Bmc Health Serv Res
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Bmc Health Serv Res · Jan 2014
Time to antibiotics and outcomes in cancer patients with febrile neutropenia.
Febrile neutropenia is an oncologic emergency. The timing of antibiotics administration in patients with febrile neutropenia may result in adverse outcomes. Our study aims to determine time-to- antibiotic administration in patients with febrile neutropenia, and its relationship with length of hospital stay, intensive care unit monitoring, and hospital mortality. ⋯ Our study revealed that delay in antibiotics administration has been associated with a longer hospital stay.
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Bmc Health Serv Res · Jan 2014
Main barriers to effective implementation of stroke care pathways in France: a qualitative study.
Stroke Care Pathways (SCPs) aim to improve quality of care by providing better access to stroke units, rehabilitation centres, and home care for dependent patients. The objective of this study was to identify the main barriers to effective implementation of SCPs in France. ⋯ Lack of resources was considered to be the chief obstacle to effective SCP implementation. However, the main weakness of existing SCPs was poor communication and cooperation among health professionals and among facilities. We intend to use this knowledge to construct a robust set of quality indicators for use in SCP quality improvement initiatives, in comparisons between SCPs, and in the assessment of the effective implementation of clinical practice guidelines.