Quality Improvement: Developing and Implementing a Quality Improvement Plan in an Acute Care Hospital Setting

1999 ◽  
Vol 9 (3) ◽  
pp. 7-11
Author(s):  
Carole R. Roth
Keyword(s):  
Quality Improvement ◽  
Acute Care ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Improvement Plan

Fall Prevention in a Swiss Acute Care Hospital Setting: Reducing Multiple Falls

2006 ◽  
Vol 32 (3) ◽  
pp. 13-22 ◽  
Author(s):  
Koen Milisen ◽  
Courtney W. Brown ◽  
Sabina De Geest
Keyword(s):  
Acute Care ◽  
Fall Prevention ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Care Hospital

scholarly journals Communication behavior of cognitively impaired older inpatients

2019 ◽  
Vol 52 (S4) ◽  
pp. 264-272
Author(s):  
Eva-Luisa Schnabel ◽  
Hans-Werner Wahl ◽  
Susanne Penger ◽  
Julia Haberstroh
Keyword(s):  
Cognitive Impairment ◽  
Psychometric Properties ◽  
Acute Care ◽  
Older Patients ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Acute Care Hospitals ◽  
Well Being ◽  
Communication Behavior ◽  
Care Hospital

Abstract Background and objective Acutely ill older patients with cognitive impairment represent a major subgroup in acute care hospitals. In this context, communication plays a crucial role for patients’ well-being, healthcare decisions, and medical outcomes. As validated measures are lacking, we tested the psychometric properties of an observational instrument to assess Communication Behavior in Dementia (CODEM) in the acute care hospital setting. As a novel feature, we were also able to incorporate linguistic and social-contextual measures. Material and methods Data were drawn from a cross-sectional mixed methods study that focused on the occurrence of elderspeak during care interactions in two German acute care hospitals. A total of 43 acutely ill older patients with severe cognitive impairment (CI group, Mage ± SD = 83.6 ± 5.7 years) and 50 without cognitive impairment (CU group, Mage ± SD = 82.1 ± 6.3 years) were observed by trained research assistants during a standardized interview situation and rated afterwards by use of CODEM. Results Factor analysis supported the expected two-factor solution for the CI group, i.e., a verbal content and a nonverbal relationship aspect. Findings of the current study indicated sound psychometric properties of the CODEM instrument including internal consistency, convergent, divergent, and criterion validity. Conclusion CODEM represents a reliable and valid tool to examine the communication behavior of older patients with CI in the acute care hospital setting. Thus, CODEM might serve as an important instrument for researcher and healthcare professionals to describe and improve communication patterns in this environment.

scholarly journals Adopt-a-Hospital Project: An instructional tool for hospital administration

2016 ◽  
Vol 5 (6) ◽  
pp. 63
Author(s):  
Asa B. Wilson
Keyword(s):  
Experiential Learning ◽  
Acute Care ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Hospital Administration ◽  
Care Hospital ◽  
Health Administration ◽  
Hospital Operations ◽  
Specific Career ◽  
Healthcare Finance

Backgournd: More often than not, university health administration curriculums are generic and are not foundational to a specific career track. This is especially true in relation to the transition from graduation to a hospital administration career progression. The overarching question is, “How does one prepare themselves for senior leadership in an acute care hospital setting?”Objective: A semester-long assignment – Adopt-a-Hospital Project – is discussed in the context of a healthcare finance course as tool for preparing students to think administratively regarding hospital operations. This Project is presented as an academic foundation preparing students for the required semester-long internship placement in an acute care hospital.Results: The Project-Internship sequence has, over a four-year period, demonstrated its value as an academic and experiential learning bridge from the academy to the world of work. Informal, qualitative findings are discussed in terms of a future quantitative study incorporating: (1) preceptor surveys, (2) intern surveys, and (3) focus group feedback.Conclusions: The Project-Internship sequence fosters a link between academic content and experiential learning in an acute care hospital – thereby augmenting one’s post-graduation readiness to pursue a hospital administration career track.

scholarly journals 1057 Objectively and Subjectively Measured Sleep Quality in an Acute-Care Hospital Setting: A Pilot Study

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A393-A393
Author(s):  
T L Blackwell ◽  
S Robinson ◽  
N Thompson ◽  
L Dean-Gilley ◽  
P Yu ◽  
...  
Keyword(s):  
Pilot Study ◽  
Sleep Quality ◽  
Acute Care ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Care Hospital

Cognitive Factors Associated with Nurses’ Successful Detection of SepsisVersusFailure to Rescue

2013 ◽  
Vol 2 (1) ◽  
pp. 131-134 ◽  
Author(s):  
Alexa Doig ◽  
Katie Baraki ◽  
Frank Drews
Keyword(s):  
Acute Care ◽  
Situation Awareness ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Oncology Nurses ◽  
Care Hospital ◽  
Failure To Rescue ◽  
Cognitive Predictors ◽  
Life Threatening ◽  
Level 1

The objective of this study was to identify cognitive predictors of failure to rescue among acute care oncology nurses. Fifty-seven oncology nurses were video recorded as they monitored a patient developing a life threatening non-routine event in a high fidelity acute care hospital setting, in the case of this analysis– sepsis. Nurses who had higher levels of level 1 situation awareness (i.e., use limited data from the electronic health record and assessment findings) were more likely to detect sepsis and initiate an appropriate response. In the failure to rescue cases, the majority of errors occurred at the level of perception or level 1 situation awareness. Twenty percent of nurses who identified that the patient was septic, were not able to project the potential severity of the situation and apply appropriate interventions.

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