Infections, accidents and nursing overtime in a neonatal intensive care unit

AbstractThe paper investigates the effects of nursing overtime on nosocomial infections and medical accidents in a neonatal intensive care unit (NICU). The literature lacks clear evidence on this issue and we conjecture that this may be due to empirical and methodological factors. We model the occurrences of both events using a sample of 3979 neonates who represents over 84,846 observations (infant/days). We exploit an important change in workforce arrangement that was implemented in June 2012, and which aimed at reducing overtime hours to identify a causal impact between the latter and the two outcomes of interest. We contrast the results using a standard mixed-effects logit model with those of a semiparametric mixed-effects logit model. Contrary to the mixed-effects logit model, the semiparametric model unequivocally shows that both adverse events are impacted by nursing overtime as well as being highly sensitive to infant and NICU-related characteristics. Furthermore, the mixed-effects logit model is rejected in favour of the semiparametric one.
Source: The European Journal of Health Economics - Category: Health Management Source Type: research

Related Links:

In this issue of Heart, Lung and Circulation, Chong et  al. [1] review and summarise the current management and outcomes of proximal aortic graft infection (PAGI). Their systematic review included 20 studies representing 290 PAGI patients who underwent reoperation or treatment with antibiotics alone (25 patients); they concluded that prompt referral to specialised aortic centres is recommended, to plan for best management strategies and improve patient outcomes [1]. This editorial aims to shed light on some critical aspects of managing this infrequent and challenging surgical problem, and to discuss the complexities o...
Source: Heart, Lung and Circulation - Category: Cardiology Authors: Tags: Editorial Source Type: research
Source: Heart, Lung and Circulation - Category: Cardiology Source Type: research
Source: Heart, Lung and Circulation - Category: Cardiology Source Type: research
Source: Heart, Lung and Circulation - Category: Cardiology Source Type: research
Dysfunctional breathing, hypocapnia, and myalgic encephalomyelitis/chronic fatigue syndrome were seen in symptomatic patients post-acute COVID-19 despite normal chest imaging and pulmonary function.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Source Type: news
The expanded approval is for the adjuvant treatment of advanced melanoma after complete resection in patients aged 12 years and older.Medscape Medical News
Source: Medscape Hematology-Oncology Headlines - Category: Cancer & Oncology Tags: Hematology-Oncology News Source Type: news
Two days after the first case of the new Omicron Covid-19 variant was officially confirmed in Massachusetts, the head of the state's largest hospital system stressed the importance of vaccines and masks.
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
Blind source separation algorithms such as independent component analysis (ICA) are widely used in the analysis of neuroimaging data. To leverage larger sample sizes, different data holders/sites may wish to collaboratively learn feature representations. However, such datasets are often privacy-sensitive, precluding centralized analyses that pool the data at one site. In this work, we propose a differentially private algorithm for performing ICA in a decentralized data setting. Due to the high dimension and small sample size, conventional approaches to decentralized differentially private algorithms suffer in terms of util...
Source: IEEE Transactions on Signal Processing - Category: Biomedical Engineering Source Type: research
When people listen to speech, neural activity tracks the entropy fluctuation in the acoustic envelope of the signal. This signal-based entrainment has been shown to be the basis of speech parsing and comprehension. In this electroencephalography (EEG) study, we compute sign language users’ cortical tracking of changes in visual dynamics of the communicative signal in the time-direct videos of sign language, and their time-reversed counterparts, and assess the relative contribution of response frequencies between.2 and 12.4 Hz to comprehension using a machine learning approach to brain state classification. Lower freq...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - Category: Neuroscience Source Type: research
This study aimed to explore the associated factors of stigma towards people with mental illness among Omani school and university students.Design and MethodA cross-sectional study among 371 school and university students with a multivariable linear regression model to identify the associated factors of personal and perceptions of stigma.ResultsMale students, those with highly educated mothers, have high monthly income, higher mental health knowledge, employed fathers, and received focused education on mental illness showed fewer stigmatizing attitudes.Implications for PracticeEnhancing the knowledge about mental illness am...
Source: Perspectives in Psychiatric Care - Category: Psychiatry Authors: Tags: ORIGINAL ARTICLE Source Type: research
More News: Accidents | Economics | Health Management | Intensive Care | Nurses | Nursing | Perinatology & Neonatology