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  • Article
  • Open Access
132 Views
16 Pages

Analytical Assessment of Environmental Noise in High- or Low-Risk Neonatal Wards and Neonatal Intensive Care Units

  • Leonardo Nava-Velazquez,
  • Angélica Saraí Jiménez-Osorio,
  • Margarita Tetlalmatzi-Montiel,
  • Diego Estrada-Luna,
  • Julieta Angel-García,
  • Geu S. Mendoza-Catalán and
  • Erika Elizabeth Rodriguez-Torres

10 February 2026

This study analyzed environmental noise levels in neonatal hospital units, including both low- and high-risk nurseries, as well as neonatal intensive care units (NICUs). Continuous 24 h measurements over ten days revealed that average sound levels si...

  • Article
  • Open Access
213 Views
18 Pages

Nurse Staffing and Hospital-Acquired Infections in Rural Versus Non-Rural Hospitals

  • Kimberly Jones-Rudolph,
  • Lorraine Brown,
  • Wilfredo Lacro and
  • Soumya Upadhyay

This study explores how hospital location (rural/non-rural) may moderate the nurse staffing ratio’s impact on three hospital-acquired infections. This study used data from 2022 to 2024 on nurse staffing and hospital characteristics from the Ame...

  • Commentary
  • Open Access
203 Views
15 Pages

Agilience: Bridging Agility and Resilience for Safer Healthcare—A Conceptual Commentary

  • Elissa Dabkowski,
  • Simon J. Cooper,
  • Jhodie Duncan and
  • Karen Missen

Healthcare systems operate in safety-critical environments where rapid adaptation and sustained functioning must occur simultaneously, yet existing safety frameworks tend to conceptualise agility and resilience as separate, sequential, or retrospecti...

  • Article
  • Open Access
200 Views
24 Pages

From Prototype to Practice: A Mixed-Methods Study of a 3D Printing Pilot in Healthcare

  • Samuel Petrie,
  • Mohammad Hassani,
  • David Kerr,
  • Alan Spurway,
  • Michael Hamilton and
  • Prosper Koto

Health systems face pressure to strengthen resilience against supply chain disruptions while maintaining cost-effective service delivery. This mixed-methods study describes a pilot project that integrated 3D printing services into a Canadian provinci...

  • Brief Report
  • Open Access
431 Views
9 Pages

Clinician Evaluation of Artificial Intelligence Summaries of Pediatric CVICU Progress Notes

  • Vanessa I. Klotzman,
  • Albert Kim,
  • Brian Walker,
  • Sabrina Leong,
  • Louis Ehwerhemuepha and
  • Robert B. Kelly

Effective communication in critical care units, such as the Cardiovascular Intensive Care Unit (CVICU), is vital for patient safety; however, clinical notes from multiple professionals are often lengthy and complex. This study evaluated the Mistral l...

  • Review
  • Open Access
923 Views
17 Pages

6 December 2025

The increasing availability of free-text components in electronic medical records (EMRs) offers unprecedented opportunities for machine learning research, enabling improved disease phenotyping, risk prediction, and patient stratification. However, th...

  • Perspective
  • Open Access
1,330 Views
12 Pages

Reframing US Healthcare Globalization: From Medical Tourism to Multi-Mode Cross-Border Trade

  • Elizabeth Ziemba,
  • Irving Stackpole,
  • Millan L. Whittier and
  • Tricia J. Johnson

21 November 2025

This Perspective presents a framework for US hospitals treating foreign patients to reconceptualize international healthcare trade by leveraging all four modes of trade in health services under the General Agreement on Trade in Services (GATS), which...

  • Review
  • Open Access
3,009 Views
24 Pages

5 November 2025

Background: Artificial Intelligence (AI) holds significant potential to enhance operational efficiency and quality in healthcare. However, despite substantial investment, its widespread, sustained implementation is limited, necessitating a thorough r...

  • Review
  • Open Access
1,991 Views
19 Pages

A Review of Smart Healthcare: Concept, Drivers, Characteristics, and Challenges

  • Alanoud Almarri,
  • Ziad Hunaiti and
  • Nadarajah Manivannan

3 November 2025

Technological advancements driving smart healthcare transformation need new models and solutions for emerging technology challenges. The objective of this review paper is to introduce the concept of smart healthcare, identify its main characteristics...

  • Article
  • Open Access
867 Views
20 Pages

Factors Enabling Data-Based Management in Healthcare: Insights from Case Studies of Eye Hospitals

  • Ganesh-Babu Balu Subburaman,
  • Sachin Gupta,
  • Thulasiraj Ravilla,
  • Helen Mertens,
  • Carroll A. B. Webers and
  • Frits van Merode

24 October 2025

Hospitals are complex systems that function most effectively when operations are coordinated and supported by real-time information and feedback loops. Sustained growth, quality improvement, and financial viability increasingly rely on data-based man...

  • Perspective
  • Open Access
1,799 Views
8 Pages

11 September 2025

Health systems function optimally when accountability principles, legal frameworks, and governance processes are clearly defined, understood, and implemented. Together these elements set norms, standards, and systems for the practice of health profes...

  • Article
  • Open Access
861 Views
20 Pages

Testing Realist Programme Theories on the Contribution of Lean Six Sigma to Person-Centred Cultures: A Comparative Study in Public and Private Acute Hospitals

  • Seán Paul Teeling,
  • Deborah Baldie,
  • Ailish Daly,
  • Anthony Pierce,
  • Nicola Wolfe,
  • Gillian Fagan and
  • Catherine Garry

4 September 2025

Person-centred cultures are increasingly recognised as essential to the delivery of compassionate, safe, and effective healthcare. While Lean Six Sigma (LSS) is widely adopted as a process improvement methodology, its application is often critiqued f...

  • Article
  • Open Access
1,675 Views
19 Pages

The challenge for healthcare policy makers, managers and practitioners is finding ways to effectively collaborate with patients and community to plan, deliver and evaluate services. The study examined how managers engage the community with the strate...

  • Article
  • Open Access
1,397 Views
14 Pages

Sex- and Age-Specific Utilization Patterns of Nuclear Medicine Procedures at a Public Tertiary Hospital in Jamaica

  • Tracia-Gay Kennedy-Dixon,
  • Mellanie Didier,
  • Fedrica Paul,
  • Andre Gordon,
  • Marvin Reid and
  • Maxine Gossell-Williams

Understanding the utilization patterns of nuclear medicine (NM) services is essential for optimizing resource allocation and service provision. This study aimed to address the regional evidence gap by reporting the demand for NM services by sex and a...

  • Article
  • Open Access
1,332 Views
12 Pages

Objective: This study aimed to develop a performance evaluation index system for a district-level public hospital in Chongqing, China, based on Diagnosis-Related Groups (DRGs), to provide a benchmark for performance assessment in similar hospitals. T...

  • Article
  • Open Access
792 Views
20 Pages

Hospital layouts play a critical role in supporting efficient care processes, which are continually evolving. While care processes adapt over time, the spatial needs of care professionals are expected to remain relatively stable. This study proposes...

  • Article
  • Open Access
1,094 Views
15 Pages

Background: The emergency department (ED) often represents the entry point to care for patients that require urgent medical attention or have no alternative for medical treatment. This has implications on scope of practice and how quality of care is...

  • Article
  • Open Access
2,375 Views
15 Pages

Prediction of Waiting Lists for Medical Specialties in Hospitals in Costa Rica Using Queuing Theory and Monte Carlo Simulation

  • Bernal Vargas-Vargas,
  • Erick Pérez-Murillo,
  • Jaime González-Domínguez and
  • Justo García-Sanz-Calcedo

This study applies stochastic discrete event modeling to demonstrate that reducing wait times for specialized outpatient clinics in the Costa Rican public healthcare system is possible. The classification process identified four medical specialties w...

  • Article
  • Open Access
1,032 Views
15 Pages

This study analyzes the comparative performance of ten hospitals in the Kadutu Health Zone in the Democratic Republic of Congo using the EGIPSS model. This study was carried out at the height of the COVID-19 pandemic in August and September 2021, in...

  • Article
  • Open Access
1,377 Views
15 Pages

The majority of Australians who die each year do so in an acute hospital setting and are cared for during the end of their life by a multidisciplinary team comprising nurses, medical staff, and allied health staff. Despite the range of professional d...

  • Article
  • Open Access
1,788 Views
24 Pages

Exploring Delayed Discharges in an Acute Hospital Setting in a Small European Member State

  • Alexander Micallef,
  • Sandra C. Buttigieg,
  • Gianpaolo Tomaselli and
  • Lalit Garg

Healthcare is a dynamic and ever-changing phenomenon and is subject to multiple challenges, particularly concerning sustainability and cost issues. The literature identifies bed space and problems related to the lack of hospital beds as being directl...

  • Article
  • Open Access
5,134 Views
12 Pages

The effective and financially sustainable shift towards outpatient care in hospitals requires adjustments in infrastructure, processes, and personnel. This contribution validates and extends the existing literature by conducting expert interviews in...

  • Article
  • Open Access
1 Citations
2,153 Views
18 Pages

Translating Strategies into Tactical Actions: The Role of Sourcing Levers in Healthcare Procurement

  • Carolina Belotti Pedroso,
  • Eugene Schneller,
  • Claudia Rebolledo and
  • Martin Beaulieu

Expensive medical devices, especially in the areas of orthopedics, and cardiology, have a significant impact on hospital costs and the delivery of high-quality services. These medical supplies are known as physician preference items (PPIs), as they a...

  • Article
  • Open Access
3,614 Views
15 Pages

Drug Smuggling in Capital Sana’a, Yemen: Perspectives from Health Employees in Drug-Related Departments

  • Al-Safi Noman,
  • Abdulhakim Al-Sharjabi,
  • Sarah Noman and
  • Musheer A. Aljaberi

Background: Yemen faces significant challenges related to drug smuggling and counterfeiting, exacerbated by socio-economic hardships and a fragile healthcare and regulatory system. These conditions create an environment conducive to illicit drug traf...

  • Systematic Review
  • Open Access
1 Citations
6,963 Views
19 Pages

Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review

  • Eleni Tsapnidou,
  • Georgios Katharakis,
  • Martha Kelesi-Stavropoulou,
  • Michael Rovithis,
  • Sofia Koukouli,
  • Evangelia Sigala,
  • Maria Moudatsou,
  • Dimitrios Papageorgiou and
  • Areti Stavropoulou

Effective nurse leadership increases nurses’ job satisfaction, performance, motivation, and empowerment. Ensuring nurses’ organizational and professional commitment is vital for addressing quality, sustainability, and cost-effectiveness c...

  • Systematic Review
  • Open Access
1 Citations
7,297 Views
32 Pages

Background: The rapid expansion of telemedicine globally, especially during the COVID-19 pandemic, has been critical for maintaining the continuity of chronic care, including in low- and middle-income countries (LMICs). In the context of maintaining...

  • Article
  • Open Access
1 Citations
1,845 Views
18 Pages

Background: With so much emphasis currently on Social Determinants of Health (SDOH), we examined the characteristics of U.S. hospitals making commitments to SDOH and engagement with community social determinant programs and activities (CSDPAs). Metho...

  • Article
  • Open Access
1 Citations
2,170 Views
12 Pages

Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists Towards Differential Diagnosis in Chronic Neck Pain Etiology

  • Camille Suzanne Vigier-Fretey,
  • Maria Granados-Santiago,
  • Julia Raya-Benitez,
  • Jesus Zamora-Tortosa,
  • Alejandro Heredia-Ciuro and
  • Marie Carmen Valenza

Introduction: Chronic neck pain is a prevalent condition that challenges physical therapists (PTs) due to its multifactorial etiology. Differential diagnosis is crucial for identifying the underlying causes and providing appropriate interventions. Ho...

  • Article
  • Open Access
2,249 Views
18 Pages

27 February 2025

Objective: This study investigates alarm fatigue among ICU nurses in China and its influencing factors to optimize alarm management. Methods: This study was conducted using a cross-sectional design. In May 2022, electronic questionnaires were distrib...

  • Brief Report
  • Open Access
1,336 Views
4 Pages

24 February 2025

IV line connectors often become contaminated between infusions, which leads to line infections. A flexible shield was developed to prevent this by means of passive protection. It was tested in a simulated bedside environment and protected from touch...

  • Article
  • Open Access
11 Citations
17,855 Views
22 Pages

The implementation of evidence-based practice (EBP) is crucial for improving patient outcomes and healthcare delivery, yet it faces significant challenges in acute care settings due to organisational barriers, resource limitations, and leadership com...

  • Article
  • Open Access
2,500 Views
20 Pages

Traction Performance of Footwear on Slippery Hospital Floorings

  • Subhodip Chatterjee,
  • Shubham Gupta and
  • Arnab Chanda

Slips and fall-related accidents cause a significant number of injuries in hospitals. Due to constant movement of doctors and nurses across different departments in hospitals such as OPD, trauma centres, and ICUs, there are possible interactions of t...

  • Perspective
  • Open Access
2,701 Views
6 Pages

Hospital and health system bankruptcies and closures continue to rise in the United States. They are troubling news not only for patients and communities but also for insurance companies. Hospital closures often lead to higher costs for insurers due...

  • Feature Paper
  • Article
  • Open Access
3,275 Views
23 Pages

The role of clinical trials cannot be ignored due to its contribution to innovative treatment, therapies, and drug development in promoting quality service delivery. We investigated and explored the management aspect of clinical trials and its impact...

  • Perspective
  • Open Access
6 Citations
7,130 Views
10 Pages

12 December 2024

Artificial intelligence (AI) has emerged as a transformative force in enhancing patient safety within hospital settings. This perspective explores the various applications of AI in improving patient outcomes, including early warning systems, predicti...

  • Article
  • Open Access
3 Citations
3,500 Views
13 Pages

8 October 2024

In a dynamic healthcare industry, aligning the goals and objectives of hospitals and physicians through integration has been suggested to influence performance. Physicians’ leadership and active involvement in governance can direct resource usa...

  • Review
  • Open Access
2 Citations
6,766 Views
21 Pages

6 October 2024

Health systems around the world continue to experience healthcare workforce shortages, including shortages of nurses. This results in staff experiencing prolonged shifts and other stressors, which are linked to burnout, yet burned-out staff are then...

  • Feature Paper
  • Article
  • Open Access
2,475 Views
18 Pages

The TERCAP Tool: Investigation of Nursing Errors in Greek Hospitals

  • Despoina Pappa,
  • Eleni Evangelou,
  • Ioannis Koutelekos,
  • Evangelos Dousis,
  • Nikoletta Margari,
  • Georgia Toulia,
  • Areti Stavropoulou,
  • Alexandra Koreli,
  • Maria Theodoratou and
  • Chrysoula Dafogianni
  • + 3 authors

13 August 2024

Background: Errors are a common occurrence in all healthcare settings, and the safety of patients is a critical concern that involves multiple factors, including the complex and demanding nature of nursing practice. Nurses, due to their continuous an...

  • Article
  • Open Access
5 Citations
4,357 Views
17 Pages

9 August 2024

The population of Pakistan is increasing, with approximately 2% growth. Over the years, the country’s healthcare system has struggled to meet the needs of the population. Nevertheless, because of shortages compared to population distribution, p...

  • Feature Paper
  • Article
  • Open Access
2,474 Views
10 Pages

1 August 2024

Backgrounds: The pre-discharge conference (PDC) is crucial for ensuring care continuity based on patients’ preferences and goals. However, there is no quantitative on its effectiveness. We investigated the effectiveness of multidisciplinary PDC...

  • Feature Paper
  • Review
  • Open Access
9 Citations
51,023 Views
17 Pages

Transformational Leadership—Quality Achievements and Benefits for the Healthcare Organizations: A Scoping Review

  • Eleni Tsapnidou,
  • Martha Kelesi,
  • Michael Rovithis,
  • Georgios Katharakis,
  • Georgia Gerogianni,
  • Chrysoula Dafogianni,
  • Georgia Toylia,
  • Georgia Fasoi and
  • Areti Stavropoulou

26 July 2024

Effective nursing leadership is critical for healthcare organizations’ sustainability as nurse leaders influence many organizational aspects, including staff retention, quality of care, resource management, and development. The aim of this stud...

  • Article
  • Open Access
1 Citations
2,442 Views
12 Pages

Investigation of Nursing Errors in Greek Pediatric Hospitals

  • Despoina Pappa,
  • Eleni Evangelou,
  • Ioannis Koutelekos,
  • Evangelos Dousis,
  • Georgia Toulia,
  • Areti Stavropoulou,
  • Nikoletta Margari,
  • Anna Giga,
  • Eftychia Ferentinou and
  • Chrysoula Dafogianni
  • + 3 authors

Background: Adverse events are a prevalent occurrence across pediatric healthcare environments, and patient safety is intricately tied to nursing errors due to nurses’ consistent presence and interaction with patients, which surpasses that of a...

  • Article
  • Open Access
1 Citations
1,906 Views
10 Pages

Impact of Program Region and Prestige on Industry Supplemental Earnings for Pediatric Orthopedic Surgery Fellowships in the United States: A Retrospective Analysis

  • Abhinav R. Balu,
  • Anthony N. Baumann,
  • Grayson M. Talaski,
  • Faheem Pottayil,
  • Kempland C. Walley,
  • Albert T. Anastasio and
  • Keith D. Baldwin

Introduction: With the passage of the Physician Payment Sunshine Act, there has been increased transparency regarding the industrial financial relations that physicians have. Orthopedic surgeons have been highly studied in this domain with approximat...

  • Feature Paper
  • Article
  • Open Access
2 Citations
3,196 Views
15 Pages

Confused about Rehabilitation? Multi-Faceted Approaches for Brain Injured Patients in a Confusional State

  • Jesper Fabricius,
  • Anna Birthe Andersen,
  • Gitte Lindegård Munk and
  • Hanne Kaae Kristensen

Post-injury confusional state is a common phenomenon following acquired brain injury. A multi-faceted approach for decreasing confusion is recommended, but there is a paucity of research related to non-pharmacological management. The main objective w...

  • Feature Paper
  • Article
  • Open Access
3,530 Views
18 Pages

[Background] Intermediate care is a limited-time service founded on patient-centered care (PCC) that ensures continuity and quality of care during the transition between home and acute care services, promotes recovery, and restores independence and c...

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Hospitals - ISSN 2813-4524