Articles: hospitals.
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Pediatric emergency care · Jul 2008
Practice Guideline Multicenter StudyCroup management in Australia and New Zealand: a PREDICT study of physician practice and clinical practice guidelines.
Comparison of clinical practice guideline (CPG) recommendations and reported physician management of croup at PREDICT (Paediatric Research in Emergency Departments International Collaborative) sites as baseline for planned randomized controlled trials. ⋯ Croup management at PREDICT emergency departments is similar, based on oral steroids and nebulized adrenaline. The steroid and adrenaline regimens used by respondents and their CPGs were not consistent. This reflects limitations of available evidence for management of this common disease, highlighting the need for definitive trials, particularly in the management of mild croup.
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Multicenter Study
Rural surgery in British Columbia: is there anybody out there?
To document surgical procedures performed in British Columbia between 1996 and 2001 at rural hospital sites with no resident specialist surgeons and to define the scope of practice of general practitioner (GP)-surgeons at these small-volume surgical sites. ⋯ GP-surgeons still perform a significant number of emergency and elective surgical procedures in rural BC hospitals. This study defines useful procedures for GP-surgeons in communities without the population base to sustain a resident specialist surgeon. This information can be used to structure training programs for GP-surgeons that will adequately meet the needs of rural communities.
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The purpose of this work was to determine the excess charges, both overall and according to category, and lengths of stay attributable to adverse patient-care events during pediatric hospitalization. ⋯ Some adverse events experienced during pediatric hospitalization have the potential to increase lengths of stay and charges considerably, and pediatric-specific quality indicators are useful in calculating these effects.
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Multicenter Study Comparative Study
Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999--June 2005.
To describe rates of hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians. ⋯ Indigenous people, particularly women, were disproportionately represented among those hospitalised for head injury due to assault. Head injury imposes a substantial burden of care on individuals and communities. Along with the costs of treating head injury, these are good reasons to strengthen efforts to prevent head injury generally, with special attention to high-risk population segments.
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Multicenter Study Comparative Study
An observational study of emergency department intern activities.
To describe how intern time is spent, and the frequency of activities performed by interns during emergency department (ED) rotations. ⋯ The ED exposes interns to a broad range of activities. With the anticipated increase in intern numbers, dilution of the emergency medicine experience may occur, and requirements for supervision may increase. Substitution of ED rotations may deprive interns of a valuable learning experience.