Polly Palacios

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In rehabilitation nursing, the patient classification systems or acuity models and nurse-staffing ratios are not supported by empirical evidence. Moreover there are no studies published characterizing nursing hours per patient day, proportion of RN staff and impact of agency nurses in inpatient rehabilitation settings. The purpose of this prospective(More)
OBJECTIVE To determine the effectiveness of 8-week group functional balance training classes on balance outcomes in community-dwelling veterans at risk for falls. DESIGN Pre-test, post-test using retrospective data. SETTING VISN 8 Patient Safety Center at James A. Haley Veterans Hospital in Tampa, FL, USA. PARTICIPANTS Fifty one community living(More)
Background: " Seamless care " is a smooth and safe transition of a patient from the hospital to the home. Our goal was to identify ways to maximize improvement in postdischarge patient outcomes. This research targeted patients at risk for unscheduled readmissions, examined delivery system processes, and identified possible interventions for providing more(More)
Objectives: The objectives of this preliminary study were to identify a cohort of patients receiving outpatient prescriptions for a class of medications, benzodiazepines, that are known to increase the risk of adverse events, and to analyze the temporal association between outpatient benzodiazepine usage and inpatient and outpatient injury-related health(More)
Objectives: The objective of this study was to examine the feasibility of applying the State and Territorial Injury Prevention Directors Association (STIPDA) consensus recommendations for using hospital discharge data in injury and adverse event surveillance to the Veterans Health Administration (VHA) population. The utility of developing an injury(More)
The Veterans Health Administration (VHA) serves the health care needs of an adult, predominantly male, and aging population. The aging profile of VHA patients is 25% greater than the civilian sector (DVA 2001). Aged patients are at higher risk for falls. In February 2002, 6 VHA medical centers profiled their inpatients' fall risk profile as one aspect of(More)
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