OBJECTIVE To develop a model to predict future staffing for the surgery service at a teaching hospital. SETTING Tertiary hospital. INTERVENTIONS A computer model with potential future variables was constructed. Some of the variables were distribution of resident staff, fellows, and physician extenders; salary/wages; work hours; educational value of rotations; work units, inpatient wards, an...

Shift work, including night work, has been regarded as a risk factor for medical safety. However, few studies have investigated the difference in medical error risk between two- and three-shift systems. A total of 1,506 registered nurses working shifts at teaching hospitals participated in this study to evaluate the difference in medical error risk between two- and three-shift systems. After ad...

OBJECTIVE(S) To examine the relation between hospital teaching status and surgical outcomes for both emergency and elective general surgery cases using a national database. BACKGROUND Teaching hospitals (TH) have been shown to have better outcomes for complex elective surgical cases when compared with nonteaching hospitals (NTH). Less is known about the effect of teaching status on outcomes f...

BACKGROUND "Referral" characterises a significant area of interaction between primary and secondary care. Despite advantages, it can be inflexible, and may lead to duplication. OBJECTIVE To examine the outcomes of an integrated model that lends weight to general practitioner (GP)-led evidence based care. DESIGN A prospective, non-random comparison of two services: women attending the new (B...

The value of barium meal examination in the management of younger patients with dyspepsia has been seriously questioned as diagnostic yield is reported to be low with only minor abnormalities detected. Our 9 month survey of general practice and hospital out-patient use of barium meal examination in the City and Hackney Health District during 1983-84 shows that 51% of patients investigated were ...

OBJECTIVE To evaluate the impact of an acute assessment unit (AAU) on length of hospital stay (LOS), emergency department (ED) waiting times, direct discharge rate, unplanned readmission rate and all-cause hospital mortality of general medical patients. DESIGN AND SETTING Retrospective comparison of data for general medical patients admitted to a tertiary teaching hospital in Adelaide, South ...

CONTEXT As the managed care environment demands lower prices and a greater focus on primary care, the high cost of teaching hospitals may adversely affect their ability to carry out academic missions. OBJECTIVE To develop a national estimate of total inpatient hospital costs related to graduate medical education (GME). DESIGN Using Medicare cost report data for fiscal year 1993, we develope...

INTRODUCTION In an attempt to address the rural medical workforce maldistribution and the concurrent inappropriate caseload at the urban tertiary teaching hospitals, Flinders University and the Riverland Division of General Practice decided to pilot, in 1997, an entire year of undergraduate clinical curriculum in Australian rural general practice. This program is called the Parallel Rural Commu...

patients and methods subjects of this study include teaching hospitals in mashhad, affiliated with mashhad university of medical sciences and the tool used in gathering the data was a questionnaire, completed based on the information provided by the proceedings of the meetings held by the ethics committees. also, for the purpose of gathering the suggestions, specifically on the improvement of t...

background: a new kind of leadership, called spiritual leadership, emphasizes on serving to others, general attitude toward work, personal development, and collaborative decision making. spiritual leadership has been developed based on the philosophy of servant leadership and includes staff participation and empowerment. this research aimed to survey the relationship between spiritual leadershi...