OBJECTIVE To analyze pediatric cancer hospital records regarding the occurrence of new cases; to verify the relation between sex, age, race, origin and the disease clinical extension; to describe the mortality of children with cancer; to explore the association of new cases with proposed demographic variables, disease clinical extension and vital status. METHODS Observational, descriptive, lo...

BACKGROUND Current practices of reporting critical laboratory values make it challenging to measure and assess the timeliness of receipt by the treating physician as required by The Joint Commission's 2008 National Patient Safety Goals. METHODS A multidisciplinary team of laboratorians, clinicians, and information technology experts developed an electronic ALERTS system that reports critical ...

Great River Medical Center (GRMC) is a 378-bed regional facility offering acute and intermediate care to residents of southeast Iowa, west-central Illinois, and northeast Missouri. The hospital, which admits more than 6,500 patients and logs more than 190,000 outpatient visits annually, offers comprehensive medical and extensive surgical services. In 2013, GRMC began a patient safety initiative...

A s providers we often mentally identify our patients based on the most important condition we manage during clinical interactions, hence, for example, the term heart failure patient. In the coronary care unit we group patients into typical categories, such as ischemic, heart failure, or arrhythmia admissions. Such simplification is natural and helpful in remembering the correct patient and com...

AIM Financial barriers are a major factor of slow electronic health record (EHR) adoption among US hospitals. All existing literature focuses on relationships between current or short-term financial position and EHR adoption. This study examines relationship between financial position in previous years and the current level of EHR adoption. METHODS Retrospective longitudinal data were extract...

Objective: Implementation of health information technology (HIT) is a national priority to improve patient safety, yet little is known about how electronic charting affects workflow and patient care in busy, fast-paced hospital units. Labor and delivery units are high-risk and high-cost environments in which failures in data transmission or delays in patient care can have tragic consequences. W...

The American Hospital Association (AHA) commissioned iParsimony, LLC, to conduct a study to investigate hospital experiences with implementation of Meaningful Use Stage 1 electronic clinical quality measures (eCQMs). The study describes the experience with and impact of eCQM implementation in four hospitals – large and small, urban and non-metropolitan – each of which had significant experience...

OBJECTIVE  To assess the short term association of inpatient implementation of electronic health records (EHRs) with patient outcomes of mortality, readmissions, and adverse safety events. DESIGN  Observational study with difference-in-differences analysis. SETTING  Medicare, 2011-12. PARTICIPANTS  Patients admitted to 17 study hospitals with a verifiable "go live" date for implementation...

review of Haller's work set in a Newtonian context: an invaluable apergu. William Coleman considers the early French demographer Auget de Montyon; his 'tatist programme for population expansion involved a strong preference for the rural life (1778): In the cities man produces less, he is more inclined to debauchery, he is more exposed to luxury, and consequently he fears having a large family. ...

OBJECTIVES To assess US hospital engagement in the 4 core domains of interoperability (find, send, receive, integrate) and whether engaging in these domains is associated with electronic availability of clinical data from outside providers. STUDY DESIGN Retrospective analysis of survey data. METHODS Analysis of the American Hospital Association (AHA) Annual Survey of Hospitals and the Ameri...