehospitalization after PCI were significantly associated with to HRQoL. Conclusions: Better HRQoL after PCI may be linked to a care strategy that takes into account both clinical and nonclinical aspects.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing Patient Flow Using Value Stream Mapping in the Chemotherapy Unit: Quality Improvement. 利用价值流图优化化疗单元的病人流：质量改进。

Hospital Topics Pub Date : 2025-04-07 DOI: 10.1080/00185868.2025.2488252

Zibel Koc, Ahmet Demır, Sule Ecevıt Alpar, Tugcehan Aleyna Koc

{"title":"Optimizing Patient Flow Using Value Stream Mapping in the Chemotherapy Unit: Quality Improvement.","authors":"Zibel Koc, Ahmet Demır, Sule Ecevıt Alpar, Tugcehan Aleyna Koc","doi":"10.1080/00185868.2025.2488252","DOIUrl":"https://doi.org/10.1080/00185868.2025.2488252","url":null,"abstract":"Purpose: Inefficient patient flow in chemotherapy units is often caused by improper resource allocation, delays, and excessive workloads. Lean healthcare practices offer process visualization and waste reduction, addressing these issues. This project aims to optimize chemotherapy patient flow by improving care coordination, reducing waiting times, and shortening hospital stays.Methods: The project employed Value Stream Mapping methodology from May 2022 to May 2023. The team mapped the chemotherapy administration process, identified inefficiencies, and evaluated factors influencing patient flow, including delays and resource utilization.Results: Prior to the intervention, the percentage of value-added time from patient admission to discharge was 47.35%. After applying lean principles, the total hospital stay was reduced by 56.8%, treatment duration decreased by 31.57%, and unscheduled patient visits decreased by 22.93%. The evaluation of test results, chemotherapy drug transfer, and drug preparation processes were identified as the least efficient, with value-added time percentages of 12.87%, 17.12%, and 28.89%, respectively. The longest waiting time was recorded before the start of chemotherapy, averaging 72 minutes.Conclusions: Lean practices were effective in reducing waiting times and hospital stays, improving patient flow. Key improvements included enhanced coordination, streamlined drug preparation, and reduced delays in patient assessments. The project is reinforced with field data, which enhances the applicability of the findings in clinical practice. The success and sustainability of these improvements are dependent on ongoing management support and the adoption of lean practices across the hospital. Implementing lean practices in high-volume units is recommended to further enhance operational efficiency.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse Practitioner's Confidence and Competence of Advance Directives: The Benefits of an Educational Program. 执业护士对预先指示的信心和能力：教育计划的好处。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-05-02 DOI: 10.1080/00185868.2023.2201693

Keiosha Townsend, Kelly S Johnson, Stacey Jones, Amy Spurlock

{"title":"Nurse Practitioner's Confidence and Competence of Advance Directives: The Benefits of an Educational Program.","authors":"Keiosha Townsend, Kelly S Johnson, Stacey Jones, Amy Spurlock","doi":"10.1080/00185868.2023.2201693","DOIUrl":"10.1080/00185868.2023.2201693","url":null,"abstract":"The increase in the number of people developing dementia, the growing number of geriatric patients suffering and dying from serious chronic diseases, and the rising costs of health care as a result of an aging population have centered attention on advance care planning. Advance care planning is the recurrent conversation between competent patients, their families, and the health care provider about end of life care. Although vital, advance care planning discussions between providers and patients are not occurring regularly, and completion rates of advance directives are low. Barriers to health care providers discussing advance directives include lack of time, knowledge, and confidence. The purpose of this project was to evaluate the effectiveness of an educational program regarding advance directives on nurse practitioner's competency and confidence to start advance care planning discussions. Wilcoxon signed rank test indicated that post-education, confidence improved significantly for all items (average rank of 4.5 vs average rank of 10.65). The study showed that most of the nurse practitioners were knowledgeable about advance directives and the educational program increased their level of confidence about initiating advance directive discussions.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"94-100"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9395309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Affecting Patient Safety in Inpatient Rehabilitation Hospital: A Multidisciplinary Perspective. 影响住院康复医院患者安全的因素：多学科视角

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-07-04 DOI: 10.1080/00185868.2023.2228970

Shoeleh Rahimi, Hamid Reza Khankeh, Narges Arsalani, Masoud Fallahi-Khoshknab, Abbas Ebadi, Fereydoun Layeghi

{"title":"Factors Affecting Patient Safety in Inpatient Rehabilitation Hospital: A Multidisciplinary Perspective.","authors":"Shoeleh Rahimi, Hamid Reza Khankeh, Narges Arsalani, Masoud Fallahi-Khoshknab, Abbas Ebadi, Fereydoun Layeghi","doi":"10.1080/00185868.2023.2228970","DOIUrl":"10.1080/00185868.2023.2228970","url":null,"abstract":"Patient safety (PS) is of special importance in Inpatient Rehabilitation Hospital (IRH). Few studies have assessed the factors affecting PS in IRH. Therefore, this study aimed to explore the factors affecting PS based on the experiences of the rehabilitation team in an IRH. This qualitative study was conducted using the conventional content analysis approach in 2020-2021. The participants were 16 members of the rehabilitation team. They were purposively selected from Rofaydeh rehabilitation hospital, Tehran, Iran. Data collection was performed through semi-structured interviews and was continued up to data saturation. The mean age of the participants was 37.31 ± 8.68 years and their mean work experience was 8.75 years. The factors affecting PS in IRH were classified into five main categories, namely shortage of organizational resources, inappropriate physical environment of the IRH, inappropriate PS culture, patients' and their caregivers' limited participation in safety programs, and poor fall prevention programs. The results of this study revealed the factors affecting PS in IRH. Accurate identification of the influential factors on PS can help healthcare providers, managers, and policymakers use multi-component interventions to improve PS culture and increase PS in IRHs. Action research studies are also recommended to determine the main components of such interventions.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"111-121"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilization and Perception of Telemedicine among Orthopedic Surgeons. 骨科医师对远程医疗的运用与认知。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-07-17 DOI: 10.1080/00185868.2023.2227393

Satvik N Pai, Krithi Subhas Chandra

{"title":"Utilization and Perception of Telemedicine among Orthopedic Surgeons.","authors":"Satvik N Pai, Krithi Subhas Chandra","doi":"10.1080/00185868.2023.2227393","DOIUrl":"10.1080/00185868.2023.2227393","url":null,"abstract":"Introduction: Telemedicine has been a growing trend. Its use in the field of orthopedic surgery has its own unique facets. To determine the perception and assess the utilization of telemedicine the current study was conducted.Materials and methods: This is a cross-sectional exploratory study conducted from January to April 2022 among 142 orthopedic surgeons across India who had previous experience of using telemedicine and were willing to participate in this study. The data was collected using a validated semi-structured questionnaire consisting of 44 multiple Choice questions, divided into 7 sections: experience in using telemedicine, technical aspects, patient selection, problems faced, benefits, current use, and opinions designed in English language. The data obtained from the responses were tabulated, analyzed and expressed in proportions.Results: We found that nearly 80% of orthopedic surgeons believed that teleconsultation was most appropriate for follow up visits. The two most common issues faced were technical issues relating to poor video/audio/connectivity, and difficulty with regard to viewing of radiographs, MRI films etc. The major advantage was perceived to be easier access for patients, especially bed ridden/old patients.Conclusion: Our survey showed a significantly positive response toward telemedicine. Technical issues and lack of clinical examination were cited as the most common hindrances faced. Saving the time of the patient, and easier access to healthcare for old aged individuals, bed ridden patients and individuals in remote areas were the major perceived benefits.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9783901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge- and Experience-Based Perceptions of Radiation Therapists during the COVID-19 Outbreak. COVID-19 爆发期间放射治疗人员基于知识和经验的看法。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-03-02 DOI: 10.1080/00185868.2023.2182245

Rolina Al-Wassia, Ayah Mouais, Mai Kadi, Nada J Farsi, Rania Hashem, Nesreen Awad, Huda M Altoukhi, Yasir Bahadur, Mohammad Attar, Omar Iskanderani, Hussam Hijazi, Zayd Jastaniah, Hatim Almarzouki, Reem K Ujaimi

{"title":"Knowledge- and Experience-Based Perceptions of Radiation Therapists during the COVID-19 Outbreak.","authors":"Rolina Al-Wassia, Ayah Mouais, Mai Kadi, Nada J Farsi, Rania Hashem, Nesreen Awad, Huda M Altoukhi, Yasir Bahadur, Mohammad Attar, Omar Iskanderani, Hussam Hijazi, Zayd Jastaniah, Hatim Almarzouki, Reem K Ujaimi","doi":"10.1080/00185868.2023.2182245","DOIUrl":"10.1080/00185868.2023.2182245","url":null,"abstract":"Objective: To assess the perceived risks and impact of the COVID-19 outbreak on radiation therapists in Saudi Arabia. Methods: A questionnaire was distributed to all radiation therapists in the country. The questionnaire contained questions about demographic characteristics, the extent of the pandemic's impact on hospital resources, risk perception, work-life, leadership, and immediate supervision. The questionnaire's reliability was assessed using Cronbach's alpha; >0.7 was considered adequate. Results: Out of the 127 registered radiation therapists, 77 (60.6%) responded; 49 (63.6%) females; and 28 (36.4%) males. The mean age was 36.8 ± 12.5 years. Nine (12%) of the participants had a past experience with pandemics or epidemics. Further, 46 (59.7%) respondents correctly identified the mode of transmission of COVID-19. Approximately, 69% of the respondents perceived COVID-19 as more than a minor risk to their families and 63% to themselves. COVID-19 had an overall negative impact on work at the personal and organizational levels. However, there was a positive attitude toward organizational management during the pandemic in general; positive responses ranged from 66.2% to 82.4%. Ninety-two percent considered protective resources and 70% considered the availability of supportive staff to be adequate. Demographic characteristics were not significantly associated with the perceived risk. Conclusions: Despite the high perception of risk and negative impact on their work, radiation therapists conveyed a positive overall perception regarding resource availability, supervision, and leadership. Efforts should be made to improve their knowledge and appreciate their efforts.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"51-63"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10824544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Intricate Relationship of Employee Engagement and Lean Approach toward Quality Improvement of the Public Hospitals. 公立医院员工敬业度与精益质量改进的复杂关系。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-03-23 DOI: 10.1080/00185868.2023.2192995

Shatha Hawarna, Selim Ahmed, Ibrahim Alqasmi, Dewan Mehrab Ashrafi, Muhammad Khalilur Rahman, Pradeep Paraman

{"title":"The Intricate Relationship of Employee Engagement and Lean Approach toward Quality Improvement of the Public Hospitals.","authors":"Shatha Hawarna, Selim Ahmed, Ibrahim Alqasmi, Dewan Mehrab Ashrafi, Muhammad Khalilur Rahman, Pradeep Paraman","doi":"10.1080/00185868.2023.2192995","DOIUrl":"10.1080/00185868.2023.2192995","url":null,"abstract":"The lean approach is a value-added system that reduces cost and waste to continuously improve the quality performance of the healthcare organization. The present study investigates the relationships of the lean approach with top management team and employee engagement toward quality improvement of the public hospitals in Malaysia. This study used stratified random sampling to collect data from the public hospitals' staff who were directly involved with patient services. In this study, PLS-SEM 3.3.4 was applied to measure the research constructs and hypotheses. The research findings indicate that the lean approach has a significant relationship with the top management team and employee engagement to positively impact the quality improvement of the public hospital. However, research findings also indicate that the top management team has no significant influence on quality improvement in public hospitals, but it has an indirect effect through the lean approach and employee engagement. The findings of the study will provide guidelines on how the lean approach contributes to the body of knowledge and practical implications to continuously improve the quality performance of public healthcare system.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"72-86"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9154932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variance in Hospital Charges and in-Patient Care for Liver Transplants: Examining Non-Clinical Predictors and Implications. 肝移植住院费用和住院护理的差异：研究非临床预测因素及其影响。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-02-28 DOI: 10.1080/00185868.2023.2185172

Alan Jin, Ravi Chinta, Vijay Raghavan

{"title":"Variance in Hospital Charges and in-Patient Care for Liver Transplants: Examining Non-Clinical Predictors and Implications.","authors":"Alan Jin, Ravi Chinta, Vijay Raghavan","doi":"10.1080/00185868.2023.2185172","DOIUrl":"10.1080/00185868.2023.2185172","url":null,"abstract":"The significant and apparent variance in hospital charges and inpatient care in the U.S. has perplexed the general public including many stakeholders such as the healthcare regulators and insurers. While the clinical side of inpatient care has been undergoing tremendous progress and standardization, the overall cost of healthcare has been ballooning. The purpose of this research is to conduct statistical analyses that reveal the sources of variance in hospital charges and inpatient care using the annual data from the AHRQ's (Agency for Healthcare Research and Quality) HCUP's (Hospital Cost and Utilization Project) NIS (National Inpatient Sample) database. Our focus is on non-clinical factors such as patient age, gender, income and race and hospital location data as independent variables to investigate their impact on hospital charges and inpatient care. Our research sample is the liver transplant cases in 2019 sampled in the NIS 2019 database. Our regression results show patient age and gender as well as payer affect the number of diagnoses; and hospital charges are affected by age, payer and hospital location. Number of procedures was not affected by any of these non-clinical factors except the hospital location. Implications suggest that there is more room for standardization of the number of diagnoses and procedures across regions in the US. Results also reveal that race and income do not have any effect on hospital charges and inpatient care. Our study contributes to an empirical understanding of non-clinical factors in the explanation of variance in hospital charges and inpatient care.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10852262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small rural hospitals in the United States and the impact of COVID: A cross-sectional study. 美国小型乡村医院与 COVID 的影响：一项横断面研究。

Hospital Topics Pub Date : 2025-04-01 Epub Date: 2023-02-11 DOI: 10.1080/00185868.2023.2176390

Ken Black, Lifei Sheng, Sharon Perkins Hall

{"title":"Small rural hospitals in the United States and the impact of COVID: A cross-sectional study.","authors":"Ken Black, Lifei Sheng, Sharon Perkins Hall","doi":"10.1080/00185868.2023.2176390","DOIUrl":"10.1080/00185868.2023.2176390","url":null,"abstract":"Background: Rural hospitals in the United States face staffing and financial challenges, low patient volumes, and aging infrastructures among others. In addition, they deal with such crises as the opioid epidemic, natural disasters, and the coronavirus.Methods: The analyses presented in this study are based on two databases: (1) the 2019 annual survey data published by the American Hospital Association (AHA) and (2) US Department of Health and Human Services (HHS) database of US hospitals containing information related to COVID-19 for the week of November 27, 2020. Using a subset of the 2019 AHA annual survey data to which the authors acquired access, this study develops a profile of rural hospitals in America. The data are proprietary property of AHA. The authors are permitted to use the data in published research but only in aggregate form. No individual hospital metrics can be used in this report. The HHS database is public data and as such is available to all. HHS recognizes the importance of providing high-quality, accessible, and timely information for entrepreneurs, researchers, and policy makers to help drive insights and better health outcomes for all. Employing this HHS database, a cross-sectional view of the impact of COVID on small, rural hospitals in the United States is undertaken. In this study, data found in the HHS database are presented only in the aggregate form.Results and discussion: The average small, rural hospital has 20.8 beds, 10 weekly admissions, a daily census of 6.6 patients, 145 full-time personnel, 67 part-time personnel, and a total facility expense of $27 million of which payroll expense was 41%. Due to COVID, there was an increase in admissions and outpatient visits.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10747555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0