Articles: hospitals.
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Multicenter Study Comparative Study
The relationship of system-level quality improvement with quality of depression care.
To explore the relationship of systemwide continuous quality improvement (CQI) with depression care quality in the Veterans Health Administration (VHA). ⋯ Although CQI may help bridge the healthcare quality gap, it may not be associated with higher disease-specific quality of care.
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Infect Control Hosp Epidemiol · Jun 2004
Multicenter StudySurgical-site infection rates and risk factor analysis in coronary artery bypass graft surgery.
The Victorian Infection Control Surveillance Project (VICSP) is a multicenter collaborative surveillance project established by infection control practitioners. Five public hospitals contributed data for patients undergoing coronary artery bypass graft (CABG) surgery. ⋯ We documented aggregate and comparative SSI rates among five Victorian public hospitals performing CABG surgery and defined specific independent risk factors for SSI. VICSP data offer opportunities for targeted interventions to reduce SSI following cardiac surgery.
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Randomized Controlled Trial Multicenter Study Clinical Trial
The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.
Research into adverse events (AEs) has highlighted the need to improve patient safety. AEs are unintended injuries or complications resulting in death, disability or prolonged hospital stay that arise from health care management. We estimated the incidence of AEs among patients in Canadian acute care hospitals. ⋯ The overall incidence rate of AEs of 7.5% in our study suggests that, of the almost 2.5 million annual hospital admissions in Canada similar to the type studied, about 185 000 are associated with an AE and close to 70 000 of these are potentially preventable.
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Multicenter Study Comparative Study
Factors that influence prescribing decisions.
Strategies to control the quality and cost of medication use are largely dependent on the ability to alter selection of medications. Previous models of prescribing behavior have focused on physicians. In the hospital setting, clinical pharmacists and formulary committee members are also key players in drug therapy decision-making. Differences between physicians, formulary committee members, and clinical pharmacists have not been compared. Knowledge of these differences could have importance in predicting the effectiveness of strategies designed to influence drug use in this setting. ⋯ Those who seek to implement programs to alter medication use should recognize and employ factors that are most influential in the decision-making process. Further, it may be important to consider differences that exist between key participants in the medication use process.
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Multicenter Study Comparative Study
Emergency department image interpretation services at private community hospitals.
To investigate the methods used at private community hospitals for delivering emergency department (ED) image interpretation services. ⋯ There is great variation in the current provision of emergency radiology services in private community hospitals.