Abstract
We assessed the effect of performance-based payment of health-care providers (payment for performance; P4P) on use and quality of child and maternal care services in health-care facilities in Rwanda.
166 facilities were randomly assigned at the district level either to begin P4P fund...
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PMID: 21515164
PDF is available here.
Abstract
Since Hippocrates, "first, do no harm" is one of the fundamental principles of healthcare which caregivers attempt to put into practice in all their encounters with others in need of care. Principles of justice, well-doing, autonomy and proportionality have helped to enrich the caregiver's reflection...
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PMID: 21574313
PDF is available here.
Abstract
Non-Hospital Urgent and Emergency Care Units were created to deliver care to patients in chronic or acute situations and to coordinate the flow of urgent care. This descriptive study analyzed the theoretical knowledge of nurses working in these units concerning cardiopulmonary arrest and resuscitatio...
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PMID: 21584371
PDF is available here.
Abstract
We investigated the distribution of drug-resistant organisms to clarify transmission of the organisms. Drug-resistant organisms were surveyed in 12 facilities in 4 districts of Saga prefecture for 2 years, and were analyzed by beta-lactamase typing, antimicrobial susceptibility tests and pulsed-field...
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PMID: 21560403
PDF is available here.
Abstract
In resource-limited settings, high case-fatality rates are seen among tuberculosis (TB) patients with human immunodeficiency virus (HIV) infection, especially during the early months of TB treatment. HIV prevalence among TB patients has been estimated to be as high as 80%--90% in some areas of sub-S...
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PMID: 21102405
PDF is available here.
Abstract
Effective approaches for increasing the value of care and services provided include the following: Developing a clinical quality value analysis model to help determine areas where expenses could be reduced while supporting high-quality, cost-effective care. Predicting what health care will look like...
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PMID: 21061824
PDF is available here.
Abstract
There are seven strategies healthcare organizations should adopt to prepare for implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH): Build HITECH awareness. Invest in a transformation infrastructure. Build clinical informatics expertise. Develop a busine...
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PMID: 21061823
PDF is available here.
Abstract
PSC can be defined as the willingness and ability of an organisation to understand safety as well as the willingness and ability to act on safety. Patient safety requires controlling and steering the organisation, and being mindful of the social processes and psychological phenomena....
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PMID: 20724396
PDF is available here.
Abstract
Selection of heat rejection equipment has traditionally entailed a choice between the higher energy consumption of an air-cooled solution, and the high water consumption of a water-cooled solution. This paper examines advancement in heat rejection technology and the way it can be app...
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PMID: 20882904
PDF is available here.
Abstract
The questionnaires were answered by 55 of 127 facilities. Of the respondents, 46 (83.6%) were not aware of the recommendation of treatment for latent tuberculosis infections in Japanese patients. Moreover, 30 (54.5%) facilities did not examine patients for tuberculosis prior to the initiation of hem...
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PMID: 20960948
PDF is available here.
Abstract
These results suggest that the instrument running cost would be fully covered at nationwide emergency and critical care centers if the additional 5,000 NHI points (1 point = 10 yen) for hospital admission, which is approved for advanced emergency and critical care centers, were applicable to all fac...
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PMID: 20873397
PDF is available here.
Abstract
We determined the frequency and predictors of mass psychogenic illness within a sample of chemical incidents.
Information was collected on a random sample of 280 chemical incidents. We developed consensus operational criteria for mass psychogenic illness and estimated its frequency. We then assessed...
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PMID: 20592616
PDF is available here.
Alexander J Kallen,
Yi Mu,
Sandra Bulens,
Arthur Reingold,
Susan Petit,
Ken Gershman,
Susan M Ray,
Lee H Harrison,
Ruth Lynfield,
Ghinwa Dumyati,
John M Townes,
William Schaffner,
Priti R Patel,
Scott K Fridkin and
Active Bacterial Core surveillance (ABCs) MRSA Investigators of the Emerging Infections Program
Abstract
From 2005 through 2008, there were 21,503 episodes of invasive MRSA infection; 17,508 were health care associated. Of these, 15,458 were MRSA BSIs. The incidence rate of hospital-onset invasive MRSA infections was 1.02 per 10,000 population in 2005 and decreased 9.4% per year (95% confidence interva...
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PMID: 20699455
PDF is available here.
Abstract
We achieved early identification of seven respiratory disease outbreaks, two of which were caused by influenza. For the influenza outbreaks, antiviral treatment and prophylaxis were initiated 4-6 days from symptom onset in the primary case. A simple active surveillance system for influenza was succe...
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PMID: 20018130
PDF is available here.
Abstract
The rationality of current validity period of the preparations in medical institutions was analyzed. Based on the discussion of the main functions of the validity period in administration admission and the essential principles for the reasonable enactment of the validity period, author suggested tha...
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PMID: 20931862
PDF is available here.
Abstract
Facilities are turning to coding automation to help manage the volume of electronic documentation, streamlining workflow, boosting productivity, and increasing job satisfaction. As EHR adoption increases, computer-assisted coding may become a necessity, not an option.
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PMID: 20681413
PDF is available here.
Abstract
Even small departments may never experience complete harmony in their assignment of codes, but they have good motivation for achieving as much consistency as they can. Training, communication, monitoring, and coding reviews help reach that goal, HIM experts say.
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PMID: 20681412
PDF is available here.
Abstract
We assessed the quality of TB care delivery in Afar Region of Ethiopia.
A descriptive cross sectional health institution based survey with both semi-structured and structured questionnaires was employed. A mix of complementary techniques was administered Data were collected between 5th February and...
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PMID: 21073080
PDF is available here.
Abstract
OBJECTIVE: Intra-partum care has a significant influence on birth outcomes. Gap however exists between evidence and practice. This study documented pattern of intra-partum monitoring among birth attendants in public secondary healthcare facilities and related findings to quality of care provided. ME...
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PMID: 20499758
PDF is available here.
Abstract
I provides an overview of disease transmission risks from the built environment and related costs, section II presents a broad view of design and master planning, and section III addresses the detailed design strategies for infection prevention specifically addressed in the 2010 Facility Guidelines...
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PMID: 20569851
PDF is available here.
Abstract
Recent studies using direct covert observation or a fluorescent targeting method have consistently confirmed that most near patient surfaces are not being cleaned in accordance with existing hospital policies while other studies have confirmed that patients admitted to rooms previously occupied by p...
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PMID: 20569855
PDF is available here.
Abstract
We conclude that although UVGI is microbiocidal, it is not "ready for prime time" as a primary intervention to kill or inactivate infectious microorganisms; rather, it should be considered an adjunct. Other factors, such as careful design of the built environment, installation and effective operatio...
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PMID: 20569852
PDF is available here.
Abstract
The private market has already dipped its toes into the accountable care organization pool, and now it's Medicare's turn. However, the waters are murky when it comes to what ACOs might look like or how they will overcome possible legal challenges. "There really is no model out there that says this i...
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PMID: 20509245
PDF is available here.