Browsing by Subject "hospital"

Now showing 1 - 10 of 11
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    Boarding of Critically Ill Patients in the Emergency Department
    (Wolters Kluwer, 2020-08-01) Mohr, Nicholas M.; Wessman, Brian T.; Bassin, Benjamin; Elie-Turenne, Marie-Carmelle; Ellender, Timothy; Emlet, Lillian L.; Ginsberg, Zachary; Gunnerson, Kyle; Jones, Kevin M.; Kram, Bridgette; Marcolini, Evie; Rudy, Susanna; Emergency Medicine, School of Medicine
    Objectives: Emergency department boarding is the practice of caring for admitted patients in the emergency department after hospital admission, and boarding has been a growing problem in the United States. Boarding of the critically ill has achieved specific attention because of its association with poor clinical outcomes. Accordingly, the Society of Critical Care Medicine and the American College of Emergency Physicians convened a Task Force to understand the implications of emergency department boarding of the critically ill. The objective of this article is to review the U.S. literature on (1) the frequency of emergency department boarding among the critically ill, (2) the outcomes associated with critical care patient boarding, and (3) local strategies developed to mitigate the impact of emergency department critical care boarding on patient outcomes. Data Sources and Study Selection: Review article. Data Extraction and Data Synthesis: Emergency department–based boarding of the critically ill patient is common, but no nationally representative frequency estimates has been reported. Boarding literature is limited by variation in the definitions used for boarding and variation in the facilities studied (boarding ranges from 2% to 88% of ICU admissions). Prolonged boarding in the emergency department has been associated with longer duration of mechanical ventilation, longer ICU and hospital length of stay, and higher mortality. Health systems have developed multiple mitigation strategies to address emergency department boarding of critically ill patients, including emergency department-based interventions, hospital-based interventions, and emergency department–based resuscitation care units. Conclusions: Emergency department boarding of critically ill patients was common and was associated with worse clinical outcomes. Health systems have generated a number of strategies to mitigate these effects. A definition for emergency department boarding is proposed. Future work should establish formal criteria for analysis and benchmarking of emergency department–based boarding overall, with subsequent efforts focused on developing and reporting innovative strategies that improve clinical outcomes of critically ill patients boarded in the emergency department.
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    Causes of hospital admission in β-thalassemia (CHAT) in Lebanon from 1995 to 2015: A pilot retrospective study from a tertiary care center
    (Wiley, 2017) Saliba, Antoine N.; Moukhadder, Hassan M.; Harb, Afif; Beydoun, Hassan; Bou-Fakhredin, Rayan; Taher, Ali T.; Department of Medicine, School of Medicine
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    Connecting Care – Empowering The Patient Through Their Waiting Experience
    (Office of the Vice Chancellor for Research, 2016-04-08) Sieferd, Edward J.; Hsu, Hsueh-Fen; Semidey, Lisa; Mohebbi, Mahdiyeh; Rong, Jiacheng; Chen, Linjun; Phillips, Milesha; Stevens, Madison; Jin, Siying; Hong, Youngbok
    Waiting at a hospital is a challenge for patients and their families. Many individuals go to the hospital, waiting for hours to receive their tests and results. This waiting experience places a burden on individuals and causes stress in a tense time in their lives. This research was a partnership between healthcare providers and graduate program of Design Thinking and Leadership, Department of Visual Communication Design, Herron School of Art and Design. The goal of this people-centered research was to examine and enhance the patient waiting experience at the Registration, Lab and Radiology service areas of a Carmel Hospital. To understand the patient experiences, we approached the project utilizing people-centered design methods. The design research team conducted ethnographic observations and interviews involving patients and staff within the Laboratory, Registration, and Radiology spaces at a hospital. In responding to defined problems within these spaces, the design team identified the desirable patient communication flow and developed an integrative communication system that aligned with the touch points of the patient journey. This communication system included wrist bands, digital message boards, an expanded pager system, as well as redesigned interior spaces. The two major findings from the research were: One, current communication levels between provider staff and patients resulted in negative patient perceptions of the service. Two, patients wanted more integrated ways to maintain communication between service providers and themselves. From these findings, it was recommended that service providers adapt a more integrated communication system to deliver an optimal patient experience.
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    Daily Situational Brief, December 11, 2014
    (MESH Coalition, 12/11/14) MESH Coalition
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    Daily Situational Brief, December 18, 2014
    (MESH Coalition, 12/18/14) MESH Coalition
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    Daily Situational Brief, January 5, 2015
    (MESH Coalition, 1/5/2015) MESH Coalition
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    Daily Situational Brief, June 13, 2011
    (MESH Coalition, 6/13/2011) MESH Coalition
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    Daily Situational Brief, June 20, 2011
    (MESH Coalition, 6/20/2011) MESH Coalition
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    Daily Situational Brief, May 17, 2011
    (MESH Coalition, 5/17/2011) MESH Coalition
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    Supporting Collaborative Health Tracking in the Hospital: Patients’ Perspectives
    (ACM, 2018) Mishra, Sonali R.; Miller, Andrew D.; Haldar, Shefali; Khelifi, Maher; Eschler, Jordan; Elera, Rashmi G.; Pollack, Ari H; Pratt, Wanda; Human-Centered Computing, School of Informatics and Computing
    The hospital setting creates a high-stakes environment where patients’ lives depend on accurate tracking of health data. Despite recent work emphasizing the importance of patients’ engagement in their own health care, less is known about how patients track their health and care in the hospital. Through interviews and design probes, we investigated hospitalized patients’ tracking activity and analyzed our results using the stage-based personal informatics model. We used this model to understand how to support the tracking needs of hospitalized patients at each stage. In this paper, we discuss hospitalized patients’ needs for collaboratively tracking their health with their care team. We suggest future extensions of the stage-based model to accommodate collaborative tracking situations, such as hospitals, where data is collected, analyzed, and acted on by multiple people. Our findings uncover new directions for HCI research and highlight ways to support patients in tracking their care and improving patient safety.