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At least 19 recordsLinked to original sources
PubMed1978

Patient transfer form provides continuity of care.

General Hospital of Everett (WA) took the initiative in developing a new patient transfer form that has been adopted for statewide use. By using suggestions from a wide variety of sources, a hospital committee, which consisted of professionals from local extended care facilities and nursing homes, as well as from the hospital's staff, was able to develop a useful and effective patient transfer system.

Continuity of Patient Care↗
PubMed1979

Unblocking beds: a geriatric unit's experience with transferred patients.

A study was made of all patients admitted to a geriatric unit over several years. The admission policy included a high degree of priority to requests for transfer from acute beds, which resulted in transferred patients accounting for 25% of admissions. Unblocking acute beds did not lead to prolonged delay in admitting patients from the community to the geriatric unit. Almost 30% of beds allocated to transferred patients were recovered in 30 days.

Aged↗
PubMed1975

Psychotherapy patient transfer: secondhand rose.

The author uses the analogy of the marketplace to examine the dynamics of the transfer of psychotherapy patients in university clinic settings. The outgoing therapist is the seller, the prospective therapist the buyer, and the patient the commodity--the secondhand Rose. Marketing techniques that are used in this buyers' market allow no active patient participation and are therefore antithetical to the tenets of psychotherapy. The author suggests early clarification of therapeutic goals, assignment of therapists on the basis of patient choice, and explanation of time frames and limits as means for ameliorating the problems he describes.

Education, Medical, Graduate↗
PubMedDate not supplied

[Rehabilitation of chronic psychiatric patients. Description of a program and follow-up of 89 patients transfered to rest homes].

The reevaluation of the existence and function of the psychiatric hospital increases the problem presented by chronic patients. This study analyses the outcome of 89 chronic psychiatric patients transfered in rest homes. Is this alternative extramural solution for chronic hospitalization disirable? If yes, under which conditions? The favorable results of our survey have confirmed our basis hypothesis: all these patients do not need care structured on hospitalization.

Aged↗
PubMed1977

The effects of social changes in chronic schizophrenia: a study of forty patients transferred from hospital to residential home.

Various clinical and social measures were applied to forty long-stay schizophrenic patients before and after transfer from hospital to a residential home and similarly to twenty-five patients retained in hospital. The results are used to test specific hypotheses concerning the relationship between social changes and clinical state in chronic schizophrenia.

Adult↗
PubMedDate not supplied

Causes and effects of systemic complications among severely head injured patients transferred to a neurosurgical unit.

Hypoxia and hypotension are potent causes of avoidable secondary brain damage after severe head injury. These systemic insults were studied in three cohorts of patients (600 in all) transferred in coma from general hospitals to a regional neurosurgical unit between 1979 and 1990. The incidence of hypoxia and hypotension on arrival at the neurosurgical unit fell from 30% in 1979-80 to 12% in 1989-90, even though the proportion of patients arriving within three hours of injury rose from 33% to 52%. Hypoxia was associated with airway obstruction, and hypotension with unsuspected or undertreated multiple injuries. Whatever the patient's age, CT scan findings, or depth of coma, hypoxia and hypotension has independent and additive adverse effects on outcome. The improvements between 1979 and 1990 are attributed to better airway care, especially the increased use of intubation and mechanical ventilation during transfer, and to greater appreciation of how relatively simple measures can reduce the potential hazards of ambulance transfer.

Adolescent↗
PubMedDate not supplied

Fate of stroke patients transferred to a long-term rehabilitation hospital.

The rehabilitation outcome of 25 elderly hemiplegic patients discharged from the rehabilitation facilities of an acute general hospital and admitted to a long-term facility hospital was evaluated. Only those patients who had been on a rehabilitation program and were discharged after an average of 11 weeks because of lack of progress or severity of their functional and/or neurological disability were considered for this study. Twenty-two patients were wheelchair bound on admission and severely dependent in most self-care activities. Improvement in function and performance occurred in ten patients, while 13 patients remained unchanged. Among the improved patients, eight became ambulatory and independent in activities of daily living (ADL), eight became independent from a wheel-chair level, and eight returned home or to the community. The average stay of the patients in the chronic rehabilitation care facility was seven months, although all the patients reached their maximum level of performance within six months. It appears from this study that some hemiplegic patients require a long and intensive rehabilitation program.

Cerebrovascular Disorders↗
PubMed1978

The management of high-risk obstetric transfer patients.

Regionalization of perinatal care has demonstrated a definite improvement in perinatal mortality and morbidity. It has been shown that it is optimal to have high-risk neonates transferred in utero to tertiary perinatal care centers. In 1976 there were 1622 deliveries at Fort Carson Army Hospital, and 100 perinatal transfers to Fitzsimons Army Medical Center, including 73 in utero transfers and 27 neonatal transfers. An in-depth study of the obstetric management of in utero and neonatal transfers produced guidelines for the aggressive management of high-risk obstetric patients.

Adult↗