Articles: hospitals.
-
Multicenter Study Comparative Study
Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork.
There is currently no validated method for assessing hospital disaster preparedness. We determine the degree of correlation between the results of 3 methods for assessing hospital disaster preparedness: administration of an on-site survey, drill observation using a structured evaluation tool, and video analysis of team performance in the hospital incident command center. ⋯ The disparate results obtained from the 3 methods suggest that each measures distinct aspects of disaster preparedness, and perhaps no single method adequately characterizes overall hospital preparedness.
-
Randomized Controlled Trial Multicenter Study Comparative Study
Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trial.
to compare the cost effectiveness of post-acute care for older people provided in community hospitals with general hospital care. ⋯ the cost effectiveness of post-acute rehabilitation for older people was similar in community hospitals and general hospitals.
-
Multicenter Study
A door-to-needle time of 30 minutes or less for myocardial infarction thrombolysis is possible in rural emergency departments.
The Canadian Emergency Cardiac Care Coalition, the American Heart Association and similar groups have established a benchmark for the administration of thrombolytics in acute myocardial infarction (AMI) care as a door-to-needle (DTN) time of 30 minutes or less. Previous research suggests that this goal is not being achieved in Canada. The purpose of this study was to determine whether the target DTN time of 30 minutes or less for thrombolysis could be met in 2 rural Ontario emergency departments (EDs). ⋯ A DTN time of 30 minutes or less is achievable in rural EDs.
-
Internal medicine journal · Aug 2008
Multicenter Study Comparative StudyRural Organization of Australian Stroke Teams: Emergency Department project.
Many junior doctors have poor stroke assessment skills. Although major efforts have gone in to changing the attitudes of clinicians to stroke through the development of guidelines and implementation strategies, the most important step may be to make sure that medical schools include appropriate teaching of this important topic in their curricula. The Rural Organization of Australian Stroke Teams Emergency Department (ROASTED) project sought to determine the effectiveness of a practical intervention to improve the assessment and education of stroke knowledge among our junior emergency department doctors. ⋯ This project showed that junior doctors have an inadequate knowledge of stroke and that among our junior emergency department doctors there is a need for the ROASTED intervention and other innovative educational measures.
-
Pediatr. Surg. Int. · Aug 2008
Multicenter Study Comparative StudyA comparison of neonatal surgical admissions between two linked surgical departments in Africa and Europe.
Resources for neonatal surgery vary hugely between the developed countries and Africa. Due to the burden of other childhood diseases, neonatal surgery is of low priority to health-care budget holders in the developing countries. Admissions to two linked neonatal surgical institutions in Africa and Europe are compared to draw attention to the need of newborn care in developing countries. ⋯ The spectrum of neonatal surgical admissions in our two institutions varied. We believe this is attributable to availability of antenatal diagnosis, primary health-care, transport facilities, genetics as well as survival of delayed presentation. This study demonstrates the extent and spectrum of neonatal surgical pathology in this part of Africa and highlights the need for newborn surgical care in developing countries.