Base de dados : MEDLINE
Pesquisa : H02.309 [Categoria DeCS]
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  1 / 22432 MEDLINE  
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[PMID]:29359902
[Au] Autor:Raduege TJ; Thomson Reuters Accelus.
[Ti] Título:Healthcare facilities.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-61, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Instalações de Saúde
Administração de Instituições de Saúde
Administração Hospitalar
Hospitais
[Mh] Termos MeSH secundário: Organizações de Assistência Responsáveis
Prestação Integrada de Cuidados de Saúde
Governo Federal
Reforma dos Serviços de Saúde
Seres Humanos
Reembolso de Seguro de Saúde
Medicaid
Medicare
Administração dos Cuidados ao Paciente
Equipe de Assistência ao Paciente
Patient Protection and Affordable Care Act
Atenção Primária à Saúde
Qualidade da Assistência à Saúde
Reembolso de Incentivo
Serviços de Saúde Rural
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  2 / 22432 MEDLINE  
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[PMID]:29411022
[Au] Autor:Jha AK
[Ad] Endereço:K.T. Li Professor of Global Health and Health Policy at the Harvard T. H. Chan School of Public Health and a practicing internist at the Veterans Affairs Boston Healthcare System.
[Ti] Título:To Fix the Hospital Readmissions Program, Prioritize What Matters.
[So] Source:JAMA;319(5):431-433, 2018 Feb 06.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administração Hospitalar
Mortalidade Hospitalar/tendências
Readmissão do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Patient Protection and Affordable Care Act
Readmissão do Paciente/legislação & jurisprudência
Readmissão do Paciente/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.21623


  3 / 22432 MEDLINE  
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[PMID]:29280805
[Au] Autor:Todd B
[Ad] Endereço:Betsy Todd is clinical editor of AJN. Off the Charts is coordinated by Jacob Molyneux, senior editor: jacob.molyneux@wolterskluwer.com.
[Ti] Título:Worked at Home During the Blizzard? Not Nurses.
[So] Source:Am J Nurs;118(1):47, 2018 Jan.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: Updated several times a week with posts by a wide variety of authors, AJN's blog Off the Charts allows us to provide more timely-and often more personal-perspectives on professional, policy, and clinical issues. Best of the Blog will be a regular column to draw the attention of AJN readers to posts we think deserve a wider audience. To read more, please visit: www.ajnoffthecharts.com.
[Mh] Termos MeSH primário: Satisfação no Emprego
Recursos Humanos de Enfermagem no Hospital
[Mh] Termos MeSH secundário: Administração Hospitalar
Seres Humanos
Lealdade ao Trabalho
Neve
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000529714.16214.b5


  4 / 22432 MEDLINE  
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[PMID]:29280789
[Au] Autor:Holt FX
[Ad] Endereço:Francis X. Holt, PhD, RN Fruita, CO.
[Ti] Título:The Ethical Dimensions of Hospital Administration.
[So] Source:Am J Nurs;118(1):10, 2018 01.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administração Hospitalar/ética
Recursos Humanos de Enfermagem no Hospital/ética
[Mh] Termos MeSH secundário: Seres Humanos
Satisfação no Emprego
Princípios Morais
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000529698.22945.60


  5 / 22432 MEDLINE  
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[PMID]:29235804
[Au] Autor:Hicks C
[Ti] Título:An alternative approach for dealing with workplace grievances.
[So] Source:Aust Nurs Midwifery J;22(5):25, 2014 11.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Reivindicações Trabalhistas
[Mh] Termos MeSH secundário: Administração Hospitalar
Seres Humanos
Vitória
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  6 / 22432 MEDLINE  
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[PMID]:27775505
[Au] Autor:Ghanchi A
[Ad] Endereço:Maternity Unit,Pitié-Salpêtrière University Teaching Hospital,Paris,France.
[Ti] Título:Insights Into French Emergency Planning, Response, and Resilience Procedures From a Hospital Managerial Perspective Following the Paris Terrorist Attacks of Friday, November 13, 2015.
[So] Source:Disaster Med Public Health Prep;10(5):789-794, 2016 10.
[Is] ISSN:1938-744X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:On Friday, November 13, 2015, Paris was subjected to a multiple terrorist attack that caused widespread carnage. Although French emergency planning, response, and resilience procedures (Plan Blanc) anticipated crisis management of a major incident, these had to be adapted to the local context of Pitié-Salpêtrière University Teaching Hospital. Health care workers had undergone Plan Blanc training and exercises and it was fortunate that such a drill had occurred on the morning of the attack. The procedures were observed to work well because this type of eventuality had been fully anticipated, and staff performance exceeded expectations owing to prior in-depth training and preparations. Staff performance was also facilitated by overwhelming staff solidarity and professionalism, ensuring the smooth running of crisis management and improving victim survival rates. Although lessons learned are ongoing, an initial debriefing of managers found organizational improvements to be made. These included improvements to the activation of Plan Blanc and how staff were alerted, bed management, emergency morgue facilities, and public relations. In conclusion, our preparations for an eventual terrorist attack on this unprecedented scale ensured a successful medical response. Even though anticipating the unthinkable is difficult, contingency plans are being made to face other possible terrorist threats including chemical or biological agents. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).
[Mh] Termos MeSH primário: Defesa Civil/métodos
Administração Hospitalar/métodos
Terrorismo/tendências
[Mh] Termos MeSH secundário: Adaptação Psicológica
França
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171201
[Lr] Data última revisão:
171201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  7 / 22432 MEDLINE  
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[PMID]:28954604
[Au] Autor:Rakhra SS; Opdam HI; Gladkis L; Arcia B; Fink MA; Kanellis J; Macdonald PS; Snell GI; Pilcher DV
[Ad] Endereço:Alfred Health, Melbourne, VIC sandeeprakhra@gmail.com.
[Ti] Título:Untapped potential in Australian hospitals for organ donation after circulatory death.
[So] Source:Med J Aust;207(7):294-301, 2017 Sep 02.
[Is] ISSN:1326-5377
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the potential for organ donation after circulatory death (DCD) in Australia by applying ideal and expanded organ suitability criteria, and to compare this potential with actual DCD rates. DESIGN: Retrospective cohort study. Setting, methods: We analysed DonateLife audit data for patients aged 28 days to 80 years who died between July 2012 and December 2014 in an intensive care unit or emergency department, or who died within 24 hours of discharge from either, in the 75 Australian hospitals contributing data to DonateLife. Ideal and expanded organ donation criteria were derived from international and national guidelines, and from expert opinion. Potential DCD organ donors were identified by applying these criteria to patients who had been intubated and were neither confirmed as being brain-dead nor likely to have met brain death criteria at the official time of death. RESULTS: 8780 eligible patients were identified, of whom 202 were actual DCD donors. For 193 potential ideal (61%) and 313 potential expanded criteria DCD donors (72%), organ donation had not been discussed with their families; most were potential donors of kidneys (416 potential donors) or lungs (117 potential donors). Potential donors were typically older, dying of non-neurological causes, and more frequently had chronic organ disease than actual donors. Identifying all these potential donors, assuming a consent rate of 60%, would have increased Australia's donation rate from 16.1 to 21.3 per million population in 2014. CONCLUSIONS: The untapped potential for DCD in Australia, particularly of kidneys and lungs, is significant. Systematic review of all patients undergoing end-of-life care in critical care environments for donor suitability could result in significant increases in organ donation rates.
[Mh] Termos MeSH primário: Seleção do Doador
Administração Hospitalar
Doadores de Tecidos
Obtenção de Tecidos e Órgãos/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Austrália
Seres Humanos
Meia-Idade
Estudos Retrospectivos
Assistência Terminal
Fatores de Tempo
Doadores de Tecidos/estatística & dados numéricos
Doadores de Tecidos/provisão & distribuição
Obtenção de Tecidos e Órgãos/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170929
[St] Status:MEDLINE


  8 / 22432 MEDLINE  
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[PMID]:28771558
[Au] Autor:Barasa EW; Manyara AM; Molyneux S; Tsofa B
[Ad] Endereço:KEMRI Centre for Geographic Medicine Research-Coast, and Wellcome Trust Research Programme, Nairobi, Kenya.
[Ti] Título:Recentralization within decentralization: County hospital autonomy under devolution in Kenya.
[So] Source:PLoS One;12(8):e0182440, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. METHODS: We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. FINDINGS: Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. CONCLUSION: Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Hospitais de Condado/organização & administração
Política
Administração da Prática Médica
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Administração Hospitalar
Seres Humanos
Lactente
Quênia
Governo Local
Masculino
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182440


  9 / 22432 MEDLINE  
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[PMID]:28662045
[Au] Autor:Downing NS; Cloninger A; Venkatesh AK; Hsieh A; Drye EE; Coifman RR; Krumholz HM
[Ad] Endereço:Center for Outcomes Research and Evaluation, Yale-New Haven Health, New Haven, Connecticut, United States of America.
[Ti] Título:Describing the performance of U.S. hospitals by applying big data analytics.
[So] Source:PLoS One;12(6):e0179603, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Public reporting of measures of hospital performance is an important component of quality improvement efforts in many countries. However, it can be challenging to provide an overall characterization of hospital performance because there are many measures of quality. In the United States, the Centers for Medicare and Medicaid Services reports over 100 measures that describe various domains of hospital quality, such as outcomes, the patient experience and whether established processes of care are followed. Although individual quality measures provide important insight, it is challenging to understand hospital performance as characterized by multiple quality measures. Accordingly, we developed a novel approach for characterizing hospital performance that highlights the similarities and differences between hospitals and identifies common patterns of hospital performance. Specifically, we built a semi-supervised machine learning algorithm and applied it to the publicly-available quality measures for 1,614 U.S. hospitals to graphically and quantitatively characterize hospital performance. In the resulting visualization, the varying density of hospitals demonstrates that there are key clusters of hospitals that share specific performance profiles, while there are other performance profiles that are rare. Several popular hospital rating systems aggregate some of the quality measures included in our study to produce a composite score; however, hospitals that were top-ranked by such systems were scattered across our visualization, indicating that these top-ranked hospitals actually excel in many different ways. Our application of a novel graph analytics method to data describing U.S. hospitals revealed nuanced differences in performance that are obscured in existing hospital rating systems.
[Mh] Termos MeSH primário: Administração Hospitalar
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179603


  10 / 22432 MEDLINE  
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[PMID]:28598890
[Au] Autor:Kharrazi H; Chi W; Chang HY; Richards TM; Gallagher JM; Knudson SM; Weiner JP
[Ad] Endereço:*Department of Health Policy and Management, Johns Hopkins School of Public Health, Center for Population Health Information Technology, Baltimore, MD †HealthPartners, Health Informatics Division, Bloomington, MN.
[Ti] Título:Comparing Population-based Risk-stratification Model Performance Using Demographic, Diagnosis and Medication Data Extracted From Outpatient Electronic Health Records Versus Administrative Claims.
[So] Source:Med Care;55(8):789-796, 2017 Aug.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, however, have been traditionally derived from claims or encounter systems. This study evaluates the challenges and opportunities of using EHR data instead of or in addition to administrative claims for risk stratification. METHODS: This study used the structured EHR records and administrative claims of 85,581 patients receiving outpatient care at a large integrated provider system. Common data elements for risk stratification (ie, age, sex, diagnosis, and medication) were extracted from outpatient EHR records and administrative claims. The performance of a validated risk-stratification model was assessed using data extracted from claims alone, EHR alone, and claims and EHR combined. RESULTS: EHR-derived metrics overlapped considerably with administrative claims (eg, number of chronic conditions). The accuracy of the model, when using EHR data alone, was acceptable with an area under the curve of ∼0.81 for hospitalization and ∼0.85 for identifying top 1% utilizers using the concurrent model. However, when using EHR data alone, the predictive model explained a lower amount of variation in utilization-based outcomes compared with administrative claims. DISCUSSION: The results show a promising performance of models predicting cost and hospitalization using outpatient EHR's diagnosis and medication data. More research is needed to evaluate the benefits of other EHR data types (eg, lab values and vital signs) for risk stratification.
[Mh] Termos MeSH primário: Demografia
Prescrições de Medicamentos
Registros Eletrônicos de Saúde
Modelos Teóricos
Pacientes Ambulatoriais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Demografia/estatística & dados numéricos
Prescrições de Medicamentos/estatística & dados numéricos
Feminino
Administração Hospitalar
Seres Humanos
Masculino
Meia-Idade
Medição de Risco/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000754



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