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"Discharge process"

Jennifer D Bowles, Amy J Jnah, Desi M Newberry, Carol A Hubbard, Tracey Roberston
BACKGROUND: The incidence of premature infants with complex medical needs, dependent upon medical technology at discharge, is on the rise in the United States. PURPOSE: Preparing the family for the hospital-to-home transition can be challenging due to the complex medical and emotional needs of the vulnerable infant and the volume of subspecialty services and equipment required. METHODS/SEARCH STRATEGY: Relevant articles from PubMed, Google Scholar, CINAHLFINDINGS/RESULTS:: There is an increasing incidence of technology dependent infants discharged from neonatal intensive care units in the United States...
December 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Erin Turbitt, Marina Kunin, Sarah Gafforini, Gary L Freed
The aim of this study was to identify motivators and barriers that paediatricians face when discharging patients from outpatient specialty care. A questionnaire was administered to outpatient care paediatricians in Victoria working in one of five speciality public hospital clinics. Questions focused on how important various motivators and barriers were in respondents' decision to discharge a patient from their clinic. Nearly all (91%, n=74) paediatricians invited to participate provided responses. The factor influencing the greatest proportion of paediatricians in their decision to discharge patients back to primary care was the potential that patients may not receive the required care from a GP...
November 30, 2016: Australian Journal of Primary Health
Mauro Mennuni, Michele Massimo Gulizia, Gianfranco Alunni, Antonio Francesco Amico, Francesco Maria Bovenzi, Roberto Caporale, Furio Colivicchi, Andrea Di Lenarda, Giuseppe Di Tano, Sabrina Egman, Francesco Fattirolli, Domenico Gabrielli, Giovanna Geraci, Giovanni Gregorio, Gian Francesco Mureddu, Federico Nardi, Donatella Radini, Carmine Riccio, Fausto Rigo, Marco Sicuro, Stefano Urbinati, Guerrino Zuin
Hospital discharge is often poorly standardized and is characterized by discontinuity and fragmentation of care, putting patients at high risk of post-discharge adverse events and early readmission. The present ANMCO position paper reviews the modifiable components of the hospital discharge process related to adverse events or rehospitalizations and suggests the optimal methods for redesign the whole discharge process. The key principles for proper hospital discharge or transfer of care acknowledge that hospital discharge:- is not an isolated event, but a process that has to be planned immediately after admission, ensuring that the patient and the caregiver understand and contribute to the planned decisions as equal partners;- is facilitated by a comprehensive systemic approach that begins with a multidimensional evaluation process;- must be organized by an operator who is responsible for the coordination of all phases of the hospital patient pathway, involving afterwards the physician and transferring to them the information and responsibility;- is the result of an integrated multidisciplinary team approach;- uses appropriately the transitional and intermediate care services;- is carried out in an organized system of care and continuum of services;- programs the passage of information to after-discharge services...
September 2016: Giornale Italiano di Cardiologia
Pawin Iamprasertkun, Atiweena Krittayavathananon, Anusorn Seubsai, Narong Chanlek, Pinit Kidkhunthod, Winyoo Sangthong, Santi Maensiri, Rattikorn Yimnirun, Sukanya Nilmoung, Panvika Pannopard, Somlak Ittisanronnachai, Kanokwan Kongpatpanich, Jumras Limtrakul, Montree Sawangphruk
Although manganese oxide- and graphene-based supercapacitors have been widely studied, their charge storage mechanisms are not yet fully investigated. In this work, we have studied the charge storage mechanisms of K-birnassite MnO2 nanosheets and N-doped reduced graphene oxide aerogel (N-rGOae) using an in situ X-ray absorption spectroscopy (XAS) and an electrochemical quart crystal microbalance (EQCM). The oxidation number of Mn at the MnO2 electrode is +3.01 at 0 V vs. SCE for the charging process and gets oxidized to +3...
November 18, 2016: Scientific Reports
Hanlin Li, William Guffey, Laura Honeycutt, Timothy Pasquale, Nigel L Rozario, Angie Veverka
Objective: To evaluate the impact of a multifaceted, pharmacy-driven, unit-based transitions of care (TOC) program on all-cause 30-day readmission rates and to assess readmission rates in predefined subgroup patient populations. Methods: This prospective study included adult patients who were discharged from the pilot unit from January 5 to January 30, 2015. Patients who expired during hospitalization, left the hospital against medical advice, or transferred to another unit or nonaffiliated hospital were excluded...
October 2016: Hospital Pharmacy
Changsheng Ding, Toshiyuki Nohira, Rika Hagiwara
TiO2 is widely investigated as a negative electrode for lithium-ion batteries. In sodium-ion batteries, however, the sodiation-desodiation mechanism of TiO2 is still unclear. Here, we report a new sodiation-desodiation mechanism for an anatase TiO2/C electrode in an ionic liquid electrolyte at 90 °C, where it shows a high reversible capacity of 278 mA h g(-1). During the first charge process, TiO2 reacts with Na ions to form a Na2Ti(II)Ti(IV)O4 solid solution. During the first discharge process, the solid solution converts into a mixture of TiO2, Na2TiO3, and TiO, with the former two being X-ray amorphous...
October 31, 2016: Physical Chemistry Chemical Physics: PCCP
Rui Li, Yanan Liu, Ruiwen Mu, Wenyan Cheng, Stéphanie Ognier
Petroleum hydrocarbons released to the environment caused by leakage or illegal dumping pose a threat to human health and the natural environment. In this study, the potential of a pulsed corona discharge plasma system for treating petroleum-polluted soils was evaluated. This system removed 76.93 % of the petroleum from the soil in 60 min with an energy efficiency of 0.20 mg/kJ. Furthermore, the energy and degradation efficiencies for the remediation of soil contaminated by single polyaromatic hydrocarbons, such as phenanthrene and pyrene, were also compared, and the results showed that this technology had potential in organic-polluted soil remediation...
October 25, 2016: Environmental Science and Pollution Research International
Chih-Yao Chen, Teruki Sano, Tetsuya Tsuda, Koichi Ui, Yoshifumi Oshima, Masaki Yamagata, Masashi Ishikawa, Masakazu Haruta, Takayuki Doi, Minoru Inaba, Susumu Kuwabata
A comprehensive understanding of the charge/discharge behaviour of high-capacity anode active materials, e.g., Si and Li, is essential for the design and development of next-generation high-performance Li-based batteries. Here, we demonstrate the in situ scanning electron microscopy (in situ SEM) of Si anodes in a configuration analogous to actual lithium-ion batteries (LIBs) with an ionic liquid (IL) that is expected to be a functional LIB electrolyte in the future. We discovered that variations in the morphology of Si active materials during charge/discharge processes is strongly dependent on their size and shape...
October 26, 2016: Scientific Reports
Dana B Mukamel, Alpesh Amin, David L Weimer, Heather Ladd, Joseph Sharit, Ran Schwarzkopf, Dara H Sorkin
OBJECTIVE: To test whether use of a personalized report card, Nursing Home Compare Plus (NHCPlus), embedded in a reengineered discharge process, can lead to better outcomes than the usual discharge process from hospitals to nursing homes. DATA SOURCES/SETTING: Primary data collected in the Departments of Medicine and Surgery at a University Medical Center between March 2014 and August 2015. STUDY DESIGN: A randomized controlled trial in which patients in the intervention group were given NHCPlus...
October 24, 2016: Health Services Research
Lei Cheng, Yuxia Zhang, Ying Gu, Chunmei Lu, Qing Liu, Hao Yuan
BACKGROUND: Supporting and involving the families of pre-term infants' in the discharge process provides them with confidence in caring for their infants at home. In an effort to facilitate families' readiness for discharge, the neonatal unit (NU) of the Children's Hospital of Fudan University has implemented a best practice project. OBJECTIVES: The aim of this project was to integrate the best available evidence on facilitating families' readiness for discharge into the nursing practice of the Children's Hospital of Fudan University...
September 2016: JBI Database of Systematic Reviews and Implementation Reports
Amira Mustafa, Samar Mahgoub
Delays in the discharge of hospital patients cause a backlog for new admissions from the Emergency Departments (ED), outpatient clinics, and transfers from the Intensive Care Units (ICU). A variety of initiatives have been reported on previously which aim to tackle this problem with variable success. In this quality improvement project, we aimed to increase the proportion of discharged patients who leave the paediatric unit by 12:00 Noon from 7% to 30% by May 2015. A baseline discharge process map was studied to understand the possible causes of the delays...
2016: BMJ Quality Improvement Reports
Daisuke Asakura, Eiji Hosono, Masashi Okubo, Yusuke Nanba, Haoshen Zhou, Per-Anders Glans, Jinghua Guo
The changes in electronic structure of LiMn0.6Fe0.4PO4 nanowire during the discharge process were investigated by using ex situ soft X-ray absorption spectroscopy (XAS). The Fe L-edge XAS attributed the potential plateau at 3.45 V vs. Li/Li+ of the discharge curve to a reduction of Fe3+ to Fe2+. The Mn L-edge XAS spectra exhibited the Mn2+ multiplet structure throughout the discharge process, while the crystal-field splitting was slightly enhanced in going to the fully-discharged state. The configuration-interaction full-multiplet calculation for the XAS spectra revealed that the charge-transfer effect from the O 2p to Mn 3d orbitals should be considerably small unlike that from the O 2p to Fe 3d orbitals...
October 17, 2016: Chemphyschem: a European Journal of Chemical Physics and Physical Chemistry
Brent C Pottenger, Richard O Davis, Joanne Miller, Lisa Allen, Melinda Sawyer, Peter J Pronovost
OBJECTIVE: To determine whether Comprehensive Unit-based Safety Program (CUSP) teams could be used to enhance patient experience by improving care transitions and discharge processes in a 318-bed community hospital. METHODS: In 2015, CUSP teams produced feasible solutions by participating in a design-thinking initiative, coupled with performance improvement tools involving data analytics and peer-learning communities. Teams completed a 90-day sprint challenge, involving weekly meetings, monthly department leader meetings, and progress trackers...
October 2016: Quality Management in Health Care
Tian Sheng, Yue-Feng Xu, Yan-Xia Jiang, Ling Huang, Na Tian, Zhi-You Zhou, Ian Broadwell, Shi-Gang Sun
The performance of nanomaterials in electrochemical energy conversion (fuel cells) and storage (secondary batteries) strongly depends on the nature of their surfaces. Designing the structure of electrode materials is the key approach to achieving better performance. Metal or metal oxide nanocrystals (NCs) with high-energy surfaces and open surface structures have attained significant attention in the past decade since such features possess intrinsically exceptional properties. However, they are thermodynamically metastable, resulting in a huge challenge in their shape-controlled synthesis...
October 14, 2016: Accounts of Chemical Research
Kazuo Yamamoto, Yasutoshi Iriyama, Tsukasa Hirayama
All-solid-state Li-ion batteries having incombustible solid electrolytes are promising energy storage devices because they have significant advantages in terms of safety, lifetime and energy density. Electrochemical reactions, namely, Li-ion insertion/extraction reactions, commonly occur around the nanometer-scale interfaces between the electrodes and solid electrolytes. Thus, transmission electron microscopy (TEM) is an appropriate technique to directly observe such reactions, providing important information for understanding the fundamental solid-state electrochemistry and improving battery performance...
October 12, 2016: Microscopy
Carolyn Wong, David B Hogan
BACKGROUND: A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients' admission to hospital through to discharge back home, using analysis of patient narratives to inform the strengths and weaknesses of the process. METHODS: For this qualitative study, we interviewed eight subjects from the Sheldon M. Chumir Central Teaching Clinic (CTC)...
September 2016: Canadian Geriatrics Journal: CGJ
Jeffrey S Reichard, Scott Savage, Stephen F Eckel
PURPOSE: A transitions of care program at an academic teaching hospital was designed to reengineer the fragmented discharge process. The team included a pharmacy technician, called a transition specialist, who coordinated the medication needs of discharging patients. This study intends to assess the impact of the transitions of care program on patient satisfaction scores. METHODS: Two datasets of Press Ganey and Hospital Consumer Assessment of Healthcare Providers (HCAHPS) were analyzed...
November 2015: Hospital Pharmacy
Shiyong Chu, Yijun Zhong, Rui Cai, Zhaobao Zhang, Shenying Wei, Zongping Shao
A simple and green method is developed for the preparation of nanostructured TiO2 supported on nitrogen-doped carbon foams (NCFs) as a free-standing and flexible electrode for lithium-ion batteries (LIBs), in which the TiO2 with 2.5-4 times higher loading than the conventional TiO2 -based flexible electrodes acts as the active material. In addition, the NCFs act as a flexible substrate and efficient conductive networks. The nanocrystalline TiO2 with a uniform size of ≈10 nm form a mesoporous layer covering the wall of the carbon foam...
September 26, 2016: Small
Young-Kyu Han, Goojin Jeong, Keon-Joon Lee, Taeeun Yim, Young-Jun Kim
Na-SO2 batteries are promising power sources for energy storage systems. However, it is unclear what happens on the cathode surface at the molecular level during the discharge process. Here, we provide the working mechanism of Na-SO2 batteries through a combination of nuclear magnetic resonance (NMR) spectroscopy and first-principles NMR calculations.
September 14, 2016: Physical Chemistry Chemical Physics: PCCP
Shima Sakai, Noriko Yamamoto-Mitani, Yukari Takai, Hiroki Fukahori, Yasuko Ogata
AIMS: To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self-evaluation instrument for ward nurses' discharge planning practices. DESIGN: Cross-sectional survey. METHODS: Participants were 624 ward nurses from six hospitals in Japan with a discharge planning department. Items about discharge planning practices were collected from literature and interviews with nurses and researchers. Construct validity, concurrent validity, internal consistency and test-retest reliability were tested...
January 2016: Nursing Open
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