Browsing by Author "Lyons, J"
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- Care complexity in the general hospital: results from a European studyPublication . de Jonge, P; Huyse, F; Lobo, A; Slaets, J; Herzog, T; Lyons, J; Opmeer, B; Stein, B; Arolt, V; Balogh, N; Cardoso, GThere is increasing pressure to effectively treat patients with complex care needs from the moment of admission to the general hospital. In this study, the authors developed a measurement strategy for hospital-based care complexity. The authors' four-factor model describes the interrelations between complexity indicators, highlighting differences between length of stay (LOS), objective complexity (such as medications or consultations), complexity ratings by the nurse, and complexity ratings by the doctor. Their findings illustrate limitations in the use of LOS as a sole indicator for care complexity. The authors show how objective and subjective complexity indicators can be used for early and valid detection of patients needing interdisciplinary care.
- COMPRI--an instrument to detect patients with complex care needs: results from a European studyPublication . Huyse, F; Jongue, P; Slaets, J; Lobo, A; Herzog, T; Lyons, J; Opmeer, B; Stein, B; Arolt, V; Cardoso, GThe authors developed a screening instrument to detect patients in need of complex care coordination at admission to a general hospital. On the basis of a series of risk factors for care complexity, the authors constructed a short, care complexity prediction instrument (COMPRI) and assessed its qualities. The COMPRI is an easily administered screening instrument that detects patients at risk for complex care needs for whom care coordination is indicated. COMPRI's predictive power exceeds all currently available case-mix instruments
- Risk factors for complex care needs in general medical inpatients: results from a European studyPublication . de Jonge, P; Huyse, F; Herzog, T; Lobo, A; Slaets, J; Lyons, J; Opmeer, B; Stein, B; Arolt, V; Balogh, N; Cardoso, GThe authors linked admission risk factors to a series of indicators for complex care delivery to enable detection of patients in need of care coordination at the moment of admission to the general hospital. The authors found 13 risk factors to be predictive of more than one indicator of care complexity. An admission risk screening procedure to detect patients in need of care coordination should focus on these risk factors and should include predictions made by doctors and nurses at admission and information collected from the patient and the medical chart