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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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.
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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…
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NUMS (National University of Medical Science) has announced their result recently. Now students are waiting for the further admission process for the NUMS
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
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. ...
List of Colleges in Jalgaon: Find the list of top colleges of Engineering and other Technical Studies with their Courses, Fees, Ranking, Admission Process,
A spike assembly for facilitating the supply of a fluid from a container to a hypodermic syringe, fluid conduit extending therethrough between first and second ends of a body, a piercing member located at the first end for piercing into the container to form a fluid sealing engagement therebetween, a fluid seal, and a vent having a plurality of preprinted indicia bands with protective removable covers disposed around the outside surface of the vent which corresponds to a user details of the container contents.
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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 ...
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 ...
The easiest way to implement line tracing - 3 Part Piggy-Back Labels - Helps Identify High Alert Meds - Provides End-to-End Line Tracing - Promotes Medication Safety - Preprinted High Alert Meds - Easy to Use and Cost Effective
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