At Baylor Jack and Jane Hamilton Heart and Vascular Hospital, we developed a preadmission packet that is given to patients before their procedure date, enabling them to complete much of their paperwork in advance. The results of our subsequent study revealed that nurses save time during the assessment interview when patients arrive at the hospital with their admission database forms completed. In a busy facility with a large number of patients admitted daily, the nursing time saved can translate into a substantial economic benefit. Even more important, however, is the benefit to patients, who feel less rushed and provide a more thorough and accurate medical history when they can fill out the admission database form at home.
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http://dx.doi.org/10.1080/08998280.2011.11928743 | DOI Listing |
J Knee Surg
June 2013
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland 21215, USA.
The purpose of this study was to evaluate the incidence of surgical site infections in total knee arthroplasty patients using a preadmission cutaneous skin preparation protocol compared with a cohort of patients undergoing standard in-hospital perioperative preparation only. Records between 2007 and 2010 were reviewed to identify deep incisional and periprosthetic infections among patients using the chlorhexidine protocol (478 patients) and patients who did not use the protocol (1,735 patients). Patients using the chlorhexidine cloths were given two packets of six chlorhexidine gluconate-impregnated cloths, with instructions for use, the evening before and morning of surgery.
View Article and Find Full Text PDFProc (Bayl Univ Med Cent)
October 2011
Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Keithly, Muldoon, Vish, McLeroy DeJong, Adams), and the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas (Cheng).
At Baylor Jack and Jane Hamilton Heart and Vascular Hospital, we developed a preadmission packet that is given to patients before their procedure date, enabling them to complete much of their paperwork in advance. The results of our subsequent study revealed that nurses save time during the assessment interview when patients arrive at the hospital with their admission database forms completed. In a busy facility with a large number of patients admitted daily, the nursing time saved can translate into a substantial economic benefit.
View Article and Find Full Text PDFJt Comm J Qual Patient Saf
June 2010
Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, USA.
Background: Effective communication among physicians during hospital discharge is critical to patient care. Partners Healthcare (Boston) has been engaged in a multi-year process to measure and improve the quality of documentation of all patients discharged from its five acute care hospitals to subacute facilities.
Methods: Partners first engaged stakeholders to develop a consensus set of 12 required data elements for all discharges to subacute facilities.
J Hosp Med
October 2009
Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts 02120-1613, USA.
Background: The quality of discharge documentation in patients discharged to rehabilitation centers and other subacute facilities is less well studied than that of patients discharged home.
Objective: To evaluate the quality of information transfer among patients discharged from acute hospitals to subacute facilities across an integrated healthcare delivery system.
Design: Retrospective evaluation of discharge documentation packets of selected patients.
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