Single-Occupancy Patient Rooms: A Systematic Review of the Literature Since 2006

2018 ◽  
Vol 11 (1) ◽  
pp. 85-100 ◽  
Author(s):  
Ellen Taylor ◽  
Alan J. Card ◽  
Melissa Piatkowski
Keyword(s):  
Patient Outcomes ◽  
Methodological Quality ◽  
Complex Adaptive System ◽  
The United States ◽  
Appraisal System ◽  
Advantages And Disadvantages ◽  
Individual Outcomes ◽  
Trade Offs ◽  
Meta Analyses ◽  
The Impact

Aim: Our review evaluated both the effects of single-occupancy patient rooms (SPRs) on patient outcomes for hospitalized adults and user opinion related to SPRs. Background: In 2006, a requirement for SPRs in hospitals was instituted in the United States. This systematic literature review evaluates research published since that time to evaluate the impact of SPRs. Methods: The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Databases searched included MEDLINE, CINAHL, and Scopus. Supplemental searches were performed. We included studies reporting patient outcomes or user opinion related to SPRs. Appraisal was conducted using a dual appraisal system of evidence levels and methodological quality. Results: Forty-three studies qualified for appraisal. Three were excluded due to methodological quality (no appraisal score). One study was appraised for three individual outcomes (i.e., falls, infections, and user opinion). Eleven studies with low methodological quality scores were not included in the narrative synthesis. Overall, 87% of studies reported advantages associated with SPRs (some a combination of advantages and disadvantages or a combination of advantages and neutral results). Outcomes with the best evidence of benefit include communication, infection control, noise reduction/perceived sleep quality, and preference/perception. Conclusion: SPRs seem to result in more advantages than disadvantages. However, healthcare is a complex adaptive system, and decisions for 100% SPRs should be reviewed alongside related issues, such as necessary workflow modifications, unit configuration and other room layout decisions, patient populations, staffing models, and inherent trade-offs (e.g., the advantages of privacy compared to disadvantage of isolation).

Diabetes Discharge Planning and Transitions of Care: A Focused Review

2019 ◽  
Vol 15 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Robin L. Black ◽  
Courtney Duval
Keyword(s):  
Patient Outcomes ◽  
Hospital Admissions ◽  
Discharge Planning ◽  
Medication Management ◽  
Hospital Readmissions ◽  
The United States ◽  
Transitions Of Care ◽  
Discharge Process ◽  
The Impact ◽  
Diabetes Patients

Background: Diabetes is a growing problem in the United States. Increasing hospital admissions for diabetes patients demonstrate the need for evidence-based care of diabetes patients by inpatient providers, as well as the importance of continuity of care when transitioning patients from inpatient to outpatient providers. Methods: A focused literature review of discharge planning and transitions of care in diabetes, conducted in PubMed is presented. Studies were selected for inclusion based on content focusing on transitions of care in diabetes, risk factors for readmission, the impact of inpatient diabetes education on patient outcomes, and optimal medication management of diabetes during care transitions. American Diabetes Association (ADA) guidelines for care of patients during the discharge process are presented, as well as considerations for designing treatment regimens for a hospitalized patient transitioning to various care settings. Results: Multiple factors may make transitions of care difficult, including poor communication, poor patient education, inappropriate follow-up, and clinically complex patients. ADA recommendations provide guidance, but an individualized approach for medication management is needed. Use of scoring systems may help identify patients at higher risk for readmission. Good communication with patients and outpatient providers is needed to prevent patient harm. A team-based approach is needed, utilizing the skills of inpatient and outpatient providers, diabetes educators, nurses, and pharmacists. Conclusion: Structured discharge planning per guideline recommendations can help improve transitions in care for patients with diabetes. A team based, patient-centered approach can help improve patient outcomes by reducing medication errors, delay of care, and hospital readmissions.

Male Youth Activities and Metropolitan Context

1998 ◽  
Vol 30 (3) ◽  
pp. 385-399 ◽  
Author(s):  
S R Holloway
Keyword(s):  
Black Male ◽  
Metropolitan Areas ◽  
White Male ◽  
The United States ◽  
Theoretical Understanding ◽  
Trade Off ◽  
Black And White ◽  
Trade Offs ◽  
Activity Choices ◽  
The Impact

The research reported here examines the impact of metropolitan location on the activity choices of a sample of black and white male youths living in large metropolitan areas in the United States in 1980. The results of the analysis confirm that similar youths living in different metropolitan areas will make different activity choices. Furthermore, black male youths are found to be substantially more sensitive to metropolitan context than white male youths. The analysis also suggests that black and white disadvantaged youths respond differently to metropolitan context in terms of the trade-offs between activities. Disadvantaged black male youths are highly unlikely to be employed in all metropolitan areas and tend to trade-off staying in school with idleness, whereas disadvantaged white male youths tend to trade-off employment with idleness, depending on the metropolitan area they live in. This research confirms the importance of incorporating geographic context into our theoretical understanding of male youths' behavior. We must also, however, continue to address the implications of race as it shapes the context-dependent labor-market experiences of male youths.

The Differential Impact of New Product Development “Make/Buy” Choices on Immediate and Future Product Quality: Insights from the Automobile Industry

2017 ◽  
Vol 81 (6) ◽  
pp. 1-23 ◽  
Author(s):  
Kartik Kalaignanam ◽  
Tarun Kushwaha ◽  
Tracey A. Swartz
Keyword(s):  
Product Development ◽  
Product Quality ◽  
New Product Development ◽  
Automobile Industry ◽  
Positive Impact ◽  
New Product ◽  
The United States ◽  
Trade Offs ◽  
Using Data ◽  
The Impact

This article examines the impact of new product development (NPD) “make/buy” choices on product quality using data from the automobile industry. Although the business press has lamented that NPD outsourcing compromises product quality, there is no systematic evidence to support or refute this assertion. Against this backdrop, this study tests a contingency model of the impact of NPD make/buy decisions on immediate and future product quality. The hypotheses are tested using data on NPD make/buy choices of 173 models of 12 automobile firms in the United States between 2007 and 2014. The authors find that whereas NPD buy has a more positive impact on immediate product quality, NPD make has a more positive impact on future product quality. Furthermore, the immediate product quality impact of NPD buy is stronger when (1) technologies are more complex and (2) firm NPD capability is higher. In contrast, the future product quality impact of NPD make is stronger when (1) there is postlaunch adverse feedback and (2) firm NPD capability is higher. The study highlights the complex trade-offs associated with NPD make/buy decisions and offers valuable insights on how firms could manage these decisions.

The Impact of Diabetes on Perioperative Patient Outcomes after Total Hip and Total Knee Arthroplasty in the United States

2008 ◽  
Vol 23 (2) ◽  
pp. 322-323
Author(s):  
Michael P. Bolognesi ◽  
Milford H. Marchant, Jr. ◽  
Nicholas A. Viens ◽  
Chad Cook ◽  
Ricardo Pietrobon ◽  
...  
Keyword(s):  
United States ◽  
Total Knee Arthroplasty ◽  
Patient Outcomes ◽  
Knee Arthroplasty ◽  
The United States ◽  
Total Hip ◽  
Total Knee ◽  
The Impact

scholarly journals The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines in the United States

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 380 ◽  
Author(s):  
Jose A. Betancourt ◽  
Matthew A. Rosenberg ◽  
Ashley Zevallos ◽  
Jon R. Brown ◽  
Michael Mileski
Keyword(s):  
Risk Mitigation ◽  
Healthcare Providers ◽  
The United States ◽  
Rapid Expansion ◽  
Treatment Modalities ◽  
Compliance Cost ◽  
Safety Standards ◽  
Meta Analyses ◽  
The Impact ◽  
The U.S

The impact of COVID-19 on the U.S. healthcare industry cannot be overstated. Telemedicine utilization increased overnight as all healthcare providers rushed to implement this delivery model to ensure accessibility and continuity of patient care. Our research objective was to determine measures that were implemented to accommodate community and individual patient needs to afford access to critical services and to maintain safety standards. We analyzed literature since 2016 from two databases using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We compared observations, themes, service lines addressed, issues identified, and interventions requiring in-person care. From 44 articles published, we identified ten effectiveness themes overall and drew conclusions on service line successes. COVID-19 has caused rapid expansion in telemedicine. Necessary and required changes in access, risk mitigation, the need for social distancing, compliance, cost, and patient satisfaction are a few of the driving factors. This review showcased the healthcare industry’s ability to rapidly acclimate and change despite the pervasive spread of COVID-19 throughout the U.S. Although imperfect, unique responses were developed within telemedicine platforms to mitigate disruptions broadly and effectively in care and treatment modalities.

Officers' perceptions regarding the unexpected effects of body-worn cameras

2020 ◽  
Vol 43 (2) ◽  
pp. 390-402
Author(s):  
Jordan C. Pickering
Keyword(s):  
Decision Making ◽  
Criminal Justice ◽  
Law Enforcement ◽  
Criminal Justice System ◽  
Justice System ◽  
The United States ◽  
Law Enforcement Agencies ◽  
Content Type ◽  
Advantages And Disadvantages ◽  
The Impact

PurposeThroughout the last decade, a number of empirical studies have assessed the effectiveness of body-worn cameras (BWCs) among law enforcement agencies across the United States. The purpose of this paper is to examine officers' perceptions regarding the impact this technology has had on police-community relations, as well as the working relationship between police and other actors in the criminal justice system (e.g. prosecutors, jurors).Design/methodology/approachThe author conducted focus groups with officers (n = 89) from two local law enforcement agencies in California that had adopted BWCs in recent years. Participating officers discussed advantages and disadvantages they associated with BWCs, as well as how BWCs have impacted their relationship with the public and justice system personnel.FindingsOfficers recognized advantages to using BWCs, including the potential for positive changes in police behavior and the ability to protect officers against false citizen complaints. Officers also identified a number of disadvantages (or consequences) they associate with BWCs, such as the depreciation of credibility behind an officer's word and the impact of video footage on prosecutorial decision-making.Originality/valuePrior studies have gathered officers' perceptions regarding BWCs, but very few have assessed whether and how the use of this technology by law enforcement influences other actors within the criminal justice system. The findings from this study may prompt further empirical consideration regarding BWCs, especially with regard to whether police use of this technology significantly impacts citizens' trust in the police and how their use may impact prosecutorial and juror decision-making.

Aircraft Impact Considerations for NuScale SMR Plant Design

2011 ◽  
Author(s):  
Randy J. James ◽  
Josh Parker ◽  
Rick Hill ◽  
Jeremy Wiesner ◽  
John Groome
Keyword(s):  
Power Plants ◽  
The United States ◽  
Plant Design ◽  
Spent Fuel ◽  
Safety Equipment ◽  
Internal Damage ◽  
Advantages And Disadvantages ◽  
Small Modular Reactors ◽  
Spent Fuel Pool ◽  
The Impact

All new nuclear power plants to be constructed and operated in the United States must meet regulatory requirements for aircraft impact from a large commercial aircraft under 10CFR50.150. Under the regulation, the applicant, using realistic analyses, must identify and incorporate into the design those design features and functional capabilities to show that, with reduced use of operator actions, 1) either the primary containment system remains intact or the reactor core remains cooled, and 2) either spent fuel cooling or spent fuel pool integrity is maintained. Small modular reactors have both advantages and disadvantages over conventional large plant designs in this regard. Small modular reactors generally have smaller footprints and can be configured where the reactor vessels and containment systems are entirely below grade. This minimizes the exposed structure that houses the reactors and spent fuel pool, which generally means that the structural configuration can be more efficiently hardened to resist the impact forces without excessive costs. However, the smaller footprint also means that transmission of shock through the structure can affect more safety equipment than in the larger conventional plant where the safety related equipment for the divisions are physically farther apart. Modular designs by nature tend to have all associated safety equipment together for each reactor module. Larger plants may be more tolerant for allowing internal damage and controlling ensuing fire due to perforation of aircraft wreckage at some strike locations, whereas the smaller footprints for small modular reactors could mean more systems are at risk if the reactor building is not hardened to prevent perforation. This paper presents design considerations employed for the NuScale 12 Module Power Plant in regards to aircraft impact requirements.

scholarly journals Merger and Acquisition Strategies

1996 ◽  
Vol 34 (3) ◽  
pp. 630
Author(s):  
Richard A. Shaw
Keyword(s):  
United States ◽  
Mergers And Acquisitions ◽  
The United States ◽  
Merger And Acquisition ◽  
Advantages And Disadvantages ◽  
Technical Requirements ◽  
Acquisition Strategies ◽  
Corporate Securities ◽  
Corporate Legislation ◽  
The Impact

This article examines merger and acquisition strategies under corporate securities legislation of the Provinces of Alberta and Ontario and the corporate legislation of Canada. The author begins by defining terms that are integral to mergers and acquisitions and then moves on to discuss some preliminary considerations. Four takeover alternatives are presented: (1) purchase of treasury shares by private agreement; (2) exempt takeover by private agreement; (3) formal takeover bid; and (4) negotiated acquisition by amalgamation or arrangement. For each of these alternatives the author first looks at procedural and technical requirements, and then discusses the advantages and disadvantages of the particular procedure. The author then reviews the impact of the Ontario Securities Commission Policy No. 9.1 on merger and acquisition strategies. Finally, the author briefly looks at the multijurisdictional disclosure system adopted in Canada and the United States.

scholarly journals Comparative analysis of USA and Chinese entrepreneurship: experience for Kazakhstan

2021 ◽  
Vol 16 (2) ◽  
pp. 86-97
Author(s):  
A. M. Myrzakhmetova ◽  
A. E. Mukhametzhan
Keyword(s):  
United States ◽  
Economic Growth ◽  
Comparative Analysis ◽  
Well Being ◽  
The United States ◽  
Entrepreneurial Activity ◽  
Advantages And Disadvantages ◽  
The World ◽  
Effective Development ◽  
The Impact

Вusinesses are the backbone of the national economy and play an important role for the effective functioning of the economy of any country in the world. The authors studied the experience of the United States and China, in which small and medium-sized businesses have been successfully developing for a long time, both during periods of economic growth and during periods of economic recession.The purpose of the article is to study the features and conduct a comparative analysis of the organization of entrepreneurial activity in the United States and China, and, based on the experience of these countries, develop proposals for the effective development of entrepreneurship in Kazakhstan. The authors analyzed the dynamics and factors of the development of small and medium-sized businesses, the advantages and disadvantages of entrepreneurial activity in the United States and China, and identified the impact of the COVID-19 pandemic on entrepreneurial activity in these countries and in Kazakhstan. In the course of the study, various methods of scientific knowledge were used: data collection and processing, economic, comparative and statistical analysis, generalization, synthesis, induction, deduction. We collected and processed fresh quantitative data on the state and dynamics of the development of small and medium-sized enterprises in the United States and China in the period from 2011 to 2021.Small and medium business is an integral and important part of the economic development of all countries of the world, the experience of countries such as the United States and China can be useful and interesting for the Kazakh economy. Entrepreneurship performs a number of important socio-economic functions for the country: providing employment, creating a competitive environment, supporting and introducing innovations, reducing social inequality, attracting natural, human, material and technical resources into the production and commercial process, stimulating economic growth and improving the well-being of people.The authors, based on a study of the experience of entrepreneurial activities of two large leading countries of the world economy, have developed proposals that will contribute to the development of small and medium-sized businesses in the Republic of Kazakhstan.

scholarly journals The benefits of health information exchange: an updated systematic review

2018 ◽  
Vol 25 (9) ◽  
pp. 1259-1265 ◽  
Author(s):  
Nir Menachemi ◽  
Saurabh Rahurkar ◽  
Christopher A Harle ◽  
Joshua R Vest
Keyword(s):  
Systematic Review ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Care Delivery ◽  
The United States ◽  
Current Systematic Review ◽  
Meta Analyses ◽  
The Impact

Abstract Objective Widespread health information exchange (HIE) is a national objective motivated by the promise of improved care and a reduction in costs. Previous reviews have found little rigorous evidence that HIE positively affects these anticipated benefits. However, early studies of HIE were methodologically limited. The purpose of the current study is to review the recent literature on the impact of HIE. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct our systematic review. PubMed and Scopus databases were used to identify empirical articles that evaluated HIE in the context of a health care outcome. Results Our search strategy identified 24 articles that included 63 individual analyses. The majority of the studies were from the United States representing 9 states; and about 40% of the included analyses occurred in a handful of HIEs from the state of New York. Seven of the 24 studies used designs suitable for causal inference and all reported some beneficial effect from HIE; none reported adverse effects. Conclusions The current systematic review found that studies with more rigorous designs all reported benefits from HIE. Such benefits include fewer duplicated procedures, reduced imaging, lower costs, and improved patient safety. We also found that studies evaluating community HIEs were more likely to find benefits than studies that evaluated enterprise HIEs or vendor-mediated exchanges. Overall, these finding bode well for the HIEs ability to deliver on anticipated improvements in care delivery and reduction in costs.

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