Australian health review : a publication of the Australian Hospital Association
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Multicenter Study
Multisite analysis of the timing and outcomes of unplanned transfers from subacute to acute care.
The aim of the present study was to examine the timing and outcomes of patients requiring an unplanned transfer from subacute to acute care. ⋯ There is a high rate of unplanned transfers to acute care within 24h of admission to subacute care. Unplanned transfers are associated with high hospital admission and in-hospital mortality rates.
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This paper provides an overview of environmental sustainability in healthcare and highlights the need for a policy framework for action. Examples from overseas demonstrate what has effectively enabled mitigation of and adaptation to the threat of climate change. The need to overcome perceived limits and barriers to health professionals' engagement in sustainable practice is noted. The scientific evidence recommends immediate action.
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The aim of the present study was to provide descriptive planning data for a hospital-based Aboriginal Health Liaison Officer (AHLO) program, specifically quantifying episodes of care and outcomes within 28 days after discharge. ⋯ Future planning must address the greater service volumes anticipated. The high prevalence of comorbidities requires intensive case management to address case complexity. These data will inform the refinement of the AHLO program to improve in-patient experiences and outcomes.
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The aim of the present study was to assess the effect of an inter-hospital transfer on efficiency and quality of in-patient care. ⋯ Appropriate patients for inter-hospital transfer can be selected within 24 h of arrival at an index hospital. The efficiency of their care at the receiving hospital appears not to be compromised. The present study provides support for inter-hospital transfer as a strategy to optimise regional bed capacity.