As a result of reductions in the size of beds, some hospitals might be forced to shut down a major portion of their beds. Hospitals that are particularly large or in need of extra room might be forced to shift patients into less-resourced facilities. A number of programs in place to assist hospitals in managing patient care, such as electronic records management, would probably cease operation, and a considerable number of the facilities that had been created to make them work would be closed. The effect of such cuts on the quality of hospital care and its effect on quality of patient care would obviously be very limited. New models of inpatient rehabilitation will be introduced at many hospitals, but the number of beds that will be occupied by them will be significantly reduced, particularly in older hospitals where staff are needed more quickly after surgery. New models of rehabilitation might also reduce patient access to inpatient services, or might affect the quality of care provided in those services. In the case of many major metropolitan hospital chains, the reduction in the number of outpatient services will result in the closing and relocation of hospitals.
The use of a variety of measures to limit the number of patients who are admitted or discharged from hospitals will make it more difficult for specialists to see patients of every need, and will reduce the capacity of hospitals to provide adequate care to patients with specific conditions. The costs involved in eliminating certain types of hospital services are not known, but these and other measures are likely to be a major factor in determining the cost-effectiveness of managed care. Management of Quality Measures The key to developing an informed decision as to whether an inpatient facility would be of use for a patient has to do with the quality of care that an inpatient facility offers its patients. Many of the measures that are commonly used to control hospital costs do not have direct implications for the quality of care that a patient experiences at inpatient facilities. This has a direct affect on patient outcomes, since quality indicators are closely related to the amount of care that patients get in the hospital. Quetiapine seroquel addition, many quality measures are not readily available to a physician, so that it is difficult for a physician to know whether a quality measure might not actually have a negative effect on the patient. This is likely to lead to an increase in the incidence of inappropriate use of such measures and in inappropriate and unethical practices by physicians.
The quetiapine seroquel impact of such efforts is likely to be to make it harder to find and retain high-quality nurses. If you have a shortage of qualified nurses, you aren't going to hire an outside worker. So it's important if you are thinking about outsourcing that you get a nurse who you think is going to be going to a hospital that actually needs those nurses. If you have a shortage of qualified nurses, you aren't going to hire an outside worker.
So it's important if you are thinking about outsourcing that you get a nurse who you think is going to be going to a hospital that actually needs those nurses. Quetiapine(seroquel) been said before, but in essence this is true: the number of trained, experienced RNs is finite, and the number of RNs is finite also. A nurse with a master's degree will be able to be hired for a certain number of hours in a certain number of jobs, but a nurse who has completed a few additional years of training and is already very good at her job will be able to fill in for many fewer hours in a more specialized hospital setting.