Major financial constraints on health care payors are increasing pressure on hospitals to become more efficient. This study described the use of common data formats and specific interventions with physicians and nursing homes to reduce inpatient lengths of stay by four hospitals in Syracuse, New York. These initiatives saved over 28,000 patient days and an average daily census of 96.0 over a 3.5-year period.
The frequently admitted "revolving door" chronic psychiatric patient presents significant ethical, scientific, and practical challenges to mental health nurses. This article highlights ethical issues relevant to their participation in longitudinal research and describes methods implemented to successfully follow a cohort of such patients over a 2-year period.
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