Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Hospital Departments: Major administrative divisions of the hospital.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Hospitals, General: Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Hospitals, Urban: Hospitals located in metropolitan areas.Nursing Staff, Hospital: Personnel who provide nursing service to patients in a hospital.Hospitals, Pediatric: Special hospitals which provide care for ill children.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Hospitals, District: Government-controlled hospitals which represent the major health facility for a designated geographic area.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Hospital Bed Capacity: The number of beds which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.Hospitals, Special: Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Hospitalization: The confinement of a patient in a hospital.Hospitals, Private: A class of hospitals that includes profit or not-for-profit hospitals that are controlled by a legal entity other than a government agency. (Hospital Administration Terminology, AHA, 2d ed)Financial Management, Hospital: The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.Hospital Charges: The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.Hospital Planning: Areawide planning for hospitals or planning of a particular hospital unit on the basis of projected consumer need. This does not include hospital design and construction or architectural plans.United StatesPatient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Hospitals, Psychiatric: Special hospitals which provide care to the mentally ill patient.Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Hospital Records: Compilations of data on hospital activities and programs; excludes patient medical records.Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Radiology Department, Hospital: Hospital department which is responsible for the administration and provision of x-ray diagnostic and therapeutic services.Equipment and Supplies, Hospital: Any materials used in providing care specifically in the hospital.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Obstetrics and Gynecology Department, Hospital: Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Hospital Bed Capacity, 500 and overLibraries, Hospital: Information centers primarily serving the needs of hospital medical staff and sometimes also providing patient education and other services.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Hospitals, County: Hospitals controlled by the county government.Hospital Information Systems: Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.EnglandUnited States Department of Veterans Affairs: A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.Hospitals, Municipal: Hospitals controlled by the city government.Triage: The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.Infant, Newborn: An infant during the first month after birth.Cross Infection: Any infection which a patient contracts in a health-care institution.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Food Service, Hospital: Hospital department that manages and supervises the dietary program in accordance with the patients' requirements.Pathology Department, Hospital: Hospital department which administers and provides pathology services.American Hospital Association: A professional society in the United States whose membership is composed of hospitals.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Hospitals, Religious: Private hospitals that are owned or sponsored by religious organizations.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Diagnosis-Related Groups: A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.Laboratories, Hospital: Hospital facilities equipped to carry out investigative procedures.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.Inpatients: Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Psychiatric Department, Hospital: Hospital department responsible for the organization and administration of psychiatric services.Patient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Nursing Service, Hospital: The hospital department which is responsible for the organization and administration of nursing activities.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.Hospitals, Maternity: Special hospitals which provide care to women during pregnancy and parturition.Hospitals, Military: Hospitals which provide care for the military personnel and usually for their dependents.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Medical Records: Recording of pertinent information concerning patient's illness or illnesses.Public Health Administration: Management of public health organizations or agencies.Great BritainCohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.United States Department of Defense: A cabinet department in the Executive Branch of the United States Government whose mission is to provide the military forces needed to deter WARFARE and to protect the security of our country.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Acute Disease: Disease having a short and relatively severe course.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.Tertiary Care Centers: A medical facility which provides a high degree of subspecialty expertise for patients from centers where they received SECONDARY CARE.Hospital Shared Services: Cooperation among hospitals for the purpose of sharing various departmental services, e.g., pharmacy, laundry, data processing, etc.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Urology Department, Hospital: Hospital department responsible for the administration and provision of diagnostic and therapeutic services for the urologic patient.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.Health Services Misuse: Excessive, under or unnecessary utilization of health services by patients or physicians.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Anesthesia Department, Hospital: Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Admitting Department, Hospital: Hospital department responsible for the flow of patients and the processing of admissions, discharges, transfers, and also most procedures to be carried out in the event of a patient's death.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Hospital Bed Capacity, under 100Emergency Nursing: The specialty or practice of nursing in the care of patients admitted to the emergency department.Hospital Bed Capacity, 100 to 299Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.CaliforniaSeverity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Oncology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cancer patient.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Age Distribution: The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.Hospitals, AnimalAttitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Crowding: An excessive number of individuals, human or animal, in relation to available space.Transportation of Patients: Conveying ill or injured individuals from one place to another.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Catchment Area (Health): A geographic area defined and served by a health program or institution.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Nurseries, Hospital: Hospital facilities which provide care for newborn infants.Purchasing, Hospital: Hospital department responsible for the purchasing of supplies and equipment.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Dental Service, Hospital: Hospital department providing dental care.Poisoning: A condition or physical state produced by the ingestion, injection, inhalation of or exposure to a deleterious agent.Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.Chest Pain: Pressure, burning, or numbness in the chest.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Ambulances: A vehicle equipped for transporting patients in need of emergency care.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.ScotlandHealth Facility Closure: The closing of any health facility, e.g., health centers, residential facilities, and hospitals.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.BrazilChi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Safety Management: The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.IndiaPatient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Local Government: Smallest political subdivisions within a country at which general governmental functions are carried-out.Medication Systems, Hospital: Overall systems, traditional or automated, to provide medication to patients in hospitals. Elements of the system are: handling the physician's order, transcription of the order by nurse and/or pharmacist, filling the medication order, transfer to the nursing unit, and administration to the patient.Infection Control: Programs of disease surveillance, generally within health care facilities, designed to investigate, prevent, and control the spread of infections and their causative microorganisms.Formularies, Hospital: Formularies concerned with pharmaceuticals prescribed in hospitals.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Medical Records Department, Hospital: Hospital department responsible for the creating, care, storage and retrieval of medical records. It also provides statistical information for the medical and administrative staff.Housekeeping, Hospital: Hospital department which manages and provides the required housekeeping functions in all areas of the hospital.Sex Distribution: The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.Child, Hospitalized: Child hospitalized for short term care.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Hospital-Physician Relations: Includes relationships between hospitals, their governing boards, and administrators in regard to physicians, whether or not the physicians are members of the medical staff or have medical staff privileges.AccidentsWorkload: The total amount of work to be performed by an individual, a department, or other group of workers in a period of time.Medical Errors: Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.Personnel Administration, Hospital: Management activities concerned with hospital employees.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.SwitzerlandSex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Health Facility Merger: The combining of administrative and organizational resources of two or more health care facilities.Radiology Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of radiology services and facilities.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.United States Department of Agriculture: A cabinet department in the Executive Branch of the United States Government concerned with improving and maintaining farm income and developing and expanding markets for agricultural products. Through inspection and grading services it safeguards and insures standards of quality in food supply and production.Nigeria: A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Insurance, Hospitalization: Health insurance providing benefits to cover or partly cover hospital expenses.France: A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris.Uncompensated Care: Medical services for which no payment is received. Uncompensated care includes charity care and bad debts.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Craniocerebral Trauma: Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage.Malaysia: A parliamentary democracy with a constitutional monarch in southeast Asia, consisting of 11 states (West Malaysia) on the Malay Peninsula and two states (East Malaysia) on the island of BORNEO. It is also called the Federation of Malaysia. Its capital is Kuala Lumpur. Before 1963 it was the Union of Malaya. It reorganized in 1948 as the Federation of Malaya, becoming independent from British Malaya in 1957 and becoming Malaysia in 1963 as a federation of Malaya, Sabah, Sarawak, and Singapore (which seceded in 1965). The form Malay- probably derives from the Tamil malay, mountain, with reference to its geography. (From Webster's New Geographical Dictionary, 1988, p715 & Room, Brewer's Dictionary of Names, 1992, p329)New York CityEconomic Competition: The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.Outpatients: Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Multi-Institutional Systems: Institutional systems consisting of more than one health facility which have cooperative administrative arrangements through merger, affiliation, shared services, or other collective ventures.Societies, Hospital: Societies having institutional membership limited to hospitals and other health care institutions.Hospitals, Group Practice: Hospitals organized and controlled by a group of physicians who practice together and provide each other with mutual support.Risk Adjustment: The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)Hospitals, Chronic Disease: Hospitals which provide care to patients with long-term illnesses.Day Care: Institutional health care of patients during the day. The patients return home at night.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Northern IrelandContinuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Hong Kong: The former British crown colony located off the southeast coast of China, comprised of Hong Kong Island, Kowloon Peninsula, and New Territories. The three sites were ceded to the British by the Chinese respectively in 1841, 1860, and 1898. Hong Kong reverted to China in July 1997. The name represents the Cantonese pronunciation of the Chinese xianggang, fragrant port, from xiang, perfume and gang, port or harbor, with reference to its currents sweetened by fresh water from a river west of it.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Injury Severity Score: An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Diagnostic Errors: Incorrect diagnoses after clinical examination or technical diagnostic procedures.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Physicians: Individuals licensed to practice medicine.New York

Can admission notes be improved by using preprinted assessment sheets? (1/18)

Inpatient medical notes often fail to record important details of patient history and findings on clinical examination. To overcome problems with content and legibility of notes we introduced preprinted notes for the admission of children to this hospital. The quality of the information recorded for 100 children whose admissions were clerked with the preprinted notes was compared with that recorded for 100 whose admissions were recorded with the traditional notes. All case notes were selected randomly and retrospectively from traditional notes written from April to October 1993 and from preprinted notes written from October 1993 to April 1994. The quality of information was assessed according to the presence or absence of 25 agreed core clinical details and the number of words per clerking. In admissions recorded with the preprinted notes the mean number of core clinical details present was significantly higher than those recorded with traditional notes (24.0 v 17.6, p < 0.00001). Admissions recorded with the preprinted notes were also significantly shorter (mean 144 words v 184 words, p < 0.0001). The authors conclude that information about children admitted to hospital is both more complete and more succinct when recorded using preprinted admission sheets.  (+info)

The Sheffield experiment: the effects of centralising accident and emergency services in a large urban setting. (2/18)

OBJECTIVES: To assess the effects of centralisation of accident and emergency (A&E) services in a large urban setting. The end points were the quality of patient care judged by time to see a doctor or nurse practitioner, time to admission and the cost of the A&E service as a whole. METHODS: Sheffield is a large industrial city with a population of 471000. In 1994 Sheffield health authority took a decision to centralise a number of services including the A&E services. This study presents data collected over a three year period before, during and after the centralisation of adult A&E services from two sites to one site and the centralisation of children's A&E services to a separate site. A minor injury unit was also established along with an emergency admissions unit. The study used information from the A&E departments' computer system and routinely available financial data. RESULTS: There has been a small decrease in the number of new patient attendances using the Sheffield A&E system. Most patients go to the correct department. The numbers of acute admissions through the adult A&E have doubled. Measures of process efficiency show some improvement in times to admission. There has been measurable deterioration in the time to be seen for minor injuries in the A&E departments. This is partly offset by the very good waiting time to be seen in the minor injuries unit. The costs of providing the service within Sheffield have increased. CONCLUSION: Centralisation of A&E services in Sheffield has led to concentration of the most ill patients in a single adult department and separate paediatric A&E department. Despite a greatly increased number of admissions at the adult site this change has not resulted in increased waiting times for admission because of the transfer of adequate beds to support the changes. There has however been a deterioration in the time to see a clinician, especially in the A&E departments. The waiting times at the minor injury unit are very short.  (+info)

Improving the quality of the admission process in a French psychiatric hospital: impact on the expertise of the professional team. (3/18)

INTRODUCTION: A 20-month quality improvement project was undertaken in order to improve the patient admission process at a 350-bed French public psychiatric hospital. In addition to improving the quality of patient admissions, the project was expected to increase the expertise of quality improvement team members. METHODS: The project team consisted of two physicians, three heads of nursing, one senior manager, one member of the admissions staff and one secretary. A pharmacist acted as internal facilitator. The team used problem-solving methodology to identify and correct any shortcomings in the existing admission process. Validated data were collected before and after implementation of corrective actions. The team was trained to become more effective on the basis of a published how-to manual for building an effective work team. Team effectiveness was compared before and after the project. RESULTS: Changes in relevant variables were as follows: (i) patients going through the admissions department (40% after corrective action, versus 20% before); (ii) no delay in admission formalities for patients entering hospital by long-standing arrangement (100% versus 20%); and (iii) no delay in admission formalities for patients whose hospitalisation was not predetermined but foreseen (45% versus 0%). The expertise of team members improved in terms of the four tested items: meeting customers' needs and expectations (P< 2 x 10(-6)); contribution of the team to the internal quality improvement strategy (P< 0.01); understanding of the methodology (P< 0.04) and accountability (P< 2 x 10(-5)). Improvements in adherence to the mission statement were also observed. A total of 728 hours were spent on project management. DISCUSSION: Objective improvements were achieved; in particular, the team was shown to have become more effective. The extent to which the lessons learned here can be extrapolated may depend on the openness to change of members of other project teams. CONCLUSION: This project demonstrated that it is possible to put theory into action and thereby make progress. In order to advance further, a second quality improvement project is planned.  (+info)

Booked inpatient admissions and hospital capacity: mathematical modelling study. (4/18)

OBJECTIVES: To investigate the variability of patients' length of stay in intensive care after cardiac surgery. To investigate potential interactions between such variability, booked admissions, and capacity requirements. DESIGN: Mathematical modelling study using routinely collected data. SETTING: A cardiac surgery department. SOURCE OF DATA: Hospital records of 7014 people entering intensive care after cardiac surgery. MAIN OUTCOME MEASURES: Length of stay in intensive care; capacity requirements of an intensive care unit for a hypothetical booked admission system. RESULTS: Although the vast majority of patients (89.5%) had a length of stay in intensive care of < or = 48 hours, there was considerable overall variability and the distribution of stays has a lengthy tail. A mathematical model of the operation of a hypothetical booking system indicates that such variability has a considerable impact on intensive care capacity requirements, indicating that a high degree of reserve capacity is required to avoid high rates of operation cancellation because of unavailability of suitable postoperative care. CONCLUSION: Despite the considerable enthusiasm for booked admissions systems, queuing theory suggests that caution is required when considering such systems for inpatient admissions. Such systems may well result in frequent operational difficulties if there is a high degree of variability in length of stay and where reserve capacity is limited. Both of these are common in the NHS.  (+info)

How evidence based are therapeutic decisions taken on a medical admissions unit? (5/18)

OBJECTIVES: To audit the proportion of drug treatments started on a medical admissions unit that is justified by published evidence, and the proportion for which no justification could be found. METHODS: Retrospective review of randomly selected case notes to identify drug treatments started and the problem(s) for which they were prescribed, followed by literature searches. RESULTS: A total of 132 treatment-problem pairs were found, comprising 85 unique treatment-problem pairs. An evidence base was found in support of 78 of the treatments started (59.1%). A further 41 treatment-problem pairs could be argued to be reasonable practice (sometimes included in guidelines), even though no published trial data support them. Ninety per cent of drug treatments started on the medical admissions unit have either an evidence base or are accepted practice. CONCLUSIONS: Regular audit of this nature could be carried out on units admitting acute medical patients. Similar audits in internal medicine have delivered consistent results (50%-60%); there is a baseline level against which units can compare themselves. Clinical audit is an integral feature of clinical governance; all wards admitting acute medial patients could conduct similar audits on a random sample of patients.  (+info)

Post-endoscopy checklist reduces length of stay for non-variceal upper gastrointestinal bleeding. (6/18)

OBJECTIVE: To examine the effect of improved gastroenterologist-to-admitting service communication on hospital stay for upper gastrointestinal bleeding. HYPOTHESIS: a detailed checklist addressing factors relevant to discharge planning would shorten hospital stay, when added to the procedure report. DESIGN: Pre-post intervention design, recording balance measures (potential confounders). SETTING: A Canadian university hospital. STUDY PARTICIPANTS: Intermittent 5- to 7-day batches of consecutive emergency patients presenting with non-variceal upper gastrointestinal bleeding as their primary problem. The durations of the background and intervention periods were 3 months (beginning 9 June 2003) and 4 weeks (beginning 8 September 2003), respectively. INTERVENTION: The gastrointestinal bleeding Quality Improvement and Health Information multidisciplinary team (quality improvement personnel; emergency physicians, hospitalists, gastroenterologists, in-patient and endoscopy nurses) developed a one-page checklist, outlining detailed recommendations (3-Ds-diet, drugs, discharge plan) to append to the procedure report. MAIN OUTCOME MEASURES: Difference in median length of hospital stay was the primary endpoint. As balance measures, demographics, bleeding severity, comorbidities, readmission rates, and various benchmark times were recorded prospectively. RESULTS: Thirty-nine patients met the criteria in the background period (4 months, intermittently sampled), and 22 in the intervention period (4 weeks, continuously sampled). There were no significant baseline differences. Median in-patient stay was 7.0 (95% interquartile range 2-24) versus 3.5 (95% interquartile range 1-12) days for the background and intervention periods, respectively (P = 0.003). This remained significant when outliers (stay > 10 days) were removed (P = 0.02). CONCLUSION: A checklist, with very specific recommendations to the admitting service, significantly reduced hospital stay for non-variceal gastrointestinal bleeding.  (+info)

The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt. (7/18)

The authors describe a pragmatic approach to the introduction of clinical decision support at the point of care, based on a decade of experience in developing and evolving Vanderbilt's inpatient "WizOrder" care provider order entry (CPOE) system. The inpatient care setting provides a unique opportunity to interject CPOE-based decision support features that restructure clinical workflows, deliver focused relevant educational materials, and influence how care is delivered to patients. From their empirical observations, the authors have developed a generic model for decision support within inpatient CPOE systems. They believe that the model's utility extends beyond Vanderbilt, because it is based on characteristics of end-user workflows and on decision support considerations that are common to a variety of inpatient settings and CPOE systems. The specific approach to implementing a given clinical decision support feature within a CPOE system should involve evaluation along three axes: what type of intervention to create (for which the authors describe 4 general categories); when to introduce the intervention into the user's workflow (for which the authors present 7 categories), and how disruptive, during use of the system, the intervention might be to end-users' workflows (for which the authors describe 6 categories). Framing decision support in this manner may help both developers and clinical end-users plan future alterations to their systems when needs for new decision support features arise.  (+info)

Exploring if day and time of admission is associated with average length of stay among inpatients from a tertiary hospital in Singapore: an analytic study based on routine admission data. (8/18)

BACKGROUND: It has been postulated that patients admitted on weekends or after office hours may experience delays in clinical management and consequently have longer length of stay (LOS). We investigated if day and time of admission is associated with LOS in Tan Tock Seng Hospital (TTSH), a 1,400 bed acute care tertiary hospital serving the central and northern regions of Singapore. METHODS: This was a historical cohort study based on all admissions from TTSH from 1st September 2003 to 31st August 2004. Data was extracted from routinely available computerized hospital information systems for analysis by episode of care. LOS for each episode of care was log-transformed before analysis, and a multivariate linear regression model was used to study if sex, age group, type of admission, admission source, day of week admitted, admission on a public holiday or eve of public holiday, admission on a weekend and admission time were associated with an increased LOS. RESULTS: In the multivariate analysis, sex, age group, type of admission, source of admission, admission on the eve of public holiday and weekends and time of day admitted were independently and significantly associated with LOS. Patients admitted on Friday, Saturday or Sunday stayed on average 0.3 days longer than those admitted on weekdays, after adjusting for potential confounders; those admitted on the eve of public holidays, and those admitted in the afternoons and after office hours also had a longer LOS (differences of 0.71, 1.14 and 0.65 days respectively). CONCLUSION: Cases admitted over a weekend, eve of holiday, in the afternoons, and after office hours, do have an increased LOS. Further research is needed to identify processes contributing to the above phenomenon.  (+info)

Objective: To determine the effect of the introduction of an acute medical admissions unit (AMAU) on key quality efficiency and outcome indicator comparisons between medical teams as assessed by funnel plots.. Methods: A retrospective analysis was performed of data relating to emergency medical patients admitted to St James Hospital, Dublin between 1 January 2002 and 31 December 2004, using data on discharges from hospital recorded in the hospital in-patient enquiry system. The base year was 2002 during which patients were admitted to a variety of wards under the care of a named consultant physician. In 2003, two centrally located wards were reconfigured to function as an AMAU, and all emergency patients were admitted directly to this unit. The quality indicators examined between teams were length of stay (LOS) ,30 days, LOS ,30 days, and readmission rates.. Results: The impact of the AMAU reduced overall hospital LOS from 7 days in 2002 to 5 days in 2003/04 (p,0.0001). There was no change in ...
Trust Clinical Policy Directorate/Department/Specialist Group Emergency Department, Medical Admissions Unit and All wards and Departments Title Individualised Treatment for Acute Alcohol Withdrawal and
A prescription pad comprises a plurality of units each comprising an associated preprinted prescription leaf and preprinted check leaf; the preprinted prescription leaf bears a preprinted prescription for a distinct pharmaceutical product as well as a zone for entry of patient information and a zone for entry of the signature of the prescribing physician; the check leaf bears on one face a preprinted check in favor of a dispensing pharmacist, and has a value based on the value of the prescribed product and a dispensing fee, and has an endorsing zone preprinted with a dispensing acknowledgement legend relating to the preprinted prescription with an entry portion for entry of the endorsing signature of the dispensing pharmacist; the check leaf is preferably coded to identify the physican. The pad can be employed for the prescribing of free starter dosages of the pharmaceutical product for the patient or to provide the patient with a discount; the pharmacist is reimbursed simply by depositing the endorsed
Edmund Stubbs, February 2015. For a number of years we have been aware of higher mortality rates during weekend hospital admissions in the UK. Edmund Stubbs investigates whether this weekend effect exists in France and Germany, and how healthcare system differences in each country could influence this phenomenon.. Download PDF ...
Ivanhoe Newswire) -- Patients with end-stage renal disease (ESRD) who are admitted to the hospital during the weekend are at increased risk of death, according to this study. "Our study highlights poor outcomes for patients with ESRD admitted over the weekend," Ankit Sakhuja, MD, a third year resident in internal medicine at The Medical College of Wisconsin, Milwaukee was quoted as saying. "Further research is needed to identify the reasons for this weekend effect and to institute appropriate interventions.". The researchers used the national hospital database and compared mortality rates and other hospital outcomes for ESRD patients hospitalized on weekends rather than weekdays. There were more than 800,000 ESRD admissions during 2007, and about one fifth admitted over the weekend.. The mortality rate for ESRD patients admitted on weekends was significantly higher than those admitted on weekdays. With adjustment for other factors""including other medical conditions and hospital ...
Patients with end-stage renal disease (ESRD) who are admitted to the hospital during the weekend are at increased risk of death, says study
Conclusion Despite the high prevalence of problem drinking and its impact on health, doctors fail to utilise the screening tool in identifying harmful drinking despite its ease in completion as proven by its accurate use each time. This results in missed referrals for interventions to help prevent alcohol related illness and manage alcohol dependence. Improved staff awareness and education is essential to minimise the harmful consequences of alcohol and reduce hospital admissions.. ...
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Huppatz C, Gawarikar Y, Levi C, Kelly PM, Williams D, Dalton C, Massey P, Givney R, Durrheim DN. Should there be a standardised approach to the diagnostic workup of suspected adult encephalitis? A case series from Australia. BMC Infect Dis. 2010 Dec 15;10:353. doi: 10.1186/1471-2334-10-353. PubMed PMID: 21159185; PubMed Central PMCID: PMC3018438 ...
Der Bundesverband Menschen für Tierrechte will am 14. Juli zusammen mit den Vereinen „Münsteraner Initiative für Tierrechte" und „die tierbefreier" rund 20.000 Unterschriften für den sofortigen Stopp aller Tierversuche der Firma Covance Laboratories/Münster an Umweltministerin Bärbel Höhn übergeben. Die Unterschriften wurden im vergangenen halben Jahr gesammelt, nachdem das ZDF im Dezember 2003 in der Sendung "Frontal 21" undercover aufgenommene Bilder ausstrahlte, die einen brutalen Umgang mit den Versuchsaffen und katastrophale Haltungsbedingungen im Münsteraner Tierversuchslabor Covance demonstrierten. Bundesweit seien über 100 Strafanzeigen wegen Verstoßes gegen das Tierschutzgesetz erstattet worden ...
A few years ago one of our ED consultants decided to man triage herself. She basically turned away 50% of the timewasters with a preprinted letter that told them to go to see their GP. Those that argued with her were told that they would have to wait 4 hours to be added onto the database as in her medical opinion they were not emergencies so had no reason to visit an EMERGENCY department (so in effect would not be admitted) and after that, another 3-4 hours to be seen by a doctor. Abusive drunk patients were escorted to an empty room to sober up. Those that spent the night were given mops in the morning to clean up their own mess and two burly HCAs to make sure that they did. Brilliant. For a few days we were able to hit the targets without endangering people and the admissions units were not full up with drunks. Unfortunately she was hauled up by the ankles by the non clinical board members and told to stop being a naughty girl, as triage was not the job of a consultant. Quite why we now have a ...
The patient is randomised to either a control group where usual treatment and diagnostic work-up is performed or to an intervention group where usual treatment and diagnostic workup are supplemented by a sonographic examination of the heart, lungs and deep veins are performed within one hour after the primary evaluation. The primary evaluation is defined as the first evaluation of the patient by a physician in the Acute Medical Admission Department ...
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Nights and weekends have been described as times when the quality of care is at risk for poor outcomes. However, this study found no associations between patients admitted during these times and worse clinical outcomes.
Drinking too much is becoming a big problem in our admissions unit. We used to see alcohol problems occasionally, now we see them a lot. Today we admitted Kevin, age 44. He had been drinking at least a bottle of vodka every day for the past year or more. His friend called the ambulance because Kevin…
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The Gatekeepers: Inside the Admissions Process of a Premier College [Jacques Steinberg] on Amazon.com. *FREE* shipping on qualifying offers. |DIV|In the fall of 1999, |B|New York Times|/B| education reporter Jacques Steinberg was given an unprecedented opportunity to observe the admissions process at prestigious Wesleyan University. Over the course of nearly a year
Introduction: Whether weekend admission is associated with increased stroke mortality in Taiwan remains uncertain, partly because of an inadequate case-mix adjustment in other studies using an insurance claims databases.. Hypothesis: Adding the 7-item claims-based stroke severity index (SSI) to a multivariate logistic regression model might alter the analysis of the effect of weekend admission on 30-day stroke mortality.. Methods: We identified, in the Taiwan Longitudinal Health Insurance Database, which is linked with the National Death Registry, patients hospitalized for acute ischemic stroke between 2001 and 2013. The primary outcome was mortality 30 days post-admission. In base logistic regression models with and without the SSI, we tested the odds ratio (OR) of 30-day mortality in patient admitted on weekends using the covariates of age, sex, year of admission, Charlsons comorbidity index, brain surgery, physician specialty and surgical volume, hospital ownership, accreditation, and ...
by TimH , Jan 15, 2013. In previous research, studies have documented significant links between length of stay (LOS) over 24-hour periods and hospital occupancy, the number of ED admissions, and other factors. In the May 2012 Western Journal of Emergency Medicine, my colleagues and I published a study that looked at LOS in more discreet time periods than what earlier analyses have reported. We did this because ED crowding and volume can vary greatly during a given 24-hour period. We wanted to find out which factors were associated with LOS and whether this relationship was present during all or only specific 8-hour shifts. In our analysis, independent variables were measured during three 8-hour shifts. Shift 1 was from 7:00 am to 3:00 pm, shift 2 was from 3:00 pm to 11:00 pm, and shift 3 was from 11:00 pm to 7:00 am. For each shift, the numbers of ED nurses on duty, discharges, discharges on the previous shift, resuscitation cases, admissions and ICU admissions, and LOS on the previous shift, ...
It may take 5 business days for your application to be processed; please email Admissions if you apply for general admission within 10 days of the posted deadline.. It is the responsibility of the applicant to make sure all materials are received in the Admissions office on or before the October 1 deadline. In order to notify applicants of the status of their file, it is strongly recommended that the application be submitted one month in advance of the deadline, and applicants review their personal admission plan frequently. All questions concerning the admission process should be directed to the Admissions Office at 913-469-3438. ...
Once the interview process has been completed, each family will receive a letter from the admission committee informing them of the committees decision. Please note, an acceptance letter from the Admission Committee does not automatically confirm a course schedule at DCA. Due to the nature of our school, the registration process is separate from the admission process. If school records or placement testing indicate a significant academic problem, the student may be admitted provisionally, with specific guidelines involving student achievement, tutoring, parental responsibility, etc. If the student is able to register and show ability to perform successfully at DCA, the provisional status may be lifted. If, however, the student is not able to perform successfully, another placement may be recommended.. ...
Adverse drug reactions (ADRs) in older people currently represent a serious and growing public health problem. Polypharmacy and inappropriate prescribing (IP) are wellknown risk factors for ADRs, which commonly cause adverse clinical outcomes in older people IP encompasses potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs). STOPP/START criteria for potential IP in older people recognise the dual nature of IP by including a list of PIMs (STOPP criteria) and PPOs (START criteria). ...
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If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Centers RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.. ...
The diagnosis of stroke remains a clinical one, supported by imaging. Emergency departments and medical admission units need neurological expertise to help accomplish this.33. Diagnostic accuracy in stroke has been increased by improvement in imaging techniques. However, higher resolution brain imaging means that there is a greater risk of finding incidentalomas, not relevant to the presenting complaint.34 It is therefore essential to relate the clinical picture to the radiographic images. For example, a radiographic lacune may create confusion in a stroke mimic unless it is shown that the location of the lacune is clearly anatomically irrelevant to the neurological deficit, or that the lacune is chronic rather than from an acute lacunar infarction. A thorough review of the imaging with a neuroradiologist will help sort the wheat of real findings from the chaff of incidental findings.. It is also important to consider the pretest probability of the patient having cerebrovascular disease. An ...
The function of the unit is to prepare you for your surgery on the day of your admission. After your surgery you will go to the ward relevant to your surgery unless you are having day surgery in which case you will return to the DOSA unit recovery area. If you have special needs after your surgery you may go to the high dependency unit (Ward 5F on level 5) or the Intensive Care Unit on level 3. Your doctor will discuss this with you if this is expected.. Please note that it may be necessary to have both male and female patients in a bay.. Your Rights and Responsibilities is discussed in the patient information folder and a booklet is available in the unit for you to read. Please ask the nurse for a copy.. ...
Goldstein ND, LeVasseur MT, Tran NK, Purtle J, Welles SL, Eppes SC. Modeling HPV vaccination scale-up among urban young men who have sex with men in the context of HIV. Vaccine. In press.. Roberto CA, Lawman HG, LeVasseur MT, et al. Association of a Beverage Tax on Sugar-Sweetened and Artificially Sweetened Beverages With Changes in Beverage Prices and Sales at Chain Retailers in a Large Urban Setting. JAMA. 2019;321(18):1799-1810.. Lawman HG, Bleich SN, Yan J, LeVasseur MT, Mitra N and Roberto CA. Unemployment claims in Philadelphia one year after implementation of the sweetened beverage tax. PLoS One. 2019;14:e0213218.. LeVasseur MT, Goldstein ND, Tabb LP, Olivieri-Mui BL, Welles SL. The Effect of PrEP on HIV Incidence Among Men Who Have Sex With Men in the Context of Condom Use, Treatment as Prevention, and Seroadaptive Practices. J Acquir Immune Defic Syndr. 2018;77(1):31-40.. Hoffman S, Levasseur M, Mantell JE, et al. Sexual and reproductive health risk behaviours among South African ...
The objective of this work is to improve the quality of patient care in the admission office service of the University Hospital Virgen del Rocío (HUVR) by standardizing and systematizing its procedures using Lean methodology. The results have allowed HUVR to achieve continuous improvement in the process, eliminating the elements that do not add value.
Bhatnagar International School Vasant Kunj Age Criteria, Neighborhood Criteria, Sibling, Alumni and for general category guidelines for admission session 2017-18
UPMC Chautauqua WCA is Southwestern New Yorks largest not-for-profit healthcare provider, offering an extensive range of inpatient and outpatient acute and rehabilitation services.
The SASS program has a 24/7 staffing schedule with a backup schedule. SASS services are provided 365 days per year, 24 hours per day with acceptance of all referrals from CARES on a no-decline basis. The CARES line contact information is 800-345-9049.. The following criteria will be applied to determine age and financial eligibility ...
The hazing-related death of a Florida A&M band member has brought renewed public scrutiny to a practice that has gone on for years.
You may be assessed again during treatment to review your progress. Dosing ​. For safety, your first dose of methadone will be low or moderate. New patients usually start at a dose not to exceed 30. Your dose is then gradually increased until you reach the right dose. Your dose is right when withdrawal symptoms, drug cravings, drowsiness, and side effects fade. With a correct dose, you should feel more energetic, clear-headed, and able to do the things that matter in your life. Until you have adjusted, make sure not to drive a car or operate heavy machinery. ​. Drug Testing ...
Our dedicated and compassionate addiction recovery professionals will help get you the longest possible program to ensure long-term success.
About 6,000 California nurses staged a strike at several hospitals Thursday, protesting what they called an erosion of quality of care, the union said.
Next Wednesdays planned 24-hour strike by nurses will go ahead after talks aimed at preventing the action ended without an agreement.
Differences in hospital staffing may influence outcomes for patients with acute conditions, including acute exacerbations of COPD, depending on which day of week the patients are admitted. This study was conducted to determine whether weekend admission increases the risk of dying in the hospital.. We analysed the clinical data of 289,077 adults with acute exacerbations of COPD admitted to the hospital at any public centre in Spain, in 2006 and 2007. We analysed day of admission, demographic, medical history and comorbidity for their association with death rate. During the study period there were 35,544 (12.4%) deaths during admission in COPD patients. Weekend admissions were associated with a significantly higher in-hospital mortality (12.9%) than weekday admissions (12.1%) among COPD patients (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.04-1.10). The differences in mortality persisted after adjustment for age, gender, and co-existing disorders (1.05 OR 95% CI 1.02-1.08). Analyses of ...
I hope I never get gout. We see someone with this problem maybe once a month on our admissions unit. The usual story is a middle-aged or elderly person with a fairly sudden onset of severe joint pain. Usually gout can be managed at home, but last week we admitted George, a 68-year-old man living…
Our feeling of hotness comes from everyday experiences. These experiences indicate that many levels of hotness exist, and that all levels of hotness can be mapped to a real variable. Most of our feelings, however, cannot be mapped to a real variable. Think of happiness, love, anxiety. It is therefore extremely remarkable that the levels of hotness can be mapped to a real variable. What makes hotness so different from happiness? To appreciate the difference, we will reflect upon how we discover the levels of hotness by using a particular kind of everyday experience: thermal contact. We make the word hotness-in the precise way used here-synonymous to temperature. An essential step to understand how thermodynamics works is to get to know temperature. How is temperature abstracted from everyday experiences? ...
Legal The Sheffield & District Law Society look who s coming to dinner... Issue Eighteen January The Legal_Sheffield and District Law Society_January 2014 Legal The Sheffield & District Law Society
By Chris Goldberg Phillylacrosse.com, Posted 2/23/16 Radnor 2017 defender/midfielder Allison Lanzone has made a commitment to the admissions process at Bro
NUMS (National University of Medical Science) has announced their result recently. Now students are waiting for the further admission process for the NUMS
List of Colleges in Jalgaon: Find the list of top colleges of Engineering and other Technical Studies with their Courses, Fees, Ranking, Admission Process,
Rudra Matere, 3 months. Admission process was very quick, easy and efficient. We are very happy with Dr. Bhide Madam s clinical acumen, speed and effectiveness of treatment. All our investigations and x ray was done under one roof. ...
Rudra Matere, 3 months. Admission process was very quick, easy and efficient. We are very happy with Dr. Bhide Madam s clinical acumen, speed and effectiveness of treatment. All our investigations and x ray was done under one roof. ...
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Well, most bank transfer slips allow you to specify a comment. Some companies (like for instance, phone companies) send a preprinted transfer slip along with the bill, with a specific bill and customer number in the comment field. A computer will probably check that comment field.. If no comment is defined (or isnt valid), you can only hope its handled manually. So uhm mmm theres technology for you ...
Nuclear medicine department was set up here in 1969. OCC centre was opened in this hospital in 2002 to give medical and legal ... Nine students were admitted in first batch. New building has been built for dental college in old Sadar hospital. A decision to ... 20 bed Infectious disease hospital, leprosy control centre and 150 bed Sadar hospital were affiliated with this hospital. ... A canteen was opened firstly beside hospital kitchen which was shifted to the north side of pathology department in a tin shed ...
He was admitted to Khoo Teck Puat Hospital emergency department (ED) on 22 June 2013 with fever and low blood pressure. He was ... The woman, who was first seen at Tan Tock Hospital's Emergency Department on 11 November, had a history of fever. She was ... The victim was diagnosed as having viral fever on 23 May at Tan Tock Seng Hospital's Emergency Department. He was then ... The patient, who lived at Yishun Ring Road, had gone to the Khoo Teck Puat Hospital's Emergency Department on 28 September 2013 ...
He was released in December 2005 from a mental hospital after raping two minors, one being his niece. He never admitted to his ... The Justice Department also confirmed that DNA of a third person has been found on the bodies. The identity of this third ... The Justice Department confirmed that the girls were murdered by strangulation, while Nathalie's body showed the signs of ...
300 students were admitted and in 2014 the number was 700. Now Chopra Nagorik Committee has started to raise demand for ... Already Mr.Mustaque Alam, the Secretary had met the Minister of State for Health Department, Smt.Chandrima Bhattacharya and ... upgradation of CHOPRA BLOCK PRIMARY HEALTH CENTRE to a GRAMEEN HOSPITAL. ... 5". Government of West Bengal - Department of Panchayats & Rural Development. Retrieved 2011-03-12. "C.D. Block Wise Primary ...
"Half Of Older Americans Seen In Emergency Department In Last Month Of Life; Most Admitted To Hospital, And Many Die There". ... Olav's Hospital/Trondheim University Hospital and coordinates efforts between groups and individual researchers across Europe, ... hospitals, and prisons.[citation needed] The first United States hospital-based palliative care consult service was developed ... and other hospital support staff work systematically together to carry out end of life care and comfort in the hospital setting ...
The DNB training for these departments is 3 years. Two candidates are admitted to the department of CTVS. The period of ... Sri Lanka and Pakistan visit the hospital for treatment. The hospital started with the department of Cardiology and Cardio ... The CTVS department in the hospital conducts all types of cardiac surgeries, except heart transplants. One-third of the cardiac ... Various departments of the hospital organize yearly conferences which are attended by faculty members and delegates from across ...
Nine hospitals in the area admitted 182 injured people. San Francisco Fire Department Chief Joanne Hayes-White, after checking ... Ten people in critical condition were admitted to San Francisco General Hospital and a few to Stanford Medical Center. ... Chief of the San Francisco Fire Department Joanne Hayes-White stated that the department's 2009 ban on video recording devices ... "Even if they are not hurt or they don't go to hospital, we will still give them this money." The carrier may pay more after the ...
Patients ages six and up were admitted into the hospital. Contained within the facility was an accredited school, bowling alley ... beauty and barber shop, power plant, sewage disposal plant, fire department and security force. The hospital also helped ... Two years later, the hospital was renamed after Dr. Norman M. Beatty, a pioneer in hospital sanitation and a leading activist ... now the Logansport State Hospital). Created by the Indiana General Assembly in 1945, the facility admitted both mental patients ...
"Severe acute hypertension among inpatients admitted from the emergency department". Journal of Hospital Medicine. 7 (3): 203- ... About 14% of adults seen in hospital emergency departments in United States have a systolic blood pressure ≥180 mmHg. As a ... The rates of hypertensive crises has increased and hospital admissions tripled between 1983 and 1990, from 23,000 to 73,000 per ...
He was admitted to hospital but his health declined rapidly. Bob Braham died from a brain tumour on 7 February 1974 at the age ... He had always been interested in history and so he joined the Historic Sites Department of the Department of Indian Affairs and ... He had not taken much leave since the war began in 1939 and he admitted to becoming short-tempered with his family and those ... The five passengers (three officers and two girls) were all wounded, but one of the women later died in hospital. Once ...
Retrospective analysis of data from 1,290,804 adults admitted to hospital emergency departments in United States from 2005 ... "Severe acute hypertension among inpatients admitted from the emergency department". Journal of Hospital Medicine. 7 (3): 203- ... Based on another study in a US public teaching hospital about 60% of hypertensive crises are due to hypertensive urgencies. ... results from a public teaching hospital". Journal of Human Hypertension. 13 (4): 249-255. ISSN 0950-9240. PMID 10333343. ...
Kirkbride Buildings: Mount Pleasant State Hospital Tony Leys, "Branstad plan to shut mental hospitals called illegal", The Des ... The first patient was admitted in February 1861. It is a Kirkbride building, and was the first asylum in Iowa. Over the years, ... The Mount Pleasant Mental Health Institute is the oldest of the four Iowa Department of Human Services facilities serving ... It has been known by many names, including the Mount Pleasant Insane Asylum, the Mount Pleasant Hospital for the Insane and the ...
The hospital includes a full-service emergency department, open to everyone. It is a regional hospital in Jacksonville, Florida ... Mayo Clinic Jacksonville is the admitting hospital for the Mayo Clinic in Jacksonville, Florida. It has 304 beds and 22 ... "Best Hospitals Adult Specialty Rankings". U.S. News & World Report. July 10, 2008. Retrieved 2009-02-09. "Mayo Clinic expansion ... In a 2008 examination of 5,453 United States hospitals, US News & World Report ranked the facility 23rd in adult specialization ...
In 1934 she was admitted to a psychiatric hospital in Paris. Jeanne Tripier began creating works which blended image and text ... As an adult she lived in the Montmartre district of Paris, working as a salesgirl at a department store. At 58 she developed a ...
His death was attributed to the hot environment of the prison; his body temperature was over 109 when admitted to the hospital ... "Hutchins (HJ)". Texas Department of Criminal Justice. Retrieved 8 Aug 2016. Foxhall, Emily (26 June 2012). "Family Sues TDCJ ...
Benner decided to become a nurse while working in a hospital admitting department during college. She earned an associate ...
The hospital in 2006 had four medical doctors, nine nurses and five paramedics, and included an X-ray department, eye clinic, ... Patients of all faiths were admitted, and were expected to pay if they were able. During the outbreak of Ebola virus disease in ... There is also an hospital, The Lighthouse Mission Hospital & Fertility Center (LMHFC). These outfits are under the management ... LCI operates a basic school in Accra teaching to the junior secondary level, and in 2006 founded a 40-bed hospital at its ...
Initially admitted to the Royal Sussex Hospital, Brighton, he was transferred to St Francis' Hospital, Haywards Heath, where he ... After leaving the school in 1951 at the age of 15, Hanratty, still illiterate, joined the Public Cleansing Department of ... he was admitted to Wembley Hospital, where he remained for nine days. Shortly after his discharge, Hanratty left home for ... Usher admitted remembering Hanratty and the suitcase, and partly remembered the name of the man as 'Ratty'; he was located by ...
LTU will admit up to 32 students a year in the program. Lawrence Tech has hired Therese Jamison, DNP, ACNP-BC, as professor of ... John Providence hospital locations around metro Detroit. The new program will fall under Lawrence Tech's College of Arts and ... Bennie L. Benjamin, B.S. Civil Engineering 1955 - retired director of the Detroit Water and Sewerage Department, which serves ... The university has admitted its first recruiting class of more than 40 student-athletes for a team that will compete as an ...
... presenting with chest pain in the emergency department will be placed in an observation unit or admitted to the hospital. 1.5 ... of all emergency department in the United States and is the most common reason for hospital admission. The rate of emergency ... In the emergency department the typical approach to chest pain involves ruling out the most dangerous causes: heart attack, ... Children with chest pain account for 0.3% to 0.6% of pediatric emergency department visits. Chest pain may present in different ...
The Institute had 800 beds and there were over 3,000 patients waiting to be admitted to the hospital. The diagnostic department ... The first patient was admitted to the new hospital on June 6, 1960. ... The first hospital was built for the Institute for Tuberculosis (today's Institute for Lung diseases) in 1957. ... Sremska Kamenica Institute is one of the most modern[citation needed] and well known[citation needed] institutes and hospitals ...
He graduated from the collegiate department of Harvard University in 1877 and from the law department in 1880. He was admitted ... He served as director of the Rochester General Hospital 1889-1918. He served as member of the board of managers of the New York ...
Department of Psychiatry at the University of Lisbon Faculty of Medicine and Head of the Psychiatric Department at the Hospital ... On the strength of their research both were admitted to the Collegium Internationale Neuro-Psychopharmacologicum in 1978. ... Mental Health Services at the Hospital de Santa Maria in Lisbon and subsequently became the head of its Psychiatric Department ... She then worked as an assistant professor in the psychology department of the university's Faculty of Medicine and took post- ...
Page died in a hospital at age 85 in Milwaukee, Wisconsin on February 25, 1959. Page was elected to the Assembly in 1904 and as ... and was admitted to the bar in the same year. Page then served as Milwaukee District Court judge for twenty-four years. ... but resigned the same year to enter the Law Department of the Columbian University in Washington, D.C. (later George Washington ...
He was admitted to the hospital on July 1. His age was 64. "M'Elligott Rites Attended By 2,500. Spellman, La Guardia, O'Brien ... Mayor La Guardia, swearing in the new Commissioner, simply remarked: "John J. M'Elligott Dies In Hospital, 64. Fire Department ... John J. McElligott, former Fire Commissioner and Chief of the department, the first man in the city's history to hold both ... Patrick's Cathedral for John J. McElligott, former Fire Commissioner and chief of the department, who died on Friday at the age ...
However, his symptoms continued to worsen, and he was admitted to Yambuku Mission Hospital on 5 September. Lokela died on 8 ... "S.F. Dept Public Health - Infectious Disease Emergencies. July 2008. Archived from the original (PDF) on 20 April 2013. ... "Ebola case confirmed in Glasgow hospital". BBC News Online. 29 December 2014. Archived from the original on 29 December 2014.. ... In field or mobile hospitals, the most common and sensitive diagnostic methods are real-time PCR and ELISA.[99] In 2014, with ...
For the best Dog Oncology Vet or Cat Oncology Vet in NJ contact Oradell Animal Hospital. Offering 24hr emergency vet care. ... Oradell Animal Hospital is your NJ veterinarian specializing in Veterinarian Oncology. ... 24 hours a day and will then be evaluated by the oncology department when they are in the hospital. ... If you or your veterinarian feels that your pet is critical and cannot wait for an appointment, your pet can be admitted ...
The association between hospital overcrowding and mortality among patients admitted via Western Australia emergency departments ... The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital ... The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital ... 65 years of age admitted to acute care in a tertiary hospital from the emergency department in an 8-month period ...
Social obstetrics: non-local expectant mothers admitted through accident and emergency department in a public hospital in Hong ... 1 Department of Obstetrics and Gynaecology, Kwong Wah Hospital, 25 Waterloo Road, Hong Kong ... 3 Department of Accident and Emergency, Kwong Wah Hospital, 25 Waterloo Road, Hong Kong ... 2 Department of Paediatrics, Kwong Wah Hospital, 25 Waterloo Road, Hong Kong ...
Efficacy of hospital in the home services providing care for patients admitted from emergency departments: an integrative ... Increases in emergency department (ED) demand may compromise patient outcomes, leading not only to overcrowding in the ED, ... Hospital in the home (HiTH) services may offer one means of reducing ED demand. ... This integrative review sought to assess the efficacy of admission-avoidance HiTH services that admit patients directly from ...
... involved with the department's acquisition of a horse belonging to his daughter. Previously, Beck vehemently denied taking ... LAPD Chief Charlie Beck admitted Wednesday night that he was, in fact, ... Florida Hospital to acquire Ocala hospital. Copyright © 2018, Orlando Sentinel. * Los Angeles Police Department ... LAPD Chief Charlie Beck admitted Wednesday night that he was, in fact, involved with the departments acquisition of a horse ...
Our Admitting department, located in the main lobby, is at your disposal for any information you may require during the ... Our Admitting department, located in the main lobby, is at your disposal for any information you may require during the ...
Sanjay Dutt Admitted To Lilavati Hospital; Actor Says, My COVID Report Is Negative, Should Be Home In A Day Or Two. Spotboye ... Abhishek Bachchan Kept His Hopes High in the Hospital by Listening to Shah Rukh Khan Songs. News18 ...
... ... Evaluation of intoxication cases admitted to Emergency Department of a University Hospital-, Dicle Medical Journal / Dicle Tip ...
47th Mobile Army Surgical Hospital - US Army - Korean War Project - Almost three thousand units pages are available at the ... 1954.I was in the admitting dept. Keywords: Entry: 56983 Subject: A LONG TIME AGO ... I served in the Radiology Dept. Personnel assigned included Turner, Kamholz, MacDonald, NCOIC., Stanly and myself. The hospital ... Subject: 47TH MASH HOSPITAL Glen Palmer wrote on August 28, 2010. Send Email To GLEN PALMER. City and State: SUMNER WA. Unit: ...
In most teaching hospitals, resident physicians complete death certificates. The objective of this study was to examine the ... Death certificates are typically processed by personnel in the hospital admitting department. The admitting personnel may help ... Hospital/admitting department personnel. 17 (4.9). 10 (7.1). The death certificate system not allowing certain diagnoses as ... In most hospitals the admitting department staff assists physicians in proper completion of death certificates. Have you ever ...
Ysbyty Gwynedd Emergency Department sees increase in patients with jellyfish stings on ITV News, videos, stories and all the ... Dr Jennifer Hulse, who works at the hospital, said: The majority of jellyfish stings do not need any medical attention and can ... The Emergency Department at Ysbyty Gwynedd has seen an increase in patients with jellyfish stings during the recent warm ... So its very rare that we need to see them in the Emergency Department. ...
Mass murderer Charles Manson is in a Bakersfield hospital, though the severity of his condition is unclear, it was reported ... Charles Manson Admitted to Hospital: Report. A spokeswoman for the California Department of Corrections and Rehabilitation ... NBC4 has not independently verified that Manson was admitted.. Vicky Waters, a spokeswoman for the California Department of ... In January, Manson, 83, was rushed to Mercy Hospital in Bakersfield for what authorities at the time would describe only as a ...
Internal State Department documents released on Tuesday as part of a Freedom of Information Act lawsuit brought by Judicial ... Hospital Admits It Cant Find Remains of Newborn Baby After Parents File Lawsuit ... Documents Show State Dept. Closely Coordinated With Clinton Foundation After Benghazi Attacks. Chris WhiteMar 22nd, 2016, 2:55 ... Clintons State Dept. staff and Clinton Foundation staff in relation to a 2009 speech given by Sec. Clinton at a Clinton ...
Department of Anesthesiology, George Washington University, Washington, DC, USA.. Abstract. OBJECTIVE: To describe outcomes and ... Patients with COPD admitted to an ICU for an acute exacerbation have a substantial hospital mortality (24%). For patients aged ... Hospital and 1-year survival of patients admitted to intensive care units with acute exacerbation of chronic obstructive ... Hospital mortality for the 362 admissions was 24%. For the 167 patients aged 65 years or older, mortality was 30% at hospital ...
Department of Infectious Diseases and Microbiology, Childrens Hospital Westmead, New South Wales.. 7. School of Paediatrics ... Influenza Epidemiology, Vaccine Coverage and Vaccine Effectiveness in Children Admitted to Sentinel Australian Hospitals in ... Department of Infection and Immunity, Monash Childrens Hospital, Monash Health, Melbourne, Victoria.. 11. Monash Centre of ... Department of Infectious Disease, Perth Childrens Hospital, Perth.. 3. PathWest Laboratory Medicine, QEII Medical Centre, ...
Admitted Patients. 10 a.m. - 8 p.m. daily. For specialized care units, check with nurses station to determine appropriate ... Emergency Departments, Urgent Cares, Surgical Services**, Outpatient Areas, Provider Offices - Maximum of 2 masked support ... Hospital Visiting Policies and Hours. Support Person Guidelines. An important aspect of care and healing is having a family ... Hospital Visiting Hours - All Medical Centers. Note: The number of support persons/visitors allowed per patient is subject to ...
Risks associated with suspected dysphagia in infants admitted to a neonatal intensive care unit in a South African public ... hospital.(RESEARCH, Report) by South African Journal of Child Health; Health, general Cross infection Care and treatment ... 18.] National Department of Health, 2013. The 2012 National antenatal sentinel HIV and Herpes simplex type-2 prevalence survey ... who were admitted to a peri-urban public hospital. GA was determined using the mothers last menstrual period. Birth weight was ...
... the accreditation department assists hospitals with achieving Joint Commission (formerly JCAHO) accreditation and compliance ... Los Angeles hospital admits to radiation errors. Cedars-Sinai Medical Center in Los Angeles, CA, has found that it accidentally ... Evidence-based hospital design: Coming to a hospital near you. Most brand new hospitals being built today take evidence-based ... American Hospital Association, McKesson award three hospitals Quest for Quality Prize. The American Hospital Association and ...
Self-referred patients were more likely than healthdirect-referred patients to be admitted to hospital (P , 0.01), referred to ... 12. Richardson DB, Mountain D. Myths versus facts in emergency department overcrowding and hospital access block. Med J Aust ... 14. Fatovich D, Jacobs I. Emergency department telephone advice: a survey of Australian emergency departments. Emerg Med ... those who were recommended to attend the ED were significantly more likely to be admitted to hospital (30.7% [78/254; 95% CI, ...
... were admitted to hospital. Nearly one-third of presentations (31.5%) were associated with at least one other mental health ... Increasing impact of mental health presentations on New South Wales public hospital emergency departments 1999-2006. Emerg Med ... descriptive analysis of linked Emergency Department Data Collection registry data for presentations to NSW public hospital EDs ... The emergency department (ED) is often the first point of contact with the health system for people in mental distress,10,11 ...
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Three Pinal County employees have been placed on leave after a report detailed that the countys public works department was ... Trent Franks announces he is resigning immediately after wife is admitted to hospital. December 8, 2017 , 12:02 pm ... Home / Home news / Report: Pinal County dept. like Animal House. Report: Pinal County dept. like Animal House. By: The ... A.J. Blaha Animal House Arizona Greg Stanley Pinal County public works department Tina Lawson 9:40 am Wed, June 19, 2013 ...
The Houses main investigative committee has subpoenaed Attorney General Eric Holder and other Justice Department officials, ... Trent Franks announces he is resigning immediately after wife is admitted to hospital. December 8, 2017 , 12:02 pm ... Home / Home news / House panel subpoenas Justice Dept. in gun case. House panel subpoenas Justice Dept. in gun case. By: The ... Trent Franks announces he is resigning immediately after wife is admitted to hospital ...
Predictors of risk in patients with unstable angina admitted to a district general hospital. ... Predictors of risk in patients with unstable angina admitted to a district general hospital. ... PATIENTS--All patients admitted with chest pain in whom no infarct was confirmed by subsequent electrocardiographic or enzyme ... The presence of either abnormal enzyme activity or more than five episodes of pain in hospital identified a group of 49 in whom ...
  • For the 167 patients aged 65 years or older, mortality was 30% at hospital discharge, 41% at 90 days, 47% at 180 days, and 59% at 1 year. (nih.gov)
  • Development of nonrespiratory organ system dysfunction was the major predictor of hospital mortality (60% of total explanatory power) and 180-day outcomes (54% of explanatory power). (nih.gov)
  • Respiratory physiological variables (respiratory rate, serum pH, PaCO2, PaO2, and alveolar-arterial difference in partial pressure of oxygen [PAO2-PaO indicative of advanced dysfunction were more strongly associated with 180-day mortality rates (22% of explanatory power) than hospital death rates (4% of explanatory power). (nih.gov)
  • severity of the underlying respiratory function substantially influences mortality following hospital discharge. (nih.gov)
  • Mortality among Kenyan children admitted to a rural district hospital on weekends as compared with weekdays. (ox.ac.uk)
  • There were no significant differences between the 2 models of care with respect to subspecialty consultation, hospital readmission, or mortality rates. (aappublications.org)
  • The staff-only hospitalist system was associated with a significant reduction in the hospital length of stay, without evidence of adverse effects on mortality or readmission rates, compared with the staff/hospitalist system. (aappublications.org)
  • They experience poorer short-term outcomes than those admitted during normal working hours, after correcting for known independent predictors of outcome and early mortality. (bmj.com)
  • 7-10 These have suggested differences in access to stroke expertise and facilities and also worse outcomes across a range of indicators for patients with stroke admitted at weekends, including increased mortality and a reduction in patients returning to their usual place of residence. (bmj.com)
  • After adjustment for age, sex, stroke severity, hospital facilities or stroke specialist involvement, increased mortality has still remained significant. (bmj.com)
  • There was no significant difference in the maternal and neonatal outcomes between women who had no booking and those who had a booking in another Hospital Authority or private hospital. (hkmj.org)
  • Given evidence suggesting that HiTH services which recruit patients directly from the ED contribute to cost-savings, greater patient satisfaction and safety and efficacy outcomes that are at least equivalent to those associated with hospital-based care, the expansion of such programmes might therefore be considered a priority for policy makers. (ovid.com)
  • A public hospital in Hong Kong. (hkmj.org)
  • All women who held the People's Republic of China passport or the two-way permit and those non-eligible persons whose spouses were Hong Kong Identity Card holders, who delivered in Kwong Wah Hospital from 1 April 2011 to 31 March 2012. (hkmj.org)
  • Records of all children hospitalised at United Christian Hospital in Hong Kong for suspected child abuse from January 2012 to December 2014 were reviewed. (hkmj.org)
  • In Hong Kong, approximately 1000 children are admitted to hospitals each year for suspected child abuse. (hkmj.org)
  • A Multi-Disciplinary Case Conference on Protection of Child with Suspected Abuse (MDCC) is recommended as stated in the Procedural Guide for Handling Child Abuse Cases of the Social Welfare Department of the Hong Kong Special Administrative Region (HKSAR) Government. (hkmj.org)
  • I was with the unit just a short time, maybe only a couple of months and evacuated to a major hospital in Pusan and later to a General Hospital just outside of Tokyo. (koreanwar.org)
  • Predictors of risk in patients with unstable angina admitted to a district general hospital. (bmj.com)
  • The ACGME-accredited Pain Medicine Fellowship at Massachusetts General Hospital is a 12-month program begun after successful completion of an ACGME-accredited residency program. (massgeneral.org)
  • The Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital follows all minimum selection criteria as delineated in the Institutional Policy on Selection (PDF) . (massgeneral.org)
  • Following a shark attack of a life saver, Leo Vincent Ryan, at Burleigh Heads, which highlighted the lack of emergency facilities in the region, the decision was made to build a general hospital adjoining the new maternity hospital. (wikipedia.org)
  • By 1954, the region had 20,000 residents, plans for the general hospital had not progressed and the lack of public hospital facilities was being discussed in the newspapers. (wikipedia.org)
  • Six years later, on the 2 April 1960 and after four decades of lobbying, the Southport General Hospital was officially opened. (wikipedia.org)
  • Conclusions Patients with stroke admitted out of hours and at weekends or public holidays are less likely to be managed according to current guidelines. (bmj.com)
  • 6 Whether a case is abuse or not is concluded by the MDCC that involves doctors, nurses, psychologists, medical social workers, social workers from Social Welfare Department or non-governmental organisations, school personnel, and the police. (hkmj.org)
  • The OB nurses in our hospital are well-versed in how to deal with post-surgical patients. (allnurses.com)
  • GPs can treat many conditions you might otherwise go to an emergency department for, such as removing stitches, sprains and strains, bites and stings, viruses or infections, eye injuries, and prolonged illness or injury. (qld.gov.au)
  • The Australian Influenza Report is compiled from a number of data sources, including laboratory-confirmed notifications to NNDSS, sentinel influenza-like illness reporting from general practitioners and emergency departments, workplace absenteeism, and laboratory testing. (health.gov.au)
  • Levels of influenza-like illness (ILI) in the community show signs of increasing through some surveillance systems (WA and NSW Emergency Departments, Flutracking and absenteeism). (health.gov.au)
  • The site, also known as the 'old rectory' and approved by the Home Office as being suitable for hospital, was retained by Mr. Black on the understanding that it would be sold at the purchase price to the Southport Memorial Hospital Committee, which had been established in 1918, when funds and plans had progressed further. (wikipedia.org)
  • Hospital administrative staff helps to prepare the certificate and ensures it is completed in a timely manner. (cdc.gov)
  • In addition to the Libya matter, the documents provide additional evidence of coordination between Sec. Clinton's State Dept. staff and Clinton Foundation staff in relation to a 2009 speech given by Sec. Clinton at a Clinton Foundation event. (archive.org)
  • The documents show State Dept. staff requested an official list of Clinton Foundation supporters (donors) so then-Sec. Clinton could be sure to specifically thank those groups and individuals in her speech. (archive.org)
  • Our admitting staff will ask you to sign a form that permits the hospital to release information to your insurance company, Medicare or Medicaid. (rush.edu)
  • The median length of hospital stay was reduced by 14% for patients admitted to the staff-only hospitalist system, compared with the staff/housestaff hospitalist system (2.5 and 2.9 days, respectively). (aappublications.org)
  • The Pain Medicine Fellowship is a unique training program affording fellows a close-knit and supportive learning environment with access to the activities and staff of the Mass General Center for Pain Medicine, Harvard Medical School and affiliated departments and programs. (massgeneral.org)