IMPORTANCE Surgical site infections can result in substantial morbidity following inpatient surgery. Little is known about serious infections following ambulatory surgery. OBJECTIVE To determine the incidence of clinically significant surgical site infections (CS-SSIs) following low- to moderate-risk ambulatory surgery in patients with low risk for surgical complications. DESIGN, SETTING, A...

Discipline is one topic that virtually every ambulatory care pediatrician is frequently asked about. Although there is a tendency to provide parents with short, glib answers to questions about discipline, the literature on time-in, self-quieting skills, and independent play skills has rarely been addressed in the pediatric literature. It is, rather, covered in the research literature--a literat...

BACKGROUND Medical students and preceptors commonly disagree on methods of clinical instruction in ambulatory care, although the extent of the problem is not documented. PURPOSE The purpose is to identify disagreement and concordance between students and preceptors for teaching behaviors in ambulatory care. METHODS We surveyed students and preceptors at 4 U.S. schools. Respondents rated 58 ...

Several studies have shown that various factors can influence noncompliance, including task novelty, rate of presentation, and task preference. This study examined the impact of selected antecedent variables on noncompliance in an outpatient clinic setting. In two experiments involving 6 typically developing children, the consequences for noncompliance remained constant. During Experiment 1, de...

Little is known about how generosity of insurance and population characteristics affect quantity or appropriateness of antibiotic use. Using insurance claims for antibiotics from 5765 non-elderly people who lived in six sites in the United States and were randomly assigned to insurance plans varying by level of cost-sharing, we describe how antibiotic use varies by insurance plan, diagnosis and...

The presence of tuberculosis in the upper Rio Negro region (Brazil) dates to the early 20th century. A retrospective survey of medical records in two clinics (one from 1977 and the other from 1990) showed 699 cases, with an extremely high annual incidence rate of over two per thousand, predominantly pulmonary cases, and distribution of the disease among all age groups. Data on compliance with o...

By applying multiple logistic regression to data from the 1980 National Medical Care Utilization and Expenditure Survey, independent risk factors for readmission to an acute care hospital within 31 days of the preceding discharge were identified. Subjects who were initially admitted for a high-risk condition, those with poor perceived health status, and those who had no surgical procedures perf...

High Risk Foot Service, Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australiaa; LIVE DIAB CRU, Ingham Institute of Applied Medical Research, Sydney, Australiab; Molecular Microbiology Research Group, Microbiology and Infectious Disease, School of Medicine, Western Sydney University, Campbelltown Campus, Sydney, Australiac; Ambulatory Care Department, Liverpool Hospit...