Article
Surgery
Daan M. Voeten, Leonie R. van der Werf, Johanna W. van Sandick, Richard van Hillegersberg, Mark I. van Berge Henegouwen
Summary: This study aimed to analyze Dutch hospital performance in terms of length of hospital stay after esophageal cancer surgery and its association with 30-day readmission rates. Results showed no significant association between length of hospital stay and readmission rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Endocrinology & Metabolism
Amal Chakraborty, Odette Pearson, Kate M. Schwartzkopff, Iris O'rourke, Isuru Ranasinghe, Peak Mann Mah, Robert Adams, Mark Boyd, Gary Wittert
Summary: Multifaceted in-hospital interventions for patients with type 2 diabetes mellitus can lead to improvements in hospital length of stay and HbA1c concentration. Common strategies include dedicated care teams, hospital wide approaches, and quality improvement focus.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
Review
Medicine, General & Internal
Shazia Mehmood Siddique, Kelley Tipton, Brian Leas, S. Ryan Greysen, Nikhil K. Mull, Meghan Lane-Fall, Kristina McShea, Amy Y. Tsou
Summary: This study evaluated the effectiveness of system-level interventions in reducing hospital length of stay for high-risk populations. The findings showed inconsistent results across different populations, such as older patients and those with heart failure, and identified important evidence gaps in systematic reviews focused on patients with socioeconomic risk factors.
Article
Health Care Sciences & Services
Swapnil Patel, Abbas Alshami, Steven Douedi, Natasha Campbell, Mohammad Hossain, Arman Mushtaq, Dana Tarina, Brett Sealove, David Kountz, Kim Carpenter, Ellen Angelo, Vito Buccellato, Kenneth Sable, Elliot Frank, Arif Asif
Summary: JSUMC implemented a series of interventions, such as root cause analysis and obstacle interventions, which successfully reduced hospital length of stay and saved medical costs.
Article
Public, Environmental & Occupational Health
Brice Batomen, Lynne Moore, Erin Strumpf, Arijit Nandi
Summary: This study found that accreditation of a level I trauma center was associated with increased risk of being discharged alive at specific days after admission, along with a stable decrease in hospital mortality. The results from pre-post and interrupted time series analyses were consistent, contrasting with contradictory associations observed with the naive approach.
Article
Urology & Nephrology
Astrid Van Wilder, Bianca Cox, Dirk De Ridder, Wim Tambeur, Pieter Maertens, Pieter Stijnen, Guy Vanden Boer, Jonas Brouwers, Fien Claessens, Luk Bruyneel, Kris Vanhaecht
Summary: This study found significant between-hospital variation in mortality, readmission, and length of stay for urological hospital admissions in Belgium. As much as 41.5% of deaths could potentially be avoided if underperforming hospitals improved. Targeting kidney and urinary tract infections could help reduce variation.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Psychiatry
Helene Vulser, Victoire Vinant, Victoria Lanvin, Gilles Chatellier, Frederic Limosin, Cedric Lemogne
Summary: This study found that earlier consultation-liaison psychiatry (CLP) interventions were associated with a clinically significant shorter length of stay in a general hospital, particularly for older patients and those admitted to the intensive care unit (ICU).
BRITISH JOURNAL OF PSYCHIATRY
(2021)
Article
Oncology
Daan M. Voeten, Leonie R. van der Werf, Suzanne S. Gisbertz, Jelle P. Ruurda, Mark I. van Berge Henegouwen, Richard van Hillegersberg
Summary: This study investigated the hospital variation in postoperative length of ICU stay after MIE in Dutch hospitals, finding significant differences among hospitals. Short ICU stay was associated with shorter overall hospital admission and did not negatively impact short-term surgical outcomes. Therefore, a more selective use of ICU resources could lead to a significant national cost reduction.
Article
Gastroenterology & Hepatology
Chelsea C. Jacobs, Johnny F. Jaber, Michael Ladna, Sandeep Ponniah, Ishaan Madhok, Nicole Ruiz, Haley Podeschi, Francesca Gesiotto, Walid Khan, Nabeel Moon, April Mathews, Vikas Patel, Brett Styskel, Tony S. Brar, Peter V. Draganov, Dennis Yang
Summary: This study investigated inpatient endoscopy delay and found that factors such as older age, female sex, use of specific medications, and certain types of procedures are associated with delay. Delayed endoscopy prolonged hospital length-of-stay and was identified as an independent predictor of 30-day readmission.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Environmental Sciences
Arianna Scala, Alfonso Maria Ponsiglione, Ilaria Loperto, Antonio Della Vecchia, Anna Borrelli, Giuseppe Russo, Maria Triassi, Giovanni Improta
Summary: Surgical intervention within 48 hours of hospital admission is the gold standard procedure for elderly patients with femur fractures. The introduction of a DTAP in a university hospital in central southern Italy successfully reduced the preoperative LOS for these patients. Implementation of a Lean Six Sigma methodology confirmed the effectiveness of the DTAP in reducing preoperative LOS.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Computer Science, Information Systems
Md. Mahbubur Rahman, Dipanjali Kundu, Sayma Alam Suha, Umme Raihan Siddiqi, Samrat Kumar Dey
Summary: This study proposes a federated machine learning-based model for predicting patients' length of stay (LOS) in hospitals. The model combines locally trained models from decentralized and heterogeneous hospital clients while maintaining data privacy. The findings show that the aggregated model with federated learning has more reliable predictive performance, and integrating more clients' parameters improves the model's performance.
JOURNAL OF KING SAUD UNIVERSITY-COMPUTER AND INFORMATION SCIENCES
(2022)
Article
Health Care Sciences & Services
Homero Teixeira Leite, Alex C. Manhaes, Luisa A. Antunes, Tevy Chan, Guy Hajj-Boutros, Jose A. Morais
Summary: Implementing an Age-friendly Hospital model in Brazilian hospitals and integrating a geriatric co-management team in Clinical Teaching Units (CTUs) leads to improved efficiency, reduced length of patient-stay, increased referrals to homecare services, without increasing total hospital costs.
Article
Public, Environmental & Occupational Health
Xinchen Ke, Wenrui Lin, Daishi Li, Shuang Zhao, Mingliang Chen, Yi Xiao, Xiang Chen, Minxue Shen, Juan Su
Summary: This study described the economic burden of melanoma patients in Hunan province, China, and investigated the factors influencing hospitalization spending and length of stay in patients undergoing melanoma surgery. The findings showed that melanoma imposes a heavy economic burden on patients, with middle-aged men with melanoma on the limbs experiencing the highest financial burden.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Oncology
Cecelia MacFarling Meure, Belinda Steer, Judi Porter
Summary: The relationship between nutritional intake and clinical outcomes in hospitalised adult oncology patients remains unclear. This study found no significant relationship between nutritional intake and clinical outcomes. However, patients at risk of malnutrition had longer length of stay.
Article
Respiratory System
Berna Demiralp, Lane Koenig, Jing Xu, Samuel Soltoff, John Votto
Summary: This study examines the relationship between the length of time ventilated patients spend in short-term acute care hospitals (STACH) before being transferred to long-term acute care hospitals (LTACH) and their weaning success and mortality rates. The findings suggest that discharging ventilated patients earlier from STACH to LTACH is associated with a higher probability of weaning from mechanical ventilation.
BMC PULMONARY MEDICINE
(2021)
Article
Surgery
Carmen S. S. Latenstein, Sarah Z. Wennmacker, Aafke H. van Dijk, Joost P. H. Drenth, Gert P. Westert, Cornelis J. H. M. van Laarhoven, Marja A. Boermeester, Philip R. de Reuver, Marcel G. W. Dijkgraaf
Summary: A restrictive strategy for cholecystectomy in patients with gallstones and abdominal pain significantly reduces the rate of surgery and surgical costs, resulting in savings from a societal perspective. However, it may lead to fewer pain-free patients.
Review
Health Care Sciences & Services
Joris L. J. M. Muskens, Rudolf Bertijn Kool, Simone A. van Dulmen, Gert P. Westert
Summary: The overuse of diagnostic testing is prevalent across healthcare settings, with significant differences in the prevalence of overuse for similar diagnostic tests. Preoperative testing and imaging for non-specific low back pain are the most frequently identified low-value diagnostic tests. Uniform definitions and assessments are needed to better understand the extent of overuse in diagnostic testing.
BMJ QUALITY & SAFETY
(2022)
Article
Anesthesiology
Yvette E. J. J. M. Emond, Hiske Calsbeek, Yvonne A. S. Peters, Gerrit J. A. Bloo, Steven Teerenstra, Gert P. Westert, Johan Damen, Hub C. Wollersheim, Andre P. Wolff
Summary: This study evaluated the effectiveness of the IMPROVE programme in improving guideline adherence and patient safety. The programme had mixed implementation effects, with positive associations found between guideline adherence and patient safety in certain areas, except for timely administration of antibiotics.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Primary Health Care
Joris L. J. M. Muskens, Simone A. van Dulmen, Tjerk Wiersma, Jako S. Burgers, Karin Hek, Gert P. Westert, Rudolf B. Kool
Summary: Low-value pharmaceutical care exists among Dutch GPs, with significant variation in inappropriate prescribing between different types of pharmaceutical care - and GP practices.
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Article
Health Care Sciences & Services
Yvonne A. C. Bekker, Ankie F. Suntjens, Y. Engels, H. Schers, Gert P. Westert, A. Stef Groenewoud
Summary: This study investigated the documentation of Advance Care Planning (ACP) for patients with cancer, organ failure, and multimorbidity in Dutch general practice. The results showed that documentation of ACP items by general practitioners (GPs) was limited, especially in patients with multimorbidity or organ failure. More attention and documentation of ACP in daily practice are recommended to address the needs of all people living with advanced conditions.
BMC PALLIATIVE CARE
(2022)
Article
Medical Informatics
Tom Ebbers, Rudolf B. Kool, Ludi E. Smeele, Robert P. Takes, Guido B. van den Broek, Richard Dirven
Summary: This study quantifies the widespread concern of high documentation burden for health care providers in oncology, which has been related to burnout and a decrease of patient-clinician interaction. However, the need for accurate and complete documentation is high, as reuse of information becomes increasingly important. The challenge is to decrease the documentation burden while increasing the quality of EHR data.
APPLIED CLINICAL INFORMATICS
(2022)
Article
Health Care Sciences & Services
Lotte Firet, Theodora Alberta Maria Teunissen, Rudolf Bertijn Kool, Kim Josephina Bernadette Notten, Antoinette Leonarda Maria Lagro-Janssen, Huub van der Vaart, Willem Jan Jozef Assendelft
Summary: This study examined the usage pattern of an eHealth intervention for stress urinary incontinence (SUI) and identified factors associated with usage. It found that older women, those who had previous pelvic floor muscle training (PFMT), and those with high expectations about their ability to train the pelvic floor muscles were more likely to use eHealth extensively. The main reason for nonusage attrition was the difficulty of integrating the training schedule into everyday life. Understanding these user characteristics can guide clinicians and correct misconceptions about the suitable target population for this intervention.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Cardiac & Cardiovascular Systems
Stefan L. L. Auener, Patrick P. T. Jeurissen, Dirk J. A. Lok, Huug J. J. van Duijn, Petra E. J. van Pol, Gert P. P. Westert, Simone A. A. van Dulmen
Summary: The aim of this study was to gain insight into how stakeholders have experienced the development and use of regional transmural agreements (RTAs) for chronic heart failure (CHF) and explore which factors affected this.
NETHERLANDS HEART JOURNAL
(2023)
Article
Medicine, General & Internal
Danielle Kroon, Simone A. van Dulmen, Gert P. Westert, Patrick P. T. Jeurissen, Rudolf B. Kool
Summary: The study aims to increase understanding of the scaling of de-implementation strategies by identifying and developing a determinant framework. Through an integrative review and focus group discussions, the SPREAD framework was developed, which includes determinants from four domains: scaling plan, external context, de-implementation strategy, and adopters.
Article
Health Care Sciences & Services
Thomas Timmers, Walter van Der Weegen, Loes Janssen, Jan Kremer, Rudolf Bertijn Kool
Summary: This study explores the added value of patient involvement in developing the content for an eHealth app, as well as the patients' suggestions for improvement. The results of the study demonstrate that patients have many valuable suggestions for improving the content of eHealth interventions, and even a relatively small group of patients can contribute to improving app content from the patient's perspective.
JMIR FORMATIVE RESEARCH
(2022)
Article
Health Care Sciences & Services
Stefan L. Auener, Simone A. van Dulmen, Femke Atsma, Onno van der Galien, Louise Bellersen, Roland van Kimmenade, Gert P. Westert, Patrick P. T. Jeurissen
Summary: The adoption of telemonitoring for heart failure in hospitals in the Netherlands is limited and varies greatly among institutions. Male patients and those with a history of hospital treatment for heart failure are more likely to use telemonitoring, while older patients, female patients, and those without a history of hospital treatment for heart failure are less likely to use telemonitoring. The findings highlight the need to understand the underlying mechanisms behind these associations in order to better tailor telemonitoring interventions for different patient groups.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Gerrit Bloo, Hiske Calsbeek, Gert Westert, Wim Dekkers, George Akkersdijk, Robbert Jan van Krugten, Andre P. Wolff, Hub Wollersheim
Summary: By interviewing 17 patients, we found that the behavior of nurses and physicians, as well as the performance of the team, influenced patients' safety experience during the perioperative period. Positive behavior built trust while negative behavior made patients feel unsafe. Seeking support from nurses, physicians, and family contributed to a safe care experience.
JOURNAL OF PATIENT SAFETY AND RISK MANAGEMENT
(2023)
Article
Health Care Sciences & Services
Eva W. Verkerk, Simone A. van Dulmen, Gert P. Westert, Lotty Hooft, Pauline Heus, Rudolf B. Kool
Summary: Reducing the overuse of low-value care improves the quality and safety of healthcare. This study examined eight projects aimed at reducing low-value care, identifying successful strategies, barriers, and practical recommendations.
Article
Social Sciences, Biomedical
Wieteke van Dijk, Marjan J. Meinders, Marit A. C. Tanke, Eva W. Verkerk, Gert P. Westert, Patrick P. T. Jeurissen
Summary: Patients and clinicians share the problem definition of sciatica but differ in preferred course of action after diagnosis. Medicalization in practice is often an uncertain and contested process.
SOCIAL THEORY & HEALTH
(2022)