Summary: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as type of care provided.
Publications221 found, 100 shown here
- Reconsidering the transfer of patients from the intensive care unit to the ward: a case study approachChiung Jung Jo Wu
School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
Nurs Health Sci 9:48-53. 2007..Reviewing this patient transfer process to improve the quality of care would be a positive step towards enhancing patients' recovery and ..
- Deliveries in maternity homes in Norway: results from a 2-year prospective studyNina Schmidt
Alta Maternity home, Norway
Acta Obstet Gynecol Scand 81:731-7. 2002..The study aims to report the short-term outcome for the mothers and newborns for all pregnancies accepted for birth at maternity homes in Norway...
- Transfer of accountability: transforming shift handover to enhance patient safetyKim Alvarado
Henderson and Chedoke Hospitals, Hamilton Health Sciences, ON, Canada
Healthc Q 9:75-9. 2006..This article describes the development of the guidelines, the results of the pilot study and the ongoing implementation of the project. The observed impact on patient safety within HHS is presented...
- Creaming, skimping and dumping: provider competition on the intensive and extensive marginsR P Ellis
Economics Department, Boston University, MA, USA
J Health Econ 17:537-55. 1998..Prospectively paid providers cream low severity patients and skimp high severity ones. If there is dumping of high severity patients, then there will also be skimping...
- Outcomes of free-standing, midwife-led birth centers: a structured reviewDenis Walsh
Childbearing and Health ReaCH Group, Lancashire, United Kingdom
Birth 31:222-9. 2004..The objective of this review is to establish the current evidence base for free-standing, midwife-led birth centers...
- Optimised patient transfer using an innovative multidisciplinary assessment in Kanton Aargau (OPTIMA I): an observational survey in lower respiratory tract infectionsW C Albrich
Medical University Department of the University of Basel, Kantonsspital Aarau, Tellstrasse, CH
Swiss Med Wkly 141:w13237. 2011..We describe our current triage practice and assess the potential of a combination of CURB65 with proadrenomedullin (ProADM) levels for triage decisions...
- Comparison of hospital risk-standardized mortality rates calculated by using in-hospital and 30-day models: an observational study with implications for hospital profilingElizabeth E Drye
Yale University School of Medicine, Yale New Haven Hospital Center for Outcomes Research and Evaluation, New Haven, Connecticut 06510, USA
Ann Intern Med 156:19-26. 2012..In-hospital mortality measures, which are widely used to assess hospital quality, are not based on a standardized follow-up period and may systematically favor hospitals with shorter lengths of stay (LOSs)...
- Patterns of communication breakdowns resulting in injury to surgical patientsCaprice C Greenberg
Center for Surgery and Public Health, Brigham and Women s Hospital, Boston, MA 02115, USA
J Am Coll Surg 204:533-40. 2007..Communication breakdowns are a common threat to surgical safety, but there are little data to guide initiatives to improve communication...
- Modeling the spread of methicillin-resistant Staphylococcus aureus (MRSA) outbreaks throughout the hospitals in Orange County, CaliforniaBruce Y Lee
University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Infect Control Hosp Epidemiol 32:562-72. 2011..Since hospitals in a region often share patients, an outbreak of methicillin-resistant Staphylococcus aureus (MRSA) infection in one hospital could affect other hospitals...
- Waiting for the break of dawn? The effects of discharge time, discharge TISS scores and discharge facility on hospital mortality after intensive careDieter H Beck
Department of Anaesthesiology and Intensive Care, Charite Hospital, Humboldt University, Schumannstr 20 21, 10098 Berlin, Germany
Intensive Care Med 28:1287-93. 2002..To assess the effects of discharge Therapeutic Intervention Scoring System (TISS) scores, discharge time and type of discharge facility on ultimate hospital mortality after intensive care...
- The impact of the establishment of a midwife managed unit on women in a rural setting in EnglandKim Watts
Academic Division of Midwifery, Postgraduate Medical Education Centre, University of Nottingham, City Hospital, Hucknall Road, Nottingham, England, NG5 1PB, UK
Midwifery 19:106-12. 2003..to determine what impact the changes from consultant-led care to midwife-led care in a local maternity service have had on women using that service...
- Quality of interhospital transport of the critically ill: impact of a Mobile Intensive Care Unit with a specialized retrieval teamJanke S Wiegersma
Department of Critical Care, University Medical Center Groningen, Hanzeplein 1, PO Box 30, 001, 9700 RB Groningen, The Netherlands
Crit Care 15:R75. 2011..To evaluate the effects of this implementation, we performed a prospective audit comparing adverse events and patient stability during MICU transfers with our previous data on transfers performed by standard ambulance...
- Transport risk index of physiologic stability: a practical system for assessing infant transport careS K Lee
Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
J Pediatr 139:220-6. 2001..74. Addition of TRIPS improved performance of prediction models in which gestational age and baseline population risk variables were used. CONCLUSIONS: TRIPS is validated for infant transport assessment...
- Medication reconciliation: a practical tool to reduce the risk of medication errorsPeter Pronovost
Department of Anesthesiology and Critical Care Medicine Surgery and Health Policy and Management, The Johns Hopkins University, Baltimore, MD 21231, USA
J Crit Care 18:201-5. 2003..The survey is now a part of our electronic medical record and used in 4 adult ICUs and 2 medicine floors...
- Interventions to improve transitional care between nursing homes and hospitals: a systematic reviewMichael A LaMantia
Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 58:777-82. 2010..Study results indicate that a standardized patient transfer form may assist with the communication of advance directives and medication lists and that pharmacist-led ..
- Consequences of inadequate sign-out for patient careLeora I Horwitz
Center for Outcomes Research and Evaluation, Yale New Haven Hospital, 789 Howard Ave, New Haven, Connecticut 06519, USA
Arch Intern Med 168:1755-60. 2008..In case reports, transfers in the care of patients among health care providers have been linked to adverse events. However, little is known about the nature and frequency of these transfer-related problems...
- Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST-elevation myocardial infarctionUmesh N Khot
Indiana Heart Physicians St Francis Heart Center, 5330 E Stop 11 Rd, Indianapolis, IN 46237, USA
Circulation 116:67-76. 2007..However, there are limited prospective data on specific measures to significantly reduce door-to-balloon time...
- After-hours discharges from intensive care are associated with increased mortalityAntony E Tobin
Intensive Care Unit, St Vincent s Hospital, Melbourne, Vic
Med J Aust 184:334-7. 2006..To investigate the change in pattern of discharge of patients from an intensive care unit (ICU) to hospital wards and to determine the impact of discharge time on subsequent hospital mortality...
- Bridging the gap between the intensive care unit and general wards-the ICU Liaison NurseAnna Green
Western Hospital, Gordon Street, Footscray, VIC 3011, Australia
Intensive Crit Care Nurs 20:133-43. 2004....
- Association between hospital-acquired infections and patients' transfersM Eveillard
, Centre Hospitalier Intercommunal de Montfermeil, France
Infect Control Hosp Epidemiol 22:693-6. 2001..CONCLUSION: According to this study, patient transfer is both a risk marker (associated with several known risk factors) and independently associated with ..
- The Intensive Care Unit liaison nurse: towards a clear role descriptionWendy Chaboyer
Research Centre for Clinical Practice Innovation, Griffith University, PMB 50 Gold Coast Mail Centre, Bundall, QLD 9726, Australia
Intensive Crit Care Nurs 20:77-86. 2004..By clearly articulating new roles as they emerge, opportunities arise for all professional groups to work together to assimilate, test and further develop the directions and activities of the new roles...
- Relationship between discharge practices and intensive care unit in-hospital mortality performance: evidence of a discharge biasEduard E Vasilevskis
Philip R Lee Institute for Health Policy Studies and Division of General Internal Medicine, University of California San Francisco, CA, USA
Med Care 47:803-12. 2009..This measure does not account for deaths occurring after transfer to another hospital or soon after discharge and therefore, may be biased...
- Door-to-balloon times are reduced in ST-elevation myocardial infarction by emergency physician activation of the cardiac catheterisation laboratory and immediate patient transferAlexander B Willson
Cardiovascular Medicine Department, Sir Charles Gairdner Hospital, Perth, WA, Australia
Med J Aust 193:207-12. 2010..emergency department (ED) physicians activating the cardiac catheterisation laboratory (CCL) with immediate patient transfer to the CCL reduces door-to-balloon (DTB) times for patients with suspected ST-elevation myocardial infarction ..
- Effect of a simulation educational intervention on knowledge, attitude, and patient transfer skills: from the simulation laboratory to the clinical settingJohn M O'Donnell
Department of Acute Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
Simul Healthc 6:84-93. 2011..Specific aims were to (1) evaluate the effect of a simulation intervention on success of patient transfers in a clinical setting and (2) measure change in participants' knowledge and attitude as a result of the intervention...
- High occupancy increases the risk of early death or readmission after transfer from intensive careCarla A Chrusch
Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada
Crit Care Med 37:2753-8. 2009..To determine whether a lack of intensive care unit beds was leading to premature patient discharge from the intensive care unit and subsequent early readmission or death...
- Therapeutic nursing or unblocking beds? A randomised controlled trial of a post-acute intermediate care unitA Steiner
Departments of Geriatric Medicine and Social Work Studies, University of Southampton, Murray Building, Southampton SO17 1BJ, UK
BMJ 322:453-60. 2001..To compare post-acute intermediate care in an inpatient nurse-led unit with conventional post-acute care on general medical wards of an acute hospital and to examine the model of care in a nurse-led unit...
- Perceived barriers to communication between hospital and nursing home at time of patient transferFaraaz Shah
University of Pittsburgh Medical Center, Pittsburgh, PA, USA
J Am Med Dir Assoc 11:239-45. 2010To identify perceived barriers to communication between hospital and nursing home at the time of patient transfer and examine associations between perceived barriers and hospital and nursing home characteristics.
- Impact of an observation unit and an emergency department-admitted patient transfer mandate in decreasing overcrowding in a pediatric emergency department: a discrete event simulation exerciseGeoffrey R Hung
Division of Emergency Medicine, Department of Pediatrics, BC Children s Hospital, Vancouver, British Columbia, Canada
Pediatr Emerg Care 25:160-3. 2009..The secondary objective was to report on the occupancy rate of the simulated OU...
- Trauma systems and timing of patient transfer: are we improving?James Svenson
Section of Emergency Medicine, University of Wisconsin, Madison, WI 53792, USA
Am J Emerg Med 26:465-8. 2008..The purpose of this study is to examine factors that influence the timing of transfer of trauma patients and specifically to determine if establishing specific trauma systems has led to any changes in transfer timing over time...
- Transfers of women planning birth in midwifery units: data from the birthplace prospective cohort studyR E Rowe
National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK
BJOG 119:1081-90. 2012..To examine the percentage of women transferred, reasons for transfer and factors associated with the transfer of women planning birth in midwifery units (MUs)...
- Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United KingdomJ Profit
Harvard Newborn Medicine Program, Children s Hospital Boston and Beth Israel Deaconess Medical Center, Boston, MA 02115, USA
Arch Dis Child Fetal Neonatal Ed 91:F245-50. 2006..To compare gestational age at discharge between infants born at 30-34(+6) weeks gestational age who were admitted to neonatal intensive care units (NICUs) in California, Massachusetts, and the United Kingdom...
- The Bermuda Triangle healthcare. An Illinois healthcare system closes the gaps in patient handoff communicationRobert S White
OSF HealthCare System, USA
Health Manag Technol 29:30-1. 2008
- The patient handoff: medicine's Formula One momentWilliam Dunn
Chest 134:9-12. 2008
- Electronic health records and adverse drug events after patient transferK S Boockvar
Geriatric Research, Education, and Clinical Center, James J Peters Veterans Affairs Medical Center, Bronx, New York 10468, USA
Qual Saf Health Care 19:e16. 2010Our objective was to examine the frequencies of medication error and adverse drug events (ADEs) at the time of patient transfer in a system with an electronic health record (EHR) as compared with a system without an EHR...
- Socioeconomic factors, medicolegal issues, and trauma patient transfer trends: Is there a connection?Thomas J Esposito
Division of Trauma Critical Care and Burns, Department of Surgery, Loyola University Stritch School of Medicine, Loyola University Burn and Shock Trauma Institute, Maywood, Illinois, USA
J Trauma 61:1380-6; discussion 1386-8. 2006..These may have little to do with the actual clinical need. This study seeks to verify whether a change in the profile of trauma transfers has occurred and to characterize the nature of any changes...
- Emergency department contributors to ambulance diversion: a quantitative analysisMichael J Schull
Clinical Epidemiology Unit and the Department of Emergency Services, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Ann Emerg Med 41:467-76. 2003..We determine the relationship between physician, nursing, and patient factors on emergency department use of ambulance diversion...
- Social network analysis of patient sharing among hospitals in Orange County, CaliforniaBruce Y Lee
Public Health Computational and Operations Research Group, Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA
Am J Public Health 101:707-13. 2011..We applied social network analyses to determine how hospitals within Orange County, California, are interconnected by patient sharing, a system which may have numerous public health implications...
- A literature review of organisational, individual and teamwork factors contributing to the ICU discharge processFrances Lin
School of Nursing and Midwifery, Griffith Health, Griffith University, Gold Coast Campus, Qld 4222, Australia
Aust Crit Care 22:29-43. 2009..A better understanding of discharge practices has the potential to ultimately influence ICU resource availability...
- Are patients being transferred to level-I trauma centers for reasons other than medical necessity?Kenneth J Koval
Department of Orthopaedics, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
J Bone Joint Surg Am 88:2124-32. 2006..The purpose of this study was to evaluate the possible risk factors for hospital transfer in a population of patients unlikely to require transfer to a level-I center for medical reasons...
- European Union of Medical Specialists (UEMS) section of Physical & Rehabilitation Medicine: a position paper on physical and rehabilitation medicine in acute settingsAnthony B Ward
North Staffordshire Rehabilitation Centre, University Hospital of North Staffordshire, High Lane, Burslem, Stoke on Trent, UK Staffordshire ST6 7AG, United Kingdom
J Rehabil Med 42:417-24. 2010..Prospective trials are required to show this benefit, and a number of examples need to be set up to pilot this in order to provide realistic cost-effectiveness data...
- A structured handoff program for internsEugene S Chu
Division of Hospital Medicine, Denver Health Medical Center, Denver, Colorado 80204 4507, USA
Acad Med 84:347-52. 2009..To develop, teach, and supervise a structured process for handing off patient care and to evaluate its effect on interns' knowledge, skills, and attitudes toward handoffs...
- Decision making in interhospital transport of critically ill patients: national questionnaire survey among critical care physiciansErik Jan van Lieshout
Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands
Intensive Care Med 34:1269-73. 2008..This study assessed the relative importance of clinical and transport-related factors in physicians' decision-making regarding the interhospital transport of critically ill patients...
- Systematic review of handoff mnemonics literatureLee Ann Riesenberg
Academic Affairs, Christiana Care Health System, Newark, Delaware, USA
Am J Med Qual 24:196-204. 2009..These should be published in the peer-reviewed literature using the Standards for QUality Improvement Reporting Excellence (SQUIRE) guidelines...
- Methicillin-resistant Staphylococcus aureus in a teaching hospital: investigation of nosocomial transmission using a matched case-control studyG Dziekan
Institutes of Environmental Medicine and Hospital Epidemiology, University Hospital Freiburg, Hugstetterstr 55, D 79106 Freiburg, Germany
J Hosp Infect 46:263-70. 2000..Our findings give epidemiological support to recent molecular studies which suggest that fluoroquinolone use may increase the transmissibility of MRSA in hospitals...
- Who bounces back? Physiologic and other predictors of intensive care unit readmissionA L Rosenberg
Robert Wood Johnson Clinical Scholars Program, the Department of Anesthesiology and Critical Care Medicine, The University of Michigan Health System, Ann Arbor, MI, USA
Crit Care Med 29:511-8. 2001..To determine the influence of changes in acute physiology scores (APS) and other patient characteristics on predicting intensive care unit (ICU) readmission...
- Quantifying interhospital patient sharing as a mechanism for infectious disease spreadSusan S Huang
Division of Infectious Diseases and Health Policy Research Institute, University of California Irvine, Irvine, California, USA
Infect Control Hosp Epidemiol 31:1160-9. 2010..Assessments of infectious disease spread in hospitals seldom account for interfacility patient sharing. This is particularly important for pathogens with prolonged incubation periods or carrier states...
- Child births in a modified midwife managed unit: selection and transfer according to intended place of deliveryJ Holt
Department of Pediatrics, Nordland Central Hospital, , Norway
Acta Obstet Gynecol Scand 80:206-12. 2001..This model might be an alternative to centralization of births in sparsely population areas...
- Trauma systems and early management of severe injuries in Scandinavia: review of the current stateThomas Kristiansen
Norwegian Air Ambulance Foundation, Department of Research, Drøbak, Norway
Injury 41:444-52. 2010..It has been suggested that Scandinavian trauma system development is immature compared to that of other regions. We wanted to assess the current status of Scandinavian trauma management and system development...
- Births in two different delivery units in the same clinic--a prospective study of healthy primiparous womenBritt Ingeborg Eide
Department of Obstetrics and Gynaecology, Haukeland University Hospital, Bergen, Norway
BMC Pregnancy Childbirth 9:25. 2009..The aim of the present study was to compare intervention rates associated with labour in low-risk women who begin their labour in a midwife-led unit and a conventional care unit...
- Transport of critically ill children in a resource-limited settingMark Hatherill
Institute of Child Health, Red Cross War Memorial Children s Hospital, Klipfontein Road, 7700 Cape Town, South Africa
Intensive Care Med 29:1547-54. 2003..To audit paediatric intensive care unit (PICU) transfer activity and transfer-related adverse events in a resource-limited setting...
- Interhospital transfers of patients with surgical emergencies: areas for improvementKenneth Wong
John Hunter Hospital, Newcastle, New South Wales, Australia
Aust J Rural Health 13:290-4. 2005..To review mortality associated with interhospital transfers of patients with surgical emergencies from rural and peripheral metropolitan areas...
- A qualitative study of the experiences of patients following transfer from intensive careEunice H E Strahan
Regional Intensive Care Unit, The Royal Hospitals Trust, Grosvenor Road, Belfast, Co Antrim BT12 6BA, UK
Intensive Crit Care Nurs 21:160-71. 2005..Three major themes emerged: physical response, psychological response and provision of care. These provide a possible framework for patient assessment. Implications for future practice and study are discussed...
- Outcomes of interfacility critical care adult patient transport: a systematic reviewEddy Fan
Interdepartmental Division of Critical Care Medicine, University of Toronto, 399 Bathurst Street, F2 150, Toronto, Ontario, M5T 2S8, Canada
Crit Care 10:R6. 2006..We aimed to determine the adverse events and important prognostic factors associated with interfacility transport of intubated and mechanically ventilated adult patients...
- Intrahospital transport of critically ill ventilated patients: a risk factor for ventilator-associated pneumonia--a matched cohort studyNicolas Bercault
Praticien Hospitalier, Medical Intensive Care Unit, Centre Hospitalier Regional, d Orléans, hôpital de la Source, Orleans, France
Crit Care Med 33:2471-8. 2005..To evaluate the impact of intrahospital transport of critically ill ventilated patients on the acquisition of ventilator-associated pneumonia...
- The experience at St. Vincent's Hospital, Manhattan, on September 11, 2001: preparedness, response, and lessons learnedLinda Kirschenbaum
St Vincent s Hospital, New York, NY, USA
Crit Care Med 33:S48-52. 2005..We describe how the critical care service adapted to the specific challenges presented and the lessons that we learned. We hope to provide other critical care systems with a framework for response to such large-scale disasters...
- Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trialMaria Crotty
Department of Rehabilitation and Aged Care, Flinders University, Repatriation General Hospital, Daw Park SA 5041, Australia
BMJ 331:1110. 2005..To assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility...
- Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative dataDale M Needham
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
Crit Care Med 34:2349-54. 2006..Our objective is to determine whether hospital volume is associated with improved survival for medical or surgical patients receiving mechanical ventilation...
- Inter-hospital transfersJ A Cooney
Br J Anaesth 95:112-3. 2005
- Improving transfer from the intensive care unit: the development, implementation and evaluation of a brochure based on Knowles' Adult Learning TheoryMarion L Mitchell
School of Nursing and Midwifery, Griffith University, Meadowbrook, Queensland, Australia
Int J Nurs Pract 11:257-68. 2005..evaluation of a transfer brochure for family members of patients in an intensive care unit (ICU) to improve patient transfer to a general ward...
- Emergency department organisation of critical care transfers in the UKA Stevenson
Emergency Department, Southern General Hospital, Glasgow, UK
Emerg Med J 22:795-8. 2005..This study was designed to determine whether UK EDs currently have appropriate equipment, monitoring, staff training systems, and processes of care for transportation of the critically ill patient...
- The opportunity loss of boarding admitted patients in the emergency departmentThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:332-7. 2007....
- Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic reviewDean Belway
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, British Columbia, Canada V6Z 1Y6
J Crit Care 21:8-17; discussion 17-8. 2006..The aim of the study was to determine whether the use of specialist transport personnel improves patient outcome at the receiving hospital for critically ill patients transferred to higher centers...
- Variability of trauma transfer practices among non-tertiary care hospital emergency departmentsCraig D Newgard
Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, Portland, OR 97239 3098, USA
Acad Emerg Med 13:746-54. 2006..To assess both the variability of interhospital trauma transfer practices and nonclinical factors associated with the transfer of injured patients from emergency departments (EDs) of non-tertiary care hospitals...
- Transfer out of intensive care: a qualitative exploration of patient and family perceptionsWendy Chaboyer
Research Centre for Clinical Practice Innovation, Griffith University, NSW
Aust Crit Care 18:138-41, 143-5. 2005..To examine perceptions of ICU transfer held by patients and their family members, focusing specifically on those aspects of transfer perceived as difficult and those perceived as helpful...
- Potential value of regionalized intensive care for mechanically ventilated medical patientsJeremy M Kahn
Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
Am J Respir Crit Care Med 177:285-91. 2008..Regionalization has been proposed as a method to improve outcomes for medical patients receiving mechanical ventilation in the intensive care unit...
- The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departmentsCraig D Newgard
Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, mail code CR 114, Portland, OR 97239 3098, USA
J Trauma 63:965-71. 2007..We sought to assess whether the transfer of injured patients from nontertiary hospital emergency departments (EDs) is associated with improved survival...
- The Delaware trauma system: impact of Level III trauma centersGlen H Tinkoff
Department of Surgery, Christiana Care Health System, Newark, New Jersey, USA
J Trauma 63:121-6; discussion 126-7. 2007..The purpose of this study was to analyze whether implementation of this inclusive trauma system reduced the injury-related mortality rates in these counties...
- Unexpected events during the intrahospital transport of critically ill patientsJonathan P N Papson
Emergency Department, Royal Melbourne Hospital, Victoria, Australia
Acad Emerg Med 14:574-7. 2007..To examine unexpected events (UEs) that occur during the intrahospital transport of critically ill emergency department patients...
- Effect of interhospital transfer on resource utilization and outcomes at a tertiary care referral centerEllie Golestanian
Division of Allergy and Pulmonary and Critical Care, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
Crit Care Med 35:1470-6. 2007....
- Prescribing discrepancies likely to cause adverse drug events after patient transferK S Boockvar
Geriatric Research, Education, and Clinical Center, James J Peters Veterans Affairs Medical Center, Bronx, NY 10468, USA
Qual Saf Health Care 18:32-6. 2009..The objective of this study was to quantify the rate of adverse drug events (ADEs) caused by prescribing discrepancies and the discrimination of an index of high-risk transition drug prescribing...
- Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor actDavid A Spain
Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
J Trauma 62:63-7; discussion 67-8. 2007..We hypothesized that EMTALA would burden a Level I TC by a selective referral of a poor payer mix of primarily nonoperative patients...
- The financial impact of ambulance diversions and patient elopementsThomas Falvo
Health Services Design Section, Department of Emergency Medicine, York Hospital, WellSpan Health System, York, PA, USA
Acad Emerg Med 14:58-62. 2007..The objective of this study was to develop a practical method for quantifying the revenues that are potentially lost as a result of patient elopements and ambulance diversion...
- Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unitL Gillman
Royal Perth Hospital and Edith Cowan University, Perth, WA 6001, Australia
Emerg Med J 23:858-61. 2006To determine the incidence and nature of adverse events and delay to patient transfer from emergency department to intensive care unit (ICU) in a metropolitan tertiary hospital.
- Specialty coverage at non-tertiary care centersRobert E O'Connor
Christiana Health Care System, Newark, DE, USA
Prehosp Emerg Care 10:343-6. 2006..Because prehospital triage criteria are not 100% sensitive, there should be a mechanism in place for the secondary triage of patients. Initial management of patients should continue while efforts are made to transfer the patient...
- Relocation stress in critical care: a review of the literatureAidin A McKinney
Intensive Care Unit, Belfast City Hospital Trust, Lisburn Rd, Belfast, Northern Ireland
J Clin Nurs 11:149-57. 2002..6. Lists of interventions that the literature suggests may reduce or prevent this phenomenon from occurring are reviewed. 7. Recommendations for practice development and further research are made...
- Intrahospital transport of the adult mechanically ventilated patientValerie Willis Stevenson
University Hospital Respiratory Care, Critical Care Support Services, University of Michigan Health System, Ann Arbor 48109, USA
Respir Care Clin N Am 8:1-35. 2002..When choosing a device to provide ventilation, the patient's clinical condition should be determine which method is used for transport...
- Outcome of critically ill patients undergoing interhospital transferG J Duke
Intensive Care Department, The Northern Hospital, Melbourne, Vic
Med J Aust 174:122-5. 2001..To quantify the morbidity and mortality associated with acute interhospital transfer of critically ill patients requiring intensive care (ICU) services...
- Trauma laparotomy in a rural setting before transfer to a regional center: does it save lives?Jordan A Weinberg
Mayo Clinic Scottsdale, Arizona, USA
J Trauma 54:823-6; discussion 826-8. 2003..The purpose of this study was to review the experience of three regional trauma centers with such treated patients...
- Impact of double counting and transfer bias on estimated rates and outcomes of acute myocardial infarctionJ M Westfall
University of Colorado Health Sciences Center, and the High Plains Research Network, Denver, Colorado, USA
Med Care 39:459-68. 2001..Patients transferred to a second hospital may be counted twice for one episode of ischemic heart disease...
- Characteristics of twice-transferred, rural trauma patientsKristen C Sihler
Department of Surgery, University of Iowa, Iowa Ciy, USA
Prehosp Emerg Care 6:330-5. 2002..If they are undertriaged when transferred to the second hospital, they will require a second transfer to a higher-level trauma center...
- Regionalization of treatment for subarachnoid hemorrhage: a cost-utility analysisNaomi S Bardach
School of Medicine, University of California, San Francisco, CA 94143 01, USA
Circulation 109:2207-12. 2004..Whether regionalization of care for SAH is cost-effective is unknown...
- Secondary transport of the critically ill and injured adultA Gray
Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, UK
Emerg Med J 21:281-5. 2004..This review describes the core issues relevant to emergency medicine relating to the transportation of the critically ill and injured...
- A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarctionHenning R Andersen
Department of Cardiology at Skejby Hospital, Aarhus University Hospital, Aarhus, Denmark
N Engl J Med 349:733-42. 2003..Whether this benefit is maintained for patients who require transportation from a community hospital to a center where invasive treatment is available is uncertain...
- Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage modelK Daly
St Thomas's Hospital, London SE1 7EH
BMJ 322:1274-6. 2001..If confirmed, this study has implications on the provision of resources...
- Safe long-distance interhospital ground transfer of critically ill patients with acute severe unstable respiratory and circulatory failureAri Uusaro
Kuopio University Hospital, Critical Care Research Program, Department of Anesthesiology and Intensive Care, Division of Critical Care, PO Box 1777, 70211, Kuopio, Finland
Intensive Care Med 28:1122-5. 2002..To assess the safety of long-distance ground interhospital transport of critically ill patients with the most severe unstable respiratory failure after establishment of a dedicated transport system...
- Outcome of patients with tuberculosis who transfer between reporting units in MalawiS Meijnen
Academic Medical Centre, University of Amsterdam, The Netherlands
Int J Tuberc Lung Dis 6:666-71. 2002..All 43 non-private hospitals in Malawi which in 1999 registered and treated patients with tuberculosis (TB)...
- Transitions through postacute and long-term care settings: patterns of use and outcomes for a national cohort of eldersChristopher M Murtaugh
Center for Home Care Policy and Research, Visiting Nurse Service of New York, New York 10001 1810, USA
Med Care 40:227-36. 2002..This gap in knowledge is addressed by analyzing the use of postacute and long-term care settings during a 2-year interval by a nationally representative cohort of elders...
- Intrahospital transport of critically ill patientsC Waydhas
Klinik und Poliklinik fur Unfallchirurgie, University Hospital, University of Essen, Essen, Germany
Crit Care 3:R83-9. 1999..Methods and guidelines to prevent or reduce potential hazards and complications are provided...
- Prognostic factors for mortality following interhospital transfers to the medical intensive care unit of a tertiary referral centerLakshmi Durairaj
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, USA
Crit Care Med 31:1981-6. 2003..To describe characteristics of patients transferred from outside hospitals to a tertiary medical intensive care unit and to identify patient-level and system-level prognostic factors...
- Intensive care unit utilization and interhospital transfers as potential indicators of rural hospital qualityDouglas S Wakefield
Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, Iowa 52242, USA
J Rural Health 20:394-400. 2004..An alternative approach may be to aggregate and analyze patient services that reflect more generalized care processes...
- Predictors of respiratory function deterioration after transfer of critically ill patientsG Marx
Department of Anaesthesia, Hannover Medical School, Germany
Intensive Care Med 24:1157-62. 1998..These transfers have proved to be very critical. The aim of this study was to evaluate predictors for the deterioration of respiratory function in critically ill patients after transfer...
- Guidelines for the inter- and intrahospital transport of critically ill patientsJonathan Warren
Northwest Community Hospital, Arlington Heights, IL, USA
Crit Care Med 32:256-62. 2004..The development of practice guidelines for the conduct of intra- and interhospital transport of the critically ill patient...
- Association between subarachnoid hemorrhage outcomes and number of cases treated at California hospitalsNaomi S Bardach
School of Medicine, University of California, San Francisco, CA 94143 0114, USA
Stroke 33:1851-6. 2002..Studies of several complex medical conditions have shown that outcomes are better at hospitals that treat more cases. We tested the hypothesis that patients with subarachnoid hemorrhage treated at high-volume hospitals have better outcomes...
- Hospital transfer for primary coronary angioplasty in high risk patients with acute myocardial infarctionE Straumann
Division of Cardiology, Department of Internal Medicine, Triemli Hospital, Birmensdorferstrasse 497, CH 8063 Zurich, Switzerland
Heart 82:415-9. 1999..To investigate the feasibility, safety, and associated time delays of interhospital transfer in patients with acute myocardial infarction for primary percutaneous transluminal coronary angioplasty (PTCA)...
- The patient's thoughts and feelings about their transfer from intensive care to the general wardM Odell
Intensive Care Unit, Royal Berkshire and Battle Hospital NHS Trust, Reading, England
J Adv Nurs 31:322-9. 2000..Improvements to the transfer process can be guided using the information from the literature review and findings of the study...
- Transfer anxiety: preparing to leave intensive careM A Coyle
Altnagelvin Hospital, Londonderry, Northern Ireland, UK
Intensive Crit Care Nurs 17:138-43. 2001..However, treatment to minimize transfer anxiety will only be successful when all healthcare personnel recognize and react positively to the psychological factors that affect patients adversely...
- Transit care medicine--a critical linkRamesh Nagappan
Crit Care Med 32:305-6. 2004
- The structure of critical care transfer networksTheodore J Iwashyna
Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Med Care 47:787-93. 2009..These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival...
- Performance analysis of a medical decision algorithm to mitigate spread of SARS due to interfacility patient transfersRussell D MacDonald
Ontario Air Ambulance, Toronto, Ontario, Canada
Prehosp Emerg Care 10:383-9. 2006..To determine performance of a medical decision algorithm to mitigate spread of severe acute respiratory syndrome (SARS) from interfacility patient transfers during the Toronto SARS outbreak...
- Quality of interhospital transport of critically ill patients: a prospective auditJack J M Ligtenberg
Intensive and Respiratory Care Unit ICB, Department of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands
Crit Care 9:R446-51. 2005..The transport itself must be as safe as possible and should not pose additional risks. We performed a prospective audit of the quality of interhospital transports to our university hospital-based medical ICU...
- Medicolegal aspects of acute myocardial infarctionG C Freas
Department of Emergency Medicine, Virtua-Memorial Hospital of Burlington County, Mount Holly Oak, New Jersey, USA
Emerg Med Clin North Am 19:511-21. 2001....
- Patient Transfer - Pressure Reducing Overlay (PtPRO)Jeffrey Jensen; Fiscal Year: 2003The innovation proposed is a single-unit transfer device within a customized pressure-reducing overlay. The "Patient Transfer Pressure Reducing Overlay - PtPRO" - will be engineered as the only product to provide 1) safe and non-traumatic ..
- Assessing Health Effects and Risk Factors after Hurricane Sandy in NYSShao Lin; Fiscal Year: 2013..Care pattern change in dialysis patients and consequence of patient transfer will also be evaluated...
- Telemedicine for Children in Rural Emergency DepartmentsJames Marcin; Fiscal Year: 2006..blinded medical records will be used to determine medication error rates, implicit quality assessments, and patient transfer rates in the telemedicine and control emergency departments...
- Implementing Pediatric Patient Safety PracticesPaul Sharek; Fiscal Year: 2005..projects are planned based on the AHRQ Patient Safety Practices Report rotated to inter and intra-facitity patient transfer and pain management for patients with acute abdominal pain...
- ATTENDANT-CONTROLLED PATIENT TRANSFER DEVICETHOMAS JAKOBS; Fiscal Year: 1992..It will allow the care-giver to lift a person as tall as 6.5 feet, weighing as much as 300 pounds, with minimal effort. The process of lifting, which requires very little setup time, will be accomplished with a simple, intuitive control...
- Health related quality of life: Elders in long-term careMary D Naylor; Fiscal Year: 2010..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..
- Hospital to Home: Cognitively Impaired Elders/CaregiversMary Naylor; Fiscal Year: 2009..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..
- Evaluating Hospital Outcomes for Injured PatientsDavid Clark; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Wage Mandate, Labor Turnover, and NH QualityVincent Mor; Fiscal Year: 2007..5) Use the theoretical model to assess the relative merits of alternative minimum nurse staffing and wage policies in terms of their relative cost and effectiveness. ..
- Influence of Cognition on Health Literacy and Comprehension of the Discharge PlanEric Coleman; Fiscal Year: 2008..Before interventions can be designed and tested to improve health literacy, a more complete understanding of the role of basic subcomponents of cognition is needed. [unreadable] [unreadable] [unreadable]..
- New Evidence on the Persistence of High Health SpendingRichard Hirth; Fiscal Year: 2009..We will provide an example of how such estimates can inform the evaluation of risk-adjustment and reinsurance as mechanisms to improve the functioning of small group health insurance markets. ..
- SAFEHAVEN: Decision Support for Nursing Home Resident Disaster EvacuationsVincent Mor; Fiscal Year: 2010..Using existing nursing home data from multiple sources, this study seeks to understand the consequences of hurricanes and evacuation decisions, providing the first evidence base to inform the creation of evacuation guidelines. ..
- Impact of Changing Medicaid Policies on NH QualityVincent Mor; Fiscal Year: 2006..abstract_text> ..
- State Policies and Hospitalizations from Nursing HomesVincent Mor; Fiscal Year: 2004..These theoretical insights will help shape the policy implications emerging from the study. ..
- REHABILITATION AND FUNCTION RECOVERY AFTER HIP FRACTUREYuchi Young; Fiscal Year: 2003..Findings will be useful for developing intervention programs to improve functional independence among elderly hip fracture patients. ..
- Reducing Fragmentation Across Sites of Geriatric CareEric Coleman; Fiscal Year: 2003..Our third aim is to initiate a randomized controlled trial of this intervention. The results of this research will improve our ability to quantify care fragmentation and subsequently measure the effectiveness of a targeted intervention. ..
- DO GOOD NURSING HOMES ACHIEVE GOOD OUTCOMES?Vincent Mor; Fiscal Year: 2003..This latter exploratory data analysis step is crucial to derive from the theoretical results insights about how to intervene in a nursing home to improve the chance of achieving positive outcomes. ..
- Long-Term Outcomes of NO for Ventilated Premature BabiesDerek Angus; Fiscal Year: 2007..Finally, our data will allow assessment of the robustness of early proxies for subsequent outcomes, key for future study design in this area. ..
- Trauma Center Brief Alcohol Treatments and Cost EffectivenesThomas J Esposito; Fiscal Year: 2010..New knowledge of the effectiveness, benefits and costs of these two Bl approaches would allow surgeons and trauma centers to make informed choices about alcohol interventions in trauma settings. ..
- Cost-Related Underuse of Medications in the ElderlyStephen Soumerai; Fiscal Year: 2006..unreadable] [unreadable]..
- Impact of Prior Approval for Antidepressants in MedicaidStephen Soumerai; Fiscal Year: 2007..All analyses will be stratified by type of disability (mental, physical, developmental). ..
- Health Service Use at the End of Life: A Biracial Population Study of ADJudith J McCann; Fiscal Year: 2010....
- Multifaceted Interventions to Ameliorate Pain/SymptomsJoan Teno; Fiscal Year: 2005....
- 5-HT2A RECEPTOR IN DEPRESSION: MOLECULAR MECHANISMSSTEVEN GARLOW; Fiscal Year: 2003..As the factors are characterized in the in vitro systems, their relevance to the regulation of the S-HT2A receptor in the brain will be tested in experimental animals. ..
- Cancer Assessments and Reports of End-of-Life TreatmentJoan Teno; Fiscal Year: 2005..Such tools will allow institutions to measure whether cancer care is meeting patient and family members' needs and expectations. ..
- Developing Metrics for Measuring Hospital Response Capability for Mass Casualty IMelissa McCarthy; Fiscal Year: 2008..This conference grant is viewed as a first step in the development of a method to measure hospital response capability for MCIs in a reliable and valid way. [unreadable] [unreadable] [unreadable]..
- MENTORED PATIENT ORIENTED RESEARCH CAREER DEVELOPMENT AWSTEVEN GARLOW; Fiscal Year: 2004..The circulating concentration of three hormones, cortisol, interleukin-1 and interleukin-6 will be measured before and after treatment, and correlated to platelet reactivity. ..
- IMPACT OF EARLY DISCHARGE FOLLOWING BYPASS SURGERYPatricia Cowper; Fiscal Year: 2001..Outcomes in high-risk patients, such as the elderly, will be specifically examined. This research will contribute to ongoing efforts to evaluate the impact of changing patterns of care delivery on the quality of care. ..
- Impact of Nurse Work Environment on Rural Quality of Care and Clinical OutcomesMarianne Baernholdt; Fiscal Year: 2009....
- RESIDENT ASSESSMENT OF PAIN MANAGEMENT (RAPM)Joan Teno; Fiscal Year: 2001..abstract_text> ..
- Treatment Initiation of Late-life Depression in Home CareEllen Brown; Fiscal Year: 2007..The impact, feasibility, and acceptance of the research intervention aimed at improving the delivery of late-life depression treatment will be evaluated. [unreadable] [unreadable]..
- Post Operative Cancer Mortality in U.S. ElderlyNancy Hodgson; Fiscal Year: 2002..cognitive disability and utilization of both formal and informal support services. This data file will be made publicly available through the World Wide Web (WWW). ..
- Improving Adherence to Antiretroviral TherapyJudith Erlen; Fiscal Year: 2007..A similar approach will be used for the secondary aims examining intervention effect on clinical response and quality of life. Exploratory aims will be examined using structural equation modeling. ..
- Enhancing Cultural Congruence in Hospice CareArdith Doorenbos; Fiscal Year: 2009..The results will be instrumental in improving culturally congruent palliative care. ..
- Implementing Evidence-Based Guidelines for Treating NHAPEvelyn Hutt; Fiscal Year: 2007..unreadable] [unreadable]..
- Predicting Transitions Among Community-Dwelling EldersIlene Zuckerman; Fiscal Year: 2008....
- BIOMECHANICAL/PSYCHOSOCIAL RISKS FOR LOW BACK DISORDERSWilliam Marras; Fiscal Year: 2003..We will also be able to discern when and under what conditions an intervention to improve the psycho social work environment will be likely to reduce LBP and its associated morbidity. ..
- Reducing benzodiazepines and hip fracture in the elderlyStephen Soumerai; Fiscal Year: 2004..Phase II analyses will also contribute a novel method for evaluating health outcomes of changes in medication use in large populations. ..
- Effect of leukoreduction on infection risk in traumaAvery Nathens; Fiscal Year: 2004..abstract_text> ..
- Economic Analysis of Pulmonary Artery Catheter UseDerek Angus; Fiscal Year: 2004..abstract_text> ..
- Reducing Health Disparities at End of LifeArdith Z Doorenbos; Fiscal Year: 2010..This project will evaluate the effect of the web-based training for primary health clinicians on quality of end of life communication as assessed by patients and with content-based coding of clinician communication with patients. ..
- Neuro-Fuzzy Prediction of Spine Loads in Response to Ri*William Marras; Fiscal Year: 2005..Second, the system will provide insights as to how the various dimensions of risk synergistically impact the musculoskeletal system. Finally, it will facilitate further investigations regarding stability and coactivity. ..
- CROSS-CULTURAL PSYCHIATRIC ETHNOGRAPHY AND EPIDEMIOLOGYWILLIAM HOWARD; Fiscal Year: 2003..Finally, the candidate will obtain Region IV community prevalence rate estimates for mood, anxiety, and alcohol use disorders. ..
- Heart Failure and Beta-Blocker Use in Older AdultsAli Ahmed; Fiscal Year: 2006..abstract_text> ..
- The Natural History of Venous Thromboembolism in the ElderlyFrederick A Spencer; Fiscal Year: 2010..We will also examine how elderly patients with venous thromboembolism are currently being treated, whether some patients are at risk for inappropriate or under treatment, and the relationship of treatment to future complications. ..
- Work Environment:Effects on Quality of HealthcareBradley Evanoff; Fiscal Year: 2003..Measurement of changes in quality of care following the intervention will include those used in Aim 1 as well as specific processes of care measures. ..
- Artificial Nutrition in Terminally Ill Cancer PatientsSydney Dy; Fiscal Year: 2007..Dy with the skills she needs to develop into an independent clinical researcher in oncology palliative care decision-making and health services research. ..
- The Effect of Patient Volume on Outcome in the ICUJeremy Kahn; Fiscal Year: 2006..unreadable] [unreadable] [unreadable]..
- Effects of Mental Parity on High-Cost and Severely-Ill IndividualsHaiden A Huskamp; Fiscal Year: 2011..We will estimate a combination of two-part random-effects models for longitudinal data, latent class random-effects models, logistic regression models, Poisson regression models, and hazard models to address these aims. ..
- Improving Heart Failure Risk Stratification in the EDAlan B Storrow; Fiscal Year: 2010..In collaboration with outcomes and effectiveness researchers, we plan to conduct further studies to test the efficacy of our risk model. ..
- LONGITUDINAL METHODS IN CANCER RESEARCHTherese Stukel; Fiscal Year: 2002..The methods we propose will circumvent many of the above technical difficulties and would not require either special software or high performance computer workstations. ..
- Prescription Drug Coverage and Health Outcomes in EldersJennifer Tjia; Fiscal Year: 2008..abstract_text> ..
- Improving Transfusion Practices Using Decision SupportJeffrey Rothschild; Fiscal Year: 2004..We will also examine whether improvements in appropriate transfusion ordering behavior among clinicians using decision support tools will be greater than improvements achieved by educational programs alone. ..
- NASD Academic ED Collaborative - UC San DiegoTheodore Chan; Fiscal Year: 2004..UCSD ED investigators will be responsible for following up on difficult to reach) patients. Local data and survey results will be submitted to the R-25 and R-21 sites for analysis. ..
- Economics of Formulary Design and Mental Health PolicyHaiden Huskamp; Fiscal Year: 2006..Huskamp the training, mentoring, time and resources to develop the skills that will put her in a position to lead independent research on the economics of pharmaceutical treatment for mental illnesses. ..
- TESTOSTERONE FOR PREVENTION OF FRACTURE IN MENAnne Kenny; Fiscal Year: 2005....
- Extremity War Injuries: Current, State of the ArtAndrew Pollak; Fiscal Year: 2006..The AAOS requested the $15 million to establish the Orthopaedic Trauma Research Program within the U.S. Army Institute of Surgical Research (ISR) at Fort Sam Houston, Texas. [unreadable] [unreadable] [unreadable] [unreadable]..
- Outcomes for Prolonged Mechanical VentilationBarrett Kitch; Fiscal Year: 2005..Focus group and physician survey work will be employed to determine at a more detailed level factors associated with utilization of long-term care hospitals, including physician attitudes and perceptions of quality of care. ..
- Designing Ergonomic Interventions for the Fire ServiceKaren Conrad; Fiscal Year: 2004..abstract_text> ..
- Improving Treatment of Newly Diagnosed OsteoporosisPeter Cram; Fiscal Year: 2009..Finally, this work will serve as a model for examining the barriers to and improving treatment of other chronic diseases identified through screening. ..