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Related Concept Videos

Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

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Related Experiment Video

Updated: Jun 11, 2026

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes
05:58

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes

Published on: March 22, 2022

Benchmarking for small hospitals: size didn't matter!

Diane Storer Brown1, Carolyn E Aydin, Nancy Donaldson

  • 1CALNOC. diane.brown@kp.org

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|July 13, 2010
PubMed
Summary

Hospital size definitions for benchmarking are inconsistent. This study found that hospital size, based on nursing-sensitive outcomes like falls and pressure ulcers, did not align with traditional administrative categories, challenging their use in comparative performance analysis.

Related Experiment Videos

Last Updated: Jun 11, 2026

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes
05:58

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes

Published on: March 22, 2022

Area of Science:

  • Healthcare Management
  • Nursing Outcomes Research
  • Hospital Benchmarking

Background:

  • Effective hospital benchmarking requires comparing "like" institutions to understand performance.
  • Hospital size is often used to categorize institutions for benchmarking, but its validity is questioned.
  • The Collaborative Alliance for Nursing Outcomes (CALNOC) observed outcome variations between small and large hospitals.

Purpose of the Study:

  • To empirically define "small hospitals" based on nursing-sensitive outcomes.
  • To determine if statistical differences exist between small and large hospitals for key nursing outcome indicators.
  • To evaluate hospital size as a proxy for defining "like" hospitals for benchmarking.

Main Methods:

  • Analysis of 10 years of outcome data from the Collaborative Alliance for Nursing Outcomes (CALNOC).
  • Examination of nursing-sensitive outcome indicators: falls, falls with injury, and hospital-acquired pressure ulcers stage 2 or worse (HAPU 2+).
  • Comparison of outcome-based size classifications with traditional administrative categories (average daily census).

Main Results:

  • Optimal classifications into small and large hospital size based on falls and HAPU 2+ were inconsistent with administrative categories.
  • Classifications were also inconsistent across different outcome indicators.
  • Statistical differences were found only for HAPU 2+ in critical care units; no significant differences were observed for fall outcomes.

Conclusions:

  • Hospital size, as defined by nursing-sensitive outcomes, does not consistently align with administrative size categories.
  • The findings do not support the use of size-based categories alone to define "like" hospitals for benchmarking nursing outcomes.
  • Alternative or combined approaches may be necessary for robust hospital benchmarking.