Constant observation practices in the general hospital setting: a national survey.
Psychosomatics
; 41(4): 301-10, 2000.
Article
en En
| MEDLINE
| ID: mdl-10906352
ABSTRACT
The authors conducted a national survey of 355 general medical/surgical hospitals to assess constant observation (CO) practices. The authors assessed overall use, expense, staffing patterns, funding strategies, and cost-saving interventions. Virtually all responding hospitals (N = 102) reported using some form of CO. Several hospitals reported significant decreases in CO expenditures after the implementation of cost-saving interventions (the largest annual decrease reported was $340,000). Cost-saving interventions included utilizing consolidated bed spaces, relocating patients near nursing stations, placing at-risk patients in bed enclosure devices, and regularly assisting patients to the toilet. In addition, less costly personnel were hired, and volunteers and/or patient family members provided CO (or were required to assist with the cost of CO). Finally, hospital staff were educated about the costs and the appropriate use of CO. They were also taught to recognize and effectively treat delirium.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Planificación de Atención al Paciente
/
Grupo de Atención al Paciente
/
Seguridad
/
Trastornos Neurocognitivos
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Psychosomatics
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM