scholarly journals Resource consumption in psychiatric intensive care: The cost of aggression

1995 ◽  
Vol 19 (2) ◽  
pp. 73-76 ◽  
Author(s):  
Clive E. Hyde ◽  
Colina Harrower-Wilson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Nursing Staff ◽  
Medical Staff ◽  
Cost Savings ◽  
Fixed Costs ◽  
Staff Time ◽  
Self Harm ◽  
The Cost

The coils of operating a psychiatric intensive care unit (PICU) were recorded for a six-month period. There were 110 admissions and 99 discharges. Mean length of stay was 12.3 days. Total costs were £346,516 over the study period, £283.56 per patient-day. Fixed costs comprised 93% of the total, inducing nursing staff ($169,447), overheads ($77,017), medical staff ($48,819), hotel costs (£24,160) and miscellaneous (£1,750). Variable costs included special nursing, (£19,405), treatment of major self-harm (£3,024), drugs (£1,707) and staff time to manage aggressive incidents (£1,188). Reduction of the incidence of aggression could result in valuable cost savings.

scholarly journals Staff cost in direct nursing care at an intensive care unit

2007 ◽  
Vol 15 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Sandra Cristina Ribeiro Telles ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Work Load ◽  
Direct Care ◽  
Personnel Cost ◽  
Simple Method ◽  
Personnel Costs ◽  
Staff Cost ◽  
The Cost

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

Use of flexible intermediate and intensive care to reduce multiple transfers of patients

1999 ◽  
Vol 8 (3) ◽  
pp. 170-179 ◽  
Author(s):  
E Besserman ◽  
D Teres ◽  
A Logan ◽  
M Brennan ◽  
S Cleaves ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Length Of Stay ◽  
Noninvasive Ventilation ◽  
Cost Savings ◽  
Median Number ◽  
Nursing Unit ◽  
Teaching Community ◽  
Intermediate Unit

OBJECTIVE: To test an alternative flexible approach to traditional fixed intermediate and intensive care to minimize transfers of patients. METHODS: Patients admitted to a 28-bed nursing unit with intermediate care potential and a 12-bed intensive care unit at a 300-bed teaching community hospital were studied. The group included 524 patients with a discharge diagnosis code for mechanical ventilation. During eight 3-week cycles, 1073 transfers of patients were tabulated. A plan-do-study-act method was used to improve weaning from mechanical ventilation and reduce the number of inappropriate days in intensive care. Admissions and transfers to the 2 units for all patients during the eight 3-week cycles were compared over time. Length of stay and mortality were noted for all patients treated with conventional and noninvasive ventilation. RESULTS: Direct admissions to the flexible intermediate unit increased with no overall change in admissions to the intensive care unit. Fewer patients needed conventional ventilation, and more in both units were treated with noninvasive ventilation. The median number of transfers per patient treated with mechanical ventilation decreased from 1.94 to 1.20. Length of stay and mortality also decreased among such patients. Some cost savings were attributable to the decrease in the number of transfers. Transfers out of the hospital directly from the intensive care unit increased from 2.24% to 4.43%. CONCLUSIONS: In a community teaching hospital, flexible care policies decreased the number of in-hospital transfers of patients treated with mechanical ventilation.

scholarly journals Admission clinicopathological data, length of stay, cost and mortality in an equine neonatal intensive care unit

2007 ◽  
Vol 78 (3) ◽  
Author(s):  
M.N. Saulez ◽  
B. Gummow ◽  
N.M. Slovis ◽  
T.D. Byars ◽  
M. Frazer ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Laboratory Data ◽  
Anion Gap ◽  
Wbc Count ◽  
The Cost

Veterinary internists need to prognosticate patients quickly and accurately in a neonatal intensive care unit (NICU). This may depend on laboratory data collected on admission, the cost of hospitalisation, length of stay (LOS) and mortality rate experienced in the NICU. Therefore, we conducted a retrospective study of 62 equine neonates admitted to a NICU of a private equine referral hospital to determine the prognostic value of venous clinicopathological data collected on admission before therapy, the cost of hospitalisation, LOS and mortality rate. The WBC count, total CO2 (TCO2) and alkaline phosphatase (ALP) were significantly higher (P < 0.05) and anion gap lower in survivors compared with nonsurvivors. A logistic regression model that included WBC count, hematocrit, albumin / globulin ratio, ALP, TCO2, potassium, sodium and lactate, was able to correctly predict mortality in 84 % of cases. Only anion gap proved to be an independent predictor of neonatal mortality in this study. In the study population, the overall mortality rate was 34 % with greatest mortality rates reported in the first 48 hours and again on day 6 of hospitalisation. Amongst the various clinical diagnoses, mortality was highest in foals after forced extraction during correction of dystocia. Median cost per day was higher for nonsurvivors while total cost was higher in survivors.

scholarly journals The Cost of Treating Neonates in Intensive Care Unit in a Tertiary Level Teaching Hospital

2021 ◽  
Vol 23 (3) ◽  
pp. 228-234
Author(s):  
Sahisnuta Basnet ◽  
Suraj Adhikari ◽  
Mukunda Timilsina
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Negative Impact ◽  
Financial Burden ◽  
Hyaline Membrane Disease ◽  
Cross Sectional ◽  
The Cost

Neonatal intensive care is associated with high costs world-wide and remains a matter of financial stress for families. This is an issue of great importance in a developing country like ours as financial burden may have a negative impact in the overall outcome of a newborn. The objective of this study was to evaluate the direct cost of treating newborns by family members in a neonatal intensive care unit (NICU). This was a prospective cross sectional study carried out in the NICU of Manipal Teaching Hospital, Pokhara, Nepal. There were 96 neonates included in this study over a period of 3 months from September to November 2020. The average cost per neonate per day was NRs. 5858 (USD 50). The highest health expenditure was incurred in neonates of gestational age of 32 to less than 37 weeks, and it was also significantly higher in neonates having birth weights less than 1.5kg. Preterms with hyaline membrane disease, followed by newborns with meconium aspiration syndrome resulted in maximum health costs. Maximum expenditure of the total bill was due to the cost of the bed charges. The median length of stay in the study was 5 days and the length of stay was directly and significantly related to the treatment costs.

scholarly journals Cost comparison of zuclopenthixol acetate and haloperidol

1998 ◽  
Vol 22 (3) ◽  
pp. 140-143 ◽  
Author(s):  
Clive E. Hyde ◽  
Colina Harrower-Wilson ◽  
Paul E. Ash
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Cost Savings ◽  
Cost Comparison ◽  
Acetate Group ◽  
Second Phase ◽  
Sequential Study ◽  
Haloperidol Group

This prospective, sequential study compared the costs of using haloperidol or zuclopenthixol acetate for rapid tranquillisation. In the first phase, all 16 patients admitted to our psychiatric intensive care unit requiring rapid tranquillisation received haloperidol; in the second phase, all 26 such patients received zuclopenthixol acetate. Mean overall costs per patient were substantially lower in the zuclopenthixol acetate group than the haloperidol group, mainly because special nursing was used much less in the zuclopenthixol acetate group. All nursing staff preferred to use zuclopenthixol acetate rather than haloperidol. Zuclopenthixol acetate could potentially reduce the need for special nursing and produce valuable cost savings.

Attributable Costs and Length of Stay of an Extended-Spectrum Beta-Lactamase-Producing Klebsiella pneumoniae Outbreak in a Neonatal Intensive Care Unit

2003 ◽  
Vol 24 (8) ◽  
pp. 601-606 ◽  
Author(s):  
Patricia W. Stone ◽  
Archana Gupta ◽  
Maureen Loughrey ◽  
Phyllis Della-Latta ◽  
Jeannie Cimiotti ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Klebsiella Pneumoniae ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
National Sample ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
The Cost

AbstractObjectives:To determine the costs of the interventions aimed at controlling the 4-month outbreak and to determine the attributable length of stay (LOS) associated with infection and colonization with extended-spectrum beta-lactamase-producing Klebsiella pneumoniae.Design:A retrospective cost analysis was conducted from the hospital perspective. A micro-costing approach was employed. The LOS of four groups of hospitalized patients were compared with each other. National Perinatal Information Center criteria were used to stratify infants for severity of risk. The LOS of each group was compared with that of a national sample of similarly stratified infants.Setting:A level III-IV, 45-bed neonatal intensive care unit.Patients:Infant groups were infected (n = 8), colonized (n = 14), concurrent cohort (n = 54), and prior cohort (n = 486).Results:The cost of the outbreak totaled $341,751. The largest proportion of costs was related to healthcare worker time providing direct patient care (2,489 hours at a cost of $146,331). Infected and colonized neonates had longer LOS than either the concurrent cohort or the prior cohort (P < .001). Compared with the national sample, infected infants had a 48.5-day longer mean LOS (95% confidence interval [CI95], 1.7 to 95.2), whereas the prior cohort's mean LOS was 6 days shorter (CI95, -9.4 to -2.9).Conclusions:This study increases the understanding of the burden of these multidrug-resistant organisms. Further research is needed to estimate the societal costs of these infections and the cost-effectiveness of preventive interventions.

scholarly journals (P2-16) Study to Assess the Cost Effectiveness of Re- Use of Expensive Disposable Items in a Neurosurgery Intensive Care Unit

2011 ◽  
Vol 26 (S1) ◽  
pp. s140-s140
Author(s):  
M. Cj ◽  
D. Agarwal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cost Effectiveness ◽  
Percutaneous Tracheostomy ◽  
Cost Savings ◽  
Average Price ◽  
Icp Monitoring ◽  
Neurosurgical Department ◽  
Prospective Data ◽  
The Cost

BackgroundCertain disposable items such as Percutaneous Tracheostomy (PT) sets and intracranial pressure (ICP) monitoring sets are expensive and a major drain on resources of public funded hospitals.AimsTo assess the use and cost-effectiveness of reusing expensive disposables (PT& ICP sensor) in a neurosurgery intensive care unit (ICU). Another objective was to assess the importance of bedside Tracheostomy and ICP insertion in an ICU rather than in OT.MethodsAn observational, retro-prospective study was done from January 2008 to November 2010 in the neurosurgical department of JPN Apex Trauma Center. Retrospective data on surgeries performed in Neurosurgery OT were taken for the year 2008 and following introduction of PT and bedside ICP monitoring sets in ICU, prospective data were collected from November 2009 in the neurosurgery ICU. Each set was tagged according to number of times used. A procedure book was maintained, in which each case along with the set used was mentioned.ResultsOf the 1209 surgeries performed in the neurosurgical OT in 2008–2009, 257 were minor procedures (238 open tracheostomy and 19 ICP transducer placements). In 2009–10, 236 percutaneous tracheostomies were performed in the ICU. Of these, 79 (33.4%) were new and 157 (66.5%) were re-used sets. The cost of a new PT set is Rs 15,000. With re-use, the average price per set came down to Rs 5,033. In the same period, 231 disposable ICP transducers were placed with an average of 19 cases per month (range 5–28). Of these, 142 (61%) were new ICP sets and 97 (42%) were ethylene oxide (ETO) sterilized. The cost of new ICP set is Rs 35,000. With re-use, the average price per set came down to Rs 21,515.ConclusionNearly 40% of minor procedures are now excluded from the Neurosurgery OT statistics, as they are being performed in the ICU. This study shows that expensive disposable items can be re-used effectively, bringing immense cost savings to hospitals.

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