• Mortality rates for inpatients with COVID-19 dropped significantly during the first 6 months of the pandemic, but outcomes depend on the hospital where patients receive care, new data show. (the-hospitalist.org)
  • T]he characteristic that is most associated with poor or worsening hospital outcomes is high or increasing community case rates," write David A. Asch, MD, MBA, executive director of the Center for Health Care Innovation at the University of Pennsylvania in Philadelphia, and colleagues. (the-hospitalist.org)
  • As case rates of COVID-19 increase across the nation, hospital mortality outcomes may worsen. (the-hospitalist.org)
  • A retrospective, matched cohort investigation was performed at 2 Baltimore hospitals to examine outcomes of crobial drugs that has not been in widespread use for sev- patients with MDR Acinetobacter infection compared with eral decades and is more toxic than most currently used patients with susceptible Acinetobacter infections and antimicrobial drugs. (cdc.gov)
  • patients with MDR Acinetobacter infection (n = 96) and Although drug resistance of Acinetobacter is a recog- increased hospital and intensive care unit length of stay nized problem, the effect of MDR Acinetobacter infections compared with 91 patients with susceptible Acinetobacter on patient outcomes remains controversial. (cdc.gov)
  • Paediatric hospital care in many LMICs can be of poor quality with limited adherence to guidelines and this may contribute to poor outcomes. (bmj.com)
  • Whenever possible, clinical outcomes such as in-hospital mortality should be additionally assessed. (hindawi.com)
  • Within 5 years of experience performing robotically-assisted laparoscopic BPD/DS, our outcomes have improved, as reflected by shorter operative time, lower rate of reoperation, and shorter duration of hospital stay. (sages.org)
  • ID'ing the best practice strategies can optimize outcomes for injured adolescents, who straddle the gap between pediatric & adult medicine. (childrensnational.org)
  • African Medical Journal describing its use of service claims data to patient investigation and treatment, as well as providing a framework determine standardised mortality rates, across hospital systems, for against which clinical outcomes can be measured. (who.int)
  • Dr. Rhee and colleagues recommend that sepsis surveillance efforts shift from claims data to the clinical method they used in their study in order to help health professionals, hospitals, and policy makers gain a better understanding of sepsis incidence, outcomes, and trends. (sciencedaily.com)
  • AHRQ invites applications to develop a prospective clinical registry of orthopedic devices, drugs, and procedures through a practice-based research collaborative and clinical and outcomes data resource (P50 grant mechanism). (nih.gov)
  • When you live in a county that has no provider, it's an hour and a half to the hospital, and you don't have a car, that sets you up for significant challenges and adverse outcomes. (rapidgrowthmedia.com)
  • A bundle is a small, straightforward set of evidence-based practices - generally three to five - that, when performed collectively and reliably, have been proven to improve patient outcomes. (ihi.org)
  • The main objective of the PROKERALA study - Pulmonary hypertension Registry Of Kerala is to collect data regarding the etiology, practice patterns and one-year outcomes of patients diagnosed to have PH. (amrita.edu)
  • To stratify patients with polymyositis/dermatomyositis-associated interstitial lung disease (ILD) who were initially treated with an intensive regimen consisting of high-dose corticosteroids, a calcineurin inhibitor, and intravenous cyclophosphamide (triple-combo therapy) into subgroups based on mortality outcomes by a cluster analysis using a large-scale multicenter retrospective cohort of Japanese patients with myositis-associated ILD (JAMI). (frontiersin.org)
  • Standardized rates of post-ICU in-hospital mortality. (biomedcentral.com)
  • The relationship between COVID-19 mortality rates and local disease prevalence suggests that "hospitals do worse when they are burdened with cases and is consistent with imperatives to flatten the curve," the authors continue. (the-hospitalist.org)
  • Similar improvements in mortality rates have been reported in the United Kingdom and in a New York City hospital system, the editorialists note. (the-hospitalist.org)
  • The lower mortality rates may represent clinical, healthcare system, and epidemiologic trends. (the-hospitalist.org)
  • Acinetobacter infection on mortality rates, length of hospi- spp. (cdc.gov)
  • Furthermore, associations between in-hospital standardised mortality rates, length of stay, and early post-discharge mortality rates were found. (bmj.com)
  • Outcome measure Risk-adjusted mortality rates for adult patients (administrative data). (bmj.com)
  • The researchers found that there were differences in trends in 30-day mortality rates over time between CAHs and non-CAHs for the 3 conditions examined. (medindia.net)
  • However, between 2002 and 2010, mortality rates increased at CAHs at a rate of 0.1 percent per year, whereas at non-CAHs they decreased 0.2 percent per year, for a difference in change in mortality of 0.3 percent per year. (medindia.net)
  • Thus, by 2010, CAHs had higher overall mortality rates (13.3 percent vs. 11.4 percent). (medindia.net)
  • The researchers note that although CAHs had higher mortality rates by 2010 for each of the conditions examined, the absolute difference was only 1.8 percent. (medindia.net)
  • of the Stanford University School of Medicine, Stanford, Calif., writes that "to rigorously test potential interventions about how to improve the mortality rates at CAHs, cluster randomized controlled trials are needed. (medindia.net)
  • The overall mortality rates were 3.8% for male patients and 5.1% for female patients. (nih.gov)
  • The study's objective was to evaluate the training's impact on hospital staff and neonatal mortality rates. (hindawi.com)
  • Conversely, a recent study of ENC among 57 643 infants and NRP among 62 366 infants showed no reduction in mortality rates for either program [ 21 ]. (hindawi.com)
  • VA mortality rates decline more rapidly for some conditions. (spokesman.com)
  • A new study posted on the medRxiv* preprint server examines hospitalization and mortality rates from COVID-19 before and after the rollout of the vaccine in England. (news-medical.net)
  • To determine any potential association between the type of trauma center and mortality rates, the research team examined 29,613 records for patients aged 15 to 19 years old drawn from the 2010 National Trauma Data Bank. (childrensnational.org)
  • Extremely low birth weight (ELBW) infants exhibit high rates of mortality and morbidity. (hkmj.org)
  • 1000 g) have high rates of mortality and morbidity. (hkmj.org)
  • In 2019, Discovery Health published a risk adjustment model to determine standardised mortality rates across South African private hospital systems, with the aim of contributing towards quality improvement in the private healthcare sector. (who.int)
  • Many studies suggest that the incidence of sepsis is increasing over time, while mortality rates are decreasing. (sciencedaily.com)
  • Variability in the measurement of hospital-wide mortality rates. (ahrq.gov)
  • As a result these individuals experience high disease burdens and mortality rates. (ipl.org)
  • Infant abduction rates have plummeted in recent years, mostly due to education programs at hospitals. (schneier.com)
  • Modeled after a program in Finland that began more than 70 years ago, baby boxes are aimed at curbing infant mortality rates by promoting safe sleeping practices for newborns. (nbcnews.com)
  • What else can be done to curb infant mortality rates? (nbcnews.com)
  • 50%) mortality rates. (frontiersin.org)
  • The relative hazard ratios for all cause mortality for subjects in the lowest fifth of the FEV1 distribution were 1.92 (95% confidence interval 1.68 to 2.20) for men and 1.89 (1.63 to 2.20) for women. (bmj.com)
  • Objectives To assess the consequences of applying different mortality timeframes on standardised mortality ratios of individual hospitals and, secondarily, to evaluate the association between in-hospital standardised mortality ratios and early post-discharge mortality rate, length of hospital stay, and transfer rate. (bmj.com)
  • Conclusions Applying different mortality timeframes resulted in differences in standardised mortality ratios and differences in judgment regarding the performance of individual hospitals. (bmj.com)
  • Combining these findings suggests that standardised mortality ratios based on in-hospital mortality are subject to so-called "discharge bias. (bmj.com)
  • Hence, early post-discharge mortality should be included in the calculation of standardised mortality ratios. (bmj.com)
  • In various countries, standardised mortality ratios are used in an attempt to judge the quality of hospital care. (bmj.com)
  • 1 2 3 4 However, several authors have raised concerns that differences in standardised mortality ratios may not reflect differences in quality of care delivered. (bmj.com)
  • The findings have been revealed in the latest Hospital Standardised Mortality Ratios (HSMR) with the decrease being attributed to the Scottish Patient Safety Programme which works to reduce harm and improve the safety and reliability of healthcare. (mddus.com)
  • Cardiac valvular disease affects millions of people worldwide and is a major cause of morbidity and mortality. (nih.gov)
  • Occupational infectious diseases are an important cause of morbidity and occasional mortality in workers [2-4]. (cdc.gov)
  • The mRNA vaccines showed waning VE against hospitalization at three months or more from the booster dose, whereas both vaccine types exhibited waning VE against mortality three months or more following the second dose. (news-medical.net)
  • Michigan's beautiful rural areas have an ugly secret: high infant mortality and poor maternal health, fueled in part by substance abuse, lack of access to healthy food, and dwindling birthing hospitals and OB-GYNs. (rapidgrowthmedia.com)
  • After retirement, she sold her life's possessions to finance the construction of the Edna Adan Maternity Hospital , which provides maternal health care to Somaliland's poorest women. (itvs.org)
  • In addition, the presence of PH was associated with nearly $20,000 of higher hospital expenditures, reported Kaushik Kumar, MBBS, here at the American College of Chest Physicians (CHEST) 2023 Annual Meeting. (medscape.com)
  • In 2023, Emory University Hospital received its third Magnet designation. (emoryhealthcare.org)
  • Therefore, we investigated the extent to which senteeism data, followed by hospital data (+1 week), phar- time-series of respiratory pathogens (counts per week in macy/general practitioner consultations (+2 weeks), and existing laboratory registries) were refl ected in respiratory deaths/laboratory submissions (test requests) (+3 weeks). (cdc.gov)
  • prescription medications dispensed by pharmacies, diag- nostic test requests (laboratory submissions) ( 13 ), hospital Respiratory Pathogen Counts diagnoses, and deaths. (cdc.gov)
  • Contrary to this suboptimal breastfeeding is associated with 45% neonatal mortality, 30% diarrheal deaths and 18% of acute respiratory deaths in children under-5 years. (uib.no)
  • According to Justin understanding the determinants of suboptimal breastfeeding might spur health staff and policy makers to develop intervention that may promote, protect, and support optimal breastfeeding practices in order reduce preventable infectious diseases and deaths in children. (uib.no)
  • Design Retrospective analysis of routinely collected hospital data to compare observed deaths in 50 diagnostic categories with deaths predicted by a case mix adjustment method. (bmj.com)
  • 7 8 9 10 11 12 Another limitation of mortality rate as a quality measure is the current focus on in-hospital mortality-that is, deaths that occur during hospital admission. (bmj.com)
  • Analyses based only on in-hospital deaths are potentially biased by differences in hospitals' discharge practices. (bmj.com)
  • 13 14 A recent study by Yu et al (2011) showed that for certain surgical procedures approximately a quarter of postoperative deaths occurred after discharge and that 12% took place just one day after discharge from hospital. (bmj.com)
  • Although most deaths are within 48 hours of admission in many low/middle-income country (LMIC) hospitals the proportion of cases preregistration clinicians admit has rarely been quantified. (bmj.com)
  • There are 3.82 million neonatal deaths each year with a global neonatal mortality rate of 30 per 1000 live births [ 1 ]. (hindawi.com)
  • Neonatal mortality from birth asphyxia ranges from 40 to 610 neonatal deaths per 1000 live births [ 3 - 5 ], and nearly 1 out of every 4 neonatal deaths in Malawi is a result of birth asphyxia [ 6 ]. (hindawi.com)
  • As neonatal deaths make up 41% of under-5 mortality [ 8 ], neonatal resuscitation training is key. (hindawi.com)
  • NEW figures have revealed there were 7,800 fewer than expected deaths in Scottish hospitals between the first quarter of 2014 and the third quarter of 2017 - a drop of 10.6 per cent. (mddus.com)
  • Hospital mortality fell by 16.5 per cent overall (equating to 20,000 fewer deaths than expected) between October-December 2007 and October-December 2015. (mddus.com)
  • Main outcome measures In-hospital deaths within 30 days of emergency admission or of elective surgery. (bmj.com)
  • In the 1930s, the country's infant mortality rate was 65 deaths per 1,000 infants. (nbcnews.com)
  • Comparatively, the United States had an infant mortality rate of about 5.8 deaths per 1,000 births in 2016 . (nbcnews.com)
  • The United States' higher infant mortality rate compared to some European countries is driven "almost entirely" by infant deaths among lower socioeconomic groups after the mother and child leave the hospital, according to one University of Chicago study . (nbcnews.com)
  • The Tasmanian Audit of Surgical Mortality (TASM) is an external, independent peer process that reviews the clinical management surrounding deaths that occurred during surgical admission when patients are admitted under consultant surgeons as well as in-hospital deaths where an anaesthetically related component to the death may be a possibility. (surgeons.org)
  • In 2020, Emory Johns Creek Hospital received its first Magnet designation. (emoryhealthcare.org)
  • We retrospectively assessed factors associated with mortality and morbidity among ELBW infants. (hkmj.org)
  • Extremely low birth weight infants in Hong Kong showed significant mortality and morbidity: there was no survival prior to 23.6 weeks' gestation or below 550 g birth weight in this series. (hkmj.org)
  • Hong Kong hospitals can modify their practices to support an increased rate of survival and decreased rate of complications among extremely low birth weight infants. (hkmj.org)
  • 13 This study aimed to review mortality and morbidity of ELBW infants at a tertiary neonatal unit in Hong Kong. (hkmj.org)
  • AIM To develop and evaluate a score which quantifies mortality risk in very low birthweight (VLBW) infants (birthweight below 1500 g) at admission to the neonatal intensive care unit. (bmj.com)
  • Two hundred and ninety four VLBW infants admitted from 1988 to 1991 were used to compare risk adjusted mortality between the two eras. (bmj.com)
  • 1 Most VLBW infants (birthweight below 1500 g) receive intensive care and neonatal mortality has diminished considerably during the past four decades. (bmj.com)
  • The aim of this study was (1) to establish a score which quantifies mortality risk of VLBW infants on admission to the neonatal intensive care unit (NICU) and (2) to assess period specific changes in risk adjusted mortality in our NICU. (bmj.com)
  • The U.S. saw a drastic decline in its infant mortality rate since 1994, when the CDC launched its "Back to Sleep" campaign urging parents to have their infants sleep on their backs rather than stomachs, but disadvantaged groups still tend to be affected by SIDS more than others. (nbcnews.com)
  • Set out herein is a framework for allowing current, safe and adequate feeding practices that supports optimal growth, development, health and survival of all infants and young children,0-24months old. (who.int)
  • Given the large volume of admissions, with about 20 randomized hospitals, a follow-up of about a year should suffice to obtain conclusive answers about specific tested interventions. (medindia.net)
  • Conclusion Over 85% of admissions to hospitals in high mortality settings that offer experiential training in Kenya are conducted by preregistration clinicians. (bmj.com)
  • adjusted odds of 30-day death were higher for weekend emergency admissions to 11 hospitals in England (OR 1.08, 95% CI 1.04 to 1.13 on Sunday), 5 hospitals in USA (OR 1.13, 95% CI 1.04 to 1.24 on Sunday) and 6 hospitals in the Netherlands (OR 1.20, 95% CI 1.09 to 1.33 on Saturday). (bmj.com)
  • Emergency admissions to the six Australian hospitals showed no daily variation in adjusted 30-day mortality, but showed a weekend effect at 7 days post emergency admission (OR 1.12, 95% CI 1.04 to 1.22 on Saturday). (bmj.com)
  • 4 A large study of emergency admissions to New South Wales hospitals 5 suggests that the weekend effect might be specific to some diagnoses and procedure groups only, and many studies report higher mortality for emergency patients admitted with some specific diagnoses on a weekend. (bmj.com)
  • Multiple factors have been identified as predictors of frequent ER use in homeless persons such as older age, previous hospital admissions and emergency room visits, multiple primary care visits, perceived inadequate mental health care, poor health status, and HIV" (Thakarar, et al. (ipl.org)
  • This type of injury commonly results in a traumatic amputation of at least one lower extremity between the period of June 2009 and August of 2011 there were 77 combat-related IFI cases and this ended up representing a very substantial amount--6.8 percent of trauma admissions to the regional military hospital in Germany. (cdc.gov)
  • In addition, variation between hospitals could reflect differences in quality or different admission thresholds, they continue. (the-hospitalist.org)
  • Editorial: Are Mortality Differences Detected by Administrative Data Reliable and Actionable? (medindia.net)
  • A research team led by Randall S. Burd, MD, PhD , Chief of the Children's National Health System Division of Trauma and Burn Surgery , found that injured adolescents treated at pediatric trauma centers (PTCs) had a lower mortality rate than injured adolescents treated at adult trauma centers (ATCs) or mixed trauma centers (MTCs), facilities that treat both adults and children, even when controlling for differences in patients. (childrensnational.org)
  • After controlling for these differences, we observed that adolescent trauma patients have lower overall and in-hospital mortality when treated at PTCs. (childrensnational.org)
  • Or, do the patients treated at each hospital type have differences in their injuries that we have not yet identified? (childrensnational.org)
  • Because adolescents straddle the gap between pediatric and adult medicine, identifying differences in care among PTCs, ATCs, and MTCs will help determine the most appropriate triage strategies or identify practice strategies that can optimize the outcome for patients in this age group," the authors conclude. (childrensnational.org)
  • Steroids may decrease mortality in patients with respiratory failure. (the-hospitalist.org)
  • pre-lacteal feeding, exclusive breastfeeding and their association with diarrhoea, acute respiratory tract infection and infant mortality in South Sudan. (uib.no)
  • HONOLULU - Patients with acute respiratory distress syndrome (ARDS) and coexisting pulmonary hypertension (PH) are significantly more likely to have longer and more costly hospital stays and to die in hospital than patients with ARDS without PH, results of a retrospective study suggest. (medscape.com)
  • Mortality from all causes, ischaemic heart disease, cancer, lung and other cancers, stroke, respiratory disease, and other causes of death after 15 years of follow up. (bmj.com)
  • It has been recognised for over 10 years that poor respiratory function is associated with a greatly increased mortality from chronic lung disease. (bmj.com)
  • 10 11 12 The strong inverse relations found between mortality and FEV1 in each of these diseases suggest that poor respiratory function has a predictive or even causal role in a wide range of conditions, not only respiratory disease. (bmj.com)
  • The cohort has high mortality from coronary heart disease 13 14 15 and lung cancer 16 and a high prevalence of impaired respiratory function. (bmj.com)
  • Importance Long-term acute care hospitals (LTCHs) are common sites of postacute care for patients recovering from severe respiratory failure requiring mechanical ventilation (MV). However, federal payment reform led to the closure of many LTCHs in the US, and it is unclear how closure of LTCHs may have affected upstream care patterns at short-stay. (researchgate.net)
  • The VSL is not significantly lower for older persons, but is higher for persons who have been admitted to the hospital or emergency room for cardiovascular and respiratory problems. (feem.it)
  • Editorial: Do Our Sedation Practices Contribute to Increased Mortality in Coronavirus Disease 2019-Related Acute Respiratory Distress Syndrome? (sccm.org)
  • entitled "Association of Sedation, Coma, and In-Hospital Mortality in Mechanically Ventilated Patients With Coronavirus Disease 2019-Related Acute Respiratory Distress Syndrome" and suggest that reemploying the use of evidence-based strategies developed over the past 20 years through rigorous controlled trials is one of the best mechanisms by which to help critically ill adults with COVID-19 liberate from the ICU and transition toward recovery and survivorship. (sccm.org)
  • Serious' effects are those that evoke failure in a biological system and can lead to morbidity or mortality (e.g., acute respiratory distress or death). (cdc.gov)
  • This report summarizes recommendations of the Advisory Committee on Immunization Practices (ACIP) concerning the use of certain immunizing agents in health-care workers (HCWs) in the United States. (cdc.gov)
  • This report updates the 2004 recommendations by the Advisory Committee on Immunization Practices (ACIP) regarding the use of influenza vaccine and antiviral agents (CDC. (cdc.gov)
  • A revised target was introduced (following changes to the methodology and baseline of the HSMR) to reduce hospital mortality by a further 10 per cent by the quarter ending December 2018. (mddus.com)
  • Compare this with the infant mortality rate in the U.S.-one in 145-and it becomes clear where the real risks are. (schneier.com)
  • Proponents of baby boxes say the combination of educational tools and free resources will bring America's infant mortality rate closer to those found in wealthy Nordic countries. (nbcnews.com)
  • Some experts argue that policies geared toward enhanced post neonatal care for mothers of low socioeconomic status would be most effective in combating the U.S. infant mortality rate. (nbcnews.com)
  • The researchers analyzed data from 3,158 patients admitted to the cardiac ICU at the Mayo Clinic Hospital St. Mary's Campus in Rochester, Minn., 51.8% of whom had acute coronary syndromes. (the-hospitalist.org)
  • Research from English and Scottish hospitals has shown a significant increase in the risk of death for emergency patients admitted on a weekend, even after adjusting for possible confounders. (bmj.com)
  • The researchers applied this definition to electronic health record data from nearly 3 million patients admitted to 409 US hospitals in 2014. (sciencedaily.com)
  • We examined hospital variations in admission code status for patients admitted with COVID-19 infection. (researchgate.net)
  • Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. (ahrq.gov)
  • This study found a reduction in hospital mortality without a pediatric medical emergency team (PMET). (ahrq.gov)
  • The original aim of the programme launched in January 2008 was to reduce hospital mortality by 15 per cent by December 2012, subsequently extended to a 20 per cent reduction by December 2015. (mddus.com)
  • medRxiv publishes preliminary scientific reports that are not peer-reviewed and, therefore, should not be regarded as conclusive, guide clinical practice/health-related behavior, or treated as established information. (news-medical.net)
  • In 2010, he retired from active clinical practice and administration and now devotes time to teaching and child advocacy initiatives. (aap.org)
  • The registry will be a model and basis for other national device and procedure registries and will actively disseminate study results into clinical practice. (nih.gov)
  • As a practicing hospitalist for 20 years, I've witnessed this tectonic shift first-hand. (kevinmd.com)
  • Furthermore, a 44.6% decline in neonatal mortality was seen with WHO's Essential Newborn Care (ENC) curriculum in Zambia, a resuscitation curriculum separate from the NRP [ 20 ]. (hindawi.com)
  • Occupational infectious diseases remain an important challenge, even in industrialized countries where there has been a dramatic decline in the morbidity and mortality associated with infectious disease. (cdc.gov)
  • Methods We used a large observational data set from 13 Kenyan county hospitals from November 2015 through November 2018 where patients were linked to admitting clinicians. (bmj.com)
  • A pulmonologist who was not involved in the study told Medscape Medical News that the findings of the trial suggest that PH may have a grester influence on mortality than is currently understood and that further investigations into this association could change practice in the future. (medscape.com)
  • Although echocardiography is often performed on these patients during diagnosis, previous studies looking at ventricular dysfunction used invasive hemodynamic parameters, which made it challenging to incorporate their findings into general cardiac ICU practice. (the-hospitalist.org)
  • Conclusions Ward-based RN staffing is significantly associated with reduced mortality for medical patients. (bmj.com)
  • CONCLUSIONS: The economic context, gender power dynamics, inequality, gender bias in land tenure and ownership regulations, and the limited contraceptive supply reduce women's capacity to practice child spacing. (bvsalud.org)
  • Conversely, if a patient doesn't have high-risk features and is responding to therapy, it is reassuring to have data supporting low mortality with that care plan," said Dr. Baran. (the-hospitalist.org)
  • For example, hospitals that transfer high risk patients to other more specialised hospitals may have lower than expected mortality, because some of their patients die elsewhere. (bmj.com)
  • One of only four central hospitals built for the treatment of South Sea Islanders (then called Pacific Islanders or Polynesians), the site is a rare and important remnant of the response by the Queensland Government during the 1880s to the high death rate among indentured South Sea Islanders. (wikipedia.org)
  • These hospitals are at high risk of falling behind with respect to quality improvement, owing to their limited resources and vulnerable patient populations. (medindia.net)
  • Background We explored who actually provides most admission care in hospitals offering supervised experiential training to graduating clinicians in a high mortality setting where practices deviate from guideline recommendations. (bmj.com)
  • a recent study showed that patients undergoing elective surgery later in the week presented higher risk of death compared with patients having surgery on a Monday, 4 although some high-risk procedures did not show significant higher mortality on weekends compared with a weekday. (bmj.com)
  • The capacity to include community-based smaller practice sites, in addition to high volume institutions, as participants in the registry is strongly encouraged. (nih.gov)
  • 14 The last two scores estimate the risk of dying in hospital with high accuracy, but cannot be assessed before 12-24 hours of age, during which time therapeutic interventions, such as surfactant substitution, or assignment to specific study groups, must already have taken place. (bmj.com)
  • In one case, the family noted the historical contributions of nursing to the hospital mission and achievement of Magnet designation by nurses and the resulting high standards of practice. (nursingworld.org)
  • These high risk behaviors include substance abuse, criminal activity, incarceration, and unsafe sex practices. (ipl.org)
  • BACKGROUND:Pulmonary hypertension (PH) is a disease associated with a high morbidity and mortality. (amrita.edu)
  • In 2022, 12.3% of children and adolescents aged 4-17 years had practiced yoga in the past 12 months. (cdc.gov)
  • Curriculums with components of NRP have significantly improved healthcare providers' knowledge, skills, and attitudes in developing countries [ 15 , 16 ] and decreased neonatal mortality in the developing world up to 65.7 percent [ 10 , 17 , 18 ]. (hindawi.com)
  • Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. (ahrq.gov)
  • For this reason, the cutoff age for triaging children to pediatric versus adult trauma hospitals varies in different settings. (childrensnational.org)
  • Treating injured youths at pediatric trauma centers was associated w/ lower mortality risk than treatment at adult trauma centers. (childrensnational.org)
  • Some 1,636 patients (5.5 percent) were treated at a pediatric trauma center, with many being transferred there from another hospital. (childrensnational.org)
  • Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. (ahrq.gov)
  • America's hospitals and health systems are on the front lines of the pandemic, and as such, witness daily its disproportionate impact on people of color. (aha.org)
  • As America's hospitals and health systems, physicians and nurses continue to battle COVID-19, we need the federal government to identify areas where disparities exist and help us immediately address these gaps. (aha.org)
  • The investigators estimated hospitals' risk-standardized rate of 30-day in-hospital mortality or referral to hospice, adjusted for patient-level characteristics. (the-hospitalist.org)
  • The in-hospital mortality rate was 36.8% among patients with PH, compared with 24.6% among those without. (medscape.com)
  • Out-of-hospital sudden cardiac arrest (OHCA) is a major public health issue, with a survival rate at hospital discharge that remains below 10% in most cities, despite huge investments in this domain. (nih.gov)
  • As such, the United Nations' Millennium Development Goal 4-to reduce the 1990 mortality rate among under-five children by two-thirds by 2015-cannot be realized without educational efforts in neonatal resuscitation. (hindawi.com)
  • When a composite across the 3 conditions was formally tested, adjusting for teaching status, ownership, region, rurality, poverty, and local physician supply, composite baseline mortality was similar between CAHs and non-CAHs (12.8 percent vs. 13.0 percent). (medindia.net)
  • Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health, Boston, and colleagues conducted a study to evaluate trends in mortality for patients receiving care at CAHs and compared these trends with those for patients receiving care at non-CAHs. (medindia.net)
  • This study was designed to evaluate our progress with this procedure over the past 5 years of bariatric practice. (sages.org)
  • Fighting MRSA infections in hospital care: how organizational factors matter. (ahrq.gov)
  • VA hospitals were more likely to follow best practices for prevention of catheter-related infections. (spokesman.com)
  • o Directorate of blood and laboratory services should equip hospitals to conduct culture and sensitivity testing to support the diagnosis of bacterial infections and appropriate antibiotics use. (who.int)
  • Main outcome measures In-hospital standardised mortality ratio, 30 days post-admission standardised mortality ratio, and 30 days post-discharge standardised mortality ratio. (bmj.com)
  • Results Compared with the in-hospital standardised mortality ratio, 33% of the hospitals were categorised differently with the 30 days post-admission standardised mortality ratio and 22% were categorised differently with the 30 days post-discharge standardised mortality ratio. (bmj.com)
  • Furthermore, the average length of hospital stay has decreased significantly in the past few decades and may therefore have shifted mortality away from the hospital to post-discharge destinations. (bmj.com)
  • 15 Metersky et al (2012) concluded that approximately 50% of older patients who died from pneumonia within 30 days of admission did not die in hospital but after discharge. (bmj.com)
  • In contrast to prior claims-based estimates, they found no significant changes in adult sepsis incidence or in the combined outcome of hospital death or discharge to hospice between 2009 and 2014. (sciencedaily.com)
  • Following residency and USPHS service in Norfolk, Virginia, he joined the University of Chicago faculty and practiced general pediatrics. (aap.org)
  • The addition of key condition-specific clinical data points at the time of hospital admission will dramatical y improve model performance. (who.int)
  • As more SA private sector medical to be inferior to a model that uses `current admission to hospital for funders explore their use, it is important that the quality of the AMI' as a risk factor. (who.int)
  • N-terminal B-type natriuretic peptide or troponin elevations, or the Background use of inotropes during admission, are much more powerful and Risk stratification and prediction is an integral part of clinical accurate predictors than admission to hospital alone. (who.int)
  • CONCLUSION The present score is robust, easily obtainable at admission, and permits early randomisation based on mortality risk. (bmj.com)
  • 0.01) employed by the trust whereas, lower HCSW staffing was associated with lower mortality (RR 0.95, 95% CI 0.91 to 1.00, p=0.04). (bmj.com)
  • While those treated by Medicare physicians were more likely to be started on dialysis, regardless of co-existing conditions such as dementia or metastatic cancer, two-year mortality was substantially lower in those treated in VA facilities, despite an equivalent severity of illness. (spokesman.com)
  • Lynette Biery, director of the Michigan Department of Health and Human Services' Bureau of Family Health Services, notes that clusters of higher infant mortality are found in the Upper Peninsula, the northern Lower Peninsula, and southwest Michigan, near the Indiana border. (rapidgrowthmedia.com)
  • Do hospitals provide lower quality care on weekends? (ahrq.gov)
  • They are also partly inconsistent with the QALY-based practice of imputing lower values for persons with a compromised health status. (feem.it)
  • However, the data also indicate that "with lots of disease in the community, hospitals may have a harder time keeping patients alive," Asch said. (the-hospitalist.org)
  • They included data from 38,517 adults who were admitted with COVID-19 to 955 US hospitals between January 1 and June 30 of this year. (the-hospitalist.org)
  • Six registries were selected (Table 1) that collected data defi nitions, see online Technical Appendix, available from on work absenteeism, general practice (GP) consultations, www.cdc.gov/EID/content/14/6/917-Techapp.pdf). (cdc.gov)
  • Justin is hopeful that upon completion, the research will generate base-line data for future research, improve practice in among health professionals and foster policy makers to design strategies and programs to promote, protect and support optimal breastfeeding practices and prevent child morbidity and mortality in South Sudan. (uib.no)
  • I think it's a little bit premature to say that this should guide management now, but it's certainly an interesting question that may end up changing practice in the future," said Morris, who was moderator of the session in which Kumar presented the data. (medscape.com)
  • Participants Two data sets are examined: Administrative data from 137 NHS acute hospital trusts (staffing measured as beds per staff member). (bmj.com)
  • An observational, longitudinal study of secondary data assessed neonatal mortality. (hindawi.com)
  • Because the data were obtained from a large dataset, making that case will require closer examination - perhaps chart-by-chart analysis for each patient - to tease out nuances that differentiate care adolescents receive at different types of trauma hospitals, Dr. Burd says. (childrensnational.org)
  • Design Retrospective observational study using the international dataset from the Global Comparators (GC) project consisting of hospital administrative data. (bmj.com)
  • However, reliably measuring sepsis incidence and trends is challenging because clinical diagnoses of sepsis are often subjective and claims data, the traditional method of surveillance, can be affected by changing diagnosis and coding practices over time. (sciencedaily.com)
  • New research led by investigators at Brigham and Women's Hospital estimates the current U.S. burden of sepsis and trends using clinical data from the electronic health record systems of a large number of diverse hospitals. (sciencedaily.com)
  • Tracking sepsis using hospital claims data is problematic because sepsis tends to be under-recognized by clinicians, while coding can be influenced by reimbursement and policy incentives. (sciencedaily.com)
  • Individual feedback is thus provided to individual surgeons and aggregate data is disseminated to all surgeons and hospitals. (surgeons.org)
  • that would assist with task prioritization/completion and analyze data for diagnostic clues intelligently and in a manner that is consistent with how that physician practices. (kevinmd.com)
  • Initial predictors for mortality previously reported in patients with myositis-associated ILD were used as variables and included age, sex, disease duration, classification of myositis, requirement of supplemental oxygen, anti-aminoacyl tRNA synthetase (ARS) antibody, anti-melanoma differentiation-associated gene 5 (MDA5) antibody, and serum levels of C-reactive protein (CRP) and Krebs von den Lungen-6 (KL-6). (frontiersin.org)
  • It was prepared in consultation with the Hospital Infection Control Practices Advisory Committee (HICPAC) and is consistent with current HICPAC guidelines for infection control in health-care personnel. (cdc.gov)
  • Because of their contact with patients or infective material from patients, many health-care workers (HCWs)(e.g., physicians, nurses, emergency medical personnel, dental professionals and students, medical and nursing students, laboratory technicians, hospital volunteers, and administrative staff) are at risk for exposure to and possible transmission of vaccine-preventable diseases. (cdc.gov)
  • Many medical practices and risks associated with health care are emerging as major challenges for patient safety and contribute significantly to the burden of harm due to unsafe care. (who.int)
  • Antibiotic prescribing practice in residential aged care facilities-health care providers' perspectives. (ahrq.gov)
  • Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. (ahrq.gov)
  • Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. (ahrq.gov)
  • In the past few decades, quality of care in hospitals has been subject to growing attention from physicians and regulators. (bmj.com)
  • ABSTRACT The aims of this cross-sectional study were to investigate the prevalence and circumstances of needlestick injury (NSI) among heath care workers at University of Alexandria teaching hospitals and to assess the effectiveness of the existing control measures and standard precautions. (who.int)
  • Setting Secondary care provided in acute hospital National Health Service (NHS) trusts in England. (bmj.com)
  • Ensuring the safety of hospital care is a paramount concern for healthcare systems worldwide. (bmj.com)
  • In 2010, 1,264 of 4,519 (28 percent) of U.S. hospitals providing acute care services to Medicare beneficiaries and reporting hospital characteristics to the American Hospital Association were designated as CAHs. (medindia.net)
  • Given the substantial challenges that CAHs face, new policy initiatives may be needed to help these hospitals provide care for U.S. residents living in rural areas," the authors conclude. (medindia.net)
  • Patients were rarely admitted by fully qualified clinicians and predominantly by preregistration medical officer interns (MOI, 46%) and diploma level clinical officer interns (COI, 41%) with a median of 28 MOI (range 11-68) and 52 COI (range 5-160) offering care per study hospital. (bmj.com)
  • The Memphis VA Medical Center is a teaching hospital, providing a full range of patient care services, state-of-the-art technology and many educational and research opportunities. (va.gov)
  • Pharmacy residents are provided the opportunity to accelerate their growth beyond entry-level professional competence in patient-centered care, pharmacy operational services, and leadership skills that can be applied in any position and in any practice setting. (va.gov)
  • The VAMC Memphis offers three ASHP accredited residency programs, a PGY1 Pharmacy Practice Residency as well as two PGY-2 programs, one in Internal Medicine and one in Ambulatory Care. (va.gov)
  • During 30 years of practice as a primary care pediatrician and allergist and 20 years of retirement, we raised two daughters and still live in the same house we moved into 50 years ago. (aap.org)
  • On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners - including more than 270,000 affiliated physicians, 2 million nurses and other caregivers - and the 43,000 health care leaders who belong to our professional membership groups, the American Hospital Association (AHA) commends the Committee on Ways and Means for your leadership in examining racial disparities and the COVID-19 pandemic. (aha.org)
  • We are the most incredible nation with the best medical care ever-how could we possibly have a problem with maternal mortality? (tmc.edu)
  • In 2015, approximately half (50.3%) of the physicians in the United States had information from other providers outside of their practice electronically available at the point of care. (cdc.gov)
  • survivors with necrotising enterocolitis were more likely to require longer stays in the neonatal intensive care unit and in hospital. (hkmj.org)
  • The Magnet® Recognition Program - administered by the American Nurses Credentialing Center, the largest and most prominent nurses credentialing organization in the world - identifies health care organizations that provide the very best in nursing care and professionalism in nursing practice. (emoryhealthcare.org)
  • The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. (sccm.org)
  • Such inappropriate use of antibiotics has the potential to amplify antibiotic resistance and increase mortality, morbidity, hospital stay, and health care costs. (who.int)
  • This study makes a unique contribution by including medical and healthcare support worker staffing in examining the observed relationships between trust staffing and mortality. (bmj.com)
  • A Neonatal Resuscitation Curriculum in Malawi, Africa: Did It Change In-Hospital Mortality? (hindawi.com)
  • A lack of protocol and systemized training in neonatal resuscitation to reduce neonatal mortality secondary to birth asphyxia is common across sub-Saharan Africa [ 7 ]. (hindawi.com)
  • In particular, interstitial lung disease (ILD) is one of the major manifestations associated with poor mortality in patients with polymyositis (PM)/dermatomyositis (DM) ( 2 ). (frontiersin.org)
  • They spend the better part of a decade preparing to practice in whatever specialty and setting they choose. (kevinmd.com)
  • Dr. Baran was the lead author on the original SCAI study and is system director of advanced heart failure at Sentara Heart Hospital, as well as a professor of medicine at Eastern Virginia Medical School, both in Norfolk. (the-hospitalist.org)
  • The primary objective of our study was to assess whether female sex is associated with increased in-hospital mortality after open cardiac valve operations. (nih.gov)
  • The primary objective of this study was to estimate the confounder-adjusted association between sex and in-hospital mortality (as recorded and coded by SID HCUP) after open cardiac valve surgery. (nih.gov)
  • One study revealed declines in national trends of neonatal mortality over an 8-year period following NRP integration across Malaysia [ 19 ]. (hindawi.com)
  • These recommendations can assist hospital administrators, infection control practitioners, employee health physicians, and HCWs in optimizing infection prevention and control programs. (cdc.gov)
  • Consistent immunization programs could substantially reduce both the number of susceptible HCWs in hospitals and health departments and the attendant risks for transmission of vaccine-preventable diseases to other workers and patients (16). (cdc.gov)
  • In addition to HCWs in hospitals and health departments, these recommendations apply to those in private physicians' offices, nursing homes, schools, and laboratories, and to first responders. (cdc.gov)
  • Boudourakis and Uppal are both affiliated with NYC Health + Hospitals in New York City and with SUNY Downstate and New York University School of Medicine, respectively. (the-hospitalist.org)
  • and, an episode of our Advancing Health podcast discussing how a hospital and a community are working together to serve those most in need. (aha.org)
  • She also chairs the Maternal Mortality and Morbidity Task Force , a multidisciplinary group within the Texas Department of State Health Services. (tmc.edu)
  • In 2011, a group of us who primarily at that time were working with Harris Health System and The American College of Obstetricians and Gynecologists (ACOG) first went to the state legislature and said maternal mortality is a huge problem and it's getting worse. (tmc.edu)
  • There was a proposal for a maternal mortality review that never even got out of the public health committee. (tmc.edu)
  • AIM got funding from the Health Resources and Services Administration to implement these best practices. (tmc.edu)
  • Dr. Tami Michele saw the devastating results of substance abuse during the nine years she served as medical director of the obstetrics department at Spectrum Health Gerber Memorial Hospital in Fremont, 25 miles northeast of Muskegon in Newaygo County. (rapidgrowthmedia.com)
  • Infant mortality is one of the leading public health problems in developed countries. (bmj.com)
  • Adan was recruited to join the World Health Organization (WHO) , where she held various key positions advocating for the abolition of harmful traditional practices, such as female genital cutting. (itvs.org)
  • Emory Healthcare is the only health system in Georgia with four Magnet®-designated hospitals as well as the first and only in Georgia with a Magnet®-designated ambulatory practice. (emoryhealthcare.org)
  • AIM works with state health departments, Perinatal Quality Collaboratives, hospitals, community-based teams and patient representatives to address the key drivers of maternal mortality and SMM. (nnepqin.org)
  • Objective To assess if adoption of RVP testing at hospitals was associated with changes in antibiotic duration in. (researchgate.net)
  • o Hospital management should strengthen antimicrobial stewardship programmes to monitor antibiotic use. (who.int)
  • The participating hospitals represent varied models of service delivery, and there is a potential to learn from best practice in different healthcare systems. (bmj.com)
  • Objectives To examine associations between mortality and registered nurse (RN) staffing in English hospital trusts taking account of medical and healthcare support worker (HCSW) staffing. (bmj.com)
  • Objective To examine the association of mortality by day of the week for emergency and elective patients. (bmj.com)
  • The estimated association between RN staffing and mortality changes when medical and HCSW staffing is considered and depending on whether ward or trust wide staffing levels are considered. (bmj.com)
  • Ten years ago, as part of my employment in a Brown University medical school-affiliated practice, I became section chief of nephrology at the Providence VA Medical Center. (spokesman.com)
  • Andrew J. Cohen is former chief of nephrology at the Providence VA Medical Center, where he continues to practice, and a professor of medicine at Brown University's Alpert Medical School. (spokesman.com)
  • Pharmacy residency training programs at the Memphis VA Medical Center have allowed residents to train at an advanced level of practice in a progressive pharmacy environment. (va.gov)
  • After Hamilton College, medical school in Pittsburgh, residency at NYC's Babies' Hospital, two years with the USAF in Topeka KS, and four years of solo private practice in Manhattan, I joined the Keene (NH) Clinic. (aap.org)
  • The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. (ahrq.gov)
  • A two-year endeavor that engaged more than 4,000 US hospitals to prevent five million incidents of medical harm . (ihi.org)
  • As the current generation of medical students transitions into residency, and eventually into medical practice, they will face a very different reality than I did when I entered the "real world. (kevinmd.com)
  • Among more than 156,000 hospitalized patients with ARDS, 16.8% of whom also had a diagnosis of PH, the presence of PH was associated with about a 50% higher risk for in-hospital mortality and a 37% higher risk for longer hospital stays. (medscape.com)
  • 001) and higher total hospital costs, with a mean difference of $19,406. (medscape.com)
  • Higher doctor staffing levels is associated with reduced mortality. (bmj.com)
  • Comparing CAHs with other small, rural hospitals, similar patterns were found. (medindia.net)
  • We used multilevel multivariable models to account for potential confounders, including intrahospital practice patterns. (nih.gov)
  • The residency year provides a productive environment for accelerating growth beyond entry-level professional competence through supervised practice under the guidance of model practitioners. (va.gov)
  • Impaired lung function is a major clinical indicator of mortality risk in men and women for a wide range of diseases. (bmj.com)
  • Despite increasing expenditure and focus on patient safety in many countries, there remains considerable variation in hospital trust mortality that cannot be explained by measurable variation in case mix or individual patient risk. (bmj.com)
  • The risk of mortality declined by almost 60% after one vaccine dose. (news-medical.net)
  • There was no significant difference in risk severity and in risk adjusted mortality between the eras 1978-87 and 1988-91. (bmj.com)
  • An approach towards quantifying mortality risk is to develop predictive models using logistic regression. (bmj.com)