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Do Midnight Censuses Accurately Portray Hospital Bed Occupancy?
Stud Health Technol Inform
September 2024
Gold Coast Hospital and Health Service, Queensland Health, Australia.
Hospital bed occupancy serves as an important indicator of healthcare system efficiency, directly impacting patient care quality and staff workload. This study delves into the efficacy of midnight census, a conventional method for assessing bed occupancy, in supporting hospital operational planning. Historically, the midnight census has been utilised to gauge bed occupancy; however, its reliability is debated due to fluctuations throughout the day.
View Article and Find Full Text PDFPatient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system.
BMC Health Serv Res
March 2024
Faculty of Medicine, Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
Background: Globally, emergency departments (EDs) are overcrowded and unable to meet an ever-increasing demand for care. The aim of this study is to comprehensively review and synthesise literature on potential solutions and challenges throughout the entire health system, focusing on ED patient flow.
Methods: An umbrella review was conducted to comprehensively summarise and synthesise the available evidence from multiple research syntheses.
Emergency Department Demand and the First Year of the COVID-19 Pandemic.
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January 2024
Queensland Health, Australia.
We present a retrospective analysis of Emergency Department daily patient flow across 84 hospitals in Queensland, Australia over a four-year period from 2017 - 2020, leading up to and including the start of the COVID-19 pandemic. Daily ED demand significantly increased year-on-year over the study period, though significant increases in 2020 were likely attributed to ED fever screening clinics. Compliance against a four-hour ED Length of Stay target had been slightly decreasing since 2017, and the first year of the pandemic showed significant improvements in target compliance compared to previous years for all patients including the cohort admitted from ED.
View Article and Find Full Text PDFA mapping review of refinements to laboratory rat housing and husbandry.
Lab Anim (NY)
March 2023
Animal Welfare and Behaviour Research Group, Bristol Veterinary School, University of Bristol, Bristol, UK.
Refining the housing and husbandry of laboratory rats is an important goal, both for ethical reasons and to allow better quality research. We conducted a mapping review of 1,017 studies investigating potential refinements of housing and husbandry of the laboratory rat to assess what refinements have, and have not, been studied, and to briefly assess whether there is evidence to support any impact on rat welfare. Among the many refinements studied, the majority involve changes to the cage, but some also involve alterations to the wider environment.
View Article and Find Full Text PDFAmbulance Arrivals and ED Flow - A Queensland Perspective.
Stud Health Technol Inform
November 2018
Queensland Health, Brisbane, Australia.
While it is widely accepted that whole of hospital solutions are necessary to reduce the ever-increasing burden on the public health system, little research has focussed on understanding the relationship between ambulance arrival related flow metrics and emergency department (ED) crowding. Queensland Ambulance Service (QAS) shares patient load across multiple hospitals, and receiving facilities strive to meet a Patient Off Stretcher Time (POST) target of 30 minutes. We examine ambulance arrival data from the QAS and ED patient arrival data from 15 major metropolitan hospitals across Queensland, to understand temporal variations in POST performance and examine the relationship between POST performance and ED crowding.
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