Data and financial models based on an operational health information exchange suggest that health care delivery costs can be reduced by making clinical data available at the time of care in urban emergency departments. Reductions are the result of decreases in laboratory and radiographic tests, fewer admissions for observation, and lower overall emergency department costs. The likelihood of red...

It was developed a teaching tool in Dermatology for undergraduate medical students, using an interactive website, the Cybertutor. Clinical cases, lectures and updated bibliography were selected. Photographies of dermatological lesions were taken from ambulatory patients. The topics of the lectures were based on the current curriculum of the Federal University of Rio Grande do Sul. The Cybertuto...

This article explores whether Medicare pays more for the same outpatient services provided in an acute specialty hospital than in an ambulatory surgery center (ASC). How financially dependent a specialty hospital is on ASC-eligible services is also investigated. Medicare outpatient claims in 43 orthopedic and 12 surgical specialty hospitals in 2004 were repriced using ASC pricing software. Paym...

The Medical Journal of Australia ISSN: 0025-729X 1 February 2010 192 3 150153 ©The Medical Journal of Australia 2010 www.mja.com.au Medical education from factors such as shorter admissions and sicker patients. General practice provides a ready source of ambulatory patients with a wide range of medical and health needs. Building cap city for teaching in general practice is integral to providing...

The nation has been on a quest to advance quality in providing health care services and improving patient outcomes. The challenge has been to identify and define metrics that will demonstrate improvement. Acute care settings have a fairly well-established system of quality measurement, but ambulatory care systems are in less-developed stages. Imperative to accurate quality measurement in ambula...

Ambulatory surgery is now well established as an effective method to treat a wide range of surgical conditions. This has resulted in many surgical cases no longer being available as teaching resources for surgical students undertaking their clinical clerkship on a surgical ward. Changes in the final year surgical curriculum at the University of Adelaide resulted in the formation of a day surger...

Patient education is a major concern for perioperative nurses in an ambulatory surgery setting. It has proven difficult to develop formal preoperative teaching programs in this environment, but research has shown that preoperative education can improve patient outcomes and satisfaction with the surgical experience. Typical patient education consists of pamphlets that are given to the patient be...

The aim of this study was to assess the role of European ambulatory pediatricians in caring for asthmatic children, especially in terms of their therapeutic education. We developed a survey that was observational, declarative, retrospective and anonymous in nature. 436 ambulatory pediatricians in Belgium, France, Germany, Italy, Luxembourg and Slovenia were asked to participate in the survey pr...

The majority of patient safety and quality research has focused on the inpatient setting, leaving a lack of intervention-based research in patient safety and quality for the ambulatory setting. There were an estimated 1.1 billion ambulatory visits in the US in 2010 with this number expecting to rise due to the shift from inpatient to outpatient care and the aging population. Given these numbers...

nursing time required to care for patients. However, time is not the only factor to consider when measuring nursing workload, a prerequisite for developing ambulatory care nurse staffing models. For this reason , when nurses, managers, and administrators ask about the method for determining the levels and numbers of nursing staff appropriate for delivering quality care in the ambulatory setting...