OBJECTIVE To measure length of hospital stay (LHS) in patients receiving medication reconciliation. Secondary characteristics included analysis of number of preadmission medications, medications prescribed at admission, number of discrepancies, and pharmacists interventions done and accepted by the attending physician. METHODS A 6 month, randomized, controlled trial conducted at a public teac...

BACKGROUND Emergency admission rates have been rising steadily in recent years, with the majority of the increase owing to emergency medical admissions. Possible causative factors include changing demography, incidence of disease, admission thresholds, multiple admissions, and appropriateness of admission. AIM To investigate the impact of patient and practice factors on variance in general pr...

introduction. undergraduate medical students at shiraz university of medical sciences spend most of their internal medicine rotations in inpatient wards and their teaching is inpatient oriented. the purpose of this study was to investigate whether the patients admitted to general internal medicine wards have enough diversity to fulfill the educational needs of undergraduate medical students. me...

BACKGROUND A complete, correct and timely discharge letter can communicate important information from the hospital to the general practitioner. The adequacy of the letter may vary with the patient and admission characteristics of the patient. Insight in the association between these characteristics and the presence and quality of the discharge letter will give rise to improvement activities for...

In this paper we apply modeling and simulation as an integrated approach to study the patient admission process in a hospital. The span of the processes is of intra and inter-organizational nature, which allows to see the intricacy of organizational processes on one hand, and the process-centric flow of activities on the other hand. This paper resulted from a student research project, where it ...

The re-admission rates of a cohort of 97 elderly patients discharged from hospital were ascertained. The overall re-admission rate at 30 days was 15%, at 90 days 24% and at 180 days, 30%. On 4 occasions (9%) re-admission was deemed avoidable by the general practitioner. Deterioration of existing disease accounted for 16 (36%) and a new medical event for 22 (49%) re-admissions.

We propose an extension of the Patient Admission Scheduling (PAS) problem that includes, among others, uncertainty in arrival times and stay lengths. We propose the use of a Simulated Annealing approach for both the longand short-term versions of the new problem, along the lines of the one employed successfully for the original PAS problem in [2]. 1 The Patient Admission Scheduling Problem The ...

A 4-month-old male infant was referred to our center with clinical signs and symptoms of severe dehydration without fever, diarrhea, vomiting, or respiratory symptoms. The patient had a history of two similar episodes at 1.5 and 2 months of age without any known underlying cause. In each attack the patient was hospitalized and improved with management of dehydration and electrolyte imbalance. T...

In-patient admission represents a failure of a day care service. The hospital records of 105 patients transferred from the day ward to the in-patient wards were studied retrospectively. Of 2,039 patients treated in the day care ward, 105 (5%) required in-patient admission over a 12 month period. Of these 105 admissions, 17% did not fulfil the criteria for day care patients, 46% had surgical pro...

Results Between October 2009 January 2010, we identified 1 imported case of KPC (origin, Southern Italy) and 3 cases of NDM-1 producing Enterobacteriaceae, transferred from hospitals in India (1), Pakistan (2) and Serbia/ France(3). Patient 1on admission digestive carrier of E. coli blaNDM-1. Patient 2digestive carrier of P. mirabilis blaNDM-1 detected after extended hospitalization and antibio...