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Journal articles on the topic 'Acuity-based staffing'

Author: Grafiati

Published: 4 June 2021

Last updated: 8 February 2022

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1

Nguyen, Abby. "Acuity-based staffing." Nursing Management (Springhouse) 46, no. 1 (2015): 35–39. http://dx.doi.org/10.1097/01.numa.0000459555.94452.e2.

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Dent, Robert L., and Pamela Bradshaw. "Building the Business Case for Acuity-Based Staffing." Nurse Leader 10, no. 2 (2012): 26–28. http://dx.doi.org/10.1016/j.mnl.2011.12.008.

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Barton, Nancy. "Acuity-Based Staffing: Balance Cost, Satisfaction, Quality, and Outcomes." Nurse Leader 11, no. 6 (2013): 47–64. http://dx.doi.org/10.1016/j.mnl.2013.08.005.

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Harrington, Charlene, Mary Ellen Dellefield, Elizabeth Halifax, Mary Louise Fleming, and Debra Bakerjian. "Appropriate Nurse Staffing Levels for U.S. Nursing Homes." Health Services Insights 13 (January 2020): 117863292093478. http://dx.doi.org/10.1177/1178632920934785.

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US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate n

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Sobaski, Tanya. "Addressing Patient Acuity and Nurse Staffing Issues in the Acute Care Setting: A Review of the Literature." International Journal of Studies in Nursing 3, no. 3 (2018): 1. http://dx.doi.org/10.20849/ijsn.v3i3.431.

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Background: Many times there is a misalignment on medical-surgical units nursing assignments that do not provide equitable distribution of the patient needs for the unit.Purpose: The purpose of the literature review was to identify resources that address patient acuity and nurse staffing issues in the acute care setting.Method: A literature review using the EBSCOhost health search engine, which included databases from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, and ProQuest.Results: The future of nursing is moving toward staffing based on patient acuity.

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Fullam, Charlene. "Acuity-based ED nurse staffing: A successful 5-year experience." Journal of Emergency Nursing 28, no. 2 (2002): 138–40. http://dx.doi.org/10.1067/men.2002.122219.

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Vortherms, Jane, Brenda Spoden, and Jill Wilcken. "From Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Model." Clinical Journal of Oncology Nursing 19, no. 3 (2015): 332–37. http://dx.doi.org/10.1188/15.cjon.332-337.

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Redfern, Oliver C., Peter Griffiths, Antonello Maruotti, Alejandra Recio Saucedo, and Gary B. Smith. "The association between nurse staffing levels and the timeliness of vital signs monitoring: a retrospective observational study in the UK." BMJ Open 9, no. 9 (2019): e032157. http://dx.doi.org/10.1136/bmjopen-2019-032157.

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ObjectivesOmissions and delays in delivering nursing care are widely reported consequences of staffing shortages, with potentially serious impacts on patients. However, studies so far have relied almost exclusively on nurse self-reporting. Monitoring vital signs is a key part of nursing work and electronic recording provides an opportunity to objectively measure delays in care. This study aimed to determine the association between registered nurse (RN) and nursing assistant (NA) staffing levels and adherence to a vital signs monitoring protocol.DesignRetrospective observational study.Setting32

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Weber, Shani Michelle, and Cheryl A. Steele. "Prospectively measuring the acuity of outpatient chemotherapy treatment regimens for staffing allocation." Journal of Clinical Oncology 34, no. 7_suppl (2016): 48. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.48.

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48 Background: UPMC CancerCenter is a large outpatient medical oncology network of 25 locations, located within a 200 mile radius of Pittsburgh, PA. Covering all of these centers with a limited pool of float nurses was a daily challenge. The literature describes many attempts to quantify nursing workload retrospectively based upon complexity, hours of nursing time, etc. The ability to schedule staff equitability in advance is critical to managing staff. New targeted therapies and complicated treatment regimens which impact patient acuity bring to light the need for accurate acuity measurement.

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Brennan, Caitlin W., Frank Meng, Mark M. Meterko, and Leonard W. D’Avolio. "Feasibility of Automating Patient Acuity Measurement Using a Machine Learning Algorithm." Journal of Nursing Measurement 24, no. 3 (2016): 419–27. http://dx.doi.org/10.1891/1061-3749.24.3.419.

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Background and Purpose: One method of determining nurse staffing is to match patient demand for nursing care (patient acuity) with available nursing staff. This pilot study explored the feasibility of automating acuity measurement using a machine learning algorithm. Methods: Natural language processing combined with a machine learning algorithm was used to predict acuity levels based on electronic health record data. Results: The algorithm was able to predict acuity relatively well. A main challenge was discordance among nurse raters of acuity in generating a gold standard of acuity before app

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Ricards, June E. "Proactive evaluation of staffing patterns supports need for extra staff based on patient acuity." AORN Journal 42, no. 1 (1985): 100–104. http://dx.doi.org/10.1016/s0001-2092(07)65018-2.

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DeRienzo, Christopher M., Ryan J. Shaw, Phillip Meanor, Emily Lada, Jeffrey Ferranti, and David Tanaka. "A discrete event simulation tool to support and predict hospital and clinic staffing." Health Informatics Journal 23, no. 2 (2016): 124–33. http://dx.doi.org/10.1177/1460458216628314.

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We demonstrate how to develop a simulation tool to help healthcare managers and administrators predict and plan for staffing needs in a hospital neonatal intensive care unit using administrative data. We developed a discrete event simulation model of nursing staff needed in a neonatal intensive care unit and then validated the model against historical data. The process flow was translated into a discrete event simulation model. Results demonstrated that the model can be used to give a respectable estimate of annual admissions, transfers, and deaths based upon two different staffing levels. The

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Gross, Jan C., Elizabeth A. Faulkner, Stacey W. Goodrich, and Mary E. Kain. "A Patient Acuity and Staffing Tool for Stroke Rehabilitation Inpatients Based on the FIM™ Instrument." Rehabilitation Nursing 26, no. 3 (2001): 108–13. http://dx.doi.org/10.1002/j.2048-7940.2001.tb02214.x.

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Young, Judith, Mikyoung Lee, Laura Prouty Sands, and Sara McComb. "Nursing activities and factors influential to nurse staffing decision-making." Journal of Hospital Administration 4, no. 4 (2015): 24. http://dx.doi.org/10.5430/jha.v4n4p24.

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Objective: There is limited published research supporting the effectiveness of nursing workload measurement to comprehensively measure nursing workload and to formulate nurse resource need. Predictive accuracy is impaired due to variation in direct and indirect care-related activities across measurement instruments. This study aimed to (1) identify common nursing activities considered by nurse managers for staffing decision-making, (2) systematically review such nursing activities in relation to existing nursing workload instruments and Nursing Intervention Classification taxonomy, and (3) des

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Shah, Hirsh, Shelley A. Knowlson, Audrey Roberson, et al. "Changes in Nursing Team Composition and Risk of Device Associated Infection in Intensive Care Units." Infection Control & Hospital Epidemiology 41, S1 (2020): s465. http://dx.doi.org/10.1017/ice.2020.1139.

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Background: The relationship between nursing staffing and healthcare-associated infections (HAIs) has been explored previously, with conflicting results. Intensive care units increasingly struggle to maintain trained staff. In May 2019, clinical coordinator (CC) roles changed to include 50% of time in direct patient care rather than supportive roles. In this study, we used shift records to explore the impact of staffing on HAI risk. Methods: Daily staffing records from December 2018 August 2019 for the medical-respiratory unit (MRICU) and the cardiac surgery unit (CSICU) were reviewed. Both un

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Brennan, Caitlin W., Michael Krumlauf, Kathryn Feigenbaum, Kyungsook Gartrell, and Georgie Cusack. "Patient Acuity Related to Clinical Research: Concept Clarification and Literature Review." Western Journal of Nursing Research 41, no. 9 (2018): 1306–31. http://dx.doi.org/10.1177/0193945918804545.

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In research settings, clinical and research requirements contribute to nursing workload, staffing decisions, and resource allocation. The aim of this article is to define patient acuity in the context of clinical research, or research intensity, and report available instruments to measure it. The design was based on Centre for Reviews and Dissemination recommendations, including defining search terms, developing inclusion and exclusion criteria, followed by abstract review by three members of the team, thorough reading of each article by two team members, and data extraction procedures, includ

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Sobaski, Tanya, Karen Allen, and Samuel P. Abraham. "The Results of Implementation of an Acuity Tool to Decrease the Number of Resuscitation Events on an Orthopedic-Neurology Unit." International Journal of Studies in Nursing 4, no. 1 (2019): 1. http://dx.doi.org/10.20849/ijsn.v4i1.535.

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Background: Patients on medical-surgical units such as orthopedic-neurology are vulnerable for delayed recognition of physiological deterioration. Therefore, they are at increased risk of incurring a resuscitation event. Volume-based nurse staffing does not consider the necessity of nursing care that is individualized to the patient needs. Purpose: The purpose of this study was to implement an acuity tool to evaluate the number of resuscitation event occurrences on an Orthopedic-Neurology Unit. Method: A quasi-experimental, non-randomized, quality improvement project was implemented on a 32-be

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Rodgers, Georgina T. "Development of an infusion nurse staffing model for outpatient chemotherapy centers." Journal of Clinical Oncology 34, no. 7_suppl (2016): 103. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.103.

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103 Background: Nursing roles and responsibilities within ambulatory oncology infusion suites across our health system are not clearly defined and it is not understood what the appropriate staffing ratio should be per site. It is not clear if employees are working to the highest level of their licensure or skill, and if the appropriate activities are performed by the correct department. A standard staffing model to provide efficiency of clinical services and patient safety does not exist, and nursing roles are variable between the sites. Similar patient populations are being treated at each si

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Shukla, Ramesh K. "Factors and Perspectives Affecting Nursing Resource Consumption in Community Hospitals." Health Services Management Research 5, no. 3 (1992): 174–85. http://dx.doi.org/10.1177/095148489200500302.

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The consumption of professional and non-professional nursing resources on medical/surgical nursing units varies sharply among community hospitals. In an effort to explain the variation, this study examines several factors: socio-economic characteristics of the population; supply of registered nurses; hospital characteristics such as size, complexity and diversity of services; patient characteristics such as case mix index and nursing care acuity index; and production system characteristics such as efficiency of technical support systems and the structure of nursing care delivery. Nursing skill

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Brugler, L., and L. Bernstein. "An Acuity Based Clinical Nutrition Staffing Model Improves Acute Care Clinical Effectiveness and Maintains Program Viability in a Managed Care Environment." Journal of the American Dietetic Association 98, no. 9 (1998): A23. http://dx.doi.org/10.1016/s0002-8223(98)00384-8.

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Garth, Alyssa, Susan Schreiner, and Dawn Jourdan. "Operational efficiencies in the infusion center: Improving nursing efficiencies and patient wait times while decreasing costs." Journal of Clinical Oncology 31, no. 31_suppl (2013): 56. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.56.

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56 Background: Decreased nursing efficiency and patient assignments has increased patient wait times and has significant implications on overall patient flow in the infusion center and labor dollars. Historically, staff nurses signed up for their patients, and took an average of 2 patients at one time. This created disparity in patient/staffing ratios, high number of labor dollars per worked infusion and an overall atmosphere of inequity among the nurses. Methods: Patient flow and labor cost were examined. Analysis of the nursing staffing matrix led to the creation of a patient placement nurse

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Griffiths, Peter, Christina Saville, Jane E. Ball, et al. "The Safer Nursing Care Tool as a guide to nurse staffing requirements on hospital wards: observational and modelling study." Health Services and Delivery Research 8, no. 16 (2020): 1–162. http://dx.doi.org/10.3310/hsdr08160.

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Background The Safer Nursing Care Tool is a system designed to guide decisions about nurse staffing requirements on hospital wards, in particular the number of nurses to employ (establishment). The Safer Nursing Care Tool is widely used in English hospitals but there is a lack of evidence about how effective and cost-effective nurse staffing tools are at providing the staffing levels needed for safe and quality patient care. Objectives To determine whether or not the Safer Nursing Care Tool corresponds to professional judgement, to assess a range of options for using the Safer Nursing Care Too

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Dreyer, Jonathan F., Shelley L. McLeod, Chris K. Anderson, Michael W. Carter, and Gregory S. Zaric. "Physician workload and the Canadian Emergency Department Triage and Acuity Scale: the Predictors of Workload in the Emergency Room (POWER) Study." CJEM 11, no. 04 (2009): 321–29. http://dx.doi.org/10.1017/s1481803500011350.

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ABSTRACTIntroduction:The Canadian Emergency Department Triage and Acuity Scale (CTAS) is a 5-level triage tool used to determine the priority by which patients should be treated in Canadian emergency departments (EDs). To determine emergency physician (EP) workload and staffing needs, many hospitals in Ontario use a case-mix formula based solely on patient volume at each triage level. The purpose of our study was to describe the distribution of EP time by activity during a shift in order to estimate the amount of time required by an EP to assess and treat patients in each triage category and t

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Goh, Mien Li, Emily N. K. Ang, Yiong-Huak Chan, Hong-Gu He, and Katri Vehviläinen-Julkunen. "Patient Satisfaction Is Linked to Nursing Workload in a Singapore Hospital." Clinical Nursing Research 27, no. 6 (2017): 692–713. http://dx.doi.org/10.1177/1054773817708933.

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No studies have examined the association between patient satisfaction and the allocation of nursing care hours using a workload management system. The aim of this study is to examine the correlation between inpatients’ perceived satisfaction with nursing care and nursing workload management in a Singapore hospital. A secondary data analysis was performed based on the results of 270 patients’ perceived satisfaction measured by the Revised Humane Caring Scale and nursing workload management data extracted from the TrendCare Patient Acuity System. Data were collected from March to October 2013. T

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Stys, Dana, Kerri Landry, Tatum Mitra, and Vincent Grant. "A provincial assessment of readiness for paediatric emergencies: What are the existing resource gaps in Alberta?" Paediatrics & Child Health 25, no. 8 (2019): 498–504. http://dx.doi.org/10.1093/pch/pxz111.

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Abstract Objectives A large proportion of all emergency visits for paediatric patients across Canada are to general emergency departments (EDs). These centres may not be adequately equipped to provide optimal care for high acuity paediatric emergencies. The objective of this study was to determine paediatric readiness for general EDs and urgent care centres (UCCs) across Alberta and provide each centre with an overall weighted Paediatric Readiness Score (WPRS). Methods A paediatric readiness assessment consisting of 55-questions normalized on a 100-point scale was used to survey 107 general ED

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Innes, Grant D., Robert Stenstrom, Eric Grafstein, and James M. Christenson. "Prospective time study derivation of emergency physician workload predictors." CJEM 7, no. 05 (2005): 299–308. http://dx.doi.org/10.1017/s1481803500014482.

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ABSTRACT Background: A reliable emergency department (ED) workload measurement tool would provide a method of quantifying clinical productivity for performance evaluation and physician incentive programs; it would enable health administrators to measure ED outputs; and it could provide the basis for an equitable formula to estimate ED physician staffing requirements. Our objectives were to identify predictors that correlate with physician time needed to treat patients and to develop a multivariable model to predict physician workload. Methods: During 31 day, evening, night and weekend shifts,

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Fasoli, DiJon R., and Kathlyn Sue Haddock. "Results of an Integrative Review of Patient Classi cation Systems." Annual Review of Nursing Research 28, no. 1 (2010): 295–316. http://dx.doi.org/10.1891/0739-6686.28.295.

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This chapter presents the findings of an integrative review of the literature to identify current practices related to patient classification systems (PCSs). We sought to determine if there was a “gold standard” PCS that could be adopted or adapted for use by nurse leaders in practice. Sixty-three articles reporting studies related to PCS, Patient Acuity Systems or Workload Management Systems from 1983 to 2010 and applicable for inpatient medical/surgical settings were reviewed. Generally, we found that many of the criticisms of earlier PCSs are still evident: (1) difficulties with measuring w

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Asamani, James Avoka, Christmal Dela Christmals, and Gerda Marie Reitsma. "Health Service Activity Standards and Standard Workloads for Primary Healthcare in Ghana: A Cross-Sectional Survey of Health Professionals." Healthcare 9, no. 3 (2021): 332. http://dx.doi.org/10.3390/healthcare9030332.

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The attainment of health system goals is largely hinged on the health workforce availability and performance; hence, health workforce planning is central to the health policy agenda. This study sought to estimate health service activity standards and standard workloads at the primary health care level in Ghana and explore any differences across health facility types. A nationally representative cross-sectional survey was conducted among 503 health professionals across eight health professions who provided estimates of health service activity standards in Ghana’s Primary Health Care (PHC) setti

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Leopardi, Marco, and Marco Sommacampagna. "Emergency Nursing Staff Dispatch: Sensitivity and Specificity in Detecting Prehospital Need for Physician Interventions During Ambulance Transport in Rovigo Emergency Ambulance Service, Italy." Prehospital and Disaster Medicine 28, no. 5 (2013): 523–28. http://dx.doi.org/10.1017/s1049023x13008790.

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AbstractIntroductionIn Italy, administration of medications or advanced procedures dictates the prehospital presence of a physician to initiate treatment. Nursing staff is often used as dispatchers in Italian emergency medical ambulance services. There is little data about nursing dispatch performance in detecting high-acuity patients who need prehospital medications and procedures.ObjectiveTo determine the ability of a dispatch center staffed by emergency ambulance nurses to detect prehospital need for physician interventions in the context of a semi-rural area Emergency Medical Services syst

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Tyler, Denise, Cleanthe Kordomenos, and Melvin Ingber. "Stakeholder Perspectives on Reducing Hospitalizations Among Nursing Home Residents." Innovation in Aging 4, Supplement_1 (2020): 85. http://dx.doi.org/10.1093/geroni/igaa057.280.

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Abstract Organizations in seven states have been participating in the Center for Medicare and Medicaid Innovation (CMMI) initiative aimed at reducing potentially avoidable hospitalizations among long-stay nursing home (NH) residents. The purpose of this study was to identify market and policy factors that may have affected the initiative in those states. Forty-seven interviews were conducted with key stakeholders in the seven states (e.g., representatives from state departments of health, state Medicaid offices, and nursing, hospital and nursing home associations) and qualitatively analyzed to

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Nelsen, Greg, Heidi Pigott, Caleb Hopkinson, and Christine M. Formea. "Considerations for development of pharmacy support models for COVID-19 alternate care sites." American Journal of Health-System Pharmacy 77, no. 19 (2020): 1592–97. http://dx.doi.org/10.1093/ajhp/zxaa214.

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Abstract Purpose Guidance on alternate care site planning based on the experience of a health-system pharmacy department in preparing for an expected surge in coronavirus disease 2019 (COVID-19) cases is provided. Summary In disaster response situations such as the COVID-19 pandemic, healthcare institutions may be compelled to transition to a contingency care model in which staffing and supply levels are no longer consistent with daily practice norms and, while usual patient care practices are maintained, establishment of alternate care sites (eg, a convention center) may be necessitated by hi

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Molloy, Michael, Paul Kelly, and Gregory R. Ciottone. "Concerns for Small Hospitals in Rationalising Trauma Services: How Do We Ensure Enhanced Patient Services in Rural Areas?" Prehospital and Disaster Medicine 34, s1 (2019): s110—s111. http://dx.doi.org/10.1017/s1049023x19002334.

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Introduction:Trauma bypass has been introduced successfully worldwide with sustained reductions in mortality/morbidity. Analyzing structure, process, and outcome individually and collectively in systems has been found to focus improvement efforts in the audit cycle. The second Irish report on Major Trauma Audit (MTA) was published in December 2017. The median age of trauma patients in Ireland was 59, indicating an aging trauma population. 28% of patients required secondary transfer to complete their care. The mortality rate for 2016 was only 4%.Aim:To determine the ability of a road-based EMS

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Weigl, Matthias, Joana Beck, Markus Wehler, and Anna Schneider. "Workflow interruptions and stress atwork: a mixed-methods study among physicians and nurses of a multidisciplinary emergency department." BMJ Open 7, no. 12 (2017): e019074. http://dx.doi.org/10.1136/bmjopen-2017-019074.

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ObjectivesDealing with multiple workflow interruptions is a major challenge in emergency department (ED) work. This study aimed to establish a taxonomy of workflow interruptions that takes into account the content and purpose of interruptive communication. It further aimed to identify associations of workflow interruptions with ED professionals’ work stress.DesignCombined data from expert observation sessions and concomitant self-evaluations of ED providers.SettingED of an academic community hospital in Germany.ParticipantsMultidisciplinary sample of ED physicians and nurses. 77 matched observ

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Bell, Anthony, Ghasem-Sam Toloo, Julia Crilly, et al. "Emergency department models of care in Queensland: a multisite cross-sectional study." Australian Health Review 43, no. 4 (2019): 363. http://dx.doi.org/10.1071/ah17233.

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Objective The acuity and number of presentations being made to emergency departments (EDs) is increasing. In an effort to safely and efficiently manage this increase and optimise patient outcomes, innovative models of care (MOC) have been implemented. What is not clear is how these MOC reflect the needs of patients or relate to each other or to ED performance. The aim of this study was to describe ED MOC in Queensland, Australia. Methods Situated within a larger mixed-methods study, the present study was a cross-sectional study. In early 2015, leaders (medical directors and nurse managers) fro

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Kirkland, S., L. Gaudet, D. Keto-Lambert, and B. Rowe. "P073: Consultations in the emergency department: a systematic review." CJEM 21, S1 (2019): S89. http://dx.doi.org/10.1017/cem.2019.264.

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Introduction: While consultation is a common and important aspect of emergency department (ED) care, a previous systematic review identified significant utilization and process variation across ED's. The aim of this review update was to examine the proportion of the patients undergoing consultation in the ED among recent studies. Methods: Eight primary literature databases and the grey literature were searched. Studies published from 2007 to 2018 focusing on all-comers to the ED and reporting a consultation-related outcome were included. Disease- and specialty-specific studies were not eligibl

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Rusiecki, D., S. Hoffe, M. Walker, et al. "P112: In situ simulation: A team sport?" CJEM 21, S1 (2019): S104. http://dx.doi.org/10.1017/cem.2019.303.

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Introduction: Identification of latent safety threats (LSTs) in the emergency department is an important aspect of quality improvement that can lead to improved patient care. In situ simulation (ISS) takes place in the real clinical environment and multidisciplinary teams can participate in diverse high acuity scenarios to identify LSTs. The purpose of this study is to examine the influence that the profession of the participant (i.e. physician, registered nurse, or respiratory therapist) has on the identification of LSTs during ISS. Methods: Six resuscitation- based adult and pediatric simula

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Savage, D., and D. Petrie. "LO77: Assessing the long-term emergency physician resource planning for Nova Scotia, Canada." CJEM 21, S1 (2019): S35—S36. http://dx.doi.org/10.1017/cem.2019.120.

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Introduction: Planning for the future emergency physician (EP) workforce will be a significant challenge for decision makers given the rise in emergency department (ED) visits and no concurrent increase in resident positions. EP workforce planning must incorporate physician supply, as well as current and forecasted patient demand. Nova Scotia has undertaken the process of developing a planning model to support policy decision making. We hypothesize that Nova Scotia will require increased resident positions and recruitment from other provinces to meet future patient demand. Methods: We have dev

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Calder-Sprackman, S., G. Clapham, T. Kandiah, et al. "MP02: The impact of adoption of an electronic health record on emergency physician work: a time motion study." CJEM 22, S1 (2020): S42—S43. http://dx.doi.org/10.1017/cem.2020.150.

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Introduction: Adoption of a new Electronic Health Record (EHR) can introduce radical changes in task allocation, work processes, and efficiency for providers. In June 2019, The Ottawa Hospital transitioned from a primarily paper based EHR to a comprehensive EHR (Epic) using a “big bang” approach. The objective of this study was to assess the impact of the transition to Epic on Emergency Physician (EP) work activities in a tertiary care academic Emergency Department (ED). Methods: We conducted a time motion study of EPs on shift in low acuity areas of our ED (CTAS 3-5). Fifteen EPs representing

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Jackson Cullison, Stephanie Renae, Arda Celen, Nicole Adell Doudican, Mary Stevenson, and John A. Carucci. "Modified operations to permit safe and timely delivery of essential surgical care for high-risk skin cancer during a pandemic." Journal of Clinical Oncology 39, no. 15_suppl (2021): e21565-e21565. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e21565.

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e21565 Background: Many surgical practices closed at the onset of the COVID-19 pandemic raising concerns that delayed cancer care might impact patient outcomes. We implemented operational changes to safely remain open and treat tumors with potential to threaten life or function. We studied the impact of these changes on safety, access, and treatment. Methods: A single-center retrospective study was conducted in an academic office-based dermatologic surgery practice. All patients consented to research. “Pre-pandemic” (Nov. 2019 – March 21, 2020) consultations served as controls. Consultations d

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Lemaistre, Charles F., Ju-Hsien Chao, Tonya Cox, et al. "Center Effects on Outcomes in the Treatment of Acute Myelogenous Leukemia (AML): A Multilevel, Community-Based, Case-Controlled Study." Blood 134, Supplement_1 (2019): 4780. http://dx.doi.org/10.1182/blood-2019-130640.

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Background As with other complex therapies, treatment of AML varies among centers (ctrs) due to differences in patients (pts), infrastructure and care delivery models. Variation in ctrs practices, experience and resources may influence pt outcomes. Few studies have examined the association of ctr characteristics and survival in AML. Previous research offers conflicting results regarding outcomes of AML pts treated in National Cancer Institute Comprehensive Cancer Centers (NCICCC) versus community settings; neither study investigated ctr-level differences other than volume. We sought to compare

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"Acuity Based Staffing: Let’s Look at the Patient." Journal of the American Dietetic Association 91 (September 1991): A—152. http://dx.doi.org/10.1016/s0002-8223(21)07115-7.

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Stellman, Robert, Andrew Redfern, Sa'ad Lahri, Tonya Esterhuizen, and Baljit Cheema. "How much time do doctors spend providing care to each child in the ED? A time and motion study." Emergency Medicine Journal, April 15, 2021, emermed-2019-208903. http://dx.doi.org/10.1136/emermed-2019-208903.

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BackgroundThe total time per patient doctors spend providing care in emergency departments (EDs) has implications for the development of evidence-based ED staffing models. We sought to measure the total time taken by doctors to assess and manage individual paediatric patients presenting to two EDs in the Western Cape, South Africa and to compare these averages to the estimated benchmarks used regionally to calculate ED staffing allocations.MethodsWe conducted a cross-sectional, observational study applying time and motion methodology, using convenience sampling. Data were collected over a 5-we

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