overbed(den)

English translation: overflow bed(s)

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Dutch term or phrase:overbed(den)
English translation:overflow bed(s)

16:46 Dec 27, 2015
    The asker opted for community grading. The question was closed on 2015-12-30 21:54:08 based on peer agreement (or, if there were too few peer comments, asker preference.)


Dutch to English translations [PRO]
Medical - Medical: Health Care / in hospitals
Dutch term or phrase: overbed(den)
some context:

"Het Erlang B model stopt bij 24 bedden maar de frequentie gaat door. Het komt namelijk nog 33 dagen voor dat er meer dan 24 bedden bezet zijn.
Doordat er overbedden (6) worden gecreëerd kan dit boven de 24 operationele bedden liggen. Dit kan wel als
gevolg hebben dat op deze dagen de kans groot is dat acute patiënten geweigerd moeten worden omdat de
verpleegeenheid vol ligt.

(footnote 6) Overbedden zijn de bedden die op een afdelingen erbij worden geplaatst boven op het aantal operationele bedden. Deze bedden mogen alleen gebruik worden bij extremen drukte omdat hier geen zorg voor is ingepland." (https://www.vumc.nl/afdelingen-themas/239911/7351523/7354971... )

"In veel regio’s hebben ziekenhuizen
problemen om patiënten met een
acute heelkundige opname-indicatie
onder te brengen. De regio Leiden krijgt
hier rond 1999 mee te maken. Omdat
aanbod en capaciteit niet op elkaar zijn
afgestemd, ontstaan er lange wachttijden
op de Spoedeisende Hulp (SEH). Het
gevolg is veel overplaatsingen naar andere
ziekenhuizen, ook ver buiten de regio.
De arts-assistenten zijn veel tijd kwijt
met bellen naar andere ziekenhuizen.
Er ontstaan spanningen tussen verpleegkundigen
en artsen om patiënten toch
opgenomen te krijgen op ‘overbedden’.
Ook heerst onvrede bij huisartsen en
ambulancepersoneel. De huisartsen zijn
eveneens veel tijd kwijt met het zoeken
naar opnamemogelijkheden voor hun
patiënten." (https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web... )

"Arthur van Zanten, internist-intensivist in het ziekenhuis Gelderse Vallei in Ede, weet uit ervaring hoe wáár dat laatste is. ‘Als iemand acuut binnenkomt, instabiel, doe je het uiterste om hem hoe dan ook op te nemen. Door overbedden te gebruiken of een andere patiënt ‘s avonds naar een verpleegafdeling te laten gaan terwijl je hem eigenlijk die nacht nog had willen observeren. Dat doe je onder hoge druk. Soms móet een stabielere patiënt wel ruimte vrijmaken voor iemand die vervoer per ambulance niet zou overleven." (http://www.medischcontact.nl/archief-6/Tijdschriftartikel/03... )

My context:

"Echter het doorvoeren van bepaalde maatregelen zoals het creëren van overbedden zet de patiëntveiligheid onder druk."
Michael Beijer
United Kingdom
Local time: 06:50
overflow bed(s)
Explanation:
Een dergelijke situatie heet 'surge overflow'. 'Overflow beds' lijkt dus een aannemelijke vertaling, hoewel ik er geen duidelijk voorbeeld van kan vinden op het internet. Er zijn wel discussies over een overflow policy en advertenties voor speciale opvouwbare bedden die overflow beds genoemd worden. Op de site hieronder heeft men het over een 'overflow unit'. Kijk zelf maar eens.
Selected response from:

Tina Vonhof (X)
Canada
Local time: 00:50
Grading comment
Thanks!
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +2overflow bed(s)
Tina Vonhof (X)
4bunk beds
Ripsime Bailleux (X)
Summary of reference entries provided
overflow
Barend van Zadelhoff

Discussion entries: 2





  

Answers


27 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
overflow bed(s)


Explanation:
Een dergelijke situatie heet 'surge overflow'. 'Overflow beds' lijkt dus een aannemelijke vertaling, hoewel ik er geen duidelijk voorbeeld van kan vinden op het internet. Er zijn wel discussies over een overflow policy en advertenties voor speciale opvouwbare bedden die overflow beds genoemd worden. Op de site hieronder heeft men het over een 'overflow unit'. Kijk zelf maar eens.


    Reference: http://healthcare.utah.edu/nursinginnovation/2011/10ideas/si...
Tina Vonhof (X)
Canada
Local time: 00:50
Native speaker of: Native in DutchDutch, Native in EnglishEnglish
PRO pts in category: 47
Grading comment
Thanks!
Notes to answerer
Asker: Thanks Tina, I was going to call them ‘overcapacity beds’ myself.


Peer comments on this answer (and responses from the answerer)
agree  philgoddard
56 mins
  -> Thank you Phil.

agree  Barend van Zadelhoff: I think this fits the context. Other options seem over-capacity and over-complement beds.
3 hrs
  -> Thank you Barend. Indeed the terms may vary depending on the country and even between hospitals.
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1 day 23 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
bunk beds


Explanation:
opinion

Ripsime Bailleux (X)
Australia
Local time: 17:50
Native speaker of: Native in EnglishEnglish, Native in RussianRussian
Notes to answerer
Asker: I can hardly believe that the hospital featured in the audit report I am translating has bunk beds in it. However, who knows? The world is full of surprises :-)

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Reference comments


3 hrs
Reference: overflow

Reference information:
overflow - to exceed limits or capacity

over-complement / over-capacity / overflow beds

Hospital beds are a scarce resource and always in need. The beds are often organized by clinical specialties for better patient care.

When the Accident & Emergency Department (A&E) admits a patient, there may not be an available bed that matches the requested specialty.

The patient may be thus asked to wait at the A&E till a matching bed is available, or assigned a bed from a different specialty, which results in bed overflow.
While this allows the patient to have faster access to an inpatient bed and treatment, it creates other problems.
For instance, nursing care may be suboptimal and the doctors will need to spend more time to locate the overflow patients.
The decision to allocate an overflow bed, or to let the patient wait a bit longer, can be a complicated one.
While there can be a policy to guide the bed allocation decision, in reality it depends on clinical calls, current supply and waiting list, projected supply (i.e. planned discharges) and demand.
The extent of bed overflow can therefore vary greatly, both in time dimension and across specialties. In this study, we extracted hospital data and used statistical and data mining approaches to identify the patterns behind bed overflow.
With this insight, the hospital administration can be better equipped to devise strategies to reduce bed overflow and therefore improve patient care.
Computational results show the viability of these intelligent data analysis techniques for understanding and managing the bed overflow problem.

http://www.ncbi.nlm.nih.gov/pubmed/21222220

Exclusion Criteria for Denominator
• Closed beds (Permanent closures which would be physically ready to open if staffing and funding were available) are not included.
Over Complement Beds used are not included in available acute care beds number. Over complement beds can include beds located in lounges, shower rooms, hallways or similar temporary spaces. It may also include physical beds which are non-funded or closed or blocked but in use to handle additional patient capacity with current staff. Terminology in use for this category of bed may differ by site and can include “overflow”, “over capacity” or “over complement” spaces. Patients in these spaces are considered over complement or overflow patients.
• Operating rooms

http://www.health.alberta.ca/documents/PMD-Hospital-Occupanc...

I feel like this article was written for me! I have worked in a large hospital in Edmonton for 14 years, and I see how nursing care has been declining. We have overcapacity beds, which are just stretchers that are shoved into the corner of the rooms to allow for more patients. We are not allowed to advocate for patients because it’s seen as insubordination. We are told by bed managers and coordinators to move dying patients to other units, so our beds can be filled by new patients from emergency. How, then, do we practise the art of nursing, or adhere to our standards of practice and code of ethics? Eighty per cent of our nursing staff are internationally educated, and they see leadership and advocacy in a different way; most of them do not like confrontation, so it’s up to others to try to fix the problems. And alas, we don’t always have time to talk to patients. Worse, most staff don’t know what to say anyway, and use “speak to the doctor” as their default response. I can say that I have not lost the drive to fulfil my professional obligations. But it can be a struggle.

https://www.canadian-nurse.com/en/articles/issues/2013/febru...

Current strategies to improve patient flow during peak pressure periods include:
• Fast track chair area is designed for patients with more minor injuries and illnesses in a separate area, thereby reserving ED stretchers for more serious and critically ill and injured patients.
• The Ambulatory Care Area is for patients who have been assessed by a physician and are waiting for test results or specialist assessment and are able to wait in a chair. Caring for patients in the Ambulatory Care area allows other patients to be seen in the available ED stretches.
Overcapacity beds on inpatient floors are used when patients are waiting in ED for admission to an inpatient unit.

Strategies to reduce ED pressures aim to achieve the best outcomes for all patients, and system efficiencies, by matching the right program and provider, as early as possible.

The protocols guide response to overcapacity, while increasing access to healthcare services and maintaining patient safety and quality of care.

http://www.albertahealthservices.ca/rls/ne-rls-2010-12-17-ba...

Barend van Zadelhoff
Netherlands
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 48
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