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The aim of this study was to assess costs and safety of immediate femoral sheath removal and closure with a suture-mediated closure device (Perclose, Menlo Park, CA) in patients undergoing elective (PCI). A total of 193 patients was prospectively randomized to immediate arterial sheath removal and access site closure with a suture-mediated closure device (SMC; n = 96) or sheath removal 4 hr aft...
The U.S. SO2 Trading Program created by Title IV of the 1990 Clean Air Act Amendment led to lower compliance costs than what would have occurred under a Command-and-Control approach. However, all compliance cost savings were not realized. There have been several conjectures, including rigidities from fuel contracts, as to why the hypothetical outcome was not obtained. Kneifel (2008) shows how f...
We tested a low-cost, multifaceted intervention program comprising formulary restriction measures, continued comprehensive education, and guidelines to improve in-hospital use of antibiotics and related costs. In a short-term analysis, total antibiotic consumption per patient admitted, which was expressed as defined daily doses (DDD), decreased by 36% (P < .001), and intravenous DDDs decreased ...
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