Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Hospitals, General: Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.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.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Hospitals, Pediatric: Special hospitals which provide care for ill children.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.Hospitals, District: Government-controlled hospitals which represent the major health facility for a designated geographic area.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.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Length of Stay: The period of confinement of a patient to a hospital or other health facility.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.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 Departments: Major administrative divisions of the hospital.Hospitalization: The confinement of a patient in a hospital.Hospitals, Psychiatric: Special hospitals which provide care to the mentally ill patient.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 Records: Compilations of data on hospital activities and programs; excludes patient medical records.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Equipment and Supplies, Hospital: Any materials used in providing care specifically in the hospital.Libraries, Hospital: Information centers primarily serving the needs of hospital medical staff and sometimes also providing patient education and other services.Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Hospitals, County: Hospitals controlled by the county government.Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Hospital Bed Capacity, 500 and overAmerican Hospital Association: A professional society in the United States whose membership is composed of hospitals.Hospitals, Municipal: Hospitals controlled by the city government.Food Service, Hospital: Hospital department that manages and supervises the dietary program in accordance with the patients' requirements.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.Cross Infection: Any infection which a patient contracts in a health-care institution.Obstetrics and Gynecology Department, Hospital: Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.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.Hospitals, Religious: Private hospitals that are owned or sponsored by religious organizations.United StatesHospitals, Maternity: Special hospitals which provide care to women during pregnancy and parturition.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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Inpatients: Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Infant, Newborn: An infant during the first month after birth.Nursing Service, Hospital: The hospital department which is responsible for the organization and administration of nursing activities.Hospital Shared Services: Cooperation among hospitals for the purpose of sharing various departmental services, e.g., pharmacy, laundry, data processing, etc.Laboratories, Hospital: Hospital facilities equipped to carry out investigative procedures.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.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Hospital Bed Capacity, under 100EnglandQuality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Hospital Bed Capacity, 100 to 299Hospitals, Military: Hospitals which provide care for the military personnel and usually for their dependents.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.Hospitals, AnimalHospitals, Veterans: Hospitals providing medical care to veterans of wars.Tertiary Care Centers: A medical facility which provides a high degree of subspecialty expertise for patients from centers where they received SECONDARY CARE.Anti-Bacterial Agents: Substances that reduce the growth or reproduction of BACTERIA.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).Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.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.Purchasing, Hospital: Hospital department responsible for the purchasing of supplies and equipment.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.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.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Nurseries, Hospital: Hospital facilities which provide care for newborn infants.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.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)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.Psychiatric Department, Hospital: Hospital department responsible for the organization and administration of psychiatric services.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.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.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)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.Housekeeping, Hospital: Hospital department which manages and provides the required housekeeping functions in all areas of the hospital.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Cohort 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.Oncology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cancer patient.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.)Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.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.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.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.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.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.Health Facility Merger: The combining of administrative and organizational resources of two or more health care facilities.Medical Records: Recording of pertinent information concerning patient's illness or illnesses.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.Hospitals, Chronic Disease: Hospitals which provide care to patients with long-term illnesses.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Personnel Administration, Hospital: Management activities concerned with hospital employees.Catchment Area (Health): A geographic area defined and served by a health program or institution.Formularies, Hospital: Formularies concerned with pharmaceuticals prescribed in hospitals.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.Economic 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.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.Child, Hospitalized: Child hospitalized for short term care.Acute Disease: Disease having a short and relatively severe course.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.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.BrazilMulti-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.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.Health Facility Closure: The closing of any health facility, e.g., health centers, residential facilities, and hospitals.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Hospitals, Group Practice: Hospitals organized and controlled by a group of physicians who practice together and provide each other with mutual support.Great BritainDay Care: Institutional health care of patients during the day. The patients return home at night.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.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)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.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.Nigeria: A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.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.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.Hospital-Patient Relations: Interactions between hospital staff or administrators and patients. Includes guest relations programs designed to improve the image of the hospital and attract patients.Uncompensated Care: Medical services for which no payment is received. Uncompensated care includes charity care and bad debts.Ancillary Services, Hospital: Those support services other than room, board, and medical and nursing services that are provided to hospital patients in the course of care. They include such services as laboratory, radiology, pharmacy, and physical therapy services.Dental Service, Hospital: Hospital department providing dental care.Hospitals, High-Volume: Hospitals with a much higher than average utilization by physicians and a large number of procedures.Insurance, Hospitalization: Health insurance providing benefits to cover or partly cover hospital expenses.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.Radiology Department, Hospital: Hospital department which is responsible for the administration and provision of x-ray diagnostic and therapeutic services.Transportation of Patients: Conveying ill or injured individuals from one place to another.Societies, Hospital: Societies having institutional membership limited to hospitals and other health care institutions.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)LondonIndiaRegistries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.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.Cost Allocation: The assignment, to each of several particular cost-centers, of an equitable proportion of the costs of activities that serve all of them. Cost-center usually refers to institutional departments or services.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.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)Maintenance and Engineering, Hospital: Hospital department whose primary function is the upkeep and supervision of the buildings and grounds and the maintenance of hospital physical plant and equipment which requires engineering expertise.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).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.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.Staphylococcal Infections: Infections with bacteria of the genus STAPHYLOCOCCUS.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.CaliforniaDisease Outbreaks: Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS.Academic Medical Centers: Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.Home Care Services, Hospital-Based: Hospital-sponsored provision of health services, such as nursing, therapy, and health-related homemaker or social services, in the patient's home. (Hospital Administration Terminology, 2d ed)ScotlandCost 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.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Chi-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.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.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.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.Health Services Misuse: Excessive, under or unnecessary utilization of health services by patients or physicians.SwitzerlandHealth 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.Centralized Hospital Services: The coordination of services in one area of a facility to improve efficiency.Governing Board: The group in which legal authority is vested for the control of health-related institutions and organizations.Spain: Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.Microbial Sensitivity Tests: Any tests that demonstrate the relative efficacy of different chemotherapeutic agents against specific microorganisms (i.e., bacteria, fungi, viruses).Hospitals, Low-Volume: Hospitals with a much lower than average utilization by physicians and smaller number of procedures.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Benchmarking: Method of measuring performance against established standards of best practice.Hospitals, Packaged: Hospital equipment and supplies, packaged for long-term storage, sufficient to set up a general hospital in an emergency situation. They are also called Packaged Disaster Hospitals and formerly Civil Defense Emergency Hospitals.Patient Safety: Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers.Patient 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.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.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.Odds Ratio: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.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.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Outpatients: Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.Sex 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.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Health Facility Environment: Physical surroundings or conditions of a hospital or other health facility and influence of these factors on patients and staff.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.Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.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.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Pneumonia: Infection of the lung often accompanied by inflammation.Intensive Care: Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.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.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.JapanFrance: 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.TaiwanPathology Department, Hospital: Hospital department which administers and provides pathology services.Drug Utilization: The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.Tertiary Healthcare: Care of a highly technical and specialized nature, provided in a medical center, usually one affiliated with a university, for patients with unusually severe, complex, or uncommon health problems.Physicians: Individuals licensed to practice medicine.Chief Executive Officers, Hospital: Individuals who have the formal authority to manage a hospital, including its programs and services, in accordance with the goals and objectives established by a governing body (GOVERNING BOARD).Delivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Hospital Communication Systems: The transmission of messages to staff and patients within a hospital.Community-Acquired Infections: Any infection acquired in the community, that is, contrasted with those acquired in a health care facility (CROSS INFECTION). An infection would be classified as community-acquired if the patient had not recently been in a health care facility or been in contact with someone who had been recently in a health care facility.Nursing Administration Research: Research concerned with establishing costs of nursing care, examining the relationships between nursing services and quality patient care, and viewing problems of nursing service delivery within the broader context of policy analysis and delivery of health services (from a national study, presented at the 1985 Council on Graduate Education for Administration in Nursing (CGEAN) meeting).Heart Arrest: Cessation of heart beat or MYOCARDIAL CONTRACTION. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation.
Historically, about half of all burns were deemed preventable. Burn prevention programs have significantly decreased rates of ... The first hospital to treat burns opened in 1843 in London, England and the development of modern burn care began in the late ... Burns are generally preventable. Treatment depends on the severity of the burn. Superficial burns may be managed with little ... The hypermetabolic state that may persist for years after a major burn can result in a decrease in bone density and a loss of ...
Royal Alexandria Hospital (UK). Prescribing errors are the largest identified source of preventable errors in hospitals (IOM, ... overall but more importantly decrease harm to patients by 55%. A Leapfrog (2004) survey found that 16% of US clinics, hospitals ... from 44,000 to 98,000 preventable deaths annually due to medical error in hospitals, 7,000 preventable deaths related to ... Despite the shocking and widely publicized statistics on preventable deaths due to medical errors in America's hospitals, the ...
Experts agree that the decrease in regular visits can lead to an increase in preventable and treatable illnesses in dogs and ... veterinary hospitals are not required to be accredited. Accredited hospitals are the only hospitals in the U.S. and Canada that ... A complete list of accredited hospitals in the U.S. and Canada can be found using the AAHA hospital locator tool. To become ... The American Animal Hospital Association (AAHA) is a non-profit organization for companion animal veterinary hospitals. ...
... and decrease preventable deaths. There are also several publications on healthcare efficiency dealing with decreased lengths of ... Only about two percent of US hospitals earn the prestigious 100 SafeCare Hospitals® distinction, with the top 50 hospitals ... These include analytical software applications for CMS Hospital Value Based Purchasing, Hospital Readmissions Reduction Program ... and special cause hospital inspections. As part of hospital inspections, Safeek analyzed care systems for risk-points which ...
Decreasing levels may be attributed to conversions of diesel to natural gas combustion as well as improved regulations. The ... They found that deaths and hospital visits that were caused my particulate matter in the air were primarily due fine ... A 2011 study concluded that traffic exhaust is the single most serious preventable cause of heart attack in the general public ... was published 2008 and found an association with hospital admissions for cardiovascular diseases but no evidence of an ...
It is usually preventable, unless caused by medical conditions that have been estimated to affect up to five percent of women. ... The Baby Friendly Hospital Initiative is a program launched by WHO in conjunction with UNICEF in order to promote infant ... Breastfeeding may decrease the risk of cardiovascular disease in later life, as indicated by lower cholesterol and C-reactive ... Currently, 468 hospitals in the United States hold the "Baby-Friendly" title in all 50 states. Globally, there are more than ...
... decreasing food production, and internal migration. The province has one referral hospital, 10 health centers, and 17 health ... Check date values in: ,access-date= (help) World Health Organization (WHO) (2013b). globalsummary "WHO vaccine-preventable ... However, the case fatality rate has decreased from 15% to 0.3% from 1980 to 2010 HIV emerged as a major infection affecting the ... Although the reported cases of malaria and malaria mortality have decreased, since the disease is more prevalent in the rural ...
... is an American pediatric surgeon who was the first woman to train in pediatric surgery at Babies Hospital, ... One thing she particularly noticed was the number of preventable accidents the children in the area suffered from. Upon ... Injuries due to children falling out of windows in the Washington Heights neighborhood decreased by 96 percent by 1981. The ... She then received a training fellowship at Babies Hospital Columbia University Medical Center, where she was the first woman to ...
The number of cases of CAD for a given age has also decreased between 1990 and 2010. In the United States in 2010 about 20% of ... Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided. Prevention involves adequate ... This process usually necessitates admission to hospital, and close observation on a coronary care unit for possible ... Dietary changes can decrease coronary artery disease. For example, data supports benefit from a plant-based diet and aggressive ...
... out-of-hospital births (such as home births and birthing centers) "generally provided a lower risk profile than hospital births ... Access to prenatal care is an essential component for a healthy pregnancy, which decreases the chances of maternal mortality; ... Furthermore, the Centers for Disease Control and Prevention (CDC) declares that 60% of these deaths are preventable. According ... The Hospital Corporation of America has found that a uniform guideline for birth can improve maternal care, thereby reducing ...
Her approach was based on familial education in order to help decrease the rates of petty crime and preventable diseases. Arns ... working in local hospitals tending to infants; she was then given charge of a string of clinics on the impoverished outskirts ... to help contain a smallpox epidemic and watching her mother arrange for a sick neighbour to be taken to the nearest hospital on ...
Theoretically, a decrease in portal pressures is thought to reverse the hemodynamic phenomena that ultimately lead to the ... The condition is quite common: approximately 10% of individuals admitted to hospital with ascites have HRS.[9] A retrospective ... Some of the triggers for HRS are induced by treatment of ascites and can be preventable. The aggressive use of diuretic ... Oliguria, which is a decrease in urine volume, may occur as a consequence of kidney failure; however, some individuals with HRS ...
Junctional arterial injuries can rapidly lead to death by exsanguination prior to care in the hospital so out-of-hospital ... Despite the success of widespread tourniquet deployment to limit combat casualties, many preventable deaths from hemorrhage ... with the highest pressures localized around the cuff centerline and decreasing to zero near the cuff edges. A high rate of ... and recent evidence from combat hospitals in Iraq suggests that morbidity rates are low when users adhere to standard best ...
HACE is generally preventable by ascending gradually with frequent rest days while climbing or trekking.[25][19] Not ascending ... Diuretics may be helpful, but pose risks outside of a hospital environment.[8] Sildenafil and tadalafil may help HACE,[32] but ... These devices simulate a decrease in altitude of up to 7000 ft, but they are resource intensive and symptoms will often return ... Data about HACE are lacking because it generally occurs in remote areas, far from hospitals[37] and is generally rare.[28] It ...
These decreases in deviation show that the problem of malnutrition in South Africa has decreased over recent years. However, it ... South African hospitals admit numerous children for severe malnutrition, yet many of these children end up suffering easily ... The most easily preventable yet most prominent detrimental health conditions associated with malnutrition are nutrient ... D Blumhson, a physician, notes a high rate of pellagra among the patients of a hospital in Soweto, South Africa. Pellagra seems ...
Mortality rates in treated patients are decreasing. Hamborsky J (2015). Epidemiology and Prevention of Vaccine-Preventable ... The frequency of CNS infections presented at the emergency room of a community hospital is not negligible, so a means of ... It also decreases rates of postherpetic neuralgia, and if shingles occurs, its severity. If shingles develops, antiviral ... Corticosteroids do not appear to decrease the risk of long term pain. Side effects however appear to be minimal. Their use in ...
... decreasing obesity, treating high blood pressure, eating a healthy diet, decreasing cholesterol levels, and stopping smoking. ... Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided.[62][63] Prevention involves ... This process usually necessitates hospital admission and close observation on a coronary care unit for possible complications ( ... Decrease psychosocial stress[79]. *Exercise; aerobic exercise, like walking, jogging, or swimming, can reduce the risk of ...
Interventions targeted at decreasing the incidence of sports injuries can impact health-care costs, as well as family and ... Children's Hospital of Wisconsin. Retrieved 28 March 2016. Herring, Stanley A.; Akuthota, Venu (2009). Nerve and Vascular ... many sports-related injuries are predictable and preventable. Exercise-based injury prevention has shown to reduce injury rates ... Participation in these events decreases the chances for getting muscle cramps, torn muscles, and stress fractures. A season ...
... decrease in high glycated hemoglobin incidence, and a 0.21 percentage point (2.5%) decrease in Framingham risk score. Based on ... Administrative data included hospital discharge, emergency department, credit report, and mortality records and records on ... Researchers found increases across a range of different types of visits, including visits classified as preventable or primary ... decrease in high blood pressure incidence, a 2.43 percentage point (17%) decrease in high cholesterol incidence, a .93 ...
The package helped to decrease the infant mortality rates (IMR) in Finland and the goal is that the Thula Baba Box would be ... It is expected that the Thula Baba Box will be introduced to new mothers at state funded clinics and hospitals in the Western ... Each year, 310,000 fewer newborns would die in Africa and many maternal deaths could be preventable if coverage of postnatal ... Reducing child mortalities to less than 20 deaths per 1,000 live births To decrease the maternal mortality ratio (MMR) to 100 ...
Mortality rates in treated patients are decreasing.[104]. References. *^ a b c d e f g h i j k l m n o p q r s t u v w ... Hamborsky J (2015). Epidemiology and Prevention of Vaccine-Preventable Diseases (PDF) (13 ed.). Washington D.C. Public Health ... The frequency of CNS infections presented at the emergency room of a community hospital is not negligible, so a means of ... The shingles vaccine reduces the risk of shingles by 50 to 90% depending on the vaccine used.[1][11] It also decreases rates of ...
Tobacco use is the largest preventable cause of death and disease in the US. By avoiding or quitting tobacco use, overall ... Living in a food desert or having limited resources that allow for physical activity would decrease the likelihood of ... The range and complexity of medical devices used in both hospital and homecare settings are increasing. Certain devices are ... These complications include disease progression, reduced functional abilities, lower quality of life, and increased hospital ...
This is about 40 per cent of all hospital admissions related to diarrhea in children under five worldwide. In the United States ... Inhibition of NSP5 by RNA interference results in a sharp decrease in rotavirus replication. The DLPs migrate to the ... and that the infection was preventable by vaccination. A 2012 Cochrane review of 41 clinical trials that included 186,263 ... Boys are twice as likely as girls to be admitted to hospital. Rotavirus infections occur primarily during cool, dry seasons. ...
... hospital mortality increases and hospital efficiency decreases. A 2016 study by Thiels et al. in JAMA Surgery found no evidence ... A 2010 study published in the Journal of Trauma found an increased risk of errors that resulted in preventable complications ... during the month of July at teaching hospitals, but not in neighboring hospitals. Surgical errors did not increase, leading to ... A Deadly Time For Hospitals". Retrieved 2010-08-11. "The 'July Effect': Worst Month For Fatal Hospital Errors, Study Finds", ...
After graduating medical school Summa Cum Laude, he started his neurosurgery at Ain Shams University Hospital, Egypt's second ... an important milestone in the advocacy activities of Healthy Egyptians and the fight against preventable diseases. The ... the Egyptian Coalition against Child Pneumonia which included different organisations that share the vision of decreasing ... The vaccines were provided free of charge to university and government hospitals all around the country. In 2014, the Egyptian ...
Abortion decreases the risk of death to the mother.[24] Some survivors experience lasting effects of the disease,[25] and can ... The fever accounts for up to one-third of deaths in hospitals within the affected regions and 10 to 16% of total cases.[5] ... "Rodent-borne hemorrhagic fevers: under-recognized, widely spread and preventable - epidemiology, diagnostics and treatment" ... There is no vaccine.[3] Prevention requires isolating those who are infected and decreasing contact with the rats.[1] Other ...
Experts agree that the decrease in regular visits can lead to an increase in preventable and treatable illnesses in dogs and ... veterinary hospitals are not required to be accredited. Accredited hospitals are the only hospitals in the U.S. and Canada that ... A complete list of accredited hospitals in the U.S. and Canada can be found using the AAHA hospital locator tool. To become ... The American Animal Hospital Association (AAHA) is a non-profit organization for companion animal veterinary hospitals. ...
... This initiative aims to decrease the risk of medication errors at the hospital-community interface as well ... thus decreasing preventable adverse drug events and preventable drug-related health system utilization following hospital ... Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care. 2014-08-27 03:12:10 , ... This initiative aims to decrease the risk of medication errors at the hospital-community interface as well as health system ...
"Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs." Agency for Healthcare Research and Quality. Mar 2001. ... "Preventable Adverse Drug Reactions: A Focus on Drug Interactions." U.S. Food and Drug Administration. 13 Mar 2009. Web. 3 Mar ... In the U.S. alone, over 770,000 people are injured or die each year in hospitals from ADEs that cost, on average, up to $5.6 ... This estimate of ADEs does not include the costs associated with serious but non-fatal drug reactions, including hospital ...
Potentially preventable hospitalizations are admissions to a hospital for certain acute illnesses (e.g., dehydration) or ... The findings in this report are consistent with previous studies showing decreasing rates of potentially preventable ... Implementation of these interventions can reduce potentially preventable hospitalizations and decrease disparities for ... Total charges included on hospital claims were converted to costs by using hospital-level cost-to-charge ratios based on the ...
Vaccine-Preventable Disease and Healthcare-Associated Infections Action Plan - Focus Area 2: Prevent Vaccine-Preventable ... Decrease the burden of pertussis. *Ensure that laws are implemented and enforced requiring hospitals to offer Tdap to families ... Decrease burden of pertussis. *Ensure that laws are implemented and enforced requiring hospitals to offer Tdap to families of ... Decrease burden of pertussis. *Ensure that laws are implemented and enforced requiring hospitals to offer Tdap to families of ...
This study reports the results of a mortality review survey in hospital medicine and intensive care units at an academic ... Researchers identified five deaths that would not have come to light through other hospital case review mechanisms. Respondents ... The authors conclude that frontline care team surveys can augment existing hospital mortality review processes. Previous WebM M ... in which all cases of in-hospital death are discussed in structured format, can detect patient safety problems. ...
I had a friend bring me to the hospital and the doctors started running tests. I kept telling them that I thought it was Lyme ... There are certain steps you can take to help decrease your likelihood of getting misdiagnosed. Come prepared to your doctors ... One study found that 96 percent of physicians feel that many diagnostic errors are preventable. ... Infrared saunas promise a number of health benefits, from weight loss and decreased stress levels to improved circulation and ...
During the study period, the total number of ventilator-associated events in the ICUs decreased from 7.34 cases per 1,000 ... Johns Hopkins Study Shows One of the Deadliest Hospital-Acquired Infections Is Preventable - 05/22/2017. ... Johns Hopkins Study Shows One of the Deadliest Hospital-Acquired Infections Is Preventable. ... For some hospital patients, going on a ventilator is often the difference between life and death. About 800,000 hospital ...
The programs are designed to decrease costly and unnecessary treatments and avoid preventable hospital and emergency room ... Medicaid reimbursement can help support hospital services, particularly rural hospitals, hospitals with a high volume of ... Three models-interdisciplinary primary care for heart failure patients, transitional care from hospital to home and "hospital- ... reducing hospital admissions and readmissions, and decreasing reliance on long-term care facilities. For example:. * ...
Hospital Readmissions are often preventable and pose great concerns among health providers treating patients with diabetes. ... decreasing stress levels and providing a support system will hopefully increase healthy birth outcomes and decrease infant ... Predictors of hospital readmission among low-income patients with diabetes. Renee E. Walker, Melanie Gordon, Lorraine Halinka ... Readmissions are associated with decreased quality of life, increased mortality and unnecessary costs. Identifying predictors ...
An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32. ... For instance, the PPV for identifying a hospital with a preventable mortality rate among the worst 2.5% of hospitals would be ... the hospital in the 95th centile would have about four times the preventable mortality rate of the hospital at the 5th centile ... Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf ...
Parks: In some cases, heart failure is not preventable, but it can be treated. There are many risk factors that can ultimately ... The following are ways that you can best decrease your risk of developing heart disease and ultimately heart failure:. - ... Massachusetts General Hospital Open main navigation Main Navigation. Mass Gen Home * Conditions & Treatments ... Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 Phone: 617-726-2000 ...
Ultimately, not every scenario is preventable, but risks are significantly decreased by installing safety solutions throughout ... Fogged glass is an easy, effective method for adding privacy in a hospital. 3M™ FASARA™ Glass Finishes come in an array of ... Protecting patients and passersby from glass shards is critical in a fast-paced environment like hospitals. 3M™ Safety Window ... there are solutions you can turn to that are specifically designed to add safety to your hospital and defend against risks like ...
Despite the increase in DKA hospitalization rates, in-hospital mortality among persons with DKA consistently decreased over the ... Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate ... Trends in Diabetic Ketoacidosis Hospitalizations and In-Hospital Mortality - United States, 2000-2014. CDC Media Relations. 404 ... Diabetic ketoacidosis (DKA) is a life-threatening but preventable complication of diabetes. Although DKA hospitalization rates ...
The three main outcomes were adverse events, defined as injuries occurring as a result of medical management; preventable ... defined as adverse events whose severity could have been decreased. Posthospital course was determined by performing a medical ... Review: Interventions improve hospital antibiotic prescribing and reduce hospital stay but do not affect mortality Annals of ... Comparing Patient-Reported Hospital Adverse Events with Medical Record Review: Do Patients Know Something That Hospitals Do Not ...
Results: Seventy-six patients had adverse events after discharge (19% [95% CI, 15% to 23%]). Of these, 23 had preventable ... defined as adverse events whose severity could have been decreased. Posthospital course was determined by performing a medical ... The incidence and severity of adverse events affecting patients after discharge from the hospital Ann Intern Med. 2003 Feb 4; ... Setting: A tertiary care academic hospital. Patients: 400 consecutive patients discharged home from the general medical service ...
Total hospital deaths decreased from 4.38 to 2.87/ 1000 admissions (risk ratio 0.65, 95% confidence interval [CI] 0.57-0.75, p ... Reduction of hospital mortality and of preventable cardiac arrest and death on introduction of a pediatric medical emergency ... Preventable cardiac arrest (children whose symptoms or signs fulfilled MET calling criteria) decreased from 17 (0.16/ 1000) to ... Introduction of a MET was associated with reduction of total hospital death and reduction of preventable cardiac arrest and ...
Hospitals across the United State... Health care-associated infections are a significant medical and publi...Bloodstream ... infections occur when bacteria from the patients skin or ...,Decline,in,Potentially,Lethal,Hospital-Based,Infections,medicine, ... Srinivasan noted that most central line blood infections are preventable.. "We believe this decrease represents broader ... THURSDAY, May 27 (HealthDay News) -- Hospitals across the United States are seeing a decrease of serious, often deadly ...
Preventable deaths in hospitals continue to fall, according to a report from the Canadian Institute for Health Information ... According to the Canadian Institute for Health Information, mortality rates have decreased in 53 per cent of hospitals since ... Markham-Stouffville Hospital has gone from having the highest rate of preventable deaths among GTA hospitals to the lowest, and ... Markham-Stouffville Hospital shows lowest rate of preventable deaths in GTA. TB ...
... net costs to major teaching hospitals and cost-effectiveness across a range of hypothetical changes in the rate of preventable ... Using a probability model to represent labor costs as well as mortality and costs associated with preventable adverse events, ... 183 for major teaching hospitals and from $17 to $266 for society. With 2.5% to 11.3% decreases in preventable adverse events, ... decrease to a 10% increase in preventable adverse events, net costs per admission ranged from $99 to $ ...
Among the population of hospital discharges in Massachusetts, the reform decreased uninsurance by 36% relative to its initial ... Using new measures of preventive care, we find some evidence that hospitalizations for preventable conditions were reduced. The ... We also examine costs on the hospital level and find that hospital cost growth did not increase after the reform in ... In this paper, we are the first to use hospital data to examine the impact of this legislation on insurance coverage, ...
The quality/patient safety department assists hospitals with meeting The Joint Commissions National Patient Safety Goals, ... Decreasing door to doc time by 87%. Many patients first experience with a hospital happens in the ED. Hospitals know this ... Eliminating preventable harm by defining it. As patient safety, infection control, and quality improvement professionals ... New beds and protocols lead to decrease in falls. Patient falls are one of the most common adverse events in a hospital setting ...
Lower levels of nurse staffing and higher nurse burnout rates contribute to higher rates of hospital-associated infections, ... "Increasingly hospitals will not be reimbursed for treatment of preventable infections. Thus the cost to the hospital of ... In her experience, decreasing infections can save a hospital millions of dollars. ... researchers estimate that if Pennsylvania hospitals could decrease nurse burnout rates from an average of 30 percent to 10 ...
Although the hospital has seen a decrease in motor vehicle-related accidents, preventable injuries and intentional violence ... Sonkapu is a reporter for Red Cross War Memorial Childrens Hospital Radio, otherwise known as RX Radio, a station "by and for ... In Cape Town, the Red Cross War Memorial Childrens Hospital continues to see similar numbers of child abuse cases during the ... In Cape Town, the Red Cross War Memorial Childrens Hospital continues to see similar numbers of child abuse cases during the ...
There has been a slight but persistent decrease in Kansas in the past five years. There was a notable drop in asthma ... Data Source: Kansas Hospital Discharge Data Footnotes: Childhood Asthma inpatient diagnosis is considered as one of the ... Footnotes: Childhood Asthma inpatient diagnosis is considered as one of the avoidable or preventable hospitalization. There has ... Definitions: Number of hospital discharges for asthma (ICD9CM:493xx for FFY2015 and before and ICD10:J45.* for FFY2016) for ...
  • To maintain accredited status, hospitals undergo comprehensive on-site evaluations every three years, which ensures that hospitals are compliant with the Association's mandatory standards. (
  • Accredited hospitals are the only hospitals in the U.S. and Canada that choose to be evaluated on approximately 900 quality standards that go above and beyond basic state regulations, ranging from patient care and pain management to staff training and advanced diagnostic services. (
  • For example, a hospital accredited as a surgery referral and also an oncology referral, must have a board-certified surgeon and a board-certified oncologist on staff. (
  • Significant change occurred in the early- to mid-1980s, when AAHA added services in the area of veterinary practice management and relocated from Indiana to Denver, Colo. Today AAHA claims to be known internationally for professional development, hospital accreditation standards, and educational programs. (
  • Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America's most pressing health threats. (
  • It compares the number of deaths in a hospital with the 2004-05 national average for 75 acute care hospitals across the country. (
  • Parents of all children aged 3 to 15 years admitted to hospital for acute asthma were interviewed and the child's case record reviewed. (
  • Of the whole group, 44% had previously been given an acute asthma management plan, but only 9% of them used it before the current hospital admission. (
  • With it comes the promise of leveraging these diverse mobile and connected technologies beyond common health and fitness applications to make them truly impactful for the prevention and management of acute and chronic disease, and to further bring healthcare outside of the four walls of a clinic or hospital. (
  • Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. (
  • The Department of Health Expert Group in June 2000 estimated that over 850,000 incidents harm National Health Service hospital patients in the United Kingdom each year. (
  • Pressure ulcer or injury prevention remains one of the most common and significant tasks in healthcare for decreasing harm. (
  • In two years, Ohio s children s hospitals have spared more than 7,700 children from unnecessary harm and saved $11.8 million in unnecessary costs, Lashutka said. (
  • The BIDMC initiative to eliminate all types of preventable harm is unique, and has required that we develop our own methodology for assessing 'harm' and whether that harm was 'preventable. (
  • We do so because - given it is a known fact that harm occurs at all hospitals - our best opportunity for eliminating harm comes from shared learning. (
  • BIDMC has defined several subcategories of harm, and evaluates events in relation to established criteria for each category to decide whether they qualify as "preventable. (
  • Below are the details on all of the areas of preventable harm we track. (
  • For the study, the researchers used a "trigger tool" to look for one of 54 different red flags in a patient's record that may indicate the patient suffered some harm during his or her stay at the hospital. (
  • A large study conducted between 2002 and 2007 found that harm to patients was still common, and that the number of incidents was not decreasing over time. (
  • The latest study published in the New England Journal of Medicine found that from 2002 to 2007, harm to patients at 10 North Carolina hospitals (hospitals that were involved in programs to improve patient safety) was common and did not decrease. (
  • Much of this is preventable harm. (
  • health system utilization following hospital discharge by implementing a pharmacist-led medication reconciliation in the patients' home within 72 hours of hospital discharge. (
  • Patient's discharge from hospital is associated with iatrogenic events for 12 to 17% of patients. (
  • An incomplete understanding of patients' preadmission medications and failure to reconcile these with medications ordered in the hospital and at discharge are major, previously unappreciat. (
  • For some hospital patients, going on a ventilator is often the difference between life and death. (
  • About 800,000 hospital patients undergo mechanical ventilation each year in the United States due to a variety of illnesses or conditions, such as a brain injury, stroke or pneumonia. (
  • Protecting patients and passersby from glass shards is critical in a fast-paced environment like hospitals. (
  • At Markham-Stouffville, Austin said the hospital is making a concerted effort to identify and treat patients with sepsis. (
  • Most patients are not allowed to bring their own medications to the hospital. (
  • Patients with an ejection fraction less than 40 percent (decreased systolic function) should be treated with medication to improve symptoms and prevent progression of heart failure. (
  • The majority of these have focused on patients in hospital settings with very little in the literature related to care-home and community initiatives. (
  • The Ohio Hospital Association will have 75 hospitals work with nearby nursing homes and home health-care agencies where they send patients to reduce costly hospital readmissions. (
  • But hospitals are also held accountable for working with patients and community providers to improve patient care after patients have left the hospital. (
  • 3-6 Decreased health and restricted mobility make hospitalised patients and nursing home residents particularly vulnerable. (
  • Boston Children's is so much more than a hospital-it's a community of researchers, clinicians, administrators, support staff, innovators, teachers, patients and families, all working together to make the impossible possible. (
  • Regulators are urging hospitals, nursing homes, and other facilities to invest in equipment like mechanical lifts and to establish protocols for moving patients. (
  • An accompanying OSHA memorandum directs health-care facilities, including nursing homes and inpatient hospitals, to establish programs to safeguard health-care staff and monitor programs for identifying safety hazards, setting up joint decision-making "to lift, transfer, or reposition patients/residents," and implementing mechanical aides and training. (
  • Fortunately for the patients, the majority of the medical mistakes were relatively minor ones that were treatable, but in nearly half of the cases, patients required additional treatment and recovery time in the hospital. (
  • Patients who underwent minimally invasive esophagectomy at the James Cancer Hospital at Ohio State University Medical Center between 1/2012- 1/2014 were identified and patient medical records were reviewed. (
  • Despite that recognition, the number of secondary diagnoses of VTE in hospital patients has increased ( 7 ), and during 2007-2009, an average of nearly 550,000 adult hospital stays each year had a discharge diagnosis of VTE ( 8 ). (
  • Oak Brook, Ill.) Joint Commission Resources (JCR) has spent the past three years working with more than 250 hospitals testing and developing discharge planning, patient education, and post discharge follow-up practices that keep patients satisfied and out of the hospital. (
  • Sepsis is one of the most common causes of death among hospital patients, but new research suggests that there is little that could be done to prevent most of those fatalities. (
  • Researchers reviewed the medical records of 568 patients who were admitted to six U.S. hospitals from January 2014 to December 2015. (
  • After patients were admitted, they were either discharged to hospice and not readmitted later, or they died in the hospital. (
  • My special thanks to Board members who are here tonight and to the members of our Queens and Elmhurst Hospital Community Advisory Boards, who advocate on behalf of our public system and help keep us grounded and responsive to the needs of our patients and communities. (
  • I was in the emergency command center at Coney Island Hospital on the night of the storm and witnessed the exemplary performance of the hospital leadership and staff who reassured and protected patients as the rising waters flooded the basement and eventually washed through the first floor of the hospital. (
  • Hospital evacuations present a significant risk to patients, even when performed under the most optimal conditions and this is why a decision to evacuate before a forecasted storm is not made lightly. (
  • All of these patients were transferred without incident into the hands of caregivers at sister HHC facilities, including those here in Queens, and to other non-HHC hospitals. (
  • KHS identified 1763 high-risk discharges from nonintervention hospitals, of which 1005 and 669 were matched to 830 and 558 selected SPS patients in 30-day and 180-day populations, respectively. (
  • Central line-associated bloodstream infection (CLABSI) is a major cause for longer hospital stay, increased hospital costs, and the high mortality rate of neonatal intensive care unit (NICU) patients. (
  • Also, hospitals have a unique mix of patients served, as well as different types and quantities of services that could be provided. (
  • ED crowding threatens patient safety, increases medical errors, prolongs length of stay, decreases patient satisfaction, and jeopardizes the reliability and ability of the US health care system to effectively care for patients. (
  • 7 In a large urban children's hospital ED, boarding time and ED daily census showed independent associations with increasing overall length of stay, time to triage, time until seen by physician, and number of patient elopements (ie, patients leaving without being seen by a physician or leaving before treatment is initiated). (
  • Hospital delirium-a condition that affects about one out of every five patients-is a serious concern for those trying to recover quickly from an illness. (
  • Hospital delirium results in longer hospital stays for patients and an increased financial burden for patients and hospitals alike. (
  • The researchers hope that this diagnostic tool can help alert hospital staff for the need to take preventative measures in certain patients who are more susceptible to suffering from delirium. (
  • Rather than expect sick patients to travel hours or days to reach centralized hospitals and clinics, Andrea and Barry's model revolves around health providers taking full responsibility to deliver healthcare to where people are. (
  • Patients with an ASA score of 4 had an average of 45.3 hospital services compared to 24.1 for patients with a score of 2. (
  • Newswise - Three in 10 patients receiving a kidney transplant require readmission to the hospital within 30 days of discharge following surgery, according to a Johns Hopkins analysis of six years of national data. (
  • The findings, published online in the American Journal of Transplantation , suggest more needs to be done to manage patients outside the hospital to keep them from costly and potentially preventable return visits. (
  • While 31 percent of transplant recipients required readmission within 30 days, the percent of patients returning varied by hospital, from 18 percent to nearly 50 percent, a variation that could not be accounted for by conventional issues of center volume or demographics. (
  • Interestingly, those patients who stayed in the hospital for five or more days at the time of their transplants were more likely to be readmitted within 30 days. (
  • Many hospitals struggle to find adequate post-hospital clinical or social support in the community for some patients, placing increased burden on the nurse and the hospital. (
  • Public hospitals provided care for 7.4 million presentations to emergency departments, with 74% of patients seen within recommended times for their triage category and about 73% completed within 4 hours. (
  • Because hospitalisations can vary in length, another useful measure is patient days, or the total number of days spent in hospital by patients, or days of patient care. (
  • Significant evidence has shown the benefit to patients and pharmacies alike after the inception of e-prescribing in facilities such as Brigham and Women's Hospital. (
  • In 2018, there was a total of 5,000 inpatient days among all inpatient units (total days in which all patients stayed at the hospital for one night or more). (
  • All these patients were admitted for treatment in Ashwini Sahakari Rugnalaya, a tertiary care hospital in Solapur city of Southern Maharashtra. (
  • Majority of these patients were admitted with symptoms of generalized weakness, fatigue and decreased appetite. (
  • Initially these patients were admitted in emergency department of the hospital and later shifted to the intensive care unit (ICU). (
  • With a multi-year grant from the BlueCross BlueShield of Tennessee Health Foundation, participating hospitals across the state are united in their commitment to use evidence-based strategies to provide safe, quality care for their patients. (
  • Analyses by area income used the Nationwide Inpatient Sample, a nationally stratified 20% sample of hospitals from states that contribute data to HCUP (concerning approximately 8 million discharges from 1,000 hospitals in 44 states in 2009). (
  • We expect Coney Island Hospital to resume full emergency department and most inpatient services by January and Bellevue to do the same by February. (
  • There are three different lists: hospital charges for inpatient stays (DRG codes), hospital charges for outpatient procedures (CCS - Services and Procedures), and hospital and physician charges for common outpatient services (CPT codes). (
  • For inpatient stays and outpatient procedures, the hospital charges for higher volume procedures performed at each hospital are shown. (
  • To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. (
  • Hospital charges associated with inpatient and postoperative services were organized within six categories of care. (
  • A patient's ASA score is associated with total and specific hospital charges related to inpatient services. (
  • The program's goal is that the UNC Hospitals inpatient care areas will have achieved a specific mean regarding hand hygiene compliance as detected on audits completed at the individual unit level. (
  • The Premier ® analysis, which explored maternal and infant health outcomes at the time of delivery, leveraged the Premier Healthcare Database and included standardized inpatient data from 8.9 million births (approximately 25 percent of births nationally) that occurred in 903 hospitals across 45 states between 2008-2018. (
  • Premier's database is best-in-class and provides focused insights that are standardized, current through 2018 and pulled directly and consistently from hospitals. (
  • Bringing us right back to that fateful day on the 08 February 2018 when she was admitted to hospital and never returned home. (
  • Because coding of race/ethnicity varies across state hospital databases, analyses by race/ethnicity used a specially created 40% sample of hospitals from states that contribute comparable race/ethnicity data to HCUP (concerning approximately 16 million discharges from 2,000 hospitals in 36 states in 2009) ( 5 ). (
  • Among the population of hospital discharges in Massachusetts, the reform decreased uninsurance by 36% relative to its initial level. (
  • Number of hospital discharges for asthma (ICD9CM:493xx for FFY2015 and before and ICD10:J45. (
  • Intensive Care Unit and Department of Paediatrics at The University of Melbourne and Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia. (
  • In Cape Town, the Red Cross War Memorial Children's Hospital continues to see similar numbers of child abuse cases during the lockdown compared to before. (
  • The doors of Boston Children's Hospital are open 24 hours a day, seven days a week to treat your injured child. (
  • A case-control study was conducted in a large, academic, regional children's hospital in the Pacific Northwest. (
  • Parents of children aged 3 to 15 years admitted with asthma to the Royal Children's Hospital, Melbourne, were prospectively and consecutively recruited in two groups: summer/autumn (February/March) and winter/spring (August/September) 1996. (
  • Randomized clinical trial was conducted on 60 low birth weight preterm infants hospitalized in the neonatal unit at Cipto Mangunkusumo Hospital, Jakarta, Indonesia from June to September 2013. (
  • HOUSTON - Three Houston hospitals are joining forces with the March of Dimes for a first-of-its-kind program to reduce the number of preterm births in Houston. (
  • The Texas Healthy Babies are Worth the Wait program is a community intervention focused on decreasing preventable late preterm births through early prenatal care, community education and hospital-based quality improvement programs to eliminate unnecessary c-sections and inductions before a full 39 weeks of pregnancy. (
  • Of these preterm births, 72 percent of them are late preterm births, or those between 34 and 36 weeks gestation - making this an important initiative to decrease the number one killer of newborns. (
  • Whenever there are major meetings - of the board of directors or medical advisory committee, for example - the first item on the agenda is always a real-life story about a patient's experience at the hospital. (
  • This risk may be linked with discontinuity of care between hospital physicians and Primary. (
  • HCUP databases combine the data-collection efforts of state data organizations, hospital associations, private data organizations, and the federal government to create a national information resource of discharge-level health-care data. (
  • HCUP includes the largest collection of longitudinal hospital care data in the United States with all-payer, encounter-level information, beginning with 1988. (
  • The authors conclude that frontline care team surveys can augment existing hospital mortality review processes. (
  • Risk-adjustment schemes are used to monitor hospital performance, on the assumption that excess mortality not explained by case mix is largely attributable to suboptimal care. (
  • 1 After years of criticism, 2-7 and attempts to improve the estimates, 8-11 HCFA abandoned the effort and for a while hospital mortality data fell into disuse as a way to assess quality of care, outside of a single high-volume surgical procedure-coronary bypass surgery. (
  • A tertiary care academic hospital. (
  • Tertiary care pediatric hospital. (
  • Accredited hospitals are the only hospitals in the U.S. and Canada that choose to be evaluated on approximately 900 quality standards that go above and beyond basic state regulations, ranging from patient care and pain management to staff training and advanced diagnostic services. (
  • The bottom line of this reduction is that we believe care in hospitals is getting safer, but we know there is more work to be done. (
  • The HSMR is an international indictor intended to improve hospital patient care. (
  • The impact of health care reform on hospital and preventive care: Evidence from Massachusetts," Journal of Public Economics, Elsevier, vol. 96(11), pages 909-929. (
  • coordinate care with community home care, physician groups, nursing homes and other community hospitals. (
  • BIDMC classifies an injury as preventable if it allows us to identify reasonable improvements in care that would help decrease the likelihood of similar events occurring in the future. (
  • For example , setting up "lift teams" at a hospital unit could provide specialized handling services alongside core nursing staff as they carry out principal care duties. (
  • He said women should seek immediate care if they notice decreased fetal movement. (
  • As hospital CFOs and CMOs move to value-based care, they must still consider their current fee-for-service reimbursements and also focus on quality scorecards. (
  • Because many cases of VTE are health-care associated, clinicians and health-care organizations can play an important role in preventing hospital-associated VTE (HA-VTE) events as part of patient-safety quality-improvement initiatives. (
  • Coney Island Hospital re-opened a portion of its primary care services just two days after the storm and is now preparing to open more of its specialty outpatient services. (
  • Bellevue Hospital Center also has resumed providing primary care services and is steadily opening its specialty ambulatory care services over the next two weeks. (
  • The goal of the Texas Perinatal Hepatitis B Summit is to bring those with information and expertise on this issue together to share, discuss, and recommend strategies to prevent and decrease the incidence of hepatitis B transmission, and improve the care of those at risk for perinatal hepatitis B. (
  • Whether a formulary serves a managed care organization or hospital, it must embrace the inevitable change and paradigm shift in drug safety. (
  • Vermont hospitals are also required to post community health needs assessment reports, implementation plans, annual progress reports, as well as other information such as hospital governance descriptions, discount and free care policies (financial assistance policy), and hospital complaint process, on their website. (
  • Consumers and health care professionals can review quarterly-updated hospital quality ratings and performance statistics using the Vermont MONAHRQ database. (
  • Vermont hospitals are required to report charges for high volume health care services. (
  • Under Vermont law ( 18 V.S.A. § 9405b ) all Vermont community hospitals are required to report charges for "high volume health care services. (
  • They describe what the hospital seeks for payment for a health care service or product before the application of any discount, write-off, contract or plan adjustment/allowance, or other reduction to such amount. (
  • After 71 days in hospital - including 36 days in the intensive care unit, during which extracorporeal membrane oxygenation was performed for 13 days - the patient was discharged home. (
  • 7 - Understand your hospitals' charity care options (i.e. taxi and bus vouchers). (
  • The project's goal is for the transitional care model to be standard practice for all high and moderate risk adult medicine and surgery inpatients admitted to UNC Hospitals. (
  • The main measure of admitted patient care provided in Australian hospitals is the number of hospitalisations, or episodes of admitted patient care. (
  • E-prescribing has been shown to improve patient safety and to reduce health care costs by decreasing prescription errors caused by hard-to-read handwriting and other communication errors, as well as automating the process of checking for drug interactions and allergies. (
  • All were admitted for treatment in Ashwini Sahakari Rugnalaya, a tertiary care hospital in Solapur city of Southern Maharashtra in last one year. (
  • Started in 2007, the center is saving lives, reducing hospital stays, and saving millions of dollars in health care costs. (
  • As you know, two of our other healthcare facilities, Bellevue Hospital in Manhattan and Coney Island Hospital in Brooklyn were severely damaged by the extraordinary storm surge and both had to be evacuated. (
  • Increasingly, states have mandated that hospitals report their HAIs through CDC's National Healthcare Safety Network (NHSN), which provides a standardized approach to surveillance methodology. (
  • For common outpatient services, the list was selected from a review of other states' websites, employer claims data, and data submitted by Vermont hospitals. (
  • We need to be aware that kidney transplant recipients have an extremely high risk of returning to the hospital in the first 30 days after discharge, and that readmissions may very well be prevented by putting in place better systems for outpatient management," says study leader Dorry L. Segev, M.D., Ph.D., an associate professor of surgery at the Johns Hopkins University School of Medicine. (
  • The study was conducted at 56 ICUs at 38 hospitals in Maryland and Pennsylvania from October 2012 to March 2015. (
  • During the study period, the total number of ventilator-associated events in the ICUs decreased from 7.34 cases per 1,000 patient ventilator days to 4.58 cases after 24 months - a nearly 38 percent reduction. (
  • Crisis: The Kids of Mali ," which highlights the work of Mariam Sylla, pediatrics chief at Gabriel Touré Hospital and a leader in the field of caring for children with HIV. (
  • 12-16 In England, adjusted mortality statistics for NHS hospitals have been published since 2001 by the Dr Foster organisation, 16 , 17 and the Department of Health has recently sponsored a similar approach-the Summary Hospital Mortality Index (SHMI). (
  • The indicator is the hospital standard mortality ratio (HSMR) calculated by the Canadian Institute for Health Information. (
  • And preventable risks persist as long as a debilitating occupational injury could cost a worker both her health and her job. (
  • Good evening, I am Alan Aviles, President of the New York City Health and Hospitals Corporation, our City's public hospital system. (
  • Our hosts are Queens Hospital Center Executive Director Julius Wool and Senior Vice President of the Queens Health Network, Dr. Ann Sullivan. (
  • This study evaluates the impact of pharmacist-provided postdischarge services on hospital readmissions for members of a US managed Medicaid health plan. (
  • Today most hospitals and health networks are making decisions about drug choices without adequate resources to analyze the most current post-approval drug side effect data. (
  • One of the reasons why I am so passionate about sharing preventive health strategies with you -- tips like eating right, exercising and reducing stress -- is because they can help you to stay out of the hospital. (
  • Once this transportation bottleneck is addressed, the effectiveness of all existing resources are maximized and improved- be they hospitals, laboratories, health workers, or on-the-ground delivery of medicine following telemedicine consultations. (
  • Australian Institute of Health and Welfare 2016, Australia's hospitals 2014-15 at a glance , AIHW, Canberra. (
  • Ward unexpected death decreased from 13 (0.12/1000) to 6 (0.04/1000) (risk ratio 0.35, 95% CI 0.13- 0.92, p = 0.03) but unexpected cardiac arrests did not change from 0.19/1000 to 0.17/1000 (risk ratio 0.91, 95% CI 0.50 -1.64, p = 0.75). (
  • Preventable cardiac arrest (children whose symptoms or signs fulfilled MET calling criteria) decreased from 17 (0.16/ 1000) to 10 (0.07/1000) (risk ratio 0.45, 95% CI 0.20-0.97, p = 0.04) and in whom death decreased from 12 to 2 (0.11/1000 to 0.01/1000) (risk ratio 0.13, 95% CI 0.03-0.56, p = 0.001). (
  • If you could better identify women with some sort of risk assessment tool, theoretically, you might be able to save some babies," said Dr. James Ducey, director of obstetrics and maternal-fetal medicine at Staten Island University Hospital. (
  • Fisher's exact test and Kruskal-Wallis test were performed with the above variables to evaluate for statistically significant risk factors for unplanned hospital readmission. (
  • The use of folate supplements by pregnant women dramatically decreases the risk that their children will be born with a serious birth defect called neural tube defect. (
  • Relative risk for hip fracture decreased with decreasing number of preventable risk factors (low BMI, low milk intake, and regular alcohol intake). (
  • A paradigm shift is in progress toward education efforts in communities to help people maintain or achieve healthy lifestyles so preventable conditions are avoided. (
  • However, the probable expansion of the program into other clinical areas should motivate hospitals to begin work on other conditions after achieving success with the initial three conditions. (
  • When nurses can't speak up about unsafe hospital conditions without risking their jobs, both labor and the public lose a powerful potential advocate. (