Abstract Objective: To assess the current status of implementation Antimicrobial Stewardship Program (ASP) across Tertiary Care Hospitals in Karachi, Pakistan. Design: Exploratory qualitative case study. Setting: Public and private tertiary care hospitals Pakistan Participants Methods: The study data were collected from 3 public 4 hospitals. Twenty-eight in-depth interviews conducted Chief Exec...

OBJECTIVES To evaluate the effects of a government insurance programme covering tertiary care for the poor in Karnataka, India--Vajpayee Arogyashree Scheme (VAS)--on treatment seeking and postoperative outcomes. DESIGN Geographic regression discontinuity. SETTING 572 villages in Karnataka, India. PARTICIPANTS 3478 households in 300 villages where VAS was implemented and 3486 households in...

OBJECTIVES England's National Health Service (NHS) introduced a 62-day target, from referral to treatment, to make lung cancer patient pathways more efficient. This study aims to understand pathway delays that lead to breaches of the target when patients need care in both secondary and tertiary setting, so more than one institution is involved. DESIGN Mixed methods cross case analysis. SETT...

OBJECTIVE To evaluate the ability of a regionalized system to safely transfer patients requiring admission from a referral center to either regional or community hospitals. DESIGN Cohort study of children requiring admission. Following transfer, a questionnaire was administered to eligible caregivers. Subsequent emergency department (ED) use was assessed by comparing children who were transfe...

OBJECTIVE To identify the limitations in palliative care provision in the last year of life for people with liver cirrhosis and potential barriers to and enablers of palliative care. DESIGN Mixed methods, including a retrospective case note review, qualitative focus groups and individual interviews. SETTING A tertiary referral liver centre in the south of England (UK). PARTICIPANTS Purpos...

OBJECTIVES To determine the effect of the critical care outreach team on patient survival to discharge from hospital after discharge from critical care and readmission to critical care. DESIGN Non-randomised population based study. SETTING Tertiary referral teaching hospital with 1200 beds. PARTICIPANTS Patients discharged from the critical care unit after their first or only admission fo...

abstract background and aims: diabetes is a major killing recognized as a silent epidemic globally problem. india has the highest number of diabetes cases in the world causing huge morbidity and economic losses to the country. there were 66.8 million adults suffering from with diabetes in india in 2014, which is expected to rise by 63% to 109 million by 2035. diabetes led to at least usd 612 bi...

OBJECTIVE To determine whether patients hospitalized with acute myocardial infarction (AMI) in an Australian setting receive better pharmacological care if managed by cardiologists than by non-cardiologists. DESIGN Retrospective chart review of patients hospitalized between 1 January 1997 and 30 June 1998, undertaken by abstractors blind to study objectives. SETTING One tertiary and two com...