LAURENT GILLES GLANCE

..To examine longitudinal trends in mortality for injured patients admitted to trauma centers...

..The objective of this study was to compare mortality and complications for injured patients admitted to Level I and Level II trauma centers...

..The impact of nurse staffing and skill mix on trauma outcomes has not been previously reported. The goal of this study was to examine whether nurse staffing levels and nursing skill mix are associated with trauma patient outcomes...

....

..To examine the association between the American College of Surgeons Committee on Trauma (ACSCOT) quality indicators and outcomes...

..To determine whether adjusting for comorbidities significantly affects hospital quality measurement compared with adjusting for injury severity alone...

..To develop and validate a new ICD-9 injury model that uses regression modeling, as opposed to a simple ratio measurement, to estimate empiric injury severities for each of the injuries in the ICD-9-CM lexicon...

..To determine the extent to which the Injury Severity Score (ISS) and Trauma Mortality Probability Model (T-MPM), a new trauma injury score based on empirical injury severity estimates, agree on hospital quality...

..To determine whether imputed data can be used to produce unbiased hospital quality measures...

..The objective of this study is to examine whether the AHRQ PSIs accurately measure hospital complication rates, using the data with present-on-admission (POA) codes to distinguish between complications and pre-existing conditions..

..The extent to which the lack of a POA indicator biases quality assessment based on the AHRQ mortality measures is unknown...

..Complications are associated with increased risk of death. The objective of this study is to quantify the increased odds of dying from complications after isolated coronary artery bypass grafting surgery...

..To determine whether quality measures based on injury-specific models provide a different perspective about relative hospital rankings compared with a single outcome measure based on all trauma patients...

..The Survival Measurement and Reporting Trial for Trauma explores the feasibility of using the National Trauma Data Bank as a platform for measuring and improving trauma outcomes...

..The use of mortality report cards as the basis for hospital choice assumes that a hospital's current performance is predicted by its past performance...

..To examine the association between trauma center quality and costs...

..This study will determine the impact of the modified metabolic syndrome (defined as the presence of obesity, hypertension, and diabetes) on perioperative outcomes...

..To explore the clinical impact and economic burden of hospital-acquired infections (HAIs) in trauma patients using a nationally representative database...

..To examine whether failure-to-rescue is an important mechanism driving outcome differences across low- and high-mortality hospitals caring for trauma patients...

..To examine the association between hospital self-reported compliance with the National Quality Forum patient safety practices and trauma outcomes in a nationally representative sample of level I and level II trauma centers...

..To examine whether basing regionalization on risk-adjusted mortality would lead to better population outcomes than basing regionalization on procedure volume...

..To evaluate the impact of case mix variation on the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II using measures of calibration and discrimination...

..To assess the validity of using the standardized mortality ratio (SMR), based on the New York State Cardiac Surgery Reporting System (CSRS) prediction model to compare coronary artery bypass grafting (CABG) outcomes between hospitals...

..The objective of this study was to determine whether the volume-outcome association for CABG surgery is modified by patient risk...

..To determine whether hierarchical modeling agrees with conventional logistic regression modeling on the identity of ICU quality outliers within a large multi-institutional database...

..However, the evidence linking trauma center volume and outcome is not conclusive. The objective of this study was to examine the volume-mortality relation for patients with severe trauma in the National Trauma Databank...

..The primary trauma outcome prediction models used for evaluating the quality of trauma care, TRISS and ASCOT (A Severity Characterization of Trauma), were developed using the MTOS database...

....

..Risk adjustment is central to the generation of health outcome report cards. It is unclear, however, whether risk adjustment should be based on standard logistic regression, fixed-effects or random-effects modeling...

..Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown...

..There is strong evidence that pain is undertreated in black and Hispanic patients. The association between race and ethnicity and the use of epidural analgesia for labor is not well described...

..The objective of this study was to determine whether the identity of ICU quality outliers depends on the ICU scoring system used to calculate the standardized mortality ratio...

..Seventeen of the 54 hospitals were categorized differently depending on which of the two scoring systems was used. Therefore, the rating of quality of care appears, in part, to be a function of the prediction model used...

..It is unknown whether high-risk cardiac surgical patients have less access to high-quality surgeons compared with lower-risk patients...

..The use of ultrasound (US) during CVC has been recommended to improve patient safety. We performed a survey to evaluate the frequency of, and factors influencing, US use...

..However, the use of survival as a measure of the effectiveness of trauma care may be too limited in scope because it fails to capture information regarding functional outcomes...

..The use of data fields that indicates whether each secondary diagnosis was present at the time of hospital admission may lead to the more accurate identification of preexisting conditions...

..However, the CPAA modifier will need to be further validated before date stamped administrative data can be used as the basis for health quality report cards...

..The measured bias should be considered when the central landmark is used for central venous catheterization...

..Although the incidence of sepsis is higher in men than in women, it is controversial whether there are sex-based differences in sepsis-associated mortality...

..System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown...

..It is unknown whether patients with mental disorders have higher ACS admission rate, compared with patients without mental disorders...

..CONCLUSIONS: There is evidence that high ICU patient volumes are associated with lower mortality rates in high-risk critically ill adults...

..Presence of a mental disorder has been shown to be associated with reduced access to medical and surgical services. Little is known, however, about the relationship between mental disorders and the quality of medical/surgical care received...

..The Centers for Medicare and Medicaid Services (CMS) publish a report card for nursing homes with 19 clinical quality measures (QMs). These measures include minimal risk adjustment...

..Because the m component is nonlinear in the log odds of survival, however, it should be mathematically transformed before its inclusion in broader outcome prediction models...

..abstract_text> ..

..Such a National Trauma Report Card could serve as a catalyst for improving short and long-term outcomes for trauma patients. ..

..Such a National Trauma Report Card could serve as a catalyst for improving short and long-term outcomes for trauma patients. ..