Articles: hospitals.
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Multicenter Study
Material and human resources for neonatal resuscitation in public maternity hospitals in Brazilian state capitals.
In 2002, the early neonatal mortality rate in Brazil was 12.42 per thousand live births. Perinatal asphyxia was the greatest cause of neonatal death (about 23%). This study aimed to evaluate the availability of the resources required for neonatal resuscitation in delivery rooms of public hospitals in Brazilian state capitals. ⋯ The main public maternity hospitals in Brazilian state capitals have the resources to resuscitate neonates at birth.
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Multicenter Study Comparative Study
Unplanned admissions to two Sydney public hospitals after naltrexone implants.
To describe hospital presentations related to the use of naltrexone implants, an unlicensed product used in Australia for treating heroin dependence. ⋯ These severe adverse events challenge the notion that naltrexone implants are a safe procedure and suggest a need for careful case selection and clinical management, and for closer regulatory monitoring to protect this marginalised and vulnerable population.
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Multicenter Study Comparative Study
Comparison of "risk-adjusted" hospital outcomes.
A frequent challenge in outcomes research is the comparison of rates from different populations. One common example with substantial health policy implications involves the determination and comparison of hospital outcomes. The concept of "risk-adjusted" outcomes is frequently misunderstood, particularly when it is used to justify the direct comparison of performance at 2 specific institutions. ⋯ Risk-adjusted outcomes, commonly the focus of public report cards, have a specific interpretation. Using indirect standardization, these outcomes reflect a provider's performance for its specific case mix relative to the expected performance of an average provider for that same case mix. Unless study design or post hoc adjustments have resulted in reasonable overlap of case-mix distributions, such risk-adjusted outcomes should not be used to directly compare one institution with another.
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Critical care medicine · Apr 2008
Multicenter StudyVeterans Affairs intensive care unit risk adjustment model: validation, updating, recalibration.
A valid metric is critical to measure and report intensive care unit (ICU) outcomes and drive innovation in a national system. ⋯ The VA ICU severity model has face, construct, and predictive validity.
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J. Natl. Cancer Inst. · Mar 2008
Multicenter Study Comparative StudySpecialized care and survival of ovarian cancer patients in The Netherlands: nationwide cohort study.
There is much debate on the necessity of regionalization of ovarian cancer care. We investigated the association between hospital type and survival of patients with ovarian cancer in The Netherlands. ⋯ Hospital type was statistically significantly associated with survival among Dutch ovarian cancer patients with early-stage ovarian cancer: Patients who were treated in specialized and semispecialized hospitals survived longer than patients treated in general hospitals.