An instrument was developed to study the use of hospital beds and discharge arrangements of a cohort of 847 admissions to the John Radcliffe Hospital, Oxford, for a three week period during February-March 1986. For only 38% of bed days were patients considered to have medical, nursing, or life support reasons for requiring a provincial teaching hospital bed. The requirements for a bed in the ho...

OBJECTIVE To estimate the required number of public beds for adults in intensive care units in the state of Rio de Janeiro to meet the existing demand and compare results with recommendations by the Brazilian Ministry of Health. METHODS The study uses a hybrid model combining time series and queuing theory to predict the demand and estimate the number of required beds. Four patient flow scena...

BACKGROUND The aim of the study was to understand the current status of intensive care unit (ICU) in order to optimize the resources achieving the best possible care. METHODS The study analyzed the status of ICU settings based on the Taiwan National Health Insurance database between March 2004 and February 2009. RESULTS A total of 1,028,364 ICU patients were identified. The age was 65 ± 18 ...

Hospitals’ bed productivity has a remarkable effect on health system performance. The Pabon Lasso Model (PLM) is a useful tool for evaluation of inpatient beds performance and there is a growing trend in use of this technique in hospital performance evaluation. The aim of this study is to review the literature on PLM to gain insight into quality the results of these studies. By adopting a syste...

Background: Length of stay is one of the most important indicators in assessing hospital performance. A shorter stay can reduce the costs per discharge and shift care from inpatient to less expensive post-acute settings. It can lead to a greater readmission rate, better resource management, and more efficient services. Objective: This study aimed to ident...

In this research, an experimental study to evaluate nutrient removal from synthetic wastewater by a lab-scale moving bed biofilm process was investigated. Also, kinetic analysis of the process with regard to phosphorus and nitrogen removal was studied with different mathematical models. For nutrient removal, the moving bed biofilm process was applied in series with anaerobic, anoxic and aerobic...

With new national targets for patient flow in public hospitals designed to increase efficiencies in patient care and resource use, better knowledge of events affecting length of stay will support improved bed management and scheduling of procedures. This paper presents a case study involving the integration of material from each of three databases in operation at one tertiary hospital and demon...

OBJECTIVE To evaluate variations in the observation period in the emergency department (ED) in response to bed availability. METHODS A quasi-experimental pre-test post-test study without a control group was conducted in the ED observation ward over 2 1-month periods. During this time the only variable that changed was the number of beds available, which decreased from 20 (pre-test period) to ...

BACKGROUND The length of stay and bed usage on acute psychogeriatric admission wards are influenced by several factors. The impact of a dedicated specialist social worker working exclusively with acutely ill psychogeriatric inpatients and with a dedicated budget for domiciliary care packages on the length of stay, bed usage, and costs was evaluated in an opportunistic "before and after" cohort ...