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Specialty: Hospital Management
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Total 60 results found since Jan 2013.
Monthly Lifestyle Counseling Tied to Better Outcomes for Patients with Diabetes
In a real-world study of patients with diabetes, those who received counseling about exercise, diet and weight loss at least once a month had lower risk of stroke, heart attacks and death than those who did not
Source: BWH News - August 1, 2019 Category: Hospital Management Source Type: news
Readmissions following hospitalisations for cardiovascular disease: a scoping review of the Australian literature.
ConclusionsHigh rates of readmissions are reported for cardiovascular conditions, although substantial methodological heterogeneity exists among studies. Nationally standardised definitions are required to accurately measure readmissions and further studies are needed to address knowledge gaps and test interventions to lower readmissions in Australia.What is known about the topic?International studies suggest readmissions are common following cardiovascular hospitalisations and are costly to the health system, yet little is known about the burden of readmission in the Australian setting or the effectiveness of intervention...
Source: Australian Health Review - February 20, 2019 Category: Hospital Management Authors: Labrosciano C, Air T, Tavella R, Beltrame JF, Ranasinghe I Tags: Aust Health Rev Source Type: research
A framework to accelerate simulation studies of hyperacute stroke systems
Publication date: Available online 21 September 2017 Source:Operations Research for Health Care Author(s): Thomas Monks, Durk-Jouke van der Zee, Maarten Lahr, Michael Allen, Kerry Pearn, Martin A. James, Erik Buskens, Gert-Jan Luijckx Stroke care has been identified as an area where operations research has great potential. In recent years there has been a small but sustained stream of discrete-event simulation case studies in modelling hyperacute stroke systems. The nature of such case studies has led to a fragmented knowledge base and high entry cost to stroke modelling research. Two common issues have faced researcher...
Source: Operations Research for Health Care - September 22, 2017 Category: Hospital Management Source Type: research
Effect of health insurance on direct hospitalisation costs for in-patients with ischaemic stroke in China.
Conclusions Costs per hospitalisation, costs per hospital day and the reimbursement rate were higher for BMISE- than BMISUR-insured in-patients, but BMISE-insured patients had lower out-of-pocket costs. The financial burden was higher for BMISUR- than BMISE-insured in-patients. For BMISUR-insured in-patients, the out-of-pocket payment was 43.54% of total expenses, which means the government should increase the financial investment, raise reimbursement rates and set up differential reimbursements to meet the health needs of in-patients with different income levels.What is known about the topic? Cardiovascular and cerebrovas...
Source: Australian Health Review - March 6, 2017 Category: Hospital Management Authors: Yong M, Xianjun X, Jinghu L, Yunyun F Tags: Aust Health Rev Source Type: research
Study finds risk of hemorrhage with combination of two common statins and stroke prevention drug
Source: St. Michael's Hospital News and Media - November 21, 2016 Category: Hospital Management Tags: Hospital News Source Type: news
Simple, widely available and inexpensive recreational activities may be as effective as virtual reality technology in stroke rehabilitation, study finds
Source: St. Michael's Hospital News and Media - June 28, 2016 Category: Hospital Management Tags: Hospital News Source Type: news
Sharp blood pressure rise spikes stroke risk
Individuals whose blood pressure rose sharply over time had a significantly increased risk of stroke and death from nonstroke causes, compared with other blood pressure trajectories in a study of...
Source: Hospitalist News - May 9, 2016 Category: Hospital Management Source Type: research
Impact of transesophageal echocardiography on clinical management of patients over age 50 with cryptogenic stroke and normal transthoracic echocardiogram
CONCLUSIONIn our study population, when performed subsequent to a normal TTE in patients aged >50 years with cryptogenic stroke, TEE demonstrated a high diagnostic value, but had minimal incremental effect on patient management. Journal of Hospital Medicine 2015. © 2015 Society of Hospital Medicine
Source: Journal of Hospital Medicine - September 21, 2015 Category: Hospital Management Authors: Brian Marino, Abhishek Jaiswal, Seth Goldbarg, Gary L. Bernardini, Todd Kerwin Tags: Original Research Source Type: research
Pathway variation analysis (PVA): Modelling and simulations
In this study, we propose a novel methodology, called pathway variation analysis (PVA), to identify, simulate and analyse variations from the patient care pathways. PVA method includes patient ward level journey dataset and qualitative staff interviews to simulate patient variations. The proposed methodology had been applied to the stroke care services of a hospital, which increased their key performance from 73% to 84.97%. A PVA methodology is proposed which simulated patient diversions from the care pathway by modelling hospital operational parameters, assessing the accuracy of clinical decisions and performance measures...
Source: Operations Research for Health Care - September 19, 2015 Category: Hospital Management Source Type: research
Evaluating the impact of a simulation study in emergency stroke care
Publication date: Available online 16 September 2015 Source:Operations Research for Health Care Author(s): Thomas Monks, Mark Pearson, Martin Pitt, Ken Stein, Martin A. James Very few discrete-event simulation studies follow up on recommendations with evaluation of whether modelled benefits have been realised and the extent to which modelling contributed to any change. This paper evaluates changes made to the emergency stroke care pathway at a UK hospital informed by a simulation modelling study. The aims of the study were to increase the proportion of people with strokes that undergo a time-sensitive treatment to b...
Source: Operations Research for Health Care - September 17, 2015 Category: Hospital Management Source Type: research
Thrombolysis in acute stroke: ongoing challenges based on a tertiary hospital audit and comparisons with other Australian studies.
Conclusion The proportion of eligible stroke patients who receive tPA in a timely manner remains less than ideal at our centre. More accurate patient selection and reductions in treatment delays serve as targets for quality improvement efforts that have broad applicability.What is known about the topic? Stroke unit care and tPA thrombolysis are two proven strategies to improve outcome in patients with ischaemic stroke. Although the stroke unit is gaining momentum of growth in Australia (especially in Queensland), little improvement has been achieved in thrombolysis rate and timeliness of treatment delivery, and little is k...
Source: Australian Health Review - June 29, 2015 Category: Hospital Management Authors: Lau AH, Hall G, Scott IA, Williams M Tags: Aust Health Rev Source Type: research
Disproportionate effects of dementia on hospital discharge disposition in common hospitalization categories
CONCLUSIONSDementia proportions in many hospitalization categories have increased. The variable effect of dementia on home discharge suggests that dementia has a differential influence on hospital discharge disposition depending on the DRG. These findings have implications for healthcare allocation and long‐term care planning. Journal of Hospital Medicine 2015. © 2015 Society of Hospital Medicine
Source: Journal of Hospital Medicine - June 7, 2015 Category: Hospital Management Authors: Robert Y. Lin, Brian C. Scanlan, William Liao, Truc Phuong Thanh Nguyen Tags: Original Research Source Type: research
JAMA: One-Year Data for Transcatheter Aortic Valve Replacement in U.S. Patients
ROCHESTER, MINN — Study results of one-year data for more than 12,000 patients who had transcatheter aortic valve replacement (TAVR) in the United States show an overall one-year death rate of 23.7 percent and a stroke rate of 4.1 percent, according to a study published in the March 10 issue of JAMA. “Transcatheter aortic valve [...]
Source: Mayo Clinic Rochester News - March 10, 2015 Category: Hospital Management Source Type: news
Assessing improvements in survival for stroke patients in the Northern Territory 1992?2013: a marginal structural analysis.
Conclusions Stroke survival has improved in the NT over the past two decades. The marginal structural models provide a powerful methodological tool that can be applied to hospital administrative data to assess changes in quality of care and the impact of interventions. What is known about the topic? Stroke-related mortality has fallen in the past 30 years in Australia. Indigenous Australians have much worse health outcomes than other Australians, including higher stroke incidence and mortality, but it is not known whether stroke survival has improved for Indigenous stroke patients. What does this paper add? This study meas...
Source: Australian Health Review - February 23, 2015 Category: Hospital Management Authors: Zhao Y, Condon J, You J, Guthridge S, He V Tags: Aust Health Rev Source Type: research
MRIGlobal wins $54M NIH contract
The National Institute of Neurological Disorders and Stroke has awarded a $54 million contract to Kansas City-based MRIGlobal.
The money will support a 10-year program through NINDS, a division of the National Institutes of Health.
The project will involve drug product manufacturing, packaging and labeling; stability studies; and drug storage and distribution for clinical trials.
"Neurological disorders and stroke impact hundreds of millions of people worldwide," MRIGlobal CEO Thomas Sack said…
Source: bizjournals.com Health Care:Hospitals headlines - January 15, 2015 Category: Hospital Management Authors: Brianne Pfannenstiel Source Type: news
