There are approximately 5,700 hospitals in the United States, 3,000-4,000 that are antiquated or obsolescing. To meet increased service demands, remain financially viable; meet needs to upgrade aging infrastructure and incorporate medical and technology advancements, healthcare facilities are in a perpetual state of construction. Outbreaks of nosocomial infections have historically been documen...

Coupled with administration support of an action plan that promotes quality of care and a culture of safety, the Medication Error Prioritization System (which automates parts of error review) has led to improvements for an integrated health care system.

Despite considerable efforts to reduce emergency admissions, only a minority of primary care trusts (PCTs) succeeded in doing so between 2007/8 and 2008/9 (Gillam 2010). The average increase in admissions during this time was 5 per cent across all PCTs, ranging from a 12.7 per cent decrease to a 27.3 per cent increase. In order to successfully reduce avoidable emergency admissions, we need to f...

results in the first three years, the team managed the care of 812 admissions. mean age wasn 44.3 years (sd = 24.8) and mean length of hospital stay was 6.1 days (sd = 10.9). ofn these individuals, 674 attended for 6 month follow-up with 52.2% having a good outcomen on extended glasgow outcome score. patients and their relatives' feedbacks weren excellent with an average score of 4.7/5 on overa...

a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

introduction: based on the existing studies, measuring serum level of immunoglobulin for making decisions regarding prescription of tetanus prophylaxis seems logical and cost effective. therefore, the present study was done with the aim of evaluating the diagnostic accuracy of tetanus quick stick (tqs) in comparison with elisa method in this regard. methods: the present diagnostic accuracy stud...

background: interprofessional teamwork is considered as the key to improve the quality of patient management in critical settings such as trauma emergency departments, but it is not fully conceptualized in these areas to guide practice. the aim of this article is to explore interprofessional teamwork and its improvement strategies in trauma emergency departments. materials and methods: particip...

background: according to the high prevalence of vitamin d deficiency, a few studies have been conducted to clarify the relationship between 25?hydroxyvitamin d (25(oh)d) and clinical outcomes in critically ill patients. the objective of this study was to determine this probable association. materials and methods: serum 25(oh)d, c?reactive protein, malnutrition measurements, and intensive care u...

BACKGROUND Acutely ill older persons often experience adverse events when cared for in the acute care hospital. OBJECTIVE To assess the clinical feasibility and efficacy of providing acute hospital-level care in a patient's home in a hospital at home. DESIGN Prospective quasi-experiment. SETTING 3 Medicare-managed care (Medicare + Choice) health systems at 2 sites and a Veterans Administr...