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The effects of environmental factors on the patient outcomes in hospital environments:A review of literature

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Frontiers of Architectural Research 2020年第2期9卷 249-263页

作者： Saman Jamshidi Jan S.Parker Seyedehnastaran Hashemi Department of Design College of Human SciencesTexas Tech UniversityTX 79409USA

This study investigates the evidence supporting the impact of the built environment on the health outcomes for patients within the hospital *** the hospital environment may potentially impact the lives of millions of patients,patients’family,and *** research has suggested that the built environment can contribute to positive health *** the most recent evidence may assist designers in making informed *** this study,a literature review was conducted using the PICO framework within scientific databases and additional hand-searched documents.A total number of 15 articles were *** of each environmental factor on patients’health outcomes were discussed in *** factors that affect patient outcomes are(1)form,(2)unit layout,(3)floor material,(4)room features,(5)medical equipment visibility,(6)nature,(7)lighting,and(8)*** several studies have provided a high level of evidence,other studies have lacked a robust research ***,evidence regarding several environmental factors is not *** studies using experimental/quasi-experimental research design have been *** some studies,several environmental factors were introduced simultaneously which obscured the separate effects of each environmental factor.

关键词： Environmental design patient outcomes Hospital Evidence-based design Literature review

The Impact of Digital Technology on Healthcare Delivery and patient outcomes

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E-Health Telecommunication Systems and Networks 2024年第2期13卷 13-22页

作者： Taiwo Raheemah Alawiye Department of Management Birkbeck University of London London UK

Digital technology has fundamentally transformed healthcare delivery, exerting profound influence on patient outcomes. This paper delves into the roles played by telemedicine, electronic health records (EHRs), and mobile health applications in augmenting healthcare services. The objective is to scrutinize the ways in which these digital innovations enhance healthcare delivery and patient outcomes, while also identifying the attendant challenges in their adoption. To achieve this, a rigorous literature review encompassing peer-reviewed articles, reports, and case studies that examine the impact of digital technology in healthcare settings was conducted. The findings underscore that digital technology significantly bolsters patient care by enhancing access, operational efficiency, and diagnostic accuracy. Nonetheless, persistent challenges such as safeguarding data privacy, ensuring interoperability across systems, and managing implementation costs continue to pose significant hurdles.

关键词： Digital Technology Healthcare Delivery patient outcomes

Addressing diagnostic delays in inflammatory bowel diseases in Germany

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World Journal of Gastroenterology 2024年第41期30卷 4484-4489页

作者： Shi-Yan Zhang Yin Lin Department of Clinical Laboratory Fuding HospitalFujian University of Traditional Chinese MedicineFuding 355200Fujian ProvinceChina Department of Gastroenterology Fuding HospitalFujian University of Traditional Chinese MedicineFuding 355200Fujian ProvinceChina

Inflammatory bowel diseases(IBDs),including Crohn's disease(CD)and ulcerative colitis,are chronic inflammatory conditions of the gastrointestinal tract that necessitate timely diagnosis to prevent complications and improve patient *** advancements in medical knowledge and diagnostic techniques,significant diagnostic delays persist,particularly in *** study by Blüthner et al,published in the World Journal of Gastroenterology,elucidates the diagnostic delays experienced by German patients with IBD and identifies key risk factors contributing to these delays.

关键词： Inflammatory bowel disease Crohn's disease Ulcerative colitis Diagnostic delay Physician diagnostic time Risk factors Early diagnosis patient outcomes

Utilization Management:Walking the Line Between patient Needs and Healthcare Economics-Short Communication

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Journal of Clinical and Nursing Research 2024年第9期8卷 152-158页

作者： Kirubanandan Shanmugam Independent Research Professional ChennaiIndia

Utilization management plays a crucial role in healthcare by optimizing resource allocation,improving patient outcomes,and effectively controlling *** balancing patient needs with economic considerations,healthcare institutions can ensure efficient and sustainable service *** management encompasses various strategies,including prior authorization,concurrent review,and clinical pathways,to enhance care quality,manage expenses,and streamline resource *** benefits of utilization management include cost containment,improved care standards,and the implementation of consistent treatment guidelines,thereby increasing the overall efficiency and effectiveness of healthcare delivery.

关键词： Utilization management patient outcomes Cost control Clinical pathways Care standards

Delayed referral for liver transplant evaluation worsens outcomes in chronic liver disease patients requiring inpatient transplant evaluation

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World Journal of Transplantation 2023年第4期13卷 169-182页

作者： Katherine M Cooper Alessandro Colletta Nicholas J Hathaway Diana Liu Daniella Gonzalez Arslan Talat Curtis Barry Anita Krishnarao Savant Mehta Babak Movahedi Paulo N Martins Deepika Devuni Department of Medicine UMass Chan Medical SchoolWorcesterMA 01605United States Department of Medicine Division of GastroenterologyUMass Chan Medical SchoolWorcesterMA 01605United States Department of Surgery Transplant DivisionUMass Chan Medical SchoolWorcesterMA 01605United States

BACKGROUND Indications to refer patients with cirrhosis for liver transplant evaluation(LTE)include hepatic decompensation or a model for end stage liver disease(MELDNa)score≥*** studies have evaluated how delaying referral beyond these criteria affects patient *** To evaluate clinical characteristics of patients undergoing inpatient LTE and to assess the effects of delayed LTE on patient outcomes(death,transplantation).METHODS This is a single center retrospective cohort study assessing all patients undergoing inpatient LTE(n=159)at a large quaternary care and liver transplant center between 10/23/2017-7/31/*** referral was defined as having prior indication(decompensation,MELD-Na≥15)for LTE without *** referral was defined as referrals made within 3 mo of having an indication based on practice *** regression and Cox Hazard Regression were used to evaluate the relationship between delayed referral and patient *** Many patients who require expedited inpatient LTE had delayed *** regarding transplant candidacy were a leading cause of delayed ***,delayed referrals negatively affected overall patient outcome and an independent predictor of both death and not receiving a *** referral was associated with a 2.5 hazard risk of *** Beyond initial access to an liver transplant(LT)center,delaying LTE increases risk of death and reduces risk of LT in patients with chronic liver *** is substantial opportunity to increase the percentage of patients undergoing LTE when first clinically *** is crucial for providers to remain informed about the latest guidelines on liver transplant candidacy and the transplant referral process.

关键词： Liver transplantation Liver transplant evaluation Liver transplant referral patient access Equity patient outcomes

A systematic review of the impact of master's-educated nurses on inpatient care

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International Journal of Nursing Sciences 2015年第4期2卷 414-421页

作者： Song Ge Xing Xi Gui-fang Guo School of Nursing Johns Hopkins UniversityBaltimoreMDUnited States College of Nursing Nanjing University Jinling CollegeNanjingJiangsuChina School of Nursing Peking University Health Science CenterBeijingChina

Aim:Review the impact of master's-educated nurses on inpatient care in different healthcare systems and ***:Improved healthcare service quality and efficiency are needed due to a number of factors,including an aging population,advancing medical technology and increasingly complex methods of healthcare *** these challenges requires nurses with more than a basic nursing ***,masters training for Chinese nurses is a relatively new development,and,therefore,the cost effectiveness of master's-educated nurses in China and extent to which they contribute to improvements in access to Chinese healthcare services and the quality of those services remains ***:A systematic review of quantitative studies was conducted using PubMed and the China National Knowledge Infrastructure(CNKI).Studies were included in this review if they met the inclusion ***:Nine papers met the inclusion criteria and were included in this *** studies indicated that palliative care,continuity of care,mental health,transition care,post-transplant care and central venous catheter care were improved when patient care was delivered by master's-educated ***:Developing master's education for nurses may improve the current standard of health care and help meet modern *** topic deserves additional attention at the academic and policy *** review provides an important reference for Chinese nursing educators and policy makers.

关键词： China Graduate Nursing Education patient outcomes

Global research landscape of health care-associated infections among immunocompromised people before and after the start of the COVID-19 pandemic

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Infectious Medicine

Infectious Medicine 2024年第3期3卷 54-68页

作者： Chidozie Declan School of Health Systems and Public Health Faculty of Health SciencesUniversity of PretoriaPretoria 0001South Africa

Health care-associated infections(HCAIs)pose a substantial threat to immunocompromised individuals and represent a frequent adverse event in health care *** aim of this study was to evaluate the global research landscape of HCAIs among immunocompromised populations before and during the COVID-19 pandemic.A systematic search of articles published between 2013 and 2022 in the Web of Science Core Collection database was conducted,and content analytics and integrated science mapping were used for data analysis and *** review identified 1,473 *** 633 articles authored by 4,151 individuals and published in 366 journals were *** average citation rate was 14.27 per document,and research production grew annually by 9.07%peaking in 2021 during the COVID-19 pandemic but declining in *** United States emerged as the most productive country,with 743 publication appearances and 2,485 *** such as“epidemiology,”“infection,”“mortality,”and“risk factors”were frequently encountered in the analyzed *** main research themes,including“mortality,”“sepsis,”“immunosuppression,”“expression,”and“pneumonia,”underscored the focal points of importance within this *** study highlighted the growing interest regarding HCAIs in immunocompromised populations,especially during the COVID-19 *** study findings underscore the need to advance research efforts to understand different immunocompromised states,develop tailored infection prevention measures,and address health care disparities to mitigate the burden of HCAIs among immunocompromised individuals.

关键词： Health care-associated infections Immunocompromised individuals COVID-19 Prevention strategies patient outcomes

Robotic-assisted hysterectomy in a community hospital after seven years of experience

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Laparoscopic, Endoscopic and Robotic Surgery 2018年第2期1卷 42-45页

作者： Zohreh Schuessler Hans Schuessler James Strohaber College of Nursing Texas Woman's UniversityDentonTXUSA Department of Physics Texas A&M UniversityCollege StationTXUSA Department of Physics Florida A&M UniversityTallahasseeFLUSA

Background:The da Vinci robotic-assisted laparoscopic hysterectomy is being widely adopted by healthcare institutions and constitutes the highest percentage of the robotic-assisted *** now da Vinci robotic-assisted hysterectomy(RAH)is used worldwide,and even so,different aspects of this relatively new surgical technique remain under *** are contradicting reports in the literature about the superiority of RAH versus conventional laparoscopic hysterectomy(CLH)in terms of patient outcomes and *** purpose of this small size study was to contribute to this open question by analyzing patient records in a community hospital with extensive seven years of experience in *** analysis of the data compares the surgical outcomes and patient costs of RAH(n?23)versus CLH(n?23).Method:A retrospective study using the electronic chart review was ***:There were no statistically significant differences between the two groups for estimated blood loss,duration of surgery,length of stay,30-day readmission,and patient costs;however,the average cost of RAH was$3116 less than CLH,if not considering the cost and maintenance of the surgical robot indicating surgical team approaching proficiency and maturity in RAH.A strong correlation between uterus weight,blood loss,duration of surgery,and patient cost within only the RAH group was observed,suggesting a more precise surgical ***:RAH and CLH had similar surgical *** can be a more precise surgical technique,and potentially less costly when the cost and maintenance of the robot are not considered.

关键词： Robotic Laparoscopic Hysterectomy patient outcomes Cost

Endoscopic management and outcome of non-variceal bleeding in patients with liver cirrhosis:A systematic review

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World Journal of Gastrointestinal Endoscopy 2022年第3期14卷 163-175页

作者： Georgios Demetiou Aikaterini Augoustaki Evangelos Kalaitzakis Department of Gastroenterology University Hospital of HeraklionHeraklion 71500Greece

BACKGROUND Acute non-variceal bleeding accounts for approximately 20%of all-cause bleeding episodes in patients with liver *** is associated with high morbidity and mortality therefore prompt diagnosis and endoscopic management are *** To evaluate available data on the efficacy of endoscopic treatment modalities used to control acute non-variceal gastrointestinal bleeding(GIB)in cirrhotic patients as well as to assess treatment *** Employing PRISMA methodology,the MEDLINE was searched through PubMed using appropriate MeSH *** are reported in a summative manner and separately for each major non-variceal cause of *** Overall,23 studies were identified with a total of 1288 cirrhotic patients of whom 958/1288 underwent endoscopic therapy for acute non-variceal *** ulcer bleeding was the most common cause of acute non-variceal bleeding,followed by portal hypertensive gastropathy,gastric antral vascular ectasia,Mallory-Weiss syndrome,Dieaulafoy lesions,portal hypertensive colopathy,and *** to control bleeding from all-causes of non-variceal GIB accounted for less than 3.5%of cirrhotic ***(range 2%-25%)and mortality(range 3%-40%)rates varied,presumably due to study *** was usually managed endoscopically and salvage therapy using arterial embolisation or surgery was undertaken in very few *** was usually associated with liver function deterioration and other organ failure or infections rather than uncontrolled *** treatment-related complications were extremely *** acute non-variceal bleeding was examined in two studies(197/1288 patients)achieving initial hemostasis in all patients using argon plasma coagulation for portal hypertensive colopathy and endoscopic band ligation or sclerotherapy for bleeding hemorrhoids(rebleeding range 10%-13%).Data on the efficacy of endoscopic therapy of cirrhotic patients vs non-cirrhotic controls wi

关键词： Liver cirrhosis Non-variceal gastrointestinal hemorrhage Gastrointestinal endoscopy Endoscopic therapy patient outcomes Peptic ulcer Mallory Weiss syndrome Gastric antral vascular ectasia