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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Discharge Summary Forms01:31

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Standards of Care I01:22

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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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...
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Hospitals-II00:59

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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.
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Statewide Transfer Coordination and Patient Transfer Rates Among Hospitals During Occupancy Stress.

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State medical operations coordination centers (SMOCCs) initially increased hospital transfers by 35% during pandemic surges. These centers may improve access to care during public health emergencies, but their routine utility requires further study.

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Area of Science:

  • Public Health
  • Health Systems Management
  • Emergency Medicine

Background:

  • US states established state medical operations coordination centers (SMOCCs) during the COVID-19 pandemic.
  • SMOCCs aimed to coordinate patient transfers and optimize care delivery amid limited hospital bed capacity.
  • Understanding SMOCCs' impact is crucial for their potential role in future public health emergencies.

Purpose of the Study:

  • To investigate the association between the establishment of SMOCCs and adult interhospital transfers (IHTs) during pandemic surges.
  • To evaluate the impact of SMOCCs on healthcare system strain and patient access to care.

Main Methods:

  • An interrupted time series cohort study analyzed data from hospitalized adults (≥18 years) across 8 US states.
  • Data spanned from June 1, 2020, to December 30, 2022, focusing on interhospital transfers by emergency medical services (EMS).
  • Hospital occupancy stress was measured using daily census and staffed bed counts to assess the impact of SMOCCs under varying stress levels.

Main Results:

  • SMOCC establishment was linked to an initial 35% increase in IHT rates (RR, 1.35), followed by a sustained decrease (RR, 0.94).
  • A significant increase in transfers was observed during periods of high occupancy stress after SMOCC implementation (RR, 1.23).
  • Findings remained consistent across analyses stratified by urbanicity, transport mode, patient age, and acuity.

Conclusions:

  • Pandemic-initiated SMOCCs showed an immediate rise in transfers, potentially addressing increased demand during surges.
  • SMOCCs may enhance care access and alleviate transfer bottlenecks during large-scale public health crises.
  • Further research is needed to determine the effectiveness of SMOCCs during non-emergency periods.