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OBJECTIVE To assess the cost of the mandatory use of high-efficiency particulate respirators to treat patients with known or suspected tuberculosis. DESIGN A questionnaire was used to determine the number of high-efficiency particulate respirators required and the number of cases of tuberculosis in employees that could potentially be prevented. Indirect(More)
OBJECTIVES To investigate the effect of hospital occupancy levels on inpatient and ED patient flow parameters, and to simulate the impact of shifting discharge timing on occupancy levels. METHODS Retrospective analysis of hospital inpatient data and ED data from 23 reporting public hospitals in Queensland, Australia, across 30 months. Relationships(More)
The complexity of hospital operations ensures that one-size-fits-all solutions seldom work. As hospitals turn to evidence based strategies to redesign flow, it is critical that they tailor the strategies to suit their individual service. This paper analyses the effect of hospital occupancy on inpatient and emergency department patient flow parameters at the(More)
This paper describes a novel approach employing time based clustering of health data for visualization and analysis of patient flow. Clustering inpatient and emergency department patient episodes into hourly slots based on recorded timestamps, and then grouping them on required parameters, the technique provides a powerful tool for visualizing and analyzing(More)
The ability of hospital staff to get a patient to the right bed at the right time is dependent on bed occupancy, and is a key issue in all acute hospitals. This paper seeks to identify the impact of admission and discharge timing on hospital occupancy with reference to the peak in daily admissions and discharges. Patient admissions data from 23 Queensland(More)
Effecting early discharge is a widely recommended strategy for improving patient flow in acute hospitals. This paper analyses the impact of inpatient discharge timing on Emergency Department (ED) flow parameters such as access block and length of stay, while comparing this to the effect on hospital occupancy, to arrive at an understanding of a 'whole of(More)
OBJECTIVES The study aims to investigate the effect of time of day and ED occupancy on the ability of EDs to admit or discharge patients within 4 h in accordance with the National Emergency Access Target (NEAT), and to compare this with corresponding levels of access block, the measure for ED performance before NEAT. METHODS This is a retrospective(More)
Introduced with a promise to reduce overcrowding in the Emergency Department (ED) and the associated morbidity and mortality linked to bed access difficulties, the National Emergency Access Target (NEAT) is now over halfway through transitionary arrangements towards a target of 90% of patients that visit a hospital ED being admitted or discharged within 4(More)
OBJECTIVE To determine if compliance with annual tuberculosis skin testing correlated with the number of cases of tuberculosis seen in patients and healthcare workers. DESIGN Survey using a written questionnaire. SETTING AND PARTICIPANTS 159 Veterans' Administration facilities. RESULTS Hospitals that reported that > 80% of their healthcare workers(More)
Quantifying the health workforce in terms of overall staff numbers and their ratio to patients under their care can strengthen analytical studies designed to inform policy regarding how hospital services are delivered. Information about staffing is traditionally obtained via location-specific audits or self-reported information gleaned from surveys which(More)