3 results match your criteria: "VHA Office of Rural Health's Veterans Resource Center[Affiliation]"

Background: Catheter-associated urinary tract infection (CAUTI) prevention is a major target for hospital quality metrics because it is linked to increased morbidity, mortality, and health care costs. Health care systems use strict protocols surrounding catheterization and maintenance, which often disregard the clinical needs of special populations (eg, spinal cord injury [SCI]). However, for populations that rely on chronic instrumentation of the bladder, asymptomatic (ie, nonpathogenic) bacterial colonization in the bladder is common but not linked to adverse outcomes.

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Churning the tides of care: when nurse turnover makes waves in patient access to primary care.

BMC Nurs

October 2024

Houston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E DeBakey VA Medical Center, 2450 Holcombe Blvd Suite 01Y, Houston, TX, 77021, USA.

Article Synopsis
  • - The study examines how different levels of registered nurse (RN) staffing in Patient Aligned Care Teams (PACTs) within the Veterans Health Administration (VHA) affect patient access to healthcare services.
  • - It involved analyzing data from nearly 6,000 PACTs over a 24-month period, categorizing RN staffing stability into continuous churn, instability, vacancy, and stability, comparing their impact on various access measures.
  • - Findings indicated that RN churn significantly negatively impacted appointment availability, while staffing instability and vacancy did not show a notable effect; overall, adequate staffing and team stability were linked to better patient access.
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Access to healthcare continues to be a top priority and prominent challenge in rural communities, with 20% of the total U.S. population living in rural areas while only 10% of physicians practice in rural areas.

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