Summary: Institutions with an organized medical staff which provide medical care to patients.

Top Publications

  1. ncbi Interventions for preventing falls in older people in care facilities and hospitals
    Ian D Cameron
    Rehabilitation Studies Unit, SydneyMedical School Northern, The University of Sydney, Ryde, Australia
    Cochrane Database Syst Rev 12:CD005465. 2012
  2. ncbi Aminoglycoside resistance in multiply antibiotic-resistant Acinetobacter baumannii belonging to global clone 2 from Australian hospitals
    Steven J Nigro
    School of Molecular Bioscience, The University of Sydney, NSW 2006, Australia
    J Antimicrob Chemother 66:1504-9. 2011
  3. pmc Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' proje
    Oliver Groene
    Avedis Donabedian University Institute, Autonomous University of Barcelona, CIBER Epidemiology and Public Health, Barcelona, Spain
    BMC Health Serv Res 10:281. 2010
  4. ncbi Nurse-staffing levels and the quality of care in hospitals
    Jack Needleman
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    N Engl J Med 346:1715-22. 2002
  5. ncbi Incidence and types of adverse events and negligent care in Utah and Colorado
    E J Thomas
    Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Med Care 38:261-71. 2000
  6. pmc Reductions in malaria and anaemia case and death burden at hospitals following scale-up of malaria control in Zanzibar, 1999-2008
    Maru W Aregawi
    World Health Organization, Global Malaria Programme, 20 Avenue Appia 1211 Geneva 27, Switzerland
    Malar J 10:46. 2011
  7. ncbi 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured
    David C Classen
    University of Utah, Salt Lake City, Utah, USA
    Health Aff (Millwood) 30:581-9. 2011
  8. ncbi Transmissibility of livestock-associated methicillin-resistant Staphylococcus aureus (ST398) in Dutch hospitals
    M W M Wassenberg
    Department of Medical Microbiology, University Medical Centre Utrecht, The Netherlands
    Clin Microbiol Infect 17:316-9. 2011
  9. ncbi Occurrence and distribution of pharmaceuticals in wastewater from households, livestock farms, hospitals and pharmaceutical manufactures
    Won Jin Sim
    Department of Civil and Environmental Engineering, Pusan National University, Busan 609 735, Republic of Korea
    Chemosphere 82:179-86. 2011
  10. pmc Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in "early adopter" hospitals
    Aziz Sheikh
    Ehealth Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX, UK
    BMJ 343:d6054. 2011

Detail Information

Publications285 found, 100 shown here

  1. ncbi Interventions for preventing falls in older people in care facilities and hospitals
    Ian D Cameron
    Rehabilitation Studies Unit, SydneyMedical School Northern, The University of Sydney, Ryde, Australia
    Cochrane Database Syst Rev 12:CD005465. 2012
    Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010.
  2. ncbi Aminoglycoside resistance in multiply antibiotic-resistant Acinetobacter baumannii belonging to global clone 2 from Australian hospitals
    Steven J Nigro
    School of Molecular Bioscience, The University of Sydney, NSW 2006, Australia
    J Antimicrob Chemother 66:1504-9. 2011
  3. pmc Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' proje
    Oliver Groene
    Avedis Donabedian University Institute, Autonomous University of Barcelona, CIBER Epidemiology and Public Health, Barcelona, Spain
    BMC Health Serv Res 10:281. 2010
    b>Hospitals in European countries apply a wide range of quality improvement strategies. Knowledge of the effectiveness of these strategies, implemented as part of an overall hospital quality improvement system, is limited.
  4. ncbi Nurse-staffing levels and the quality of care in hospitals
    Jack Needleman
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    N Engl J Med 346:1715-22. 2002
    It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die.
  5. ncbi Incidence and types of adverse events and negligent care in Utah and Colorado
    E J Thomas
    Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Med Care 38:261-71. 2000
    The ongoing debate on the incidence and types of iatrogenic injuries in American hospitals has been informed primarily by the Harvard Medical Practice Study, which analyzed hospitalizations in New York in 1984...
  6. pmc Reductions in malaria and anaemia case and death burden at hospitals following scale-up of malaria control in Zanzibar, 1999-2008
    Maru W Aregawi
    World Health Organization, Global Malaria Programme, 20 Avenue Appia 1211 Geneva 27, Switzerland
    Malar J 10:46. 2011
    ..The impact of the scale-up of insecticide-treated nets (ITN), indoor-residual spraying (IRS) and artemisinin-combination therapy (ACT) combined on malaria burden was assessed at six out of seven in-patient health facilities...
  7. ncbi 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured
    David C Classen
    University of Utah, Salt Lake City, Utah, USA
    Health Aff (Millwood) 30:581-9. 2011
    ..methods to detect adverse events in hospitalized patients, using the same patient sample set from three leading hospitals. We found that the adverse event detection methods commonly used to track patient safety in the United States ..
  8. ncbi Transmissibility of livestock-associated methicillin-resistant Staphylococcus aureus (ST398) in Dutch hospitals
    M W M Wassenberg
    Department of Medical Microbiology, University Medical Centre Utrecht, The Netherlands
    Clin Microbiol Infect 17:316-9. 2011
    ..MRSA clone) and non-ST398 MRSA isolates in patients hospitalized without infection control measures in 51 Dutch hospitals. Identification of 174 index patients initiated 139 post-exposure screenings of 9925 persons...
  9. ncbi Occurrence and distribution of pharmaceuticals in wastewater from households, livestock farms, hospitals and pharmaceutical manufactures
    Won Jin Sim
    Department of Civil and Environmental Engineering, Pusan National University, Busan 609 735, Republic of Korea
    Chemosphere 82:179-86. 2011
    ..In the P-WWTPs, the distribution of pharmaceuticals in the effluents varied with sampling sites and periods. The M-WWTP influents had the highest daily loads, while the effluents showed somewhat similar levels in all source types...
  10. pmc Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in "early adopter" hospitals
    Aziz Sheikh
    Ehealth Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX, UK
    BMJ 343:d6054. 2011
    To evaluate the implementation and adoption of the NHS detailed care records service in "early adopter" hospitals in England.
  11. pmc Developing a summary hospital mortality index: retrospective analysis in English hospitals over five years
    Michael J Campbell
    ScHARR, University of Sheffield, Sheffield S1 4DA, UK
    BMJ 344:e1001. 2012
    To develop a transparent and reproducible measure for hospitals that can indicate when deaths in hospital or within 30 days of discharge are high relative to other hospitals, given the characteristics of the patients in that hospital, ..
  12. ncbi Hospital volume and surgical mortality in the United States
    John D Birkmeyer
    Veterans Affairs Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    N Engl J Med 346:1128-37. 2002
    ..Although numerous studies suggest that there is an inverse relation between hospital volume of surgical procedures and surgical mortality, the relative importance of hospital volume in various surgical procedures is disputed...
  13. ncbi Clostridium difficile infection in Ohio hospitals and nursing homes during 2006
    Robert J Campbell
    Ohio Department of Public Health, Columbus, Ohio, USA
    Infect Control Hosp Epidemiol 30:526-33. 2009
    Healthcare data suggest that the incidence and severity of Clostridium difficile infection (CDI) in hospitals are increasing...
  14. ncbi Emergence of CC17 Enterococcus faecium: from commensal to hospital-adapted pathogen
    Janetta Top
    Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands
    FEMS Immunol Med Microbiol 52:297-308. 2008
    ..A similar increase of VRE may occur in countries with still low levels of VRE in hospitals (such as The Netherlands), but increasing incidence of AREfm infections...
  15. pmc Clinical impact of antimicrobial resistance in European hospitals: excess mortality and length of hospital stay related to methicillin-resistant Staphylococcus aureus bloodstream infections
    Marlieke E A de Kraker
    Centre for Infectious Disease Control, National Institute for Public Health and the Environment RIVM, Bilthoven, Netherland
    Antimicrob Agents Chemother 55:1598-605. 2011
    ..excess mortality and length of hospital stay (LOS) associated with MRSA bloodstream infections (BSI) in European hospitals. Between July 2007 and June 2008, a multicenter, prospective, parallel matched-cohort study was carried out in ..
  16. ncbi Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship
    Timothy H Dellit
    Harborview Medical Center and the University of Washington, Seattle, USA
    Clin Infect Dis 44:159-77. 2007
  17. pmc Sentinel surveillance of influenza-like illness in two hospitals in Maracay, Venezuela: 2006-2010
    Guillermo Comach
    Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomedicas de la Universidad de Carabobo, Maracay, Venezuela
    PLoS ONE 7:e44511. 2012
    ..The objective of the present study was to examine the epidemiology of influenza-like illness (ILI) in two hospitals in Maracay, Venezuela.
  18. ncbi Adverse events in hospitals: the patient's point of view
    P Massó Guijarro
    Departamento de Psicología de la Salud Universidad Miguel Hernández, Ctra Nacional, N 332, Alicante, Spain
    Qual Saf Health Care 19:144-7. 2010
    ..The aim of this review is to analyse and compare studies about patient's perception and opinion about care safety in hospitals.
  19. ncbi Evaluating the efficacy of antimicrobial cycling programmes and patient isolation on dual resistance in hospitals
    Karen Chow
    Mathematical, Computational Modeling Sciences Center, Arizona State University, PO Box 871904, Tempe, AZ 85287, USA
    J Biol Dyn 5:27-43. 2011
    Antibiotic-resistant bacteria cause a number of infections in hospitals and are considered a threat to public health...
  20. pmc Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study
    Anne G Matlow
    Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada
    CMAJ 184:E709-18. 2012
    ..Limited data are available on adverse events among children admitted to hospital. The Canadian Paediatric Adverse Events Study was done to describe the epidemiology of adverse events among children in hospital in Canada...
  21. pmc Increase of carbapenem-resistant Acinetobacter baumannii infection in acute care hospitals in Taiwan: association with hospital antimicrobial usage
    Chiu Hsia Su
    Centers for Disease Control Taiwan, Taipei, Taiwan
    PLoS ONE 7:e37788. 2012
    ..The present study is aimed to investigate the epidemiology of HAIs caused by CRAB and the association of CRAB infection and hospital usage of different antimicrobials...
  22. ncbi Variation in the rates of adverse events between hospitals and hospital departments
    Marieke Zegers
    NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands
    Int J Qual Health Care 23:126-33. 2011
    ..of this study was to analyze the variation in the rates of adverse events (AEs), and preventable AEs, between hospitals and hospital departments in order to investigate the room for improvement in reducing AEs at both levels...
  23. pmc Molecular characterization and antimicrobial susceptibility testing of Escherichia coli isolates from patients with urinary tract infections in 20 Chinese hospitals
    Xiaoli Cao
    Department of General Surgery, Peking University First Hospital, Beijing 100034, China
    J Clin Microbiol 49:2496-501. 2011
    A total of 222 urinary Escherichia coli isolates from 20 tertiary hospitals in 15 different provinces and 4 municipalities in mainland China were characterized by antimicrobial susceptibility, phylogrouping, and the presence of plasmid-..
  24. pmc Early dissemination of NDM-1- and OXA-181-producing Enterobacteriaceae in Indian hospitals: report from the SENTRY Antimicrobial Surveillance Program, 2006-2007
    Mariana Castanheira
    JMI Laboratories, North Liberty, Iowa 52317, USA
    Antimicrob Agents Chemother 55:1274-8. 2011
    ..Multiple pulsed-field gel electrophoresis patterns and clonal dissemination within and among sites were observed. Isolates producing NDM-1 were disseminated in Indian health care facilities as early as 2006...
  25. pmc Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus (MRSA) among pigs on German farms and import of livestock-related MRSA into hospitals
    R Kock
    Institute of Hygiene, University Hospital Munster, Robert Koch Str 41, 48149, Munster, Germany
    Eur J Clin Microbiol Infect Dis 28:1375-82. 2009
    ..Our results indicate that livestock represents a relevant reservoir for the import of MRSA into regional German hospitals.
  26. ncbi The European surveillance of antimicrobial consumption (ESAC) point-prevalence survey of antibacterial use in 20 European hospitals in 2006
    Faranak Ansari
    Division of Clinical and Population Sciences and Education, University of Dundee, Dundee, Great Britain
    Clin Infect Dis 49:1496-504. 2009
    Point-prevalence surveys have been used to document antimicrobial use in hospitals for >20 years. However, published surveys are inconsistent with respect to population, indication, and the details of therapy that were included...
  27. ncbi Predictors of nurse absenteeism in hospitals: a systematic review
    Mandy M Davey
    Registered Nurse, Bonnyville Health Centre, Bonnyville, AB, Canada
    J Nurs Manag 17:312-30. 2009
    ..This study aimed to identify and examine predictors of short-term absences of staff nurses working in hospital settings reported in the research literature...
  28. ncbi Trends in production of extended-spectrum beta-lactamases among Enterobacteriaceae of clinical interest: results of a nationwide survey in Belgian hospitals
    H Rodriguez-Villalobos
    Laboratoire de Microbiologie, Hopital Universitaire Erasme, Universite Libre de Bruxelles, B 1070 Brussels, Belgium
    J Antimicrob Chemother 66:37-47. 2011 assess the frequency and diversity of extended-spectrum β-lactamases (ESBLs) in Enterobacteriaceae isolates in Belgium...
  29. ncbi Point prevalence survey for healthcare-associated infections within Canadian adult acute-care hospitals
    D Gravel
    Centre for Infectious Disease Prevention and Control, Public Health Agency of Canada, Canada
    J Hosp Infect 66:243-8. 2007
    A survey of adult patients 19 years of age and older was conducted in February 2002 in hospitals across Canada to estimate the prevalence of healthcare-associated infections (HAIs)...
  30. ncbi Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?
    Joel S Weissman
    Institute for Health Policy, Massachusetts General Hospital, Harvard School of Public Health, Dana Farber Cancer Institute, Boston, Massachusetts, USA
    Ann Intern Med 149:100-8. 2008
    b>Hospitals routinely survey patients about the quality of care they receive, but little is known about whether patient interviews can detect adverse events that medical record reviews do not.
  31. ncbi Patients' perception of hospital care in the United States
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 359:1921-31. 2008
    ..Data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey provide a portrait of patients' experiences in U.S. hospitals.
  32. pmc Emergence of a community-associated methicillin-resistant Staphylococcus aureus strain with a unique resistance profile in Southwest Nigeria
    B Ghebremedhin
    Otto von Guericke University Clinic, Medical Microbiology, Magdeburg, Germany
    J Clin Microbiol 47:2975-80. 2009
    ..Urban regions with populations of lower socioeconomic status and evidence of overcrowding appear to be at high risk for the emergence of this clone...
  33. pmc Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review
    Ali Baba Akbari Sari
    Department of Health Sciences, University of York, York YO10 5DD
    BMJ 334:79. 2007
    ..To evaluate the performance of a routine incident reporting system in identifying patient safety incidents...
  34. ncbi Health care-associated Clostridium difficile infection in adults admitted to acute care hospitals in Canada: a Canadian Nosocomial Infection Surveillance Program Study
    Denise Gravel
    Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, Ontario, Canada
    Clin Infect Dis 48:568-76. 2009
    ..We re-examined the incidence of HA CDI with an emphasis on patient outcomes...
  35. pmc The burden of invasive bacterial infections in Pemba, Zanzibar
    Kamala Thriemer
    International Vaccine Institute, Seoul, Republic of Korea
    PLoS ONE 7:e30350. 2012
    We conducted a surveillance study to determine the leading causes of bloodstream infection in febrile patients seeking treatment at three district hospitals in Pemba Island, Zanzibar, Tanzania, an area with low malaria transmission.
  36. ncbi The relationship between hospital admission rates and rehospitalizations
    Arnold M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 365:2287-95. 2011
    ..Yet variation in readmission rates may more closely reflect variation in the underlying hospitalization rates than differences in the quality of care during and after discharge...
  37. ncbi Containment of a country-wide outbreak of carbapenem-resistant Klebsiella pneumoniae in Israeli hospitals via a nationally implemented intervention
    Mitchell J Schwaber
    National Center for Infection Control, Israel Ministry of Health, Tel Aviv, Israel
    Clin Infect Dis 52:848-55. 2011
    During 2006, Israeli hospitals faced a clonal outbreak of carbapenem-resistant Klebsiella pneumoniae that was not controlled by local measures...
  38. pmc Molecular epidemiology of vancomycin-resistant Enterococcus faecium: a prospective, multicenter study in South American hospitals
    Diana Panesso
    Molecular Genetics and Antimicrobial Resistance Unit, Universidad El Bosque, Bogota, Colombia
    J Clin Microbiol 48:1562-9. 2010
    ..Enterococcal isolates were collected prospectively (2006 to 2008) from 32 hospitals in Colombia, Ecuador, Perú, and Venezuela and subjected to antimicrobial susceptibility testing...
  39. pmc Wide dispersion of ST175 clone despite high genetic diversity of carbapenem-nonsusceptible Pseudomonas aeruginosa clinical strains in 16 Spanish hospitals
    María García-Castillo
    Servicio de Microbiologia, Hospital Universitario Ramon y Cajal, Ctra Colmenar Km 9 1, 28034 Madrid, Spain
    J Clin Microbiol 49:2905-10. 2011
    ..Testing (COMPACT) surveillance study, 448 Pseudomonas aeruginosa clinical isolates were obtained from 16 Spanish hospitals. Nonsusceptibility (EUCAST breakpoints) to imipenem (35%), meropenem (33%), and/or doripenem (33%) was observed ..
  40. pmc Application of quality improvement strategies in 389 European hospitals: results of the MARQuIS project
    M J M H Lombarts
    Academic Medical Center, Department of Social Medicine, University of Amsterdam, Meibergdreef 9, PO Box 22700, 1100 DE Amsterdam, The Netherlands
    Qual Saf Health Care 18:i28-37. 2009
  41. ncbi Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation
    Oliver Groene
    Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15 17 Tavistock Place, London WC1H 9SH, UK
    Int J Qual Health Care 23:531-7. 2011
    ..Yet, from a quality improvement perspective the rationale, measurement and implementation of strategies to improve patient-centred care is often subject to debate...
  42. pmc Trends in the incidence of methicillin-resistant Staphylococcus aureus infection in children's hospitals in the United States
    Jeffrey S Gerber
    The Children s Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania School of Medicine, Pennsylvania, USA
    Clin Infect Dis 49:65-71. 2009
    ..The incidence of and outcomes associated with methicillin-resistant Staphylococcus aureus (MRSA) infection in hospitalized children have been incompletely characterized...
  43. pmc Engaging hospitals to meet tuberculosis control targets in China: using the Internet as a tool to put policy into practice
    Lixia Wang
    National Centre for Tuberculosis Control and Prevention, Chinese Centre for Disease Control and Prevention, Nanwei Road 27, Beijing, 100050, China
    Bull World Health Organ 88:937-42. 2010
    Tuberculosis (TB) services in China are provided through a large network of TB dispensaries. Even though hospitals are not as well placed to follow recommended standards of TB care, a significant proportion of people with TB symptoms ..
  44. pmc Identification of three major clones of multiply antibiotic-resistant Streptococcus pneumoniae in Taiwanese hospitals by multilocus sequence typing
    Z Y Shi
    School of Biological Sciences, University of Sussex, Brighton BN1 9QG, United Kingdom
    J Clin Microbiol 36:3514-9. 1998
    ..Single isolates of the Spanish penicillin-resistant serotype 9V clone and the Spanish multidrug-resistant serotype 6B clone were also identified in the collection...
  45. ncbi Physicians' characteristics in the usage of online database: a representative nationwide survey of regional hospitals in Taiwan
    Ya Wen Chiu
    Division of Health Policy Research and Development, Institute of Population Health Sciences, National Health Research Institutes, Taiwan
    Inform Health Soc Care 34:127-35. 2009
    ..These data may assist in determining how to promote the use of online evidence-based medical information for clinical services...
  46. ncbi Epidemics of diarrhea caused by a clindamycin-resistant strain of Clostridium difficile in four hospitals
    S Johnson
    Department of Medicine, Veterans Affairs Chicago Health Care System, Lakeside Division, and Northwestern University Medical School, IL 60611, USA
    N Engl J Med 341:1645-51. 1999
    Large outbreaks of diarrhea caused by a newly recognized strain of Clostridium difficile occurred in four hospitals located in different parts of the United States between 1989 and 1992...
  47. pmc Automated detection of infectious disease outbreaks in hospitals: a retrospective cohort study
    Susan S Huang
    Division of Infectious Diseases and Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, California, United States of America
    PLoS Med 7:e1000238. 2010
    ..Ideally, outbreak detection programs should evaluate many pathogens, using a wide array of data sources...
  48. pmc Nosocomial bloodstream infections in Brazilian hospitals: analysis of 2,563 cases from a prospective nationwide surveillance study
    Alexandre R Marra
    Hospital Israelita Albert Einstein, Sao Paulo, Brazil1
    J Clin Microbiol 49:1866-71. 2011
    ..of Epidemiological Importance), were used to examine the epidemiology and microbiology of nBSIs at 16 Brazilian hospitals. In our study 2,563 patients with nBSIs were included from 12 June 2007 to 31 March 2010...
  49. ncbi Influenza vaccination of health care workers in hospitals--a review of studies on attitudes and predictors
    Helge G Hollmeyer
    Department of Epidemic and Pandemic Alert and Response, World Health Organization, 1211 Geneva 27, Switzerland
    Vaccine 27:3935-44. 2009
    ..To aid in designing effective immunization programs we reviewed the literature for studies reporting on (1) self-reported reasons of HCW regarding vaccination against influenza and (2) predictive factors for influenza vaccination in HCW...
  50. ncbi Dissemination in Japanese hospitals of strains of Staphylococcus aureus heterogeneously resistant to vancomycin
    K Hiramatsu
    Department of Bacteriology, Juntendo University, Tokyo, Japan
    Lancet 350:1670-3. 1997
    ..MIC] 8 mg/L), there has been concern about the potential spread of such strains throughout Japanese hospitals. Two important questions need to be answered: (1) what is the prevalence of VRSA, and (2) by what mechanism does ..
  51. ncbi Genetic characterization of ESBL producing strains of Klebsiella pneumoniae from Tehran hospitals
    Mohammad Mehdi Feizabadi
    Department of Microbiology, School of Medicine, Medical Science, University of Tehran, Tehran, Iran
    J Infect Dev Ctries 4:609-15. 2010
    This study was conducted to determine the genetic characterization of extended-spectrum beta-lactamase (ESBL) producing strains of Klebsiella  pneumoniae isolated from Iranian patients in hospitals in Tehran.
  52. ncbi Vomiting calls to NHS Direct provide an early warning of norovirus outbreaks in hospitals
    P Loveridge
    Real time Syndromic Surveillance Team, Health Protection Agency West Midlands, Birmingham, UK
    J Hosp Infect 74:385-93. 2010
    A wintertime peak of norovirus activity occurs each year, affecting institutions including schools and hospitals. Traditional laboratory and outbreak surveillance systems for norovirus are too vulnerable to reporting delay to act as a ..
  53. ncbi Clinical and molecular characteristics of nosocomial meticillin-resistant Staphylococcus aureus skin and soft tissue isolates from three Indian hospitals
    R Gadepalli
    Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
    J Hosp Infect 73:253-63. 2009
    ..meticillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) in three Indian hospitals. We also determined antimicrobial resistance patterns and genotypic characteristics of MRSA isolates using ..
  54. ncbi Nulliparous term singleton vertex cesarean delivery rates: institutional and individual level predictors
    Dean V Coonrod
    Department of Obstetrics, Maricopa Integrated Health System MedPro, Phoenix, AZ, USA
    Am J Obstet Gynecol 198:694.e1-11; discussion 694.e11. 2008
    ..This study was undertaken to determine individual and institutional level variables predictive of variations in nulliparous term singleton vertex cesarean delivery rates...
  55. ncbi Accreditation and ISO certification: do they explain differences in quality management in European hospitals?
    Charles Shaw
    European Society for Quality in Healthcare, Limerick, Ireland
    Int J Qual Health Care 22:445-51. 2010
    ..There is little published evidence on their relative merits...
  56. pmc Molecular characterization of cefoxitin-resistant Escherichia coli from Canadian hospitals
    Michael R Mulvey
    Nosocomial Infections, National Microbiology Laboratory, 1015 Arlington St, Winnipeg, Manitoba R3E 3R2, Canada
    Antimicrob Agents Chemother 49:358-65. 2005
  57. ncbi Nature, occurrence and consequences of medication-related adverse events during hospitalization: a retrospective chart review in the Netherlands
    Lilian H F Hoonhout
    VU University Medical Centre, EMGO Institute, Department of Public and Occupational Health, Amsterdam, The Netherlands
    Drug Saf 33:853-64. 2010
    ..Detailed information on harm related to drugs administered during hospitalization is scarce. Knowledge of the nature and preventability of MRAEs is needed to prioritize and improve medication-related patient safety...
  58. ncbi Comparison of evidence-based practice between physicians and nurses: a national survey of regional hospitals in Taiwan
    Ya Wen Chiu
    Division of Health Policy Research and Development, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, Taiwan
    J Contin Educ Health Prof 30:132-8. 2010
    ..Although evidence-based practice (EBP) has been widely investigated, few studies compare physicians and nurses on performance...
  59. pmc Competition of hospital-acquired and community-acquired methicillin-resistant Staphylococcus aureus strains in hospitals
    Glenn F Webb
    Department of Mathematics, Vanderbilt University, Nashville, TN 37240, USA
    J Biol Dyn 4:115-29. 2010
    ..Improving compliance with hand hygiene and decolonization of CA-MRSA carriers are effective control strategies...
  60. ncbi Methicillin-resistant Staphylococcus aureus (MRSA) in a tertiary surgical and trauma hospital in Benghazi, Libya
    Najat Buzaid
    Department of Medicine, Faculty of Medicine, Garyounis University, Benghazi, Libya
    J Infect Dev Ctries 5:723-6. 2011
    ..that threatens the continued effectiveness of antibiotics worldwide and causes a threat almost exclusively in hospitals and long-term care settings...
  61. ncbi Candida glabrata: an emerging pathogen in Brazilian tertiary care hospitals
    Arnaldo L Colombo
    Division of Infectious Diseases Hospital São Paulo, Escola Paulista de Medicina Universidade Federal de Sao Paulo, Rua Botucatu, 740 S ã o Paulo, Brasil
    Med Mycol 51:38-44. 2013
    Candida glabrata is an infrequent cause of candidemia in Brazilian public hospitals. We investigated putative differences in the epidemiology of candidemia in institutions with different sources of funding...
  62. pmc Home birth and barriers to referring women with obstetric complications to hospitals: a mixed-methods study in Zahedan, southeastern Iran
    Mahmoud Ghazi Tabatabaie
    Department of Demography and Population Studies, Faculty of Social Sciences, University of Tehran, Tehran, 14395 773, Iran
    Reprod Health 9:5. 2012
    ..The objective of this study was to determine the factors that hinder midwives and parturient women from using hospitals when complications occur during home birth in Sistan and Baluchestan province, Iran, where 23% of all deliveries ..
  63. pmc Epidemiological model for Clostridium difficile transmission in healthcare settings
    C Lanzas
    Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
    Infect Control Hosp Epidemiol 32:553-61. 2011
    ..Our objectives were to evaluate the contributions of asymptomatic and symptomatic C. difficile carriers to new colonizations and to determine the most important epidemiological factors influencing C. difficile transmission...
  64. pmc Differences in methicillin-resistant Staphylococcus aureus strains isolated from pediatric and adult patients from hospitals in a large county in California
    Lyndsey O Hudson
    Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom
    J Clin Microbiol 50:573-9. 2012
    ..cohort study of inpatients in Orange County, CA, collecting clinical MRSA isolates from 30 of 31 Orange County hospitals, to characterize differences in MRSA strains isolated from children compared to those isolated from adults...
  65. pmc Efficacy of infection control interventions in reducing the spread of multidrug-resistant organisms in the hospital setting
    Erika M C D'Agata
    Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America
    PLoS ONE 7:e30170. 2012
    Multidrug-resistant organisms (MDRO) continue to spread in hospitals globally, but the population-level impact of recommended preventive strategies and the relative benefit of individual strategies targeting all MDRO in the hospital ..
  66. pmc A national infection control evaluation of drug-resistant tuberculosis hospitals in South Africa
    J E Farley
    School of Nursing, Johns Hopkins University, Baltimore, Maryland 21205, USA
    Int J Tuberc Lung Dis 16:82-9. 2012
    ..The importance of infection control (IC) in health care settings with tuberculosis (TB) patients has been highlighted by recent health care-associated outbreaks in South Africa...
  67. ncbi Identification of extended-spectrum β-lactamase and quinolone resistance genes in Escherichia coli isolated from hospital wastewater from central India
    Vishal Diwan
    Department of Public Health and Environment, R D Gardi Medical College, Agar Road, Ujjain, India
    J Antimicrob Chemother 67:857-9. 2012
    ..To investigate the presence of antibiotic resistance genes (ARGs), related to commonly used β-lactams and quinolones, in Escherichia coli present in hospital wastewater in central India...
  68. ncbi Physiotherapy services provided outside of business hours in Australian hospitals: a national survey
    Kathryn D Shaw
    Department of Physiotherapy, La Trobe University, Bundoora, VIC 3086, Australia
    Physiother Res Int 18:115-23. 2013
    ..This study described current services provided outside of business hours across Australian hospitals.
  69. pmc A novel low-cost approach to estimate the incidence of Japanese encephalitis in the catchment area of three hospitals in Bangladesh
    Repon C Paul
    International Centre for Diarrheal Disease Research, Bangladesh, Government of the People s Republic of Bangladesh
    Am J Trop Med Hyg 85:379-85. 2011
    Acute meningoencephalitis syndrome surveillance was initiated in three medical college hospitals in Bangladesh in October 2007 to identify Japanese encephalitis (JE) cases...
  70. pmc Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study
    Kathrin Cresswell
    The School of Health in Social Science, The University of Edinburgh, Edinburgh, United Kingdom
    PLoS ONE 8:e53369. 2013
    ..Implementations in English hospitals are in the early stages and there is a lack of standards guiding the procurement, functional specifications, and ..
  71. pmc Use of complementary and alternative medicine at Norwegian and Danish hospitals
    Laila J Salomonsen
    National Research Center in Complementary and Alternative Medicine, NAFKAM Faculty of health science, University of Tromsø, Norway
    BMC Complement Altern Med 11:4. 2011
    ..However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and ..
  72. ncbi Resistance patterns and integron cassette arrays of Enterobacter cloacae complex strains of human origin
    Joanna Mokracka
    Department of Microbiology, Faculty of Biology, A Mickiewicz University, Poznan, Poland
    J Med Microbiol 60:737-43. 2011
    ..Hospital-dependent differences in type and arrays of gene cassettes were observed, which seemed to be conserved and not liable to changes...
  73. ncbi Comparison of community-associated and health care-associated methicillin-resistant Staphylococcus aureus in Canada: results of the CANWARD 2007-2009 study
    Kimberly A Nichol
    Department of Clinical Microbiology, Health Sciences Centre Diagnostic Services of Manitoba, Winnipeg, Manitoba R3A 1R9, Canada
    Diagn Microbiol Infect Dis 69:320-5. 2011
    ..methicillin-resistant Staphylococcus aureus (CA-MRSA) and health care-associated MRSA (HA-MRSA) in Canadian hospitals between 2007 and 2009. Among 3589 S. aureus, 889 (24.8%) were MRSA; 224 (25...
  74. ncbi Data quality in the American Heart Association Get With The Guidelines-Stroke (GWTG-Stroke): results from a national data validation audit
    Ying Xian
    Duke Clinical Research Institute, Durham, NC 27705, USA
    Am Heart J 163:392-8, 398.e1. 2012
    ..Get With The Guidelines (GWTG)-Stroke is a national stroke registry and quality improvement program. We examined the accuracy and reliability of data entered in GWTG-Stroke...
  75. pmc Understanding the determinants of antimicrobial prescribing within hospitals: the role of "prescribing etiquette"
    E Charani
    The National Centre for Infection Prevention and Management, Imperial College London, 2nd Floor, Hammersmith House, Du Cane Road, London W12 OHS, UK
    Clin Infect Dis 57:188-96. 2013
    There is limited knowledge of the key determinants of antimicrobial prescribing behavior (APB) in hospitals. An understanding of these determinants is required for the successful design, adoption, and implementation of quality ..
  76. ncbi Design, implementation and scaling up of the balanced scorecard for hospitals in Lebanon: policy coherence and application lessons for low and middle income countries
    Fadi El-Jardali
    Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut 1107 2020, Lebanon
    Health Policy 103:305-14. 2011
  77. ncbi Increased mortality associated with methicillin-resistant Staphylococcus aureus (MRSA) infection in the intensive care unit: results from the EPIC II study
    Håkan Hanberger
    Division of Infectious Diseases, Institution of Clinical and Experimental Medicine, Faculty of Health Sciences, Linkoping University, Linkoping, Sweden
    Int J Antimicrob Agents 38:331-5. 2011
    ..46 (95% CI 1.03-2.06) (P=0.03). In ICU patients, MRSA infection is therefore independently associated with an almost 50% higher likelihood of hospital death compared with MSSA infection...
  78. pmc A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths
    Jeantine M de Feijter
    Department of Educational Development and Research, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
    PLoS ONE 7:e31125. 2012 (IRS) are used to identify medical errors in order to learn from mistakes and improve patient safety in hospitals. However, IRS contain only a small fraction of occurring incidents...
  79. pmc Is quality of colorectal cancer care good enough? Core measures development and its application for comparing hospitals in Taiwan
    Kuo Piao Chung
    Graduate Institute of Health Care Organization Administration, College of Public Health, National Taiwan University, Taipei, Taiwan
    BMC Health Serv Res 10:27. 2010
    ..The purpose of this study was to develop organization-based core measures for colorectal cancer patient care and apply these measures to compare hospital performance...
  80. pmc Lymph node evaluation as a colon cancer quality measure: a national hospital report card
    Karl Y Bilimoria
    Cancer Programs, American College of Surgeons, Chicago, IL 60611, USA
    J Natl Cancer Inst 100:1310-7. 2008
    ..However, information regarding the extent of hospital compliance with the 12-node measure in the United States is lacking...
  81. ncbi Effectiveness of public report cards for improving the quality of cardiac care: the EFFECT study: a randomized trial
    Jack V Tu
    Institute for Clinical Evaluative Sciences, G106 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada
    JAMA 302:2330-7. 2009
    ..Publicly released report cards on hospital performance are increasingly common, but whether they are an effective method for improving quality of care remains uncertain...
  82. ncbi What is on that keyboard? Detecting hidden environmental reservoirs of Clostridium difficile during an outbreak associated with North American pulsed-field gel electrophoresis type 1 strains
    Donald M Dumford
    Department of Medicine, University Hospitals of Cleveland, Cleveland, OH, USA
    Am J Infect Control 37:15-9. 2009
    ..However, less information is available regarding the frequency of contamination of environmental surfaces outside of CDI isolation rooms...
  83. ncbi Measurement of adult antibacterial drug use in 130 US hospitals: comparison of defined daily dose and days of therapy
    Ronald E Polk
    School of Pharmacy, Department of Pharmacy, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, VA 23298, USA
    Clin Infect Dis 44:664-70. 2007
    b>Hospitals are advised to measure antibiotic use and monitor its relationship to resistance. The World Health Organization's recommended metric is the defined daily dose (DDD). An alternative measure is the number of days of therapy (DOT)...
  84. pmc Modeling antibiotic resistance in hospitals: the impact of minimizing treatment duration
    Erika M C D'Agata
    Beth Israel Deaconess Medical Center, Harvard University, Boston, MA 02215, USA
    J Theor Biol 249:487-99. 2007
    ..provides a quantitative analysis of the emergence and spread of antibiotic-resistant bacteria, and demonstrates that early initiation of treatment and minimization of its duration mitigates antibiotic resistance epidemics in hospitals.
  85. ncbi Quality of care in patients with chronic kidney disease is determined by hospital specific factors
    Arjan D Van Zuilen
    Department of Nephrology, University Medical Center Utrecht, Utrecht, The Netherlands
    Nephrol Dial Transplant 25:3647-54. 2010
    ..MASTERPLAN is a multicentre study which evaluates the effect of a multifactorial intervention in prevalent CKD patients on cardiovascular (CV) events and progression of kidney failure...
  86. ncbi The efficacy of infection control interventions in reducing the incidence of extended-spectrum β-lactamase-producing Enterobacteriaceae in the nonoutbreak setting: A systematic review
    Shannon Goddard
    Department of Medicine, University of Toronto, Canada
    Am J Infect Control 39:599-601. 2011
    ..examine the efficacy of infection control interventions for the control of ESBL-producing Enterobacteriaceae in hospitals in the non-outbreak setting...
  87. ncbi Widespread carbapenem resistant Acinetobacter baumannii clones in Italian hospitals revealed by a multicenter study
    E Carretto
    S C Microbiologia, A O Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
    Infect Genet Evol 11:1319-26. 2011 antibiotics including carbapenems of 277 Acinetobacter baumannii strains collected in 17 Italian hospitals over a 6-months' period was assessed...
  88. pmc Prevalence of HBV and HBV vaccination coverage in health care workers of tertiary hospitals of Peshawar, Pakistan
    Sobia Attaullah
    Institute of Basic Medical Sciences, Khyber Medical University Peshawar, Pakistan
    Virol J 8:275. 2011
    ..Hepatitis B vaccination coverage level and main barriers to vaccination were also taken in account...
  89. pmc Environmental microbiota represents a natural reservoir for dissemination of clinically relevant metallo-beta-lactamases
    Claudia Scotta
    Area de Microbiologia, Universidad de las Islas Baleares, Palma de Mallorca, Spain
    Antimicrob Agents Chemother 55:5376-9. 2011
    ..radiobacter), this structure was located on a plasmid, suggesting that environmental bacteria represent a reservoir for the dissemination of clinically relevant metallo-β-lactamase genes...
  90. pmc Inappropriate empiric antifungal therapy for candidemia in the ICU and hospital resource utilization: a retrospective cohort study
    Marya D Zilberberg
    EviMed Research Group, LLC, PO Box 303, Goshen, MA 01032, USA
    BMC Infect Dis 10:150. 2010
    ..Inappropriate antifungal therapy (IAT) is known to increase a patient's risk for death. We hypothesized that in an ICU cohort it would also adversely affect resource utilization...
  91. ncbi Effect of hospital volume on clinical outcome in patients with acute pancreatitis, based on a national administrative database
    Atsuhiko Murata
    Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
    Pancreas 40:1018-23. 2011
    ..This study aimed to investigate the relationship between hospital volume and clinical outcome in patients with acute pancreatitis, using a Japanese national administrative database...
  92. pmc Outcomes after ischemic stroke for hospitals with and without Joint Commission-certified primary stroke centers
    J H Lichtman
    Yale University School of Medicine, PO Box 208034, New Haven, CT 06520, USA
    Neurology 76:1976-82. 2011
    ..We assessed whether 30-day risk-standardized mortality (RSMR) and readmission (RSRR) rates differed between hospitals with and without JC-certified PSCs in 2006.
  93. pmc Prospective study on severe malaria among in-patients at Bombo regional hospital, Tanga, north-eastern Tanzania
    Hamisi A Msangeni
    National Institute for Medical Research, Tanga Medical Research Centre, P O Box 5004, Tanga, Tanzania
    BMC Infect Dis 11:256. 2011
    ..Severe anaemia and cerebral malaria are the two main causes of death due to malaria in Tanga, Tanzania...
  94. pmc Study of recent and future trends in place of death in Belgium using death certificate data: a shift from hospitals to care homes
    Dirk Houttekier
    Vrije Universiteit Brussel, End of Life Care Research Group Ghent University and Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium
    BMC Public Health 11:228. 2011
    ..The study of trends in place of death is necessary to examine causes of shifts, to evaluate efforts to alter place of death and develop future policies. This study aims to examine past trends and future projections of place of death...
  95. ncbi Substantial morbidity for hospitalized children with community-acquired rotavirus infections: 2005-2007 IMPACT surveillance in Canadian hospitals
    Nicole Le Saux
    Division of Infectious Diseases, CHEO Research Institute, Children s Hospital of Eastern Ontario, Ottawa, Ontario, Canada
    Pediatr Infect Dis J 29:879-82. 2010
    ..6%) had significant dehydration, almost one-fifth (19%) had clinical sepsis and 7% had seizures at presentation. The median hospital stay was 3.4 days. Severe clinical presentations are less commonly described in surveillance programs...
  96. pmc Risk adjustment for inter-hospital comparison of caesarean delivery rates in low-risk deliveries
    Elisa Stivanello
    Department of Medicine and Public Health Alma Mater Studiorum University of Bologna, Bologna, Italy
    PLoS ONE 6:e28060. 2011
    ..The objective of this study is to determine the extent to which risk adjustment for clinical and socio-demographic variables is needed for inter-hospital comparisons of CD rates in women without previous CD and in NTCS deliveries...
  97. pmc Comparison of hospital risk-standardized mortality rates calculated by using in-hospital and 30-day models: an observational study with implications for hospital profiling
    Elizabeth 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).
  98. ncbi Reversal of the British trends in place of death: time series analysis 2004-2010
    Barbara Gomes
    King s College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, London, UK
    Palliat Med 26:102-7. 2012
    ..Secular trends towards an institutionalised dying have been reported in Britain and other developed world regions...
  99. ncbi [A prospective multicenter study on the prevalence and symptoms of erosive reflux esophagitis in secondary and tertiary hospitals in Korea]
    Jin Ki Hwang
    Department of Internal Medicine, Korea University College of Medicine, Guro Gu, Seoul, Korea
    Korean J Gastroenterol 53:283-91. 2009
    ..The aims of this study were to determine the prevalence of EE among outpatients visiting gastroenterology clinics of secondary and tertiary hospitals in Korea, and to analyze their symptoms.
  100. pmc Frequent recovery of a single clonal type of multidrug-resistant Staphylococcus aureus from patients in two hospitals in Taiwan and China
    M Aires de Sousa
    Laboratorio de Genetica Molecular, Instituto de Tecnologia Química e Biológica da Universidade Nova de Lisboa, Oeiras, Portugal
    J Clin Microbiol 41:159-63. 2003
    ..aureus infections between January 1998 and February 1999 in two hospitals, one located in Taipei, Taiwan, and another in Nanjing, People's Republic of China, were examined for antibiotic ..
  101. ncbi Development and validation of an in-patient satisfaction questionnaire
    Nerea Gonzalez
    Research Unit, Hospital of Galdakao, Galdakao, Spain
    Int J Qual Health Care 17:465-72. 2005
    ..To develop a psychometrically sound, hospital patient satisfaction questionnaire to be administered to patients discharged from medical and surgical services...

Research Grants70

    Joan Teno; Fiscal Year: 2001
    ..abstract_text> ..
  2. Hospital strategies to improve outcome performance
    ELIZABETH HOWE BRADLEY; Fiscal Year: 2010 improve care for patients with acute myocardial infarction (AMI) there remains substantial variation across hospitals in patient mortality rates after AMI...
  3. For-Profit Ownership and End-of-Life Care
    Elizabeth 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. ..
  4. Impact of Aging on Stroke Care: A National Perspective
    Judith Lichtman; Fiscal Year: 2004
    ..We hypothesize that variations in care exist by age. Moreover, these differences in care will not be explained by differences clinical features or co-morbid conditions associated with aging. ..
  5. Stroke Hospitalization in the Elderly with Medicare FFS
    Judith Lichtman; Fiscal Year: 2009
    ..These results will help inform decisions about the allocation of adequate resources, and more importantly, help identify opportunities to improve care and prevention of elderly stroke patients. ..
    Harlan Krumholz; Fiscal Year: 2001
    ..e., the hospitals that improve will not be a specific size or type...
  7. Strategies to reduce time to reperfusion therapy for MI
    Harlan Krumholz; Fiscal Year: 2005
    ..In this competitive renewal, we seek to examine variations in hospitals' improvements in time to acute reperfusion therapy (fibdnolytic therapy or percutaneous coronary intervention (..
  8. Cancer Assessments and Reports of End-of-Life Treatment
    Joan Teno; Fiscal Year: 2005
    ..Such tools will allow institutions to measure whether cancer care is meeting patient and family members' needs and expectations. ..
  9. Multifaceted Interventions to Ameliorate Pain/Symptoms
    Joan Teno; Fiscal Year: 2005
  10. Feeding Tube Use Among Persons with Advanced Dementia
    Joan Teno; Fiscal Year: 2008
    ..Knowledge gained will be used to inform public policy and formulate facility interventions to ensure that FT insertion in persons with severe cognitive impairment is ethically appropriate. [unreadable] [unreadable] [unreadable]..
    Steven Pantilat; Fiscal Year: 2004
    DESCRIPTION: (From application) The applicant states that most elders in the US die in acute care hospitals where serious shortcomings in end-of-life care are endemic...
  12. Telemonitoring to improve heart failure outcomes
    Harlan Krumholz; Fiscal Year: 2008
    ..abstract_text> ..
  13. The Impact of Public Reporting on the Quality of Post-Acute Care
    RACHEL WERNER; Fiscal Year: 2008
    ..This will be the first rigorous analysis to inform the policy debate on the benefits and risks of public reporting in the post-acute care sector. [unreadable] [unreadable] [unreadable] [unreadable]..
  14. Improving Treatment of Newly Diagnosed Osteoporosis
    Peter 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. ..
  15. Cardiac care in specialty and general hospitals
    Peter M Cram; Fiscal Year: 2010
    The recent emergence of specialty cardiac hospitals has generated widespread controversy...
  16. Are Volume Standards Accurate Measures of Quality?
    Laurent Glance; Fiscal Year: 2005
    ..In the absence of a national quality report card, selective referral of patients to high-volume hospitals has been advocated for high-risk surgery on the grounds that procedure volume is a quality proxy...
  17. Improving use of peri-operative beta-blockers with a multidimentional QI program
    Andrew 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. ..
    Sharon Lise Normand; Fiscal Year: 2007
    ..The methodological advances from this research will enable researchers, policy makers, and methodologists to better characterize factors impacting technology innovation/exnovation and to expand the inferences for usual care. ..
    ..These novel and innovative methods will improve the assessment of treatment effects and will contribute to improving the health of the population. ..
  20. Developing Minority Mental Health Research at TSU:
    BAQAR HUSAINI; Fiscal Year: 2008
  21. Molecular approaches for understanding TB dynamics
    Theodore Cohen; Fiscal Year: 2008
    ..It is our hope that better analytic techniques will allow for more accurate assessments of treatment and prevention. [unreadable] [unreadable]..
    Myron Levine; Fiscal Year: 2008
    ..abstract_text> ..
  23. Endothelial progenitor cells and surgical outcomes
    Andrew Auerbach; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  24. Emotional Reactivity: A Trigger of Atrial Fibrillation
    Rachel Lampert; Fiscal Year: 2008
    ..Determining triggers of AF, and identifying individuals at increased risk of recurrence, may lead to future therapeutic interventions aimed at decreasing the effects of triggers on the individual patient. ..
  25. Streptococcal virulence factors in extra-oral disease
    Todd Kitten; Fiscal Year: 2009
    ..We also expect the study to examine virtually all potential vaccine candidates in S. sanguis and to identify those that are most promising. ..
  26. Using Clinically-Enhanced Claims Data to Guide Selection of Coronary Procedures
    HAROLD KILBURN; Fiscal Year: 2010
    ..Complete data sets from hospitals recruited into the project will allow analyses of 1) factors that influence whether coronary artery ..
  27. Oral Contraceptive Use along the US-Mexico Border
    JOSEPH POTTER; Fiscal Year: 2009
    ..Additionally, it will add substantially to the slim literature on the increasingly important area of Hispanic fertility and contraceptive practice. ..
  28. Determinants of cancer risk in low-income housing
    Glorian Sorensen; Fiscal Year: 2009
    ..Clearly articulated hypotheses specify the nature of associations to be examined here. ..
  29. Mathematical Modeling of the Superspreaders of Antibiotic-Resistante Bacteria
    Shigui Ruan; Fiscal Year: 2010
    ..The proposed work will lead to a better understanding of the factors which contribute to the spread of ARB, and will allow the development and implementation of effective public health policies. ..
  30. Prevalence, risk factors and consequences of complex M. Tuberculosis infections
    Theodore Cohen; Fiscal Year: 2010
    ..The overall goal of this study is to learn more about the natural history of TB and to use this knowledge to improve the health of individuals and their communities. ..
  31. Using Clinically-Enhanced Claims Data to Guide Treatment of Acute Heart Failure
    Mark Sonneborn; Fiscal Year: 2010
    ..This proposal will increase the number of hospitals submitting laboratory data, will expand the database to include inpatient pharmacy data, and will link patient ..
  32. TEA for Families & Children: Preparation for a Randomized Trial
    Li Li; Fiscal Year: 2010
    ..The goal of this study is to develop and pilot an intervention for PLH and their family members in order to improve the long term health, mental health and behavioral adjustment of the children in poor, rural areas in China. ..
  33. Family-to-Family: Psychoeducation to Improve Children's Outcomes in HIV+ Families
    Li Li; Fiscal Year: 2009
    ..In Phase 2, families with HIV+ parents (400 HIV+ parents, 600 family caregivers) from 4 district hospitals in Chang Rai &Nakhon Ratchasima Provinces will be recruited to an intervention to benefit their 960 school-..
    RINA EIDEN; Fiscal Year: 2009
    ..abstract_text> ..
  35. Implications of cardiovascular technology diffusion among Medicare beneficiaries
    PETER GROENEVELD; Fiscal Year: 2009
    ..Medicare's new "Coverage with Evidence Determination," as well as limiting coverage of some technologies to hospitals that are "high quality," are two such examples...
  36. How Health Insurance Status Affects Persons with Disabilities
    Lisa Iezzoni; Fiscal Year: 2007
    ..This goal addresses the objectives of the Agency for Healthcare Research and Quality, which has identified persons with disabilities as one of its priority populations. [unreadable] [unreadable] [unreadable]..
  37. Post-Trial Access for Insured and Uninsured Participants
    Joel Weissman; Fiscal Year: 2007
  38. Outcomes for Prolonged Mechanical Ventilation
    Barrett 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.
  39. The Patterns and Impact of Value Based Purchasing
    Arnold Epstein; Fiscal Year: 2005
    ..4) To examine the association between the intensity of VBP activities and changes in quality performance as measured by HEDIS and CAHPS. ..
  40. Impact of Hand Hygiene Guideline on Infections and Costs
    Elaine Larson; Fiscal Year: 2005
    ..Forty hospitals systematically selected from the National Nosocomial Infection Surveillance System, CDC, will be recruited, ..
  41. Racial Disparities in Diabetes in the US and the UK
    Arch Mainous; Fiscal Year: 2005
    ..abstract_text> ..
  42. HIV Related Stigma among Service Providers in China
    Li Li; Fiscal Year: 2005
    ..These data will prepare the team to conduct a randomized controlled trial across different levels of health care providers in China. ..
    Ebbing Lautenbach; Fiscal Year: 2004
  44. The Effects of Resveratrol on Presbyacusis
    Michael Seidman; Fiscal Year: 2004
    ..Furthermore, these data will provide novel strategies to impart greater wellness in the elderly population and perhaps have a positive effect on health care expenses. ..
    Myron Levine; Fiscal Year: 2004
    ..falciparum, and by these effects working in concert, we will ultimately be able to prevent disease completely in some subjects and to markedly ameliorate disease severity in others. ..
  46. Staff Hand Hygiene and Nosocomial Infections in Neonates
    Elaine Larson; Fiscal Year: 2003
  47. Outcomes of ICU Working Conditions
    Patricia Stone; Fiscal Year: 2003
    ..1996, 1999, and 2002); 2) link the Medicare data to NNIS data and other existing datasets; 3) survey the same hospitals regarding ICU specific workforce staffing and healthcare worker safety; and 4) survey nursing personnel ..
    James Goodwin; Fiscal Year: 2002
    ..abstract_text> ..
  49. Impact of Certificate of Need on the Use of Revascularization for AMI
    Mary Vaughan Sarrazin; Fiscal Year: 2006
    ..retrospective cohort study will examine consecutive patients 68 years and older admitted to all non-federal hospitals in the US for the treatment of acute myocardial infraction (AMI) during 1994 through 2002...
  50. The significance of racial segregation for CV disease
    Mary Vaughan Sarrazin; Fiscal Year: 2007
    ..3. Determine relationships between segregation and racial disparities in access to high quality hospitals. The 24-month study will analyze existing data for Medicare patients admitted for AMI to non-federal hospitals ..
  51. Nurse Staffing and Adverse Events on Inpatient Units
    EILEEN LAKE; Fiscal Year: 2007
    ..ulcers at both the patient and the nursing unit levels using data from 4,300 nursing units in 650 community hospitals in the ANA-sponsored National Database of Nursing Quality Indicators...
  52. New Methods for Evaluating Interobserver Agreement
    Michael Haber; Fiscal Year: 2006
    ..Existing and new agreement indices will be compared and linked. All the proposed methods will be applied to real data sets from the behavioral and biomedical sciences. [unreadable] [unreadable]..
  53. Health Promotion for Mobile Workers
    Glorian Sorensen; Fiscal Year: 2006
    ..abstract_text> ..
  54. Variations of care in older men with prostate cancer
    Ravishankar Jayadevappa; Fiscal Year: 2007
    ..We will use Instrumental variable approach to address the issues related to the selection bias.The outcome of this study will generate preliminary results and a working model leading to a RO1. [unreadable] [unreadable]..
  55. Decisionmaking in Pediatric Palliative Care
    JOHN FEUDTNER; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable]..
  56. Alcohol Clinical Training (ACT) Project
    Richard Saitz; Fiscal Year: 2004
  57. Clinical Impact of Quinolone-Resistant E.coli carriage
    Ebbing Lautenbach; Fiscal Year: 2007
    ..unreadable] [unreadable]..
  58. MD Group Characteristics and Quality of Care for CHD
    Bruce Landon; Fiscal Year: 2003
    ..abstract_text> ..
  59. Quinolone resistant E coli in long term care facilities
    Ebbing Lautenbach; Fiscal Year: 2009
    ..abstract_text> ..
  60. Perinatal Regionalization and Quality of Care
    Scott Lorch; Fiscal Year: 2008 optimize the care of these high-risk newborns, centralizing the care of VLBW infants at a few specialized hospitals within a defined geographic region. However, these policies have recently weakened in many areas of the US...
  61. Novel Application of Infection Control Strategies to Limit Transmission of ESBL'S
    Ebbing Lautenbach; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
    Scott Lorch; Fiscal Year: 2004
    ..In summary, this clinical trial will assess the efficacy and safety of inhaled nitric oxide for amelioration of a major disease of premature infants. ..
    S Johnston; Fiscal Year: 2005
    ..This research will provide important results for clinicians and policy makers, and will foster the applicant's development as a health services researcher in cerebrovascular disease. ..
  64. Thrombus resolution is CXC chemokine dependent
    Peter Henke; Fiscal Year: 2006
    ..abstract_text> ..
  65. Financial Incentives and Variations in the Care of Medicare Beneficiaries
    Bruce E Landon; Fiscal Year: 2010
    ..Because patients will be clustered within physicians and physicians clustered within markets, we will use hierarchical analytic methods. ..
  66. Overcoming Nutritional Barriers in Hemodialysis Ptnts
    Ashwini Sehgal; Fiscal Year: 2006
    ..Overcoming specific barriers may lead not only to improved nutritional status but also to better patient survival, decreased health care costs, and increased quality of life. ..