Article
Cardiac & Cardiovascular Systems
Hannah Ross, Maureen C. Jones, Brandon S. Hendriksen, Christopher S. Hollenbeak
Summary: The study found that patients undergoing pulmonary lobectomy at hospitals with 5.6 or more registered nurse full-time equivalents had shorter hospital stays, lower mortality rates, but incurred higher costs. This suggests a trade-off between costs and outcomes in nurse staffing decisions for pulmonary lobectomy.
Article
Gastroenterology & Hepatology
Jules H. Eustache, Eric A. Latimer, A. Sender Liberman, Patrick Charlebois, Barry L. Stein, Julio F. Fiore, Liane S. Feldman, Lawrence Lee
Summary: Using a mobile app was associated with reduced emergency visits and shorter hospital stays after colorectal surgery, possibly due to enhanced postdischarge monitoring and patient-provider communication.
DISEASES OF THE COLON & RECTUM
(2023)
Article
Nutrition & Dietetics
Frederick H. Koh, Caroline H. Loh, Winson J. Tan, Leonard M. L. Ho, Dulcena Yen, Jason M. W. Chua, Shawn S. X. Kok, Sharmini S. Sivarajah, Min-Hoe Chew, Fung-Joon Foo
Summary: The study examined the effectiveness of a structured prehabilitative program for aged colorectal cancer patients in improving short-term surgical outcomes. Implementing the program resulted in a reduction in hospitalization duration, improved quality of life after surgery, and cost savings.
NUTRITION IN CLINICAL PRACTICE
(2022)
Article
Endocrinology & Metabolism
Odelia Cooper, Rita Lis, Vivien Bonert, Artak Labadzhyan, Ning-Ai Liu, Anat Ben-Shlomo, Vladimir Ljubimov, Viktoria Krutikova, Adam N. Mamelak
Summary: Restricting fluid to 1 L/day on discharge decreases rates of delayed hyponatremia and readmissions by 50%. Standardized patient education and POD 7 sodium testing decreases severity of hyponatremia but does not impact readmission rates.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2023)
Article
Computer Science, Cybernetics
Jiacun Wang
Summary: Patient flow refers to the movement of patients through a healthcare facility. Optimizing patient flow and reducing waiting time are crucial for improving healthcare service and patient satisfaction. Understaffing is a critical factor causing patient congestion, making it necessary to determine the optimal staffing levels. This article employs a hierarchical modeling process and stochastic timed Petri nets to evaluate average waiting time and discuss the decision-making process for optimal staffing.
IEEE TRANSACTIONS ON COMPUTATIONAL SOCIAL SYSTEMS
(2023)
Article
Nuclear Science & Technology
W. Robb Stewart, Jeremy Gregory, Koroush Shirvan
Summary: Recent nuclear construction projects in the US and Europe have exceeded their original estimates due to various challenges, such as productivity issues, supply chain problems, and labor constraints. Small modular reactors are proposed as a solution, as they require less labor and can leverage common supply chains. This study presents a methodology for estimating construction duration of nuclear projects and analyzes the sensitivity of proposed concepts to staffing and labor constraints.
NUCLEAR ENGINEERING AND DESIGN
(2022)
Article
Medicine, General & Internal
Dana B. Mukamel, Debra Saliba, Heather Ladd, R. Tamara Konetzka
Summary: This study emphasizes the importance of reporting daily variation in staffing to improve understanding of the relationship between staffing and quality in nursing homes. The findings suggest that daily variations in staffing have a significant impact on the quality and ranking of resident care. Measures of daily staffing may enhance the value of Nursing Home Care Compare for quality improvement and consumers searching for high-quality nursing homes.
Article
Surgery
Ryan C. Broderick, Arielle M. Lee, Joslin N. Cheverie, Beiqun Zhao, Rachel R. Blitzer, Rohini J. Patel, Sofia Soltero, Bryan J. Sandler, Garth R. Jacobsen, Jay J. Doucet, Santiago Horgan
Summary: ICG fluorescent cholangiography is a non-invasive adjunct to laparoscopic cholecystectomy, leading to improved patient outcomes such as shorter operative times, decreased conversion to open procedures, and shorter length of hospitalization.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Cardiac & Cardiovascular Systems
Kevin W. Lobdell, Shannon Crotwell, John Frederick, Larry T. Watts, Bradley LeNoir, Eric R. Skipper, Thomas Maxey, Gregory B. Russell, Robert Habib, Geoffrey A. Rose
Summary: This study investigated the impact of remote perioperative monitoring (RPM) on postoperative length of stay, 30-day readmission and mortality, and other outcomes for adult cardiac surgery patients. Results showed that patients participating in RPM had a significant reduction in postoperative length of stay (15.4% or 1 day) and a 44% reduction in 30-day readmission and mortality compared with matched control patients. More RPM participants were discharged directly home instead of to a facility.
ANNALS OF THORACIC SURGERY
(2023)
Article
Orthopedics
Matthew R. Boylan, Anisha Chadda, Joseph A. Bosco, M. Jazrawi
Summary: This study reported on an institution's first year of experience with a preferred vendor program for implants and disposables in sports medicine surgery. Results showed a significant increase in utilization of the preferred vendor's products and a 12% decrease in total per-case costs, with no detrimental effect on operating room efficiency.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
Article
Gastroenterology & Hepatology
Michael A. Jacobs, Jasmine C. Tetley, Jeongsoo Kim, Susanne Schmidt, Bradley B. B. Brimhall, Virginia Mika, Chen-Pin Wang, Laura S. S. Manuel, Paul Damien, Paula K. K. Shireman
Summary: This study assessed the association between insurance type and healthcare outcomes in colorectal surgery patients. The results showed that Medicaid/uninsured patients had higher rates of emergency department visits/observation stays, readmissions, and cumulative costs compared to private patients. This suggests that lack of access to outpatient care for Medicaid/uninsured patients may contribute to these outcomes. Increasing healthcare access for this population could reduce urgent/emergent surgeries, complications, readmissions, and costs.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Geriatrics & Gerontology
Seth Quinn, Warqaa Akram, Scarlett Hao, Michael D. Honaker
Summary: This study compares outcomes in older patients undergoing emergent surgical treatment for acute diverticulitis. The results show that mortality is higher in older patients undergoing Hartmann procedure, while morbidity is lower in patients aged 80 years and above undergoing primary anastomosis with diverting loop ileostomy. Readmission rates vary depending on the procedure performed. Age should be carefully considered in emergency diverticulitis surgery.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
P. Elliott Miller, Fouad Chouairi, Alexander Thomas, Yukiko Kunitomo, Faisal Aslam, Maureen E. Canavan, Christa Murphy, Krishna Daggula, Thomas Metkus, Saraschandra Vallabhajosyula, Anthony Carnicelli, Jason N. Katz, Nihar R. Desai, Tariq Ahmad, Eric J. Velazquez, Joseph Brennan
Summary: The study found lower in-hospital and CICU mortality rates after transitioning to a closed cardiac intensive care unit. Additionally, cases of cardiac arrest and respiratory insufficiency in the closed unit showed lower in-hospital mortality rates.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Gastroenterology & Hepatology
Michela Mineccia, Antonio Valenti, Federica Gonella, Marco Palisi, Paolo Massucco, Andrea Ricotti, Alessandro Ferrero
Summary: This study assessed the impact of a close stoma-therapeutic-care pathway (STCP) on length of stay, autonomy in the management of the pouch, readmission rate, and stoma-related complications. Results showed that STCP reduced hospital stay and empowered patients in managing their stoma.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2022)
Article
Economics
Yingxian Tan, Pengfei Luo
Summary: The study finds that companies with lower renegotiation costs and higher cash flow uncertainty are more likely to issue private debt. Additionally, debt restructuring can alleviate underinvestment and weaken shareholders' asset substitution motives, thereby reducing the agency costs of debt.
ECONOMIC MODELLING
(2021)