a 25-year-old woman (gravida 2, abortion 1) was admitted to ghaem hospital affiliated to mashhad university of medical sciences at 24 th week of gestation. her chief complaint was bloody show. she had a history of incompetent cervix, with premature labor at 22 nd week of gestation. she was hospitalized with 4 cm dilatation and 50% effacement of cervix at 24 th week of gestation. following bed r...

Patients and Methods The study was done in the HagaZiekenhuis, a 600-bed teaching hospital in The Hague, Netherlands with all specialties available including cardiac surgery and neurosurgery. The hospital has a 16-bed adult ICU and an ICU based medical emergency team (MET). A MEWS is used throughout the hospital to monitor patients’ vital signs and a score of 3 points or more is the threshold t...

BACKGROUND Appropriately timed patient discharge is essential for optimal patient care and efficient hospital functioning. The post-operative morbidity survey (POMS) is the only validated prospective method of measuring short-term post-operative morbidity. It has not previously been used as a bed utilisation tool. METHODS We collected POMS data from 529 consecutive lower-limb arthroplasty pat...

BACKGROUND There are few reports on the effects of extensive decentralization of mental health services. We investigated the total patterns of utilization in a local-bed model and a central-bed model. METHODS In a time-trend case-registry design, 7635 single treatment episodes, from the specialist and municipality services in 2003-2006, were linked to 2975 individual patients over all adminis...

In this paper we describe an investigation into the prediction of emergency bed demand bed demand due to non-scheduled admissions within a NHS hospital in South London, U.K. A hybrid methodology, incorporating a neural network and an ARIMA model was used to predict a time series of bed demand. A thorough statistical analysis of the data set was performed as a preliminary phase of the research f...

BACKGROUND In Japan, the revision of the fee schedules in 2006 introduced a new category of general care ward for more advanced care, with a higher staffing standard, a patient-to-nurse ratio of 7:1. Previous studies have suggested that these changes worsened inequalities in the geographic distribution of nurses, but there have been few quantitative studies evaluating this effect. This study ai...

Hospital bed-blocking occurs when hospital patients are ready to be discharged to a nursing home, but no place is available, so that hospital care acts as a more costly substitute for long-term care. We investigate the extent to which greater supply of nursing home beds or lower prices can reduce hospital bed-blocking using a new Local Authority (LA) level administrative data from England on ho...

OBJECTIVE It has been suggested that the availability of a high-dependency unit (HDU), to facilitate graded admission to, and discharge from, an intensive care unit (ICU), might decrease post-operative morbidity. We wished to determine whether the addition of a 4-bed HDU to a tertiary 17-bed ICU facility at a University-affiliated hospital would decrease post-operative morbidity and mortality. ...