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Who does it first? The uptake of medical innovations in the performance of thrombolysis on ischemic stroke patients in Germany: a study based on hospital quality data
Conclusions: Because ischemic stroke patients benefit from systemic thrombolysis, it is necessary to examine possible barriers at the organizational level that hinder the implementation. Our data shows that, organizational factors have an influence on the implementation of thrombolysis. However, the recent guideline update resulted in a TR rise that occurred at all hospitals, regardless of the measured structural conditions, as our analysis could not identify any structural factors that might have influenced the TR after the guideline update.
Source: Implementation Science - January 13, 2015 Category: Health Management Authors: Nadine ScholtenHolger PfaffHelmar LehmannGereon FinkUte Karbach Source Type: research

Ischemic stroke: clinical pathway impact
International Journal of Health Care Quality Assurance,Volume 32, Issue 3, Page 588-598, April 2019. Purpose A clinical pathway for patients with acute ischemic stroke was implemented in 2014 by one Italian teaching hospital multidisciplinary team. The purpose of this paper is to determine whether this clinical pathway had a positive effect on patient management by comparing performance data. Design/methodology/approach Volume, process and outcome indicators were analyzed in a pre-post retrospective observational study. Patients ’ (admitted in 2013 and 2015) medical records with International Classification of Diseases, ...
Source: International Journal of Health Care Quality Assurance - April 24, 2019 Category: Health Management Source Type: research

Examination of Hospital Characteristics and Patient Quality Outcomes Using Four Inpatient Quality Indicators and 30-Day All-Cause Mortality
The study objective was to examine hospital mortality outcomes and structure using 2008 patient-level discharges from general community hospitals. Discharges from Florida administrative files were merged to the state mortality registry. A cross-sectional analysis of inpatient mortality was conducted using Inpatient Quality Indicators (IQIs) for acute myocardial infarction (AMI), congestive heart failure (CHF), stroke, pneumonia, and all-payer 30-day postdischarge mortality. Structural characteristics included bed size, volume, ownership, teaching status, and system affiliation. Outcomes were risk adjusted using 3M APR-DRG....
Source: American Journal of Medical Quality - January 3, 2013 Category: Health Management Authors: Carretta, H. J., Chukmaitov, A., Tang, A., Shin, J. Tags: Articles Source Type: research

An Innovative Community Geriatrics Elective to Teach Year 4 Medical Students About Nursing Home Care
In Singapore, Geriatrics is core curriculum in medical undergraduate training. Year two medical students are introduced to aging in a four hour program based in a nursing home. In their final year they spend one month in geriatric medicine as part of their 3 month internal medicine posting. In the fourth year there is an elective period of six weeks where they choose postings that they would like to spend time to learn more about the subject. There are 65 NHs in Singapore with 9495 beds as compared to 6 acute hospitals with 7500 beds. The NHs have more patients for students to learn from. The residents are also more stable...
Source: Journal of the American Medical Directors Association - February 10, 2014 Category: Health Management Authors: David Yong, David Yong, Patricia Lee Tags: Poster Abstracts Source Type: research

Assessing Providers Antipsychotics Prescription Habits in Long Term Care: A QI Study
Inappropriate use of antipsychotics is associated with increased adverse outcomes of death, heart attack, stroke, falls, and hospitalizations. The national goal established by Center for Medicare & Medicaid Services (CMS) is to reduce the percentage of long-stay nursing home residents who receive antipsychotic medications by 15% per year. Using the CMS quality measure based on Minimum Data Set (MDS) 3.0 shows that at Mayo's teaching nursing home (Samaritan Bethany) 10.2% residents were on antipsychotics in the last quarter of 2012 and 12.1% in the first quarter of 2013.
Source: Journal of the American Medical Directors Association - February 10, 2014 Category: Health Management Authors: Sandeep R. Pagali, Sandeep R. Pagali, Brandon P. Verdoorn, Eric G. Tangalos Tags: Poster Abstracts Source Type: research

Patient-centered simulation: Practicing interprofessional teamwork with standardized patients
J Interprof Care. 2022 Jun 10:1-8. doi: 10.1080/13561820.2022.2069089. Online ahead of print.ABSTRACTThe simulation environment provides opportunities for students to practice interprofessional skills in an authentic, yet safe setting. We discuss an interprofessional learning activity called Team Care Planning designed to teach interprofessional teamwork using a simulated discharge meeting involving an elderly female patient who had a cerebral vascular accident (stroke) and her adult daughter, played by standardized patients Interprofessional teams of health professions students work together to discuss the discharge plan ...
Source: Journal of Interprofessional Care - June 10, 2022 Category: Health Management Authors: E Adel Herge Richard W Hass Source Type: research