A clinical audit of ward practice for diagnosing and treating urinary tract infection was carried out to assess the impact on clinical practice four years after publication of a working protocol. Data were collected from all medical, surgical, gynaecology and geriatric wards in 25 hospitals in Northern Ireland. All wards made use of urinary dipsticks for ward testing, as recommended by the prot...

ISO 9000 is the most popular and widely adopted meta-standard for quality and operational improvements. However, only limited empirical research has been conducted to examine the impact of ISO 9000 on operational performance based on objective and longitudinal data. To reveal any causal relationship between the adoption of ISO 9000 and operational performance, we examined the timing and magnitu...

Musculoskeletal manifestations are the most common extraintestinal manifestations in inflammatory bowel diseases. Some appendicular manifestations are independent of gut inflammation and are treated with standard anti-inflammatory strategies. On the other hand, axial involvement is linked to gut inflammatory activity; hence, there is a considerable amount of treatment overlap. Biological therap...

2/9/06 2:08:34 PM Health savings accounts, or HSAs, are a new health insurance option that became available in 2004. HSAs couple a tax-preferred savings account (the HSA) with high-deductible health insurance. Enrollees or their employers, or both, make tax-free contributions to the HSA. Enrollees use the funds in their HSAs to purchase medical care until they reach their deductibles. At that p...

The cardiovascular surgeon, Prof. Dr. Domingo Marcolino Braile, has taken over the position of Editor of the Brazilian Journal of Cardiovascular Surgery (BJCVS)/ Revista Brasileira de Cirurgia Cardiovascular (RBCCV), in April 2002, along with the Board of Directors elected during the 29th Brazilian Society of Cardiovascular Surgery Congress (BSCVS) held in Natal, RN. Some challenges have to be ...

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 ...

BACKGROUND Shortened treatment regimens for tuberculosis are under development to improve treatment outcomes and reduce costs. We estimated potential savings from a societal perspective in Brazil following the introduction of a hypothetical four-month regimen for tuberculosis treatment. METHODS Data were gathered in ten randomly selected health facilities in Rio de Janeiro. Health service cos...

Prevention of unhealthy lifestyles has sometimes been promoted as simultaneously reducing costs and improving public health but this will unlikely prove to be true. Additional medical costs in life years gained due to treatment of unrelated diseases may offset possible savings in related diseases, but are often ignored both in health promotion policies and in economic evaluations of life-prolon...

BACKGROUND This report updates 2001 estimates of disease burden prevented and cost effectiveness of tobacco-use screening and brief intervention relative to that of other clinical preventive services. It also addresses repeated counseling because the literature has focused on single episodes of treatment, while in reality that is neither desirable nor likely. METHODS Literature searches led t...