Health care systems are at the front line to fight the COVID-19 pandemic. Emergent questions for each hospital are how many general ward and intensive care unit beds are needed, and additionally, how to optimally allocate these resources during demand surge to effectively save lives. However, hospital pandemic preparedness has been hampered by a lack of sufficiently specific planning guidelines. In this paper, we developed a hybrid computer simulation approach, with a system dynamic model to predict COVID-19 cases and a discrete-event simulation to evaluate hospital bed utilization and subsequently determine bed allocations. Two control policies, the type-dependent admission control policy and the early stepdown policy, based on patient risk profiling, were proposed to lower the overall death rate of the patient population in need of intensive care. The model was validated using historical patient census data from the
By implementing criteria for oxycodone CR prescribing in an innovative, comprehensive, and unified patient-centered practice model, the authors saw a significant decrease in the number of oxycodone CR tablets prescribed per month and also a decrease in total prescriptions per month.
The patient experience in the hospital has become an increasingly important measure of how well a healthcare system functions. Poor experiences as reported by patients have been associated with decreased compliance to medication instructions as well as increased recovery time from illness. While other studies have demonstrated the benefit of pharmacist counseling during patient discharge, the benefit of pharmacist intervention during the patient's hospital stay remains to be seen. This study was an institutional review board-approved pre-/post-analysis assessing patients' perception of medication communications during hospitalization in an academic teaching hospital. An attempt to counsel all patients newly admitted to the hospital was made by pharmacy personnel. Patients on general medical-surgical units participated in a brief, five-question survey prior to and following the pharmacy initiative. Overall, the patient satisfaction with medication communications increased significantly. Patients' increased satisfaction with communications about their medications was attributed to the expansion of patient counseling through the pharmacy department initiative.
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