Top Tweets for #PatientFlowRethinkTime
Moving patients, at high risk of falls, to different beds/wards significantly associated with increase risk of falling. In-patient falls associated with longer LOS. Moving patients to create capacity is common patient flow strategy.
#PatientFlowRethinkTime
https://t.co/TCQAtwFxHY
PhD Thought of The Day: Site Manager/H@N Leader work involves this predictable factor: Bed allocation and staffing plans fall apart as quickly as they make them.
One of the most complex senior roles in nursing.
#PatientFlowRethinkTime
NHS requires up to 39,000 more beds by 2030, to meet 2018/19 demand even with further length of stay reductions. And would still be amongst lowest in OECD. They need to be staffed of course!
Health Foundation Research 2022.
#PatientFlowRethinkTime
https://t.co/LCA3xeaFcS
PhD Thought of The Day: What are the 'clinical outcomes' of Patient Flow improvement?
#PatientFlowRethinkTime
PhD Thought of The Day: Expediting patients through the system, with a poorly coordinated treatment and care plan is not patient flow improvement.
#PatientFlowRethinkTime
BBC News reports tragic and heartbreaking death of a child, in South Yorkshire. Very troubling to read the reported comments regarding hospital bed unavailability.
#PatientFlowRethinkTime
https://t.co/96TyT029EG
Higher ward nurse staffing levels associated with lower 30 day post-discharge ED attendance and readmission rates. Retrospective observational study within 720 US Hospitals.
#PatientFlowRethinkTime
https://t.co/nJ1t9Xd2Ds
Patients moved from ward-to-ward overnight, to free up beds reported by HSJ. Some patients reported to have been moved 3 times, across their admission, during night time hours. Very little robust audit data collected by hospitals.
#PatientFlowRethinkTime
https://t.co/YzUkoe3MF8
Do outlier inpatients experience more emergency calls in hospital?
Observational cohort study.
Findings: Yes, 53% more
(p<0.001)
#PatientFlowRethinkTime
https://t.co/1WtIA33UlV
PhD Thoughts of the Day: Can hospital wide flow be improved if in-patient care is disorganised?
Should we focus on improving processes of flow, or our patient's care organisation? Is there a difference? @codingbrown @DrLKVaughan @alisonleary1 #PatientFlowRethinkTime
PhD Thought of the Day: What proportion of in-patient's care pathways are not well organised?
#PatientFlowRethinkTime
#phdstudent
Good research: Colo-rectal cancer surgery. Improving nurse staffing levels found to 'decrease the mortality rate, and shorten the hospitalisation period required for surgery and recovery'
@alisonleary1 @DrLKVaughan @codingbrown
#PatientFlowRethinkTime
https://t.co/9ualNi2Hvf
Systematic Review. Good discharge planning may increase LOS but reduces readmission rate. 'It is questionable if LOS is the correct outcome to measure when studying discharge planning'
#PatientFlowRethinkTime @DrLKVaughan @codingbrown @alisonleary1
https://t.co/8la3XxUbOE
My research journey points to; when patients with complex needs are considered 'medically fit' (whatever that means) for discharge they are often not even to the halfway mark of being able to safely discharge a patient home.
#PatientFlowRethinkTime
Higher numbers of Degree and Masters educated ward Registered Nurses associated with reduced post-discharge (30 day) readmission rates. Good Research, Published 2022
#PatientFlowRethinkTime
@alisonleary1
https://t.co/uQOvIc7xcB
Patients who reported positive in-patient experience & well planned discharge, plus OPD follow up within one month have lower readmission via Emergency Department. Patient Care improvement is Patient Flow Improvement. Good research
#PatientFlowRethinkTime
https://t.co/JKao4eFw9F
Yorkshire based NHS Trust to operate their own 'home care service' to support the discharge of patients home.
@alisonleary1 @DrLKVaughan
@codingbrown
#PatientFlowRethinkTime
https://t.co/S1PJjgE8Ht
CQC findings 'State of Care' Report, October 2022; 'The health and care system is gridlocked and unable to operate effectively' and 'Providers are losing the battle to attract and retain enough staff'.
#PatientFlowRethinkTime
https://t.co/8LnsfqzOlQ
Hospital Beds Per 1000 Population
Germany 7.8
Hungary 6.8
France 5.7
Switzerland 4.5
Norway 3.4
Italy 3.1
Spain 2.9
Iceland 2.8
Denmark 2.5
United Kingdom 2.3
(UK reported as 2.5 in 2019)
#PatientFlowRethinkTime
https://t.co/ZK6ZSRkaM3
Patient views of nurse staffing levels. Cross-sectional study of 30174 patients/1017 hospitals. Lower staffing levels associated with poorer care. Higher RN skill-mix associated with better care plus more efficiently organised care
#PatientFlowRethinkTime
https://t.co/MkrrnZRsmj
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