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Associations Between Integration and Patient Experience in Hospital-Based Health Systems: An Exploration of Horizontal and Vertical Forms of Integration.
J Healthc Manag
September 2024
Usha Kundu, MD College of Health, University of West Florida, Pensacola.
Goal: The U.S. hospital sector is experiencing record levels of integration, with more than half of U.
View Article and Find Full Text PDFA Bird in Hand: An Examination of the Influence of Nursing School Proximal Density on Hospital Quality of Care Outcomes in U.S. Hospitals.
Inquiry
May 2022
Department of Health Service Administration, 9968The University of Alabama at Birmingham, Birmingham, AL, USA.
While nurse staffing shortage is generally true, it is not universal, and it remains unclear the degree to which variation in local staffing markets might influence the relationship between nurse staffing and care quality. This study seeks to determine the effect of nurse staffing markets on the quality of hospital care delivered in U.S.
View Article and Find Full Text PDFThe Effect of Geographic Cohorting of Inpatient Teaching Services on Patient Outcomes and Resident Experience.
J Gen Intern Med
October 2022
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 200 Lothrop St, Pittsburgh, PA, 15213, USA.
Background: Geographic cohorting is a hospital admission structure in which every patient on a given physician team is admitted to a dedicated hospital unit. Little is known about the long-term impact of this admission structure on patient outcomes and resident satisfaction.
Objective: To evaluate the effect of geographic cohorting on patient outcomes and resident satisfaction among inpatient internal medicine teaching services within an academic hospital.
Disrupted and Restored Patient Experience With Transition to New Electronic Health Record System.
J Patient Exp
August 2021
BJC HealthCare, Saint Louis, MO, USA.
Transitioning from one electronic health record (EHR) system to another is of the most disruptive events in health care and research about its impact on patient experience for inpatient is limited. This study aimed to assess the impact of transitioning EHR on patient experience measured by the Hospital Consumer Assessment of Healthcare Providers and Systems composites and global items. An interrupted time series study was conducted to evaluate quarter-specific changes in patient experience following implementation of a new EHR at a Midwest health care system during 2017 to 2018.
View Article and Find Full Text PDFScheduled versus as-needed postpartum analgesia and oxycodone utilization.
J Matern Fetal Neonatal Med
March 2022
Department of Obstetrics and Gynecology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Background: An optimal approach for providing sufficient postpartum analgesia while minimizing the risk of opioid misuse or diversion has yet to be elucidated. Moreover, there is scant literature on the efficacy of around-the-clock (ATC) scheduled dosing of opioid analgesia compared to pro re nata (PRN; as-needed) dosing for postpartum pain management. Here we evaluate a quality improvement intervention that aimed to proactively provide pain relief with a multimodal analgesic regimen that includes oxycodone at scheduled time intervals.
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