-
Journal of Health Care Chaplaincy 2022One of the most evident trends in US health care and health care generally in the developed world is that more and more care is shifting to outpatient settings. This...
One of the most evident trends in US health care and health care generally in the developed world is that more and more care is shifting to outpatient settings. This change opens up substantial opportunities, and in many cases, expectations for chaplains to extend the breadth of the care they provide in any health system. However, it also brings many challenges. This paper describes the journey of four very different inpatient chaplaincy services into the outpatient setting. These four examples focus on settings that would historically be thought of as outpatient-those that see patients within the brick and mortar of the health system.
Topics: Chaplaincy Service, Hospital; Clergy; Delivery of Health Care; Humans; Outpatients; Pastoral Care
PubMed: 32981466
DOI: 10.1080/08854726.2020.1818359 -
Revista Da Escola de Enfermagem Da U S P 2022To analyze the average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds.
OBJECTIVE
To analyze the average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds.
METHOD
Quantitative, exploratory-descriptive case study, carried out in a Comprehensive Wound Care Unit. Costs were obtained by multiplying the time spent by professionals by the unit cost of labor in the respective category, adding to the costs of materials and topical therapies.
RESULTS
Outpatient care costs corresponded to US$4.25 (SD ± 7.60), hospital care to US$3.87 (SD ± 17.27), and home care to US$3.47 (SD ± 5.73). In these three modalities, direct costs with dressings and medical consultations were the most representative: US$7.76 (SD ± 9.46) and US$6.61 (SD ± 6.54); US$7.06 (SD ± 24.16) and US$15.60 (SD ± 0.00); US$4.09 (SD ± 5.28) and US$15.60 (SD ± 0.00), respectively.
CONCLUSION
Considering comprehensive care for patients with chronic wounds, the mean total direct cost was US$10.28 (SD ± 17.21), with the outpatient modality being the most representative in its composition. There was a statistically significant difference (p value = 0.000) between the costs of home and outpatient, home and hospital, and outpatient and hospital care.
Topics: Humans; Outpatients; Home Care Services; Hospitals; Ambulatory Care; Bandages; Graft vs Host Disease
PubMed: 36448569
DOI: 10.1590/1980-220X-REEUSP-2022-0295en -
Journal of Oral and Maxillofacial... Nov 2023
Topics: Humans; Outpatients; Anesthesiology; Anesthesia, Dental; Ambulatory Surgical Procedures
PubMed: 37833028
DOI: 10.1016/j.joms.2023.06.017 -
AORN Journal Dec 2023
Topics: Humans; Outpatients; Spine; Diskectomy; Retrospective Studies
PubMed: 38011061
DOI: 10.1002/aorn.14044 -
Cutis Feb 2023Consultation codes can be utilized by dermatologists in both the inpatient and outpatient setting. Updates to the inpatient and outpatient consultation code families...
Consultation codes can be utilized by dermatologists in both the inpatient and outpatient setting. Updates to the inpatient and outpatient consultation code families went into effect January 1, 2023. Similar to the outpatient evaluation and management (E/M) codes, level of service is now determined solely based on either time on the date of the encounter or medical decision-making. Additionally, interprofessional consultation codes are time-based codes that can be utilized when assisting in the diagnosis and/or management of a patient without face-to-face contact.
Topics: Humans; Outpatients; Referral and Consultation
PubMed: 37075185
DOI: 10.12788/cutis.0703 -
American Journal of Clinical Pathology Dec 2022Platelets are a limited resource frequently subject to inventory shortages. It benefits all to transfuse judiciously, according to evidence-based guidelines. Several...
OBJECTIVES
Platelets are a limited resource frequently subject to inventory shortages. It benefits all to transfuse judiciously, according to evidence-based guidelines. Several organizations have published recommendations for platelet transfusions, but none specifically focused on outpatients. The Clinical Hemotherapy subsection of the Association for the Advancement of Blood & Biotherapies (AABB) Transfusion Medicine Subsection Coordinating Committee conducted a survey targeting outpatient transfusions to understand current practice in the United States.
METHODS
To determine use of platelets in the outpatient setting, a survey was developed, piloted, validated, and distributed by email to 735 AABB members. Frequencies were calculated and free-text comments categorized.
RESULTS
A total of 317 responses were received (43% response rate) from 44 states. Half the respondents' institutions have formal outpatient platelet guidelines. Slightly more than half the respondents (51%) with guidelines used a threshold of less than 10,000/µL when transfusing stable, afebrile outpatients, with 29% using less than 20,000/µL. Fewer than half (45%) monitored outpatient platelet use by prospective and retrospective audits, with the next-largest group (25%) using retrospective audits only.
CONCLUSIONS
Approximately half the respondents had outpatient guidelines, and half used a threshold of less than 10,000/µL when transfusing platelets to stable outpatients. Greater adoption of this threshold and monitoring may improve the nation's platelet inventory.
Topics: Humans; United States; Platelet Transfusion; Outpatients; Prospective Studies; Retrospective Studies; Blood Transfusion
PubMed: 36017577
DOI: 10.1093/ajcp/aqac102 -
Current Opinion in Endocrinology,... Oct 2021Although traditionally an inpatient procedure, outpatient thyroidectomy has gained traction as a viable and well tolerated alternative for selected patients, with an... (Review)
Review
PURPOSE OF REVIEW
Although traditionally an inpatient procedure, outpatient thyroidectomy has gained traction as a viable and well tolerated alternative for selected patients, with an added benefit of cost savings.
RECENT FINDINGS
Research on outpatient thyroidectomy has focused on establishing its noninferiority in outcomes compared to the standard inpatient or overnight observation. Numerous studies have found comparable low rates of postoperative complications and no increase in readmission. Selection criteria have been well established by professional societies and research studies support the selection bias benefitting appropriately selected patients. The primary benefit of outpatient thyroidectomy reported is a decrease in cost, though additional theoretical benefits such as decreased exposure to nosocomial infections.
SUMMARY
Outpatient thyroidectomy is a well tolerated approach in appropriately selected candidates, with cost reduction benefits. Adherence to societal guidelines for patient selection is paramount.
Topics: Ambulatory Surgical Procedures; Humans; Outpatients; Patient Selection; Postoperative Complications; Thyroidectomy
PubMed: 34342295
DOI: 10.1097/MED.0000000000000672 -
Seminars in Neurology Dec 2021
Topics: Humans; Neurology; Outpatients
PubMed: 34826867
DOI: 10.1055/s-0041-1735894 -
The Journal of Emergency Medicine Jan 2021
Topics: Colonoscopy; Humans; Hypotension; Outpatients
PubMed: 33131966
DOI: 10.1016/j.jemermed.2020.09.025 -
The Journal of Nervous and Mental... Jan 2023Given anger's clinical relevance and adverse impact on functioning, there is a need to examine diagnostically heterogeneous individuals at different levels of anger...
Given anger's clinical relevance and adverse impact on functioning, there is a need to examine diagnostically heterogeneous individuals at different levels of anger severity to provide a basis for considering anger severity in clinical research and practice. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services project, we examined the validity of severity classifications based on the Clinically Useful Anger Outcome Scale (CUANGOS) in 1738 clinically heterogeneous psychiatric outpatients. We compared patients reporting no, mild, moderate, or severe anger with regard to demographics, psychosocial morbidity, functioning, and life satisfaction. Increasing anger severity was associated with elevated clinician-rated psychosocial morbidity and poorer self-rated functioning and life satisfaction. Results demonstrate that assessing anger severity yields crucial information about psychosocial functioning and morbidity. This provides additional validity evidence for self-reported anger in general and the CUANGOS in particular, in that the CUANGOS can validly distinguish among meaningfully different anger severity levels.
Topics: Humans; Anger; Outpatients; Self Report; Rhode Island
PubMed: 35926192
DOI: 10.1097/NMD.0000000000001566