Descriptive information on inpatient charges for a sample of 151 individuals discharged from three Boston area medical rehabilitation facilities is presented in this article. The total charges for inpatient rehabilitation were nearly $3 million, and the mean charge was $19,568. Also presented are a description of how charges vary by medical, demographic, social, and external factors and an iden...

INTRODUCTION Ti@wpurpose of this survey was to assess the abilities and present status of all the adult women classed as feebleminded who have been discharged from the Fountain Hospital. This paper is not a comprehensive assessment, but a survey of these patients' past history, together with an interim report on their rehabilitation. In the majority of cases, the present whereabouts and occupat...

A. INTRODUCTION The Bolam Test is a familiar concept to most doctors – it is the measure of whether one has discharged his or her standard of care in the management of the patient. It is not a test which applies only to doctors; it applies to all professionals. This test was developed through a series of English cases culminating in Bolam v Friern Hospital Management Committee (1957) 1 WLR 582....

The overall goal of MENELAS is to provide better access to the information contained in natural language patient discharge summaries (PDSs), through the design and implementation of a prototype able to analyse medical texts. The approach taken by MENELAS is based on the following key principles: (i) to maximise the usefulness of natural language analysis and the usability of its results, the ou...

OBJECTIVES Percutaneous nephrolithotomy is a relatively safe technique. However, it is not exempt from complications, some of which can be severe and even fatal. Some complications may be plausible for laparoscopic management. We report our experience in the management of a rare complication by laparoscopic means. METHODS We report the case of an Amplatz sheath that inadvertently migrated out...

Emptying a container partially filled with viscous fluid can be a frustratingly slow process. It takes time for the fluid to even begin discharging after tipping the container to develop a draining film on the interior surface. To study the effects of the shape and the tipping angle of the container, we predict the time required for the fluid to begin discharging in two simple geometries. In ad...

The authors compared the ability of 3 commonly used measures of risk of future offending in a sample of 315 mentally disordered offenders discharged from a medium-secure unit in the United Kingdom. The authors explored whether the same criminogenic factors that predict recidivism in the general population also predict recidivism in mentally disordered offenders. The actuarial measure, using mai...

BACKGROUND Current recommended discharge criteria might not be rigorous enough to detect residual sedation. This study evaluated the use of the Bispectral Index (BIS monitor), the University of Michigan Sedation Scale (UMSS; i.e., 0-4 observational scale), and a Modified Maintenance of Wakefulness Test (MMWT; visual observation of the time the child is able to stay awake) in assessing return to...

Occupied bed days are often used as a demand indicator when calculating the number of nurses required to provide safe care. However, such calculations fail to take into account the amount of nursing time consumed by the "unoccupied bed." This study used direct observation time-and-motion methods to estimate the time and costs associated with a bed that is unoccupied. The average time taken to c...