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Dissertations / Theses on the topic 'Admission and discharge'

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Published: 4 June 2021

Last updated: 29 July 2024

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1

Allgar, Victoria. "Physiotherapy from admission to discharge : an exploratory study." Thesis, University of Newcastle Upon Tyne, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289094.

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2

Berk, Emre. "Admission and discharge policies for progressive health care facilities /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/8807.

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3

Hosseinzadeh, Arian. "Mining hospital admission-discharge data to discover the chance of readmission." Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=119734.

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The rising cost of unplanned hospital readmissions has sparked calls for identifying medical system failures, best practices, and interventions in order to reduce the incidence of avoidable readmission. Readmissions currently account for 18% of total hospital admissions among Medicare patients in the United States. Distinguishing avoidable from unavoidable readmissions is a complex problem, but tackling it can shed light on readmission determinants and contributing factors. The objective of this thesis is to gain knowledge about the role that dispensed drugs, medical procedures, and diagnostic

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4

Wolk, Jael Public Health &amp Community Medicine Faculty of Medicine UNSW. "Can government influence the effective development and implementation of hospital admission policy?" Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/23398.

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It has consistently been documented in many countries and sectors that there are difficulties in implementing public policy effectively. A priori, the Australian health care system is no exception to this general proposition. While governments issue directives with particular goals in mind these goals are not always met, because of the modifications, interpretations or lack of uptake by targeted populations. However it is not clear the extent to which these difficulties occur in the public hospital sector, and we lack clear empirical data on this phenomenon. This thesis investigates the effect

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5

Säynäjäkangas, P. (Pirjo). "Keuhkokuumeesta aiheutunut sairaalahoito Suomessa 1972-1993." Doctoral thesis, University of Oulu, 1999. http://urn.fi/urn:isbn:9514251385.

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Abstract A study is made of the volume of hospital treatment provided for cases of pneumonia in Finland from 1972 to 1993, employing as a source the National Hospital Discharge Register. The results are used to predict changes in the utilization of hospital resources in this respect up to the year 2020. A total of 452 474 treatment periods and 5 935 615 hospitalization days attributable to pneumonia were recorded for the total population over the given period, of which just under 20% applied to children aged under 15 years, over 30% to persons of working age, 15-64 years, and over 50%

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6

Knott, T. Christine. "Patient admission characteristics influencing discharge destinations from a Geriatric Medicine In-Patient Unit." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20658.pdf.

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7

Suiter, S. R. "Factors influencing Western Australian clinical registered nurses in discharge planning." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1166.

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A descriptive quantitative study was conducted to determine what factors nurses considered when discharge planning, and how these factors compared with factors identified in the literature as being effective in planning for discharge. This study was undertaken because with the intended Prospective Payment System (PPS) of funding to hospitals, it is essential that Western Australian Clinical Registered Nurses are able to prepare patients for discharge effectively to prevent the financial burden of cost outliers and re-admissions. Anderson and Steinberg ( 1984) in their studies of factors that i

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8

O'Reilly, Glenda. "Families in today's health care system : the experience of families during pediatric admission." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=78189.

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The purpose of this study was to explore the experiences and needs of families during the admission of a child to a paediatric ward in an acute care hospital. Qualitative research methods were used to access the caregivers' and professionals' perceptions of the culture that families experience in a paediatric in-patient setting. For this project, data collection methods included a review of the literature in the area, individual interviews with caregivers, and focus groups with paediatric health care professionals.<br>In the study, both parents and paediatric professionals described a m

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9

Smith, Helen Mary. "Factors leading to frequent readmission to Valkenberg Hospital for patients suffering from severe mental illnesses." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_8222_1178701013.

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This thesis aimed to explore systematic health service problems that are related to frequent readmission of persons suffering from severe mental illnesses to Valkenberg Hospital. Reduction of acute and chronic beds in the Associated Psychiatric Hospitals, Western Cape over the past decade has led to increasing pressure for beds and rapid inpatient turnover, many of these inpatients being &quot<br>revolving door&quot<br>patients. Integration of mental health service into general health services, an intrinsic part of the comprehensive primary health care approach in South Africa, is supposed to

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10

Rogers, Lorna. "A patient management program: The evaluation of a combined pre-admission and early discharge program." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/903.

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The purpose of this descriptive study was to describe the evaluation of a 'Patient Management Program'. This managed care type of program combined a Pre-Admission Clinic and an Early Discharge Program. It was established as a twelve month pilot program at a major Western Australian public teaching hospital in January 1995. It aimed to provide a more efficient health service by replacing part of elective surgical patients' inpatient care with outpatient services. The first component of the Program was the Pre-Admission Clinic, which allowed patients to undergo pre-operative assessment and testi

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11

McInroy, Alethea. "Communication development of high-risk neonates from admission to discharge from a Kangaroo mother care unit." Diss., University of Pretoria, 2007. http://hdl.handle.net/2263/26481.

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Advances in neonatology have led to increased numbers of high-risk neonates surviving and intensified interest in the developmental outcomes of this population. In the South African context prematurity and low birth weight are the most common causes of death in the perinatal period and the same risk factors that contribute to infant mortality also contribute to the surviving infants’ increased risk for developmental delays. As a result of the interacting biological and environmental risk factors of prematurity, low birth weight, poverty and HIV and AIDS in the South African context Kangaroo Mo

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12

Chegeni, Mohammad. "The impact of a public smoking ban in Delaware County Indiana on hospital admissions for myocardial infarction : a pre-post study." CardinalScholar 1.0, 2010. http://liblink.bsu.edu/uhtbin/catkey/1562870.

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The purpose of this study was to determine the impact of a public smoking ban on the hospital admissions due to acute myocardial infarction in Delaware County, Indiana. The study population consists of all the patients admitted to Ball Memorial Hospital during three 22-month periods with a primary or secondary discharge diagnosis code of acute myocardial infarction (ICD-9-CM) immediately prior to the implementation of the ordinance. Chi-square was conducted for the three 22-month periods of hospital admissions. A significant drop occurred in the number of admissions among nonsmoking patients i

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13

Treacy, Valerie J. "Premenstrual syndrome and psychiatric admissions." Virtual Press, 1988. http://liblink.bsu.edu/uhtbin/catkey/539631.

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Nursing is developing a science for explaining our interventions_ Hormones play a vital role in the female response pattern and that must be assessed in order for nursing to justify its actions. This descriptive design studied 30 women between the ages of 30 and 45 examining psychiatric addmissions and premenstrual syndrome (PMS). Two hypotheses were considered: 1) There is no difference in the incidence of admission to psychiatric facilities of women for depression, schizophrenia, or other psychiatric crises during the paramenstruum of their menstrual cycle and 2) There is no difference in th

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14

Marks, C. J. "Acute poisonings : a comparative study of hospital admissions versus poison centre consultations." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52074.

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Thesis (MSc) Stllenbosch University, 2001.<br>ENGLISH ABSTRACT: A prospective study was conducted in 1999 to establish the incidence and nature of acute poisonings in the Cape Town / Western Cape region. This study was based on an analysis of Poison Centre queries and acute poisoning admissions to Tygerberg Hospital over a period of 1 year (1999). Summary of findings for Hospital admissions (1010 cases): Acute poisonings were more common in adults (83%) than in children (17%) and drug overdose was by far the most common clinical entity in adult Hospital admissions (89% of cases). Most

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15

Huey, Richard D. "A comparison of aggression, locus-of-control, and androgyny at admission and at discharge in psychiatric hospitalized males." W&M ScholarWorks, 1993. https://scholarworks.wm.edu/etd/1539791818.

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The purpose of this study was to investigate how men, 18 years or older, who had been admitted to inpatient psychiatric hospitalization differed as to their level of aggression, locus of control, and the degree of androgyny at admission and at discharge. The sample consisted of 61 males. The males were evaluated with a demographic questionnaire, the Adjective Check List, the Internal Control Index, and the Bem Sex-Role Inventory within 24 hours of admission and again at discharge. The research indicated that there were no statistically significant differences in these sensitive male qualities.

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16

Ganyaza, Thulisile Zioner. "Multi-disciplinary teamwork in an admission unit of a psychiatric institution." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51837.

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17

Joisten, Susanne. "Mobility of geriatric patients at admission to early post-acute rehabilitation facilities predicts change in living situation after discharge." Diss., lmu, 2006. http://nbn-resolving.de/urn:nbn:de:bvb:19-65748.

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18

Pangallo, Georgianne. "Effect of a supportive and informational telephone call on threat appraisal in the newly discharged surgical cardiac patient." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/722461.

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The purpose of the present study was to test the theoretical relationship of the concepts of informational support and threat appraisal with a sample of surgical cardiac patients twenty-four hours after discharge from the hospital. These discharged patients were adjusting to the transition of hospital to home environment while still recovering from a life threatening illness. They may need varying informational supports to reduce their threat perception of the magnitude of the illness. A convenience sample of thirty-six surgical cardiac patients was assigned to three groups. The groups receive

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19

Phromjuang, Kornwika. "The Relationship between Personal Demographic Components, Health Status, Discharge Status, and Mortality among Asian Pacific Islander Elders." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207269544.

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20

Heslop, Yvonne. "Admission to discharge : experiences of inpatient mental care from the perspective of individuals with a diagnosis of borderline personality disorder." Thesis, Lancaster University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.657635.

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This thesis explored the experience of inpatient mental health care from the perspective of individuals diagnosed with Borderline Personality Disorder (BPD). The literature review synthesised the findings from 11 qualitative studies that reported on experiences of inpatient stays. The process elicited five main themes; (1) positions of control; (2) a volatile environment; (3) negative attitudes and responses; (4) the impact of negative attitudes and responses; (5) the absence but importance of talking. The findings suggest that inpatient services can provide the safety, security and support pe

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21

Lee, Lik Hang. "Antipsychotic prescribing patterns on admission to and discharge from a tertiary care program for treatment-resistant psychosis at Riverview Hospital." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62479.

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The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.<br>Medicine, Faculty of<br>Anesthesiology, Pharmacology and Therapeutics, Department of<br>Graduate

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22

Dulka, Iryna M. 1953. "Interdisciplinary discharge planning rounds : impact on timing of social work intervention, length of stay and readmission." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=69711.

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This study examined the effect of interdisciplinary discharge planning rounds on timing of social work intervention, length of stay (LOS), and readmission for patients aged 65 and over. Data sources were the medical charts of 449 patients discharged during two corresponding 28 day periods (one before end one after the implementation of rounds) supplemented by Discharge Planning Committee minutes (DPCM) and interviews with four key informants. No significant differences in the timing of social work intervention, LOS, or readmissions were found between the two samples. Qualitative research revea

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23

Richey, Chastity. "Challenges in Discharge Planning with Adolescents Receiving Recurring Inpatient Psychiatric Treatment." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4943.

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Mental health is a growing concern for adolescents. Billions of dollars are spent annually on mental services for youth. Many adolescents experience abuse, suicidal ideations, psychotic disorders, substance abuse, and other challenges. Recurring inpatient psychiatric hospitalizations are increasing among adolescents. The recurring admissions impact adolescents significantly socially, psychologically, and financially. Social workers are a vital part of this treatment process from admission to discharge. The research question asked what were the issues and challenges social workers encounter whe

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24

Subasic, Mersiha Merri. "Inskrivning och utskrivning av akutmedicinska patienter." Thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-67621.

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Bakgrund: Personer över 80 år har ökat med nästan 22 % under åren 1992 – 2005. Under samma tid har vårdplatserna inom hela akutsjukvården nästan halverats. Detta har lett till ökat vårdbehov och större belastning på framför allt akutmottagningar, medicinkliniker, primärvården och kommunen. Tidigare studier har visat att inadekvata akutmedicinska inläggningar sker ofta runtom i Europa. Syfte: Syftet med studien var att studera inskrivning och utskrivning av patienter vid akutmedicinska avdelningar på ett sjukhus i Sverige. Metod: Studien genomfördes under 2007 på en akutmedicinsk klinik i Sydös

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25

Strachan, Jennifer Claire. "'Facing choices' : a mixed-methods approach to patients' experience of care and discharge in an inpatient mental health unit." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/6451.

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Objectives: This thesis addresses patients’ conceptualising of the experience of admission to and discharge from an inpatient mental health unit, and the role of measurable psychosocial constructs in this conceptualisation. Design: An embedded mixed-methods design was employed. Themes developed using thematic analysis were compared and contrasted with standardised assessment ratings. Methods: Twelve adult patients of an acute mental health unit took part in two separate interviews about their experience of admission and discharge, and completed standardised measures of anxiety and depression,

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26

Williams, Teresa. "Delayed discharges from an adult intensive care unit (ICU)." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1335.

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Introduction - Maximising efficient and effective use of resources without compromising quality of care is essential in the current healthcare climate. Intensive care unit services are one of the most resource intensive and therefore expensive services within a hospital. Because intensive care unit services comprise a significant portion of hospital costs and resources, appropriate utilisation of intensive care units is imperative. The occurrence of delayed discharges and the reason for the delays is important as they impact on the efficiency and effectiveness of intensive care unit services.

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27

Verwey, Oriana. "The extent of discharge planning by nurses for patients who have undergone valvular surgery." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/445.

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Valvular disorders can be corrected by means of surgery, after which very comprehensive discharge planning should be implemented to prevent the occurrence of post-operative complications. Advances in medical technology and intellect instigate earlier discharge for patients after they have undergone valvular surgery. The aim of this research study is to establish the extent of discharge planning by nurses for patients who have undergone valvular surgery, so that practice guidelines in the form of an in-service educational framework can be compiled for nurses in the management of these patients

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28

Khare, Janine. "Rehabilitation and reintegration outcomes following spinal cord injury in the UK." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/10914.

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Background: Spinal cord injury (SCI) is defined as a low incidence, high cost condition, however there is little information in the UK regarding the incidence, prevalence or associated costs of SCI. Additionally there is little evidence identifying outcomes or issues associated with delays in referral, admission or discharge from an SCIC or the impact of delays in provision of resources on reintegration outcomes. Research Aim: This novel study aims to determine factors and timings which may facilitate or limit successful rehabilitation and community reintegration for individuals with SCI. Map

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29

Mas, Bergas Miquel Àngel. "Hospital-at-home complex intervention tailored to older patients with disabling acute processes: evaluation of clinical factors for effectiveness on early discharge and admission avoidance strategies." Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/665873.

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En les últimes dècades un moviment internacional provinent de diversos països ha desenvolupat diferents recursos comunitaris per l’atenció de persones grans amb crisis complexes de salut a partir d’intervencions complexes. En la primera part de la tesi s’ha realitzat una revisió de la literatura per tal d’analitzar les principals característiques de diversos models d’hospitalització domiciliària en les persones grans, basada en dues modalitats/estratègies principals: Evitació d’Ingrés (per tal de proveir atenció substitutiva a l’hospitalització i prevenir complicacions relacionades amb

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30

Robertson, Karen E. "The diffusion of joint mother and baby psychiatric hospital admissions in the UK : an historical analysis." Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/11295.

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Background: A key innovation in the provision of inpatient services to facilitate the care and treatment of women with severe postnatal mental illness was the introduction of joint mother and baby psychiatric hospitalisations, where both the mother and baby are admitted to hospital together. This study examined the history of the practice of joint mother and baby admissions across the UK and critically explored the processes relevant to the diffusion of joint admissions and patterns of service development to identify the possible and probable causes for significant differences in service provi

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31

Quan, Millie. "A retrospective analysis of early progressive mobilization nursing interventions and early discharge among post coronary artery bypass patients." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2129.

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This project offers evidence and data to measure how progressive and sustained mobilization strategies that are implemented by nurses impact early discharge on a single stay Cardiothoracic Intensive Care Unit for patients undergoing first-time Coronary Artery Bypass Surgery (CABG) surgery.

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32

Lee, Phillip H., McKenzie L. Calhoun, David W. Stewart, and L. Brian Cross. "Transition of Care in Patients with Heart Failure." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6875.

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Heart failure (HF) affects 6 million Americans, has an expected increasing prevalence in the next 20 years, and has a 5-year mortality rate of 50%. It represents the number one reason for hospitalization in patients older than 65 years. Recent legislation has increased the accountability of care of patients with HF, specifically readmission rates for HF in less than 30 days. This increased focus on HF readmission rates has led many health care organizations to reassess transition-of-care issues (i.e., from home to hospital, from hospital to home) and possible interventions to positively impact

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33

Wilkinson, Anne Marguerite. "A Preliminary Analysis of Beneficiary Discharge Status and Post-Hospital Placement Before and After the Implementation of Medicare's Prospective Payment System." PDXScholar, 1989. https://pdxscholar.library.pdx.edu/open_access_etds/1359.

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In recognition of the inherently inflationary nature of retrospective reimbursement, the Reagan Administration enacted legislation that substantially changed Medicare's hospital reimbursement system. The Prospective Payment System (PPS) mandated paying hospitals a fixed payment, set in advance, based on the patient's diagnosis rather than retrospectively paying for all services delivered to a patient. Critics contend that PPS introduces incentives for hospitals to conserve resources during the hospital stay and to shift care to less costly settings, both potentially affecting quality of care t

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34

Teixeira, Robert Sousa. "Protocolo de atuação de admissão e alta de doentes num recobro cirúrgico: precioso ou prescindível?" Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2015. http://hdl.handle.net/10400.26/10688.

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Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-Cirúrgica<br>Este relatório de trabalho de projeto contém, tendo por base as competências do enfermeiro especialista em EMC e de mestre em enfermagem, um Projeto de Intervenção em Serviço subordinado ao tema: Protocolo de atuação de admissão e alta de doentes num recobro cirúrgico: precioso ou prescindível? O mesmo surgiu pelo facto de exercermos no Serviço de Urologia/Cirurgia Vascular de um Hospital da Margem Sul, onde se verifica a inexistência de critér

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35

Du, Plessis Anneki. "Guidelines for psychiatric nurses to assist in the care of female patients with bipolar disorder during their admission and stay in a tertiary level psychiatric facility in the Eastern Cape, South Africa." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1021160.

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Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative appro

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Urban, Rachel L. "Medicines Reconciliation: Roles and Process. An examination of the medicines reconciliation process and the involvement of patients and healthcare professionals across a regional healthcare economy, within the United Kingdom." Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7288.

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Medication safety and improving communication at care transitions are an international priority. There is vast evidence on the scale of error associated with medicines reconciliation and some evidence of successful interventions to improve reconciliation. However, there is insufficient evidence on the factors that contribute towards medication error at transitions, or the roles of those involved. This thesis examined current UK medicines reconciliation practice within primary and secondary care, and the role of HCPs and patients. Using a mixed-method, multi-centre design, the type and s

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Urban, Rachel Louise. "Medicines reconciliation : roles and process : an examination of the medicines reconciliation process and the involvement of patients and healthcare professionals across a regional healthcare economy, within the United Kingdom." Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7288.

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Medication safety and improving communication at care transitions are an international priority. There is vast evidence on the scale of error associated with medicines reconciliation and some evidence of successful interventions to improve reconciliation. However, there is insufficient evidence on the factors that contribute towards medication error at transitions, or the roles of those involved. This thesis examined current UK medicines reconciliation practice within primary and secondary care, and the role of HCPs and patients. Using a mixed-method, multi-centre design, the type and severity

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Ighile, Faith Omomen. "Reducing 30-Day Readmissions for Patients With Stroke." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7016.

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In a stroke-certified 500-bed acute care hospital, the 30-day readmission rates for patients discharged to rehabilitation centers or skilled nursing facilities were higher than the rates for patients discharged to home. A review of data by the stroke team showed 44 patients readmitted within 30 days of initial stroke discharge between October 2016 and January 2017. The rate of re-admission for those discharged home was 41% (18 patients), whereas the rate for those discharged to acute inpatient rehabilitation, long-term acute care, or skilled nursing facilities was 59% (26 patients). The practi

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39

Littlefield, Dennis Howard, and Eric Harley Summers. "Indicators of delay between recommendation for community outpatient treatment and release into a conditional release program." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1184.

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The mentally ill who have been found not guilty of a crime by reason of insanity (NGRI), appear to be at risk in several areas when confronted with the judicial system. The purpose of this study is to determine whether the factors which predict recidivism of NGRI patients in Community Out-patient Treatment (COT) also inhibit a patient's release into a conditional release program (CONREP).

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Dwyer, Sean. "An audit of the time spent by patients in the post anesthetic care unit before and after the introduction of a discharge criteria scoring system at Tygerberg Academic Hospital." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86635.

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Thesis (MMed)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: BACKGROUND Post anesthesia discharge criteria scoring systems have been used successfully to aid discharge from the post anesthetic care unit (PACU) for over 40 years. They do not replace, but rather act in conjunction with good clinical judgment, and provide concise, standardized documentation of a patient’s readiness for discharge. 1,2,3,4,5 In order to improve patient safety, provide clear documentation and to aid future audit, a discharge criteria scoring system was developed for use in our PACU (Addendum A). It is a modi

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Abo, Yasuyo. "The need for social work intervention for the elderly patients and their family members." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2789.

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Contends that poor discharge planning for elderly patients in American hospitals is the result of reduced lengths of stay which do not give medical social workers adequate time to assess patients' needs. A survey methodology was used to assess social service and community resource needs of hospitalized elderly patients and their family members at Riverside Community Hospital in California. Argues that the results of the survey can be used to improve discharge planning and lead to a more client-centered practice in hospitals.

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42

Albano, Filipa Maria Marques. "Do hospitals react to random demand pressure by early discharges?" Master's thesis, NSBE - UNL, 2012. http://hdl.handle.net/10362/9534.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics<br>This project tries to assess whether hospitals react to random demand pressure by discharging patients earlier than expected. As a matter of fact, combining an unpredictable demand for medical services with limited and, to some extent, fixed medical resources, generates strong incentives to discharge patients earlier than expected when demand is high - increasing the risk of readmission and decreasing the benefit from treatment. This work was

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43

Griffiths, Pauline. "Nursing patients in transition : an ethnography of the role of the nurse on an Acute Medical Admissions Unit." Thesis, Swansea University, 2007. https://cronfa.swan.ac.uk/Record/cronfa42820.

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This thesis explores the role of the nurse on an Acute Medical Admissions Unit (AMAU). AMAUs provide a dedicated area for the assessment, treatment, and subsequent transfer or discharge of patients who are medical emergencies. Despite increasing numbers of AMAUs across the UK they are an under researched area and, in particular, there is limited research that has explored the role of the nurse in the AMAU setting. Data were generated through the use of ethnography that entailed participant observation over an eighteen-month period, semi-structured interviews with a purposive sample of doctors,

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Busby, John. "Preventing unnecessary unplanned hospital admissions and achieving timely discharge; an analysis of geographic variation." Thesis, University of Bristol, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702487.

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Background. Reducing unplanned hospital admissions and achieving timely discharge are key issues for healthcare systems worldwide. Policymakers have focussed on admissions for ambulatory care sensitive conditions (ACSCs) as they are potentially avoidable. Exploring geographic variation could identify variable care pathways. Aims. To investigate the magnitude and causes of geographic variation in unplanned ACSC care. To explore key methodological issues pertinent to small-area variation studies and how this data can inform local decisions. Methods. I conducted a systematic review exploring the

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Mutyala, Sangeetha. "The Descriptive Analysis of US Hospital Admissions due to Seizures in 2013 & 2014:The HCUP National Inpatient Sample (NIS)." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623240505015371.

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Lin, Frances. "Using Activity Theory and Distributed Cognition to Understand the ICU Discharge Process." Thesis, Griffith University, 2011. http://hdl.handle.net/10072/367211.

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Patient flow from ICU to the wards has been found to be problematic in many countries. It has been found that many discharges from ICU to ward were unsuccessful at the first attempt. Although after-hours ICU discharges have been found to be associated with increased mortality, after-hours discharges still take place in Australian ICUs. Refused and delayed ICU admissions have been associated with increased mortality, however statistics showed that there were still many patients unable to be admitted into ICUs in Australian hospitals. These findings indicate a resource constraint in Australian I

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Warren, Keith Leverett. "Scaling, self-organized criticality and trend persistence in state psychiatric hospital admissions and discharges /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.

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Hickman, Louise D. "Patients, carers and nurses : collaborators in development of a new model of nursing care for older persons in the acute care setting." Thesis, View thesis, 2007. http://hdl.handle.net/1959.7/uws:48031.

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Globally the population is ageing and as a consequence people are living longer with multiple chronic conditions. A range of factors, including decreased lengths of hospital stay and a greater focus on community based care, has led to an increasing acuity of patients admitted to acute care settings, many with complex care needs. To date, models of nursing care in acute settings have been configured to focus on acute, procedural care and do not meet the unique needs of the older person. In order to ensure optimal health outcomes of older hospitalised people, nursing care needs to be responsive

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Cao, Yue. "A Trend Analysis of Hospital Admissions of Pediatric Asthma from 1997-2012." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1447691348.

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Arbuckle, Lon Michel Luk. "Short-Term Occupancy Prediction at the Ottawa Hospital Using Time-Series Data for Admissions and Longitudinal Patient Data for Discharge." Thesis, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20545.

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The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital. We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups

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