Exploring reasons for bed pressures in Winnipeg acute care hospitals.
Identifieur interne : 000962 ( Main/Exploration ); précédent : 000961; suivant : 000963Exploring reasons for bed pressures in Winnipeg acute care hospitals.
Auteurs : Verena H. Menec [Canada] ; Sharon Bruce ; Leonard MacwilliamSource :
- Canadian journal on aging = La revue canadienne du vieillissement [ 0714-9808 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Humains (MeSH), Hôpitaux (statistiques et données numériques), Maladie aigüe (MeSH), Manitoba (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Taux d'occupation des lits (statistiques et données numériques).
- MESH :
- statistiques et données numériques : Hôpitaux, Taux d'occupation des lits.
- thérapie : Grippe humaine.
- épidémiologie : Grippe humaine.
- Adulte d'âge moyen, Humains, Maladie aigüe, Manitoba, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Influenza, Human.
- statistics & numerical data : Bed Occupancy, Hospitals.
- therapy : Influenza, Human.
- Acute Disease, Aged, Aged, 80 and over, Humans, Manitoba, Middle Aged.
Abstract
Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of--and timely transfer to--alternative levels of care.
DOI: 10.1353/cja.2005.0051
PubMed: 16080129
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Menec, Verena H" sort="Menec, Verena H" uniqKey="Menec V" first="Verena H" last="Menec">Verena H. Menec</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Community Health Sciences, University of Manitoba, 408-727 McDermot Avenue, Winnipeg, MB, R3E 3P5, Canada. menec@cc.umanitoba.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Community Health Sciences, University of Manitoba, 408-727 McDermot Avenue, Winnipeg, MB, R3E 3P5</wicri:regionArea>
<orgName type="university">Université du Manitoba</orgName>
<placeName><settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
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<author><name sortKey="Bruce, Sharon" sort="Bruce, Sharon" uniqKey="Bruce S" first="Sharon" last="Bruce">Sharon Bruce</name>
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<author><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name>
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<affiliation wicri:level="4"><nlm:affiliation>Department of Community Health Sciences, University of Manitoba, 408-727 McDermot Avenue, Winnipeg, MB, R3E 3P5, Canada. menec@cc.umanitoba.ca</nlm:affiliation>
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<series><title level="j">Canadian journal on aging = La revue canadienne du vieillissement</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Bed Occupancy (statistics & numerical data)</term>
<term>Hospitals (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (therapy)</term>
<term>Manitoba (MeSH)</term>
<term>Middle Aged (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Grippe humaine (thérapie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Hôpitaux (statistiques et données numériques)</term>
<term>Maladie aigüe (MeSH)</term>
<term>Manitoba (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Taux d'occupation des lits (statistiques et données numériques)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Bed Occupancy</term>
<term>Hospitals</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hôpitaux</term>
<term>Taux d'occupation des lits</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
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<keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Manitoba</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Maladie aigüe</term>
<term>Manitoba</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of--and timely transfer to--alternative levels of care.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16080129</PMID>
<DateCompleted><Year>2006</Year>
<Month>08</Month>
<Day>30</Day>
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<DateRevised><Year>2019</Year>
<Month>11</Month>
<Day>09</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0714-9808</ISSN>
<JournalIssue CitedMedium="Print"><Volume>24 Suppl 1</Volume>
<PubDate><Year>2005</Year>
<Season>Spring</Season>
</PubDate>
</JournalIssue>
<Title>Canadian journal on aging = La revue canadienne du vieillissement</Title>
<ISOAbbreviation>Can J Aging</ISOAbbreviation>
</Journal>
<ArticleTitle>Exploring reasons for bed pressures in Winnipeg acute care hospitals.</ArticleTitle>
<Pagination><MedlinePgn>121-31</MedlinePgn>
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<Abstract><AbstractText>Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of--and timely transfer to--alternative levels of care.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Menec</LastName>
<ForeName>Verena H</ForeName>
<Initials>VH</Initials>
<AffiliationInfo><Affiliation>Department of Community Health Sciences, University of Manitoba, 408-727 McDermot Avenue, Winnipeg, MB, R3E 3P5, Canada. menec@cc.umanitoba.ca</Affiliation>
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<MeshHeading><DescriptorName UI="D008350" MajorTopicYN="N">Manitoba</DescriptorName>
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<affiliations><list><country><li>Canada</li>
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</noCountry>
<country name="Canada"><region name="Manitoba"><name sortKey="Menec, Verena H" sort="Menec, Verena H" uniqKey="Menec V" first="Verena H" last="Menec">Verena H. Menec</name>
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