Unbound MEDLINE

The relationship between hospital size and ICU type on select adverse patient outcomes.

Abstract

The authors examined the relationships among hospital size and unit type, the prevalence of pressure ulcers, and rates of ventilator-associated pneumonia and catheter-related bloodstream infections in 25 intensive care units (ICUs) in 8 hospitals. Data came from the American Hospital Association survey, and nursing and infection control databases. Multiple regression was the main statistical technique. Pressure ulcer prevalence and catheter-related bloodstream infection rates were higher in large hospitals; ventilator-associated pneumonia rates were higher in surgical ICUs. Future researchers should include factors often hidden within hospital and unit characteristics to expose possible relationships that may be incorporated into interventions to prevent adverse outcomes.

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  • Authors

    Manojlovich M, Antonakos CL, Ronis DL

    Institution

    University of Michigan School of Nursing.

    Source

    Hospital topics 88:2 pg 33-42

    MeSH

    Catheter-Related Infections
    Health Care Surveys
    Health Facility Size
    Humans
    Intensive Care Units
    Michigan
    Outcome Assessment (Health Care)
    Physician's Practice Patterns
    Pneumonia, Ventilator-Associated
    Pressure Ulcer
    Quality of Health Care
    Sepsis

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    20494883