Summary: Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.
Publications202 found, 100 shown here
- The integration of a nurse model to increase clinical excellenceKaren Harris
William Beaumont Hospital, Troy, Michigan 48085 1198, USA
J Nurses Staff Dev 23:12-7; quiz 18-9. 2007..Various activities were conducted to ensure a comprehensive model that was effective, thereby creating an environment of clinical excellence...
- Factors affecting unplanned readmissions from community hospitals to acute hospitals: a prospective observational studyIan Y O Leong
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore
Ann Acad Med Singapore 38:113-20. 2009While the readmission rate from community hospitals is known, the factors affecting it are not. Our aim was to determine the factors predicting unplanned readmissions from community hospitals (CHs) to acute hospitals (AHs).
- Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for preventionBalthasar L Hug
Division of General Internal Medicine, Brigham and Women s Hospital, Brigham Circle, 1620 Tremont St, 3rd Floor, Boston, MA, 02120 1613, USA
J Gen Intern Med 25:31-8. 2010..Medications represent a major cause of harm and are costly for hospitalized patients, but more is known about these issues in large academic hospitals than in smaller hospitals...
- Replicating the Hospital Elder Life Program in a community hospital and demonstrating effectiveness using quality improvement methodologyFred H Rubin
Department of Medicine, School of Medicine, University of Pittsburgh, UPMC Shadyside, 5230 Centre Avenue, Pittsburgh, PA 15232, USA
J Am Geriatr Soc 54:969-74. 2006..To evaluate a replication of the Hospital Elder Life Program (HELP), a quality-improvement model, in a community hospital without a research infrastructure, using administrative data...
- Assessing the anticipated consequences of Computer-based Provider Order Entry at three community hospitals using an open-ended, semi-structured survey instrumentDean F Sittig
Medical Informatics Department, Northwest Permanente, Portland, OR 97227, USA
Int J Med Inform 77:440-7. 2008To determine what "average" clinicians in organizations that were about to implement Computer-based Provider Order Entry (CPOE) were expecting to occur, we conducted an open-ended, semi-structured survey at three community hospitals.
- Molecular characteristics of extended-spectrum beta-lactamase-producing Escherichia coli from the Chicago area: high prevalence of ST131 producing CTX-M-15 in community hospitalsGisele Peirano
Division of Microbiology, Calgary Laboratory Services, Calgary, AB, Canada
Int J Antimicrob Agents 36:19-23. 2010..coli clonal complex ST131 producing CTX-M-15, CTX-M-14, OXA-1, TEM-1 and aac(6')-Ib-cr has emerged as an important cause of community-onset urinary tract infections caused by ESBL-producing E. coli isolates in the Chicago area...
- A multidisciplinary community hospital program for early and rapid resuscitation of shock in nontrauma patientsFrank Sebat
Kritikus Foundation, Redding, CA 96099 1844, USA
Chest 127:1729-43. 2005..To determine the effect of a community hospital-wide program enabling nurses and prehospital personnel to mobilize institutional resources for the treatment of patients with nontraumatic shock...
- Identifying the palliative care role of the nurse working in community hospitals: an exploratory studyFaye Hamilton
Palliative Services, Perth and Kinross, Blair Hospital, Muirhall Road, Perth PH2 7BH, UK
Int J Palliat Nurs 10:426-34. 2004to ascertain registered nurses' and GPs' perceptions of and influences on the nurse's role in providing palliative care in community hospitals.
- Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trialJacqueline O'Reilly
Health Research and Information Division, Economic and Social Research Institute, Dublin, Ireland
Age Ageing 37:513-20. 2008to compare the cost effectiveness of post-acute care for older people provided in community hospitals with general hospital care.
- Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitalsFrank Piontek
College of William and Mary, Williamsburg, VA, USA
Am J Health Syst Pharm 67:613-20. 2010The effects of an adverse-drug-event (ADE) alert system on cost and quality outcomes in community hospitals were evaluated.
- Outcomes of total joint arthroplasty in academic versus community hospitalsRajiv Gandhi
Division of Orthopedic Surgery, Toronto Western Hospital and University of Toronto, Toronto, Ont
Can J Surg 52:413-6. 2009Most joint-replacement surgeries are currently performed in community hospitals. We sought to determine whether the functional outcomes of joint-replacement surgery differ between academic and community hospitals.
- Clinical and economic outcomes of the electronic intensive care unit: results from two community hospitalsJeanette L Morrison
Advocate Lutheran General Hospital, Park Ridge, IL, USA
Crit Care Med 38:2-8. 2010To determine the impact of a telemedicine system, the electronic intensive care unit (eICU), on ICU, and non-ICU mortality, total mortality, total and ICU-specific length of stay, and total hospital cost at two community hospitals.
- Prevalence of diabetic retinopathy in relation to duration of diabetes mellitus in community hospitals of LampangWatanee Jenchitr
Department of Ophthalmology, Priest Hospital, Bangkok 10400, Thailand
J Med Assoc Thai 87:1321-6. 2004..The severity of retinopathy was found to be not only related to a longer duration of diabetes but also related to higher glycosylated hemoglobin levels, higher systolic blood pressure and the presence of proteinuria...
- Electroconvulsive therapy (ECT) practice in Metropolitan New York community hospitalsRichard Abrams
Psychol Med 32:1323-4; author reply 1324-6. 2002
- Multidrug-resistant Acinetobacter baumannii: an emerging pathogen among older adults in community hospitals and nursing homesD M Sengstock
Internal Medicine Geriatrics, Oakwood Hospital, Dearborn, Michigan, USA
Clin Infect Dis 50:1611-6. 2010Drug-resistant Acinetobacter species are problematic in tertiary-care hospitals. We describe the epidemiology, resistance patterns, and outcomes of older adults with Acinetobacter infection in community hospitals.
- Remote evaluation of acute ischemic stroke in rural community hospitals in GeorgiaSam Wang
Department of Neurology, Medical College of Georgia, 1429 Harper Street, Building HF 1154, Augusta, GA 30912, USA
Stroke 35:1763-8. 2004..We now report on the performance of the system since its deployment in 5 rural hospitals in east Georgia...
- Are many community hospitals undertreating breast cancer?: lessons from 24,834 patientsJuan C Gutierrez
DeWitt Daughtry Family Department of Surgery, Division of Surgical Oncology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA
Ann Surg 248:154-62. 2008To compare treatment patterns and long-term outcomes between teaching and community hospitals treating patients with infiltrating ductal carcinoma (IDC).
- Free tissue transfer: comparison of outcomes between university hospitals and community hospitalsJeffrey A Gusenoff
Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA
Plast Reconstr Surg 118:671-5. 2006..This study reports the outcomes of two equal groups of free tissue transfer performed by the same surgeons, comparing the university versus the community hospital setting...
- Outbreaks of multidrug-resistant Pseudomonas aeruginosa in community hospitals in JapanJun ichiro Sekiguchi
Department of Infectious Diseases, Research Institute, International Medical Center of Japan, 1 21 1 Toyama, Shinjuku, Tokyo 162 8655, Japan
J Clin Microbiol 45:979-89. 2007..S1, indicating that clonal expansion of MDR P. aeruginosa occurred in community hospitals in this area...
- Concurrent antibiotic review programs--a role for infectious diseases specialists at small community hospitalsAnthony LaRocco
Clin Infect Dis 37:742-3. 2003
- Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitalsS D Reed
Pharmaceutical Outcomes Research and Policy Program, School of Pharmacy, University of Washington, Seattle, USA
Neurology 57:305-14. 2001..Estimates based on data from academic institutions may not be generalizable to community hospitals. In this study, the authors estimated inpatient costs, LOS, and in-hospital mortality for patients with ..
- Postacute care for older people in community hospitals: a multicenter randomized, controlled trialJohn Young
Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford, West Yorkshire, United Kingdom
J Am Geriatr Soc 55:1995-2002. 2007..To compare the effects of community hospital care on independence for older people needing rehabilitation with that of general hospital care...
- Palliative care for all? A review of the evidence in community hospitalsJulie Steers
Sheffield Hallam, University, Sheffield, UK
Int J Palliat Nurs 13:392-9. 2007..b>Community hospitals could be important for those groups currently under-served...
- Experiences of end-of-life care in community hospitalsSheila Payne
International Observatory on End of Life Care, Institute for Health Research, Lancaster University, Lancaster, UK
Health Soc Care Community 15:494-501. 2007..b>Community hospitals offer a potentially accessible resource for local provision of end-of-life care...
- Clinical profile and management of heart failure: rural community hospital vs. metropolitan heart centerG Taubert
Herzzentrum Ludwigshafen, Department of Cardiology, Bremserstrasse 79, 67063 Ludwigshafen, Germany
Eur J Heart Fail 3:611-7. 2001..Reports on the large numbers of patients with heart failure treated in community hospitals are sparse.
- Parents' perception of the back-transport of very-low-birth-weight infants to community hospitalsP K Donohue
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
J Perinatol 29:575-81. 2009..To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care...
- Trends in the inpatient mental health treatment of children and adolescents in US community hospitals between 1990 and 2000Brady G Case
Department of Psychiatry, New York University School of Medicine, New York, NY, USA
Arch Gen Psychiatry 64:89-96. 2007..Previous work has demonstrated marked changes in inpatient mental health service use by children and adolescents in the 1980s and early 1990s, but more recent, comprehensive, nationally representative data have not been reported...
- Emergency department image interpretation services at private community hospitalsDaniel D Saketkhoo
Department of Diagnostic Radiology, Yale University School of Medicine, 330 Cedar St, TE 2, New Haven, CT 06510, USA
Radiology 231:190-7. 2004To investigate the methods used at private community hospitals for delivering emergency department (ED) image interpretation services.
- Treatment with tissue plasminogen activator and inpatient mortality rates for patients with ischemic stroke treated in community hospitalsS D Reed
Pharmaceutical Outcomes Research and Policy Program, School of Pharmacy, Department of Neurology, School of Medicine, University of Washington, Seattle, Washington, USA
Stroke 32:1832-40. 2001..In the present study, we sought to estimate among community hospitals the use of IV tPA and to identify factors associated with the use of IV tPA and inpatient mortality...
- Emergence of extended-spectrum beta-lactamase-producing Escherichia coli in community hospitals throughout North Carolina: a harbinger of a wider problem in the United States?Joshua T Freeman
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina 27710, USA
Clin Infect Dis 49:e30-2. 2009..We report the emergence and subsequent rapid increase in the incidence of these infections in community hospitals throughout North Carolina since 2006.
- A comparison of two hospitalist models with traditional care in a community teaching hospitalLakshmi K Halasyamani
Saint Joseph Mercy Hospital, Departments of Internal Medicine, Pathology, and the Quality Institute, Ann Arbor, MI 48197, USA
Am J Med 118:536-43. 2005..However, less is known about the concurrent performance of more than one hospitalist model in a single site...
- Community hospitals: an under-recognized resource for palliative careSheila Payne
Palliative and End of Life Care Research Group, University of Sheffield, Bartolome House, Winter Street, Sheffield, UK
J R Soc Med 97:428-31. 2004..There has been no systematic survey of the extent to which community hospitals provide general palliative care for such patients...
- Favorable impact of an infection control network on nosocomial infection rates in community hospitalsKeith S Kaye
Department of Medicine and Infection Control, Duke University Medical Center, Durham, NC 27710, USA
Infect Control Hosp Epidemiol 27:228-32. 2006To describe an infection control network (the Duke Infection Control Outreach Network [DICON]) and its impact on nosocomial infection rates in community hospitals.
- Comparison of hospital costs and length of stay associated with general internists and hospitalist physicians at a community hospitalGeorge D Everett
Department of Internal Medicine, Orlando Regional Healthcare, Orlando, FL 32806, USA
Am J Manag Care 10:626-30. 2004..To compare initial and long-term hospital resource utilization of hospitalists and general internists at an urban community hospital...
- The costs of caring for stroke patients in a GP-led community hospital: an application of programme budgeting and marginal analysisL R Henderson
RCN Institute, Radcliffe Infirmary, UK
Health Soc Care Community 9:244-54. 2001There has been little evaluation of the role of community hospitals in the provision of integrated health care services in a primary care-led health system...
- Considering patient non-participation in health careAnn Catrine Eldh
FoU Seniorium, Danderyd, Sweden
Health Expect 11:263-71. 2008..The aim of this study was to depict patient non-participation as described by a diverse group with recent experiences of being patients...
- Long-term effects of specialized stroke care with telemedicine support in community hospitals on behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS)Heinrich J Audebert
Stroke Unit, Department of Ageing and Health, Guy s and St Thomas NHS Foundation Trust, King s, Guy s and St Thomas Medical School, London, UK
Stroke 40:902-8. 2009..The implementation of a stroke network with telemedicine support was associated with improved outcome at 3 months. We report follow-up results at 12 and 30 months after acute stroke...
- Antimicrobial selection for hospitalized patients with presumed community-acquired pneumonia: a survey of nonteaching US community hospitalsV Dudas
University of California, San Francisco 94143, USA
Ann Pharmacother 34:446-52. 2000..Secondary outcomes included length of stay (LOS) and mortality associated with the choice of therapy...
- Determinants of length of stay during post-stroke rehabilitation in community hospitalsS K Saxena
Department of Psychological Medicine, National University Hospital, Singapore 119074
Singapore Med J 48:400-7. 2007..The aim of the study was to ascertain the predictors of LOS of post-stroke patients admitted into two community hospitals offering rehabilitation.
- Compliance with universal precautions and needle handling and disposal practices among emergency department staff at two community hospitalsK Henry
Department of Medicine, St Paul Ramsey Medical Center, MN 55101
Am J Infect Control 22:129-37. 1994..describe rates of needle disposal and barrier use within the emergency departments at two privately owned community hospitals in two suburbs of Minneapolis, a study was conducted...
- Explaining turnover intention in Korean public community hospitals: occupational differencesJee In Hwang
Department of Nursing and Healthcare Management, College of Nursing Science, Kyung Hee University, Seoul, South Korea
Int J Health Plann Manage 23:119-38. 2008..The purposes of this study were to describe the occupational differences and to identify factors affecting turnover intention among public hospital personnel...
- A cost study of a general practitioner hospital in the NetherlandsLeona Hakkaart-van Roijen
iMTA, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Eur J Gen Pract 10:45-9. 2004..To perform a cost study of the first general practitioner (GP) hospital in the Netherlands...
- Severe surgical site infection in community hospitals: epidemiology, key procedures, and the changing prevalence of methicillin-resistant Staphylococcus aureusDeverick J Anderson
Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, NC, 27710, USA
Infect Control Hosp Epidemiol 28:1047-53. 2007To characterize the epidemiology of severe (ie, nonsuperficial) surgical site infection (SSI) in community hospitals.
- Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trialJohn Green
Department of Health Care for the Elderly, St Luke s Hospital, Bradford BD5 0NA
BMJ 331:317-22. 2005..To determine the effects on independence in older people needing rehabilitation in a locality based community hospital compared with care on a ward for elderly people in a district general hospital...
- Specialty versus community hospitals: referrals, quality, and community benefitsLeslie Greenwald
RTI International in Research Triangle Park, NC, USA
Health Aff (Millwood) 25:106-18. 2006..Specialty hospitals provide generally high-quality care to satisfied patients. Uncompensated care plus specialty hospitals' taxes represent a greater burden, in percentage terms, than community benefits provided by nonprofit providers...
- Comparative impact of hospital-acquired infections on medical costs, length of hospital stay and outcome between community hospitals and medical centresW H Sheng
Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan, ROC
J Hosp Infect 59:205-14. 2005..systems in different healthcare settings, we performed a case-control study at a medical centre and two community hospitals. A total of 144 and 129 adult case-control pairs who received care in a 2000-bed tertiary referral medical ..
- Pressure ulcer prevalence across Welsh orthopaedic units and community hospitals: surveys based on the European Pressure Ulcer Advisory Panel minimum data setJane James
Hywel Dda Health Board, Haverfordwest, Pembrokeshire, UK
Int Wound J 7:147-52. 2010..Data were gathered upon 1196 patients (581, 48.6% within orthopaedic units with 615 located in community hospitals). Of these patients, 81 (13.9%) and 162 (26...
- Anemia and renal insufficiency are independent risk factors for death among patients with congestive heart failure admitted to community hospitals: a population-based studyWilliam M McClellan
Georgia Medical Care Foundation, 57 Executive Park South, Suite 200, Atlanta, GA 30329, USA
J Am Soc Nephrol 13:1928-36. 2002..In conclusion, CKD and anemia are frequent among older patients with heart failure and are independent predictors of subsequent risk of death...
- A collaborative approach to building the capacity for research and evidence-based practice in community hospitalsBarbara B Brewer
John C Lincoln North Mountain Hospital, 250 E Dunlap Avenue, Phoenix, AZ 85020, USA
Nurs Clin North Am 44:11-25, ix. 2009..This article describes the experience in two hospitals using a program designed to give nurses the skills needed to engage in evidence-based care...
- Six month outcomes after emergency admission of elderly patients to a community or a district general hospitalAlison Round
East Devon PCT, North and East Devon Health Authority, UK
Fam Pract 21:173-9. 2004..Recent policy is to increase the role of intermediate care, which includes the use of community hospitals (CHs). However, the proposed expansion presumes that CH care is as effective as acute hospital care...
- Co-infection or co-colonization with vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus in a network of community hospitalsJay R McDonald
Infect Control Hosp Epidemiol 25:622. 2004
- Evaluation of an accident and emergency teleconsultation service for north-east ScotlandE M Brebner
Telemedicine Laboratory, Remote Health Care Unit, Department of General Practice and Primary Care, University of Aberdeen, Aberdeen, UK
J Telemed Telecare 10:16-20. 2004We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland...
- Community hospitals and the Internet: lessons from pilot connectionsS Rauch
Merle West Medical Center, Klamath Falls, Oregon 97601
Bull Med Libr Assoc 82:401-6. 1994b>Community hospitals in rural and isolated areas have had little access to the Internet...
- Trust between managers and physicians in community hospitals: the effects of power over hospital decisionsM J Succi
University of Connecticut, USA
J Healthc Manag 43:397-414; discussion 415. 1998..hypotheses with data collected in a national study of chief executive officers and physician leaders in community hospitals in 1993...
- Community hospitals and older peopleJ Young
Department of Elderly Care, St Luke s Hospital, Bradford BD5 0NA, UK
Age Ageing 30:7-10. 2001..Although descriptive studies demonstrate the flexible, multi-purpose role of community hospitals, there is a worrying paucity of clinical outcome studies and no robust health economic evaluation...
- Community hospitals for the new millenniumD Seamark
Surgery, Marlpits Road, Honiton, Devon, EX14 2NY
Br J Gen Pract 51:125-7. 2001There is a lack of basic information regarding the numbers of and facilities offered by community hospitals. This survey identified 471 community hospitals in the United Kingdom containing 18,579 beds with 20% of general practitioners ..
- At the top of their game. Fewer deaths and complications, better financial performance are among hallmarks of Solucient's 100 Top HospitalsJay Greene
Mod Healthc 36:24-6, 28. 2006
- Use and evaluation of critical pathways in hospitalsJonathan Darer
Department of Medicine, The Johns Hopkins University School of Medicine, Bloomberg School of Public Health, Baltimore, MD, USA
Eff Clin Pract 5:114-9. 2002..Although hospitals have devoted substantial resources to critical pathways, it is not known whether they routinely evaluate the clinical or economic effects of these pathways...
- Implementation of a voluntary hospitalist service at a community teaching hospital: improved clinical efficiency and patient outcomesAndrew D Auerbach
Department of Medicine, Box 0120, 505 Parnassus Avenue, University of California, San Francisco, San Francisco, CA 94143 0936, USA
Ann Intern Med 137:859-65. 2002..Previous investigations of the effect of the hospitalist model on resource use and patient outcomes have focused on academic medical centers or have used short follow-up periods...
- Can fine-needle aspiration biopsy of thyroid nodule help in determining the extent of surgery in follicular and Hurthle cell neoplasm at a community teaching institution?Abdelkader Hawasli
Department of Surgery, St John Hospital and Medical Center, Detroit, Michigan, USA
Am Surg 68:907-10. 2002..Thus we conclude that using FNAB finding can guide surgical resection and recommend performing total or subtotal thyroidectomy when FNAB is suggestive of neoplasm and lobectomy when FNAB is inconclusive...
- Coronary artery bypass grafting in octogenarians: clinical and economic outcomes at community-based healthcare facilitiesBrahmajee K Nallamothu
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA
Am J Manag Care 8:749-55. 2002..Results of recent studies from high-volume academic centers suggest that coronary artery bypass grafting (CABG) is becoming safer to perform in octogenarians. Similar data from community-based facilities do not exist...
- Pounds of cure: chart weight as a measure of service intensityDaniel Shine
Department of Medicine Monmouth Medical Center, Long Branch, NJ, USA
South Med J 99:346-7. 2006..We conclude that the intensity of paper documentation closely reflects actual costs; the same may be true of bytes or key-strokes for electronic records...
- Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams projectJohn C Morey
Crew Performance Group, Dynamics Research Corporation, Andover, MA 01810, USA
Health Serv Res 37:1553-81. 2002..To evaluate the effectiveness of training and institutionalizing teamwork behaviors, drawn from aviation crew resource management (CRM) programs, on emergency department (ED) staff organized into caregiver teams...
- Comparison of hospitalists and nonhospitalists regarding core measures of pneumonia careWilliam D Rifkin
Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
Am J Manag Care 13:129-32. 2007..To examine whether compliance with national indicators of care differed amongst hospitalists and nonhospitalists...
- Hospitalists make a mark. Emerging specialty linked to shorter lengths of stay and improved mortality, but not to lower costs, Solucient findsBarbara Kirchheimer
Mod Healthc . 2006
- Heart-smart serviceA Hostetter
Cardiovascular Services, Lancaster General Hospital, Lancaster, PA, USA
Nurs Manage 32:22-5. 2001..The CAU yields high patient volume, positive patient and staff feedback, decreased ED length of stay, prompt initiation of treatment protocols, and more effective discharge planning...
- Impact of intensive care unit discharge time on patient outcomeFran A Priestap
Department of Medicine, London Health Sciences Centre, London, ON, Canada
Crit Care Med 34:2946-51. 2006..To determine the impact of nighttime intensive care unit (ICU) discharge on patient outcome...
- Misdiagnosis of stroke in tissue plasminogen activator-treated patients: characteristics and outcomesPhillip A Scott
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48109 0303, USA
Ann Emerg Med 42:611-8. 2003..We report an evaluation of emergency department misdiagnoses in patients treated with tissue plasminogen activator for acute ischemic stroke...
- Head and neck cancer care at a community-based teaching hospitalRobert L Witt
Christiana Care Health Systems, 2401 Pennsylvania Ave, Wilmington, DE 19806, USA
Head Neck 27:613-5. 2005....
- ICU nursing orientation and postorientation practices: a national surveyTanna R Thomason
Sharp Memorial Hospital and the Point Loma Nazarene University, San Diego, CA 92131, USA
Crit Care Nurs Q 29:237-45; quiz 246-7. 2006..The major limitation of this study was the small sample size. Results from this survey are the beginning steps in understanding a national perspective of comprehensive orientation practices for new ICU nurses...
- Effect of continuous quality improvement analysis on the delivery of primary percutaneous revascularization for acute myocardial infarction: a community hospital experienceRonald P Caputo
Cardiac Catheterization Laboratory, St Joseph s Hospital, Syracuse, New York, USA
Catheter Cardiovasc Interv 64:428-33; discussion 434-5. 2005..15 +/- 9.67 vs. 87.92 +/- 10.93 min; P = NS), resulting in compliance with ACC/AHA guidelines. Continuous quality improvement analysis can expedite care for patients treated by primary PCI in the community hospital setting...
- Mini-laparotomy cholecystectomy in the era of laparoscopic cholecystectomy: a community-based hospital perspectiveSylvanus O Oyogoa
Department of Surgery, New York Methodist Hospital, Brooklyn, New York, USA
Am Surg 69:604-7. 2003..We conclude that minicholecystectomy can be used as a viable alternative to laparoscopic cholecystectomy especially in patients who cannot tolerate laparoscopic procedures and in areas where cost containment is critical...
- The effect of a new emergency medicine residency program on patient length of stay in a community hospital emergency departmentRichard L Lammers
Department of Emergency Medicine, Michigan State University Kalamazoo Center for Medical Studies, Kalamazoo, MI 49008, USA
Acad Emerg Med 10:725-30. 2003..The objective of this study was to determine whether a new emergency medicine residency program affected the length of stay (LOS) of patients in a community hospital ED...
- Volume thresholds and hospital characteristics in the United StatesAnne Elixhauser
Center for Organization and Delivery Studies at the Agency for Healthcare Research and quality in Rockville, Maryland, USA
Health Aff (Millwood) 22:167-77. 2003..However, for two procedures, low-volume hospitals had RN and resident staffing equal to or higher than those of high-volume hospitals, and the unadjusted mortality rates were no different...
- What level of marketing commitment does it take to gain market share?Kimberly Rawn
Health Care Strateg Manage 22:1, 15-9. 2004
- In-hospital cardiac arrest: what happens to the false arrests?J N Cashman
Department of Anaesthetics, St George s Hospital, Blackshaw Road, London SW17 0QT, UK
Resuscitation 53:271-6. 2002..To investigate the events surrounding false cardiac arrest calls and subsequent outcome in patients who were the subjects of such calls...
- Hospital and demographic influences on the disposition of transient ischemic attackJeffrey H Coben
Department of Emergency Medicine, West Virginia University, Morgantown, WV, USA
Acad Emerg Med 15:171-6. 2008..In this study, the authors examined the influence of clinical, sociodemographic, and hospital characteristics on ED disposition...
- Patterns and predictors of early hospital readmission in patients with congestive heart failureMarco Hallerbach
Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA
Am J Med Qual 23:18-23. 2008..Therefore, specifically targeting CHF patients with CRI/CRF could lead to major improvement of early readmission rates...
- Evaluating pain management delivered by direct care nursesJane Tapp
RNA Summa Health System Hospitals, 41 Arch St, Akron, OH 44304, USA
J Nurs Care Qual 20:167-73. 2005....
- Cancer of unknown primary origin: a decade of experience in a community-based hospitalJose M Pimiento
Department of Surgery, Saint Mary s Health System, 56 Franklin St, Waterbury, CT 06702, USA
Am J Surg 194:833-7; discussion 837-8. 2007..Cancer of unknown primary (CUP) origin is a very aggressive disease with a poor prognosis. Most of the literature reports of CUP are generated from tertiary cancer centers...
- Breast cancer survival by teaching status of the initial treating hospitalR Chaudhry
Department of Public Health Sciences, Faculty of Medicine, University of Toronto, Ont
CMAJ 164:183-8. 2001..breast cancer who were initially treated at teaching hospitals with those of women initially treated at community hospitals. METHODS: We constructed a retrospective cohort consisting of a random sample of 938 cases, initially ..
- Intentional injury treated in community hospitalsG Luna
Deaconess Medical Center, Sacred Heart Medical Center, Holy Family Hospital, 104 West Fifth, Suite 350 East, Spokane, WA 99204, USA
Am J Surg 181:463-5. 2001..CONCLUSIONS: Intentional injury is a significant component of trauma care in our community. Patients are seriously injured and the fatality rate is high. Care is expensive and poorly funded...
- National failure to operate on early stage pancreatic cancerKarl Y Bilimoria
Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Ann Surg 246:173-80. 2007..Our objective was to evaluate utilization of surgery in early stage disease and identify factors predicting failure to undergo surgery...
- Major pancreatic resections for suspected cancer in a community-based teaching hospital: lessons learnedRamaz E Metreveli
Department of Surgery Christiana Care Health Services, Helen F Graham Cancer Center, Newark, Delaware, USA
J Surg Oncol 95:201-6. 2007..These data demonstrate a linear relationship between surgical volume and outcome...
- Group B streptococcal bacteremia in nonpregnant adults at a community teaching hospitalP Larppanichpoonphol
Department of Internal Medicine, St. Elizabeth Health Center, Youngstown, OH 44501, USA
South Med J 94:1206-11. 2001..The spectrum of infection has included lymphadenitis, ascending cholangitis, mastitis, prostatitis, and toxic shock syndrome. The mortality has decreased significantly during the past 15 years (16.7% vs 67.9%)...
- Alimentary tract surgery in the nonagenarian: elective vs. emergent operationsJoseph A Blansfield
Abington Memorial Hospital, Abington, Pennsylvania 19104, USA
J Gastrointest Surg 8:539-42. 2004..Sixty-four percent of patients were discharged to skilled-nursing facilities. Alimentary tract surgery can be performed safely in nonagenarians, and they should not be denied surgical care solely because of age...
- Hospital initiatives to support a better-educated workforceRobyn Cheung
Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, PA 19104 6096, USA
J Nurs Adm 36:357-62. 2006..In this report, that study's authors review case studies of 6 hospitals that demonstrate the kinds of initiatives employers are sponsoring to support a better-educated nurse workforce...
- Surgical intervention for acute intestinal ischemia: experience in a community teaching hospitalDaniel J Char
Division of Vascular Surgery, Winthrop University Hospital, Mineola, NY, USA
Vasc Endovascular Surg 37:245-52. 2003..Supportive management of very elderly and debilitated patients needs to be considered on a case-by-case basis. Although the outlook for such patients is dismal, survivors are possible as demonstrated by this series...
- Effect of an intensive glucose management protocol on the mortality of critically ill adult patientsJames Stephen Krinsley
Critical Care Unit, The Stamford Hospital, Stamford, Conn 06902, USA
Mayo Clin Proc 79:992-1000. 2004..To assess the effect of an intensive glucose management protocol in a heterogeneous population of critically ill adult patients...
- Hospital teaching status and outcomes of complex surgical procedures in the United StatesJustin B Dimick
Department of Surgery, University of Michigan Medical Center, Ann Arbor, USA
Arch Surg 139:137-41. 2004..Complex operations performed in teaching hospitals have similar outcomes as those performed in nonteaching hospitals...
- Cost analysis of intensive glycemic control in critically ill adult patientsJames Stephen Krinsley
Director of Critical Care, Stamford Hospital, 190 West Broad St, Stamford, CT 06902, USA
Chest 129:644-50. 2006..To assess the effect of an intensive glycemia management protocol on the cost of care of a heterogeneous population of critically ill adult patients...
- Missed diagnosis of subarachnoid hemorrhage in the emergency departmentMarian J Vermeulen
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Stroke 38:1216-21. 2007..We estimated the population-based rate of missed SAH among emergency department (ED) patients and examined its relationship with hospital characteristics...
- Treatment of gastric adenocarcinoma may differ among hospital types in the United States, a report from theNational Cancer Data BaseKaye M Reid-Lombardo
Department of Surgery, Mayo Clinic, 200 First Street S W, Rochester, MN 55905, USA
J Gastrointest Surg 11:410-9; discussion 419-20. 2007..01). Pathologic assessment of greater than 15 nodes was documented in 31% of specimen at community hospitals and 38% at teaching hospitals (p<0.01)...
- Therapeutic yield and outcomes of a community teaching hospital code stroke protocolAndrew W Asimos
Department of Emergency Medicine, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, USA
Acad Emerg Med 11:361-70. 2004....
- Association of pharmacist presence on compliance with advanced cardiac life support guidelines during in-hospital cardiac arrestHeather M Draper
Emergency Medicine, Department of Pharmacy, Blount Memorial Hospital, Maryville, TN, USA
Ann Pharmacother 42:469-74. 2008..Recent reviews indicate that an audit of in-hospital resuscitation practices should be performed to guide future resuscitation training programs for hospital personnel...
- Developing and using a balanced scorecard: a case study with SWOT analysisAndra Gumbus
College of Business, Sacred Heart University, Fairfield, Connecticut, USA
Clin Leadersh Manag Rev 17:69-74. 2003..A laboratory case study is then presented to assist you in developing and using a BSC in your laboratory...
- Psychiatric emergency nurses in the emergency department: the success of the Winnipeg, Canada experienceDiana E Clarke
Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada
J Emerg Nurs 31:351-6. 2005
- The effect of low-complexity patients on emergency department waiting timesMichael J Schull
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Ann Emerg Med 49:257-64, 264.e1. 2007..To test this question, we study the effect of low-complexity ED patients on the waiting times of other patients...
- Clinical reasoning in experienced nursesBarbara Simmons
College of Nursing, Department of Medical Surgical Nursing, University of Illlinois at Chicago, USA
West J Nurs Res 25:701-19; discussion 720-4. 2003..The results suggest that experienced nurses used a conceptual language to reason about assessment findings and used heuristics to reason more quickly and efficiently...
- Coverage of emergency after-hours ultrasound cases: survey of practices at U.S. Teaching hospitalsTerry S Desser
Department of Radiology, Stanford University School of Medicine, CA 94305, USA
Acad Radiol 13:249-53. 2006..Our experience suggested there is wide variability in how ultrasound coverage is provided after-hours, which motivated us to conduct a formal survey of teaching programs around the country...
- Pharmaceutical advertising in emergency departmentsCatherine A Marco
Department of Emergency Medicine, St Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, OH 43608 2691, USA
Acad Emerg Med 11:401-4. 2004..This study was undertaken to identify the frequency of items containing pharmaceutical advertising in clinical emergency departments (EDs)...
- The Dynamic Assessment and Referral System for Substance Abuse (DARSSA)Edwin Boudreaux; Fiscal Year: 2006..g., Medicare). [unreadable] [unreadable] [unreadable]..
- The Mental Health Assessment and Dynamic Referral for Oncology (MHADRO)Edwin Boudreaux; Fiscal Year: 2006..unreadable] [unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
- The Computer Assisted Brief Intervention for Tobacco (CABIT)Edwin Boudreaux; Fiscal Year: 2007..g., JCAHO) and to facilitate financial reimbursement of tobacco counseling covered by Medicare and other third party providers. [unreadable] [unreadable] [unreadable]..
- Tobacco Treatment Initiated in the Emergency DepartmentEdwin Boudreaux; Fiscal Year: 2007..The research plan includes preparing and submitting an R01 in Year 2. ..
- Prevention of Catheter-Associated Blood Stream InfectionsDavid Warren; Fiscal Year: 2007..I will build on the experience outlined in this proposal to establish myself an independent investigator in healthcare epidemiology, studying nosocomial infections and developing interventions to prevent them. [unreadable] [unreadable]..
- Endothelial progenitor cells and surgical outcomesAndrew Auerbach; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Multicenter Pilot Studies for ED Tobacco InterventionsEdwin Boudreaux; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- HLTH LIT, SOC SUPPORT,& HLTH: SURVEY OF MEDICARE ENROLLEShoou Yih Lee; Fiscal Year: 2003..abstract_text> ..
- Improving use of peri-operative beta-blockers with a multidimentional QI programAndrew Auerbach; Fiscal Year: 2009..The impact of this set of tools will be substantial as groups such as the NSQIP, SCIP, National Quality Forum, and Leapfrog Group continue to endorse PBB as a key strategy to reduce surgical morbidity and mortality. ..
- Hospital strategies to improve outcome performanceELIZABETH HOWE BRADLEY; Fiscal Year: 2010..We will work on dissemination strategies with CMS, JCAHO, American College of Cardiology (ACC), American Health Association (AHA), the Veteran's Administration (VA), and the VHA. ..
- Modification of tamoxifen effectiveness by gene polymorphisms and other drugsTimothy Lash; Fiscal Year: 2009..Understanding the modification of tamoxifen effectiveness by genetic polymorphisms or drug interactions will help patients and physicians to make fully informed decisions about hormone therapy. ..
- Peer Support--Congestive Heart Failure Self-ManagementMARY ELLEN HEISLER; Fiscal Year: 2009..If found effective, this approach could be used to improve health outcomes among patients with other chronic conditions, such as depression, chronic pain, or diabetes. ..
- RCT/Increase Colon Cancer Screening/Medicaid Managed CareAllen J Dietrich; Fiscal Year: 2010..Cost of the intervention and its relationship to increased screening rates will be assessed. The intervention and evaluation are guided by Diffusion of Innovations. ..
- For-Profit Ownership and End-of-Life CareElizabeth Bradley; Fiscal Year: 2009..Relevance in lay language: We will generate knowledge about the influence of for-profit hospice ownership on the experiences of patients with cancer and their families. ..
- Using Social Risk to Guide Coronary Heart Disease (CHD) Preventive TreatmentKevin Fiscella; Fiscal Year: 2009..Implementation of such a global risk tool could ultimately help justify implementation of more intensive behavioral interventions focusing on diet, exercise, smoking cessation and medication adherence for those at highest social risk. ..
- Prediciting Severe Neonatal HyperbilirubinemiaRon Keren; Fiscal Year: 2007....
- Socio-Technical Probabilistic Risk Assessment in Home Health CareMichael Silver; Fiscal Year: 2007..Home health providers will be able to use this information to develop better care processes and to keep more people at home and out of the hospital. [unreadable] [unreadable] [unreadable]..
- Prospective Investigation for Pulmonary Embolism Dx IIIPaul Stein; Fiscal Year: 2008..abstract_text> ..
- Hospital-Acquired Infections in the ElderlyKeith Kaye; Fiscal Year: 2008..The risk factor identified for SSI and MDRB and the impact of SSI and MDRB on health outcomes will be used to design and implement future preventive interventions. ..
- Clinical Decision Support in Community Hospitals: Barriers & FacilitatorsJoan S Ash; Fiscal Year: 2010..However, CPOE with CDS is not used in most community hospitals, which account for approximately 96% of all U.S. hospitals...
- DRUG ABUSE TREATMENT SYSTEM SURVEYJeffrey Alexander; Fiscal Year: 2006..In short, NDATSS is well-positioned to become the critical source of information for monitoring and analyzing the on-going evolution of the nation's outpatient drug abuse treatment system. ..
- HISTOMETRIC ANALYSIS OF PREMALIGNANT ENDOMETRIAL LESIONSFrancisco Garcia; Fiscal Year: 2003..abstract_text> ..
- PROSPECTIVE INVESTIGATION OF PULMONARY EMBOLISM DX-IIPaul Stein; Fiscal Year: 2003..4) The team of investigators is strong, and has collaborated previously in successful research in PE. ..
- MEDICAID MGD CARE FOR CHILDREN WITH SPEC HLTH CARE NEEDSJEAN MITCHELL; Fiscal Year: 2003..abstract_text> ..
- OVERWEIGHT STATUS AFTER CHILDBIRTHLorraine Walker; Fiscal Year: 2003....
- Randomized Control Trial of Mifepristone for FibroidsKevin Fiscella; Fiscal Year: 2004..The study may also offer valuable insight into a mechanism by which mifepristone reduces fibroid size. ..
- Medication Management Decisions in SchizophreniaMark Olfson; Fiscal Year: 2003..The results will inform quality improvement programs by identifying key modifiable determinants of the quality of medication management in the community treatment of schizophrenia. ..
- Do Reporting Biases Mitigate Disparity Estimates?Kevin Fiscella; Fiscal Year: 2004..abstract_text> ..
- The Impact of HMO's on DispartiesKevin Fiscella; Fiscal Year: 2004..If the study hypotheses are confirmed, the findings will underscore the need for HMOs to track and address disparities among their members if the Healthy People 2010 for the elimination of disparities is to be achieved. ..
- Pulmonary Diagnosis By Multichannel Lung Sound AnalyzerRaymond Murphy; Fiscal Year: 2002..In Phase II we will optimize our methods and demonstrate the value of automated lung sound analysis in broader clinical trials. PROPOSED COMMERCIAL APPLICATION: NOT AVAILABLE ..
- Develop a Primary Care Colon Cancer Screening ConsortiumAllen Dietrich; Fiscal Year: 2005..The consortium partner has well-established relationships with the Dartmouth team bringing substantial patient racial and economic diversity to the effort. ..
- Impact of Community Hospital CPOE System on ADE OutcomeRita Snyder; Fiscal Year: 2005..system implementation and the impact that these systems have on ADE incidence, especially in non-teaching community hospitals. A three-year study is proposed to coincide with the implementation of a commercial CPOE system in three ..
- NY PREVENTION CARE MANAGER PROJECTAllen Dietrich; Fiscal Year: 2004....
- Tobacco Industry Tactics Aimed at Native AmericansLaura Beebe; Fiscal Year: 2006..The results of this research will assist tribal, community and state agencies in their efforts to develop culturally appropriate counter-marketing strategies and tobacco abuse prevention and control interventions. ..
- Bronx-Lebanon Hospital Center Pediatric ACTUMurli Purswani; Fiscal Year: 2006..abstract_text> ..
- ESCAPE Mechanistic SubstudiesRobert Califf; Fiscal Year: 2003..Catecholamines are also being collected at baseline and 3 months. In addition, the ESCAPE investigators are all ready capturing detailed demographic, clinical, and physiological information as part of the protocol for the primary study. ..
- Reducing Postpartum Weight Retention Among Low Income, Ethnically Diverse WomenLorraine Walker; Fiscal Year: 2008..unreadable] [unreadable] [unreadable] [unreadable]..
- Hospital quality indicatorsJeffrey Alexander; Fiscal Year: 2002..abstract_text> ..
- Hepatoma derived growth factor and vascular smooth muscle cell proliferationAllen D Everett; Fiscal Year: 2010..We propose here to determine the mechanism regulating the activity of this protein to provide the basis for the future design of new drugs to treat cardiovascular disease. ..
- STATE LONG TERM CARE POLICIES AND ELDERLY WELL-BEINGNaoko Muramatsu; Fiscal Year: 2006..Part I and Part II will proceed simultaneously to inform each other throughout the four-year study period. ..
- A Randomized Trial of the STAR Program for Children with Autism Spectrum DisorderDavid Mandell; Fiscal Year: 2009..Findings from the proposed study would provide timely and critical evidence regarding the implementation and effectiveness of one promising practice, with direct relevance to translation of findings into practice and policy. ..
- SMOKING & GENETIC INTERACTION IN BREAST CANCER ETIOLOGYTimothy Lash; Fiscal Year: 2004..The second study would collect buccal swabs from participants in the study of adjuvant tamoxifen therapy (Dr. Silliman PI). A similar analytic plan would be conducted, but with a case-only design. ..
- PREDICTING DEPRESSION OUTCOMES IN MEDICALLY ILL ELDERSHarold Koenig; Fiscal Year: 2003..n=500) or minor depression (n=500) will be recruited from the inpatient services of Duke Hospital and two community hospitals and followed for six months after discharge...
- Training in Medication Compliance and Health LiteracySunil Kripalani; Fiscal Year: 2008..If successful, the proposed research could serve as a model for other interventions to improve compliance and cardiovascular care, particularly among low-literate and underserved populations. ..
- Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD)Sunil Kripalani; Fiscal Year: 2009..Program costs will also be assessed. If successful, this intervention could offer an important means of reducing medication errors in the post-hospitalization period. ..
- Function, Quality of Life and Nursing Home Use in PACESusan Friedman; Fiscal Year: 2005..These studies will be performed concurrently with a comprehensive educational plan, with an ultimate goal of preparing Dr. Friedman to become an independent investigator in clinically-based health services research. ..
- The Role of Inflammation and Parity on GDM and Type 2 DMWanda Nicholson; Fiscal Year: 2008..This award will give Dr. Nicholson the dedicated time and experience she needs to develop into an independent clinical investigator [unreadable] [unreadable]..
- MRFASS--MINORITIES, RISK FACTOR AND STROKE STUDYStanley Tuhrim; Fiscal Year: 2003..Stroke-free survival rates will be estimated for each ethnic group and the independent determinants of recurrence will be identified with multivariate statistical techniques. ..