BACKGROUND Public reporting of surgical site infections (SSIs) by hospitals is largely limited to infections detected during surgical hospitalizations or readmissions to the same facility. SSI rates may be underestimated if patients with SSIs are readmitted to other hospitals. We assessed the impact of readmissions to other facilities on hospitals' SSI rates following primary total hip arthropl...

The cases tested.?The accompanying table gives the WR positive rate of a certain section, syphilitic suspects, of the civil population of Calcutta. It is by no means the positive rate for the mixed unselected population. The bloods for examination were received from general wards in hospitals and venereal clinics. The general wards predominated before the anti-venereal drive, towards the end of...

I was pleased to have been accepted to visit the Endourology and Stone Service at Barts by the director of the service, Mr. Noor Buchholz. This 1-month visit from June to July 2011 turned out to be one of my most valued professional experiences. St. Bartholomew’s Hospital is part of the Barts and The London NHS Trust, a tertiary university hospital trust caring for an often underprivileged popu...

OBJECTIVE This study explored the relationship between perceived barriers to research use and the implementation of evidence-based practice (EBP) among rural hospital nurses. BACKGROUND The Institute of Medicine recommends that 90% of clinical decisions be evidence based by 2020. METHODS This descriptive, quality improvement study used a convenience sampling of registered nurses (RNs). Part...

Mortality among emergency medical admissions to hospital is higher for admissions at the weekend than on weekdays; this also holds true for certain specific conditions. However, it is unknown whether that effect is limited to weekends. This study calculated mortality in emergency medical admissions for each day of the week, and compared mortality at weekends with weekdays, at nights with days, ...

In the Soviet Union, as in many other countries, the treatment of inpatients claims the lion's share of health service expenditure. However, analysis of the activity of Soviet hospitals remains at a rudimentary level in certain major respects, one explanation for which is likely to be the comparatively low figures for cost per case and cost per bed-day. Given that little attention is devoted to...

Very little of WHO's work is done by the Organization alone. Much of it takes the form of coordination and collaboration in which WHO acts in partnership with governments, institutions-both governmental and nongovernmental-and individual scientists and other workers in the field of health. As the following article shows, collaboration with a university hospital department enriches both partners...

BACKGROUND Improving outcomes for patients with acute myocardial infarction (AMI) is a priority for hospital leadership, clinicians, and policymakers. Evidence suggests links between hospital organizational culture and hospital performance; however, few studies have attempted to shift organizational culture in order to improve performance, fewer have focused on patient outcomes, and none have a...

BACKGROUND Use of social media has become widespread across the United States. Although businesses have invested in social media to engage consumers and promote products, less is known about the extent to which hospitals are using social media to interact with patients and promote health. OBJECTIVE The aim was to investigate the relationship between hospital social media extent of adoption an...

Hospitals and physicians are developing and marketing discrete and profitable specialty-service lines. Although closely affiliated specialist physicians are central to hospitals' service-line products, other physicians compete directly with hospitals via physician-owned specialty facilities. Specialty-service lines may be provided in a variety of settings, both inside and outside traditional ho...