Quel est l'impact des complications sur le séjour ?
Les complications peuvent prolonger le séjour hospitalier et augmenter les coûts de soins.
Séjour hospitalierCoûts de soins
Facteurs de risque
5
#1
Quels facteurs de risque influencent l'hospitalisation ?
Des facteurs comme l'âge, les comorbidités et le mode de vie augmentent le risque.
ComorbiditésMode de vie
#2
Comment les antécédents médicaux affectent-ils le séjour ?
Les antécédents médicaux peuvent influencer le traitement et le risque de complications.
Antécédents médicauxRisque de complications
#3
Quel rôle joue l'environnement dans le risque d'infection ?
Un environnement non stérile augmente le risque d'infections nosocomiales.
Environnement hospitalierInfections nosocomiales
#4
Comment le stress affecte-t-il la santé en chambre ?
Le stress peut aggraver les symptômes et retarder la guérison des patients.
StressGuérison
#5
Quels comportements augmentent le risque de complications ?
Des comportements comme le tabagisme et la sédentarité augmentent le risque de complications.
TabagismeSédentarité
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Department of Anesthesiology and Perioperative Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Department of Anesthesiology, University of Colorado, Anschutz School of Medicine, Aurora, Colorado.
Departments of Anesthesiology, Orthopaedics and Rehabilitation, and Surgery, Larner College of Medicine, University of Vermont, Burlington, Vermont, USA.
To evaluate patients' sleep quality in a former hospital with two-and four-bedded rooms compared to a new hospital that incorporated evidence-based design features, including exclusively single-patien...
Hospitalized patients often report poor sleep quality due to both patient-related factors and hospital environmental factors. It is unclear if staying in an SPR in a hospital designed as a healing env...
In a before-after study, sleep quality, duration, and efficiency over 72 hr were measured with a sleep diary, GENEActiv accelerometer, and the Richards-Campbell Sleep Questionnaire (RCSQ) with scores ...
We included 17 patients in Group 1, 32 patients in Group 2, and 56 patients in Group 3. Univariable linear mixed model analysis, controlling for night number, revealed that the RCSQ total score was lo...
Self-reported sleep quality of hospitalized patients in a hospital with 100% SPRs designed as a healing environment was slightly better than that of patients staying in multioccupancy rooms with fello...
We conducted a prospective environmental surveillance study to investigate the air, surface, dust, and water contamination of a room occupied by a patient infected with mpox virus (MPXV) at various st...
Adverse events in hospitals are common. While studies have used simulated patient rooms to assess healthcare trainees' skills in detecting safety hazards, few have explored the characteristics of safe...
Healthcare workers were invited to identify safety hazards in a simulated patient room with intentionally placed hazards. Responses were transcribed and compared between physicians (MD), nurses (RN), ...
Twelve physicians, 29 nurses, and 26 other staff members participated in this study. Different professions identified different numbers of total hazards with nurses identifying more hazards than other...
Physicians, nurses, and others identified different numbers of total hazards, and few participants identified hazards associated with omission or 2-step logical thinking. While previous studies have f...
These data, the first to explore chaplains' challenges in ending visits/relationships with patients/families, has critical implications for practice, education, and research. Questions arise about the...
Healthcare associated infections (HAIs) are costly but preventable. A limited understanding of the effects of environmental cleaning on the riskiest HAI associated pathogens is a current challenge in ...
Isolating patients infected or colonized with vancomycin-resistant enterococci (VRE) in a private room or cohort room to prevent hospital transmission is controversial....
To evaluate the effect of a relaxed isolation policy for VRE-infected or colonized patients on healthcare-associated (HA) VRE bacteraemia in an acute care hospital with a predominantly shared-room set...
The incidence of HA VRE bacteraemia was compared during a private isolation era (October 2014-September 2017), a cohort isolation era (October 2017-June 2020), and a no isolation era (July 2020-June 2...
The proportion of VRE-infected or -colonized patients staying in shared rooms increased from 18.3% in the private isolation era to 82.6% in the no isolation era (P < 0.001). There was no significant d...
In a hospital with predominantly shared rooms, the relaxation of isolation policy did not result in increased HA VRE bacteraemia, when other infection control measures were maintained....
The pediatric intensive care unit (PICU) is an environment where seriously ill children receive complex care, delivered mostly by specialty-trained nurses (registered nurses [RNs]) who must perform mu...
To employ a multimodal approach (1) to identify environmental factors in the PICU patient room that contribute to caregiver workflow inefficiencies, (2) to optimize safety by identifying high-touch su...
This mixed-method case study was conducted in a 23-bed urban hospital PICU. The activities, movements, and workflows of 13 RNs were recorded using spatial movement mapping, behavioral mapping, and cli...
Direct patient care occupied 50% of RNs' time. Of the direct patient care workflow activities recorded, 26% were to prepare for care around the bedside, while 27% were for random travel between clean ...
Value-added tasks account for only about 20% of nurses' work. Combining technology and strategic interior design to streamline workflow and enhance infection prevention optimizes efficiency and empowe...
Multidrug-resistant organisms (MDROs) are prevalent on high-touch surfaces in multi-patient rooms....
To quantify the impact of hanging single-use cleaning/disinfecting wipes next to each bed. Pre-specified outcomes were: (1) hospital-acquired infections (HAIs), (2) cleaning frequency, (3) MDRO room c...
Clustered randomized crossover trial at Shamir Medical Center, Israel (October 2016 to January 2018). Clusters were randomly assigned to use for cleaning either single-use quaternary ammonium wipes (C...
Overall, 7725 patients were included (47,670 person-days), 3793 patients in rooms with intervention cleaning and 3932 patients in rooms with standard practices. During the intervention, there was no s...
Hanging single-use cleaning/disinfecting wipes next to each bed did not affect the HAI rates but did improve the frequency of cleaning, reduce MDRO environmental contamination, and was associated with...
Limited information is available on the kinetics of airborne multi-drug-resistant bacteria after making patients' beds. Previous experience of bed making on loads of meticillin-resistant Staphylococcu...
Airborne pathogen measurement was carried out in 26 rooms with patients with MRSA and 25 rooms with patients with MDRGN before (-1 min) and after (1 min, 15 min, 60 min) bed making at distances of 0 m...
Gram-positive non-pathogenic species dominated the air samples, while Gram-negative organisms constituted only 1.4%. Bed making shifted the proportions towards coagulase-negative staphylococci and S. ...
The study results indicate the importance of wearing a face mask in combination with cautious handling techniques when making the beds of patients carrying multi-drug-resistant bacteria. If the carrie...
The implementation of isolation precautions for patients with suspected Coronavirus Disease 2019 (COVID-19) and pending test results is resource intensive. Due to the limited availability of single-be...
