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Total 19767 results found since Jan 2013.

Critical economics of life and death: Intense + Expensive care = Intensive care?
Nagarajan RamakrishnanIndian Journal of Critical Care Medicine 2013 17(2):67-68
Source: Indian Journal of Critical Care Medicine - July 9, 2013 Category: Intensive Care Authors: Nagarajan Ramakrishnan Source Type: research

Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care. Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!). These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs

Factors That Contribute to Cost Differences Based on ICU of Admission in Neonates Undergoing Congenital Heart Surgery: A Novel Decomposition Analysis
Objectives: We leveraged decomposition analysis, commonly used in labor economics, to understand determinants of cost differences related to location of admission in children undergoing neonatal congenital heart surgery. Design: A retrospective cohort study. Setting: Pediatric Health Information Systems database. Patients: Neonates (
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Novel Approaches Are Needed to Develop Tomorrow's Antibacterial Therapies.
Abstract Society faces a crisis of rising antibiotic resistance even as the pipeline of new antibiotics has been drying up. Antibiotics are a public trust; every individual's use of antibiotics affects their efficacy for everyone else. As such, responses to the antibiotic crisis must take a societal perspective. The market failure of antibiotics is due to a combination of scientific challenges to discovering and developing new antibiotics, unfavorable economics, and a hostile regulatory environment. Scientific solutions include changing the way we screen for new antibiotics. More transformationally, developing new...
Source: American Journal of Respiratory and Critical Care Medicine - January 15, 2015 Category: Respiratory Medicine Authors: Spellberg B, Bartlett J, Wunderink R, Gilbert DN Tags: Am J Respir Crit Care Med Source Type: research

Trumping Up a Health Care Charity - Trump Organization Received Increasing Revenue from a Children ' s Cancer Care Charity
While health and health care are clearly not central interests of the currentUS President, Donald J Trump, we have noted some disturbing stories about the effects of his leadership on health care.  Most importantly, prior to the election, a story appeared alleging that Mr Trump licensed his name, and actively supported the Trump Network, which sold dodgy vitamin supplements to gullible consumers based on the results of urine tests of unproven, at best, accuracy (lookhere). While Mr Trump is controversial, to say the least, on multiple levels, never in modern history can I recall a president who was alleged to have bee...
Source: Health Care Renewal - June 7, 2017 Category: Health Management Tags: boards of trustees cancer Donald Trump health care corruption health care foundations mission-hostile management Source Type: blogs

Medical Economics: Highly experienced physicians lost to medicine over bad health IT
The title of the article is actually "Physicians leaving profession over EHRs" , but that title omits the real impact of the phenomenon: seasoned physicians, along with their medical expertise, judgment and experience, are lost to the pool of people entrusted to provide care thanks to poorly designed and badly implemented IT:http://cci.drexel.edu/faculty/ssilverstein/cases/Bad Health IT is IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive...
Source: Health Care Renewal - January 28, 2018 Category: Health Management Tags: bad health IT data trafficking Ddulite Medical Economics Munzoor Shaikh physicians leaving medicine Ramin Javahery MD Tom Davis MD FAAFP Source Type: blogs

Adequacy of workforce – are there enough critical care doctors in the US-post COVID?
This article explores the ability of American healthcare to adapt to this challenge. Recent findings With the COVID-19 pandemic, intensivists, and ventilators have been identified as the most critical components leading to shortages in ICU capacity. Anesthesiologists play a unique role in being able to provide ‘flex capacity’ with critical care staffing, space, and equipment (post-anesthesia care units, operating rooms, and ventilators). With the advent of APPs, intensive care physician staffing ratios may potentially be increased to cover patients safely in a physician-led team model. Tele-medicine expands this...
Source: Current Opinion in Anaesthesiology - March 12, 2021 Category: Anesthesiology Tags: ETHICS, ECONOMICS AND OUTCOME: Edited by Alice A. Tolbert Coombs Source Type: research

Pediatric EHR Selection Checklist for Small & Mid-sized Clinics
Replacing your Pediatric EMR? If you are thinking of replacing your existing EMR system for your pediatric health care practice, you’re not alone: an increasing number of pediatric practices are replacing their existing Pediatric EHR due to a multitude of reasons. For today’s pediatric practices, the concern with selection of a new replacement Pediatric EHR is twofold: streamlining operations for increased efficiency and enhanced ability to meet the specific needs of pediatric patients. But not all pediatric EHRs are created equally. The Certification Commission for Health Information Technology, which evaluates comp...
Source: EMR EHR Blog for Physicians - January 19, 2015 Category: Technology Consultants Authors: Alok Prasad Tags: Specialty EHR Software Pediatric EMR Software Source Type: blogs

Healing Moral Injury in Health Care
Mental health disorders are in vogue, and by that I mean our society pays a lot of attention to quantifying and identifying the social and mental dysfunctions of modern life. It is my belief that most mental health conditions represent ancient helpful survival mechanisms that have become dysfunctional because they clash with modern social systems. Violent trauma often leads to post traumatic stress disorder. Bipolar individuals might just have a physiologically heightened sensitivity to the fact that modern life is absurd and maddening. The morally injured feel genuinely betrayed and guilty. Moral injury (MI) is largely ig...
Source: Society for Participatory Medicine - December 6, 2016 Category: Journals (General) Authors: Nanette Mattox Tags: Newsletter Mental Health Moral Injury participatory medicine Patient engagement Source Type: news

Is this as good as it gets? Implications of an asymptotic mortality decline and approaching the nadir in pediatric intensive care
We describe the implications for benchmarking, research, and training the next generation of providers.Conlusion: Although survival remains a highly relevant metric, as PICUs continue to strive for clinical excellence, pushing boundaries  in research and innovation, with endeavors in safety, quality, and high-reliability systems, we must prioritize outcomes beyond mortality, evaluate “costs” beyond economics, and find novel ways to improve the care we provide to all of our pediatric patients and their families.What is Known:• The fall in PICU mortality is asymptotic, and a decline to zero is not achievable. Approach...
Source: European Journal of Pediatrics - October 1, 2021 Category: Pediatrics Source Type: research

Quality and Safety in Health Care, Part XXVIII: The Congenital Heart Surgery Database
This article discusses the history, current status, and contributions of the Congenital Heart Surgery Database to quality, safety, and research. Its data have implications not only for patient care after surgery, but also for estimating patient risk of surgery and for health care economics.
Source: Clinical Nuclear Medicine - September 7, 2017 Category: Nuclear Medicine Tags: From the American College of Nuclear Medicine Source Type: research

Dollars and Sense: The Business of Pediatric Surgery
This study evaluated North American pediatric surgeons ’ opinions and knowledge of business and economics in medicine and their perceptions of trends in their healthcare delivery environment.
Source: Journal of Surgical Research - January 25, 2023 Category: Surgery Authors: David E. Skarda, Melissa E. Danko, Richard D. Glick, Yigit S. Guner, Hau D. Le, Barrie S. Rich, Daniel J. Robertson, Scott S. Short, Richard G. Weiss, Kyle J. Van Arendonk, Mehul V. Raval, Delivery of Surgical Care Committee of the American Academy of Ped Tags: Pediatric Surgery Source Type: research

Reducing Churn to Increase Value in Health Care: Solutions for Payers, Providers, and Policymakers
Conclusion Churn has vexed insurance executives for decades and is considered by many at this point an inevitable challenge. But now that the value-based movement has led to a refocusing on social determinants of health, incentives are aligned to address this issue. This solution may be a key step towards a healthcare system focused on investing in health rather than in treating illness. Niko has a background in research and consulting and enjoys writing about and solving problems facing the US health care industry. Saeed has more than 25 years of health information technology experience, with a track record of ...
Source: The Health Care Blog - May 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care Uncategorized Churn health innovation Health policy health20 niko lehman-white saeed aminzadeh Source Type: blogs

Cost-effectiveness analysis of implementing an antimicrobial stewardship programme in critical care units.
CONCLUSIONS: Implementing an AS focusing on critical care patients is a long-term cost-effective tool. Implementation costs are amortized by reducing antimicrobial consumption to prevent infection by multidrug-resistant pathogens. PMID: 28345481 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - March 28, 2017 Category: Health Management Tags: J Med Econ Source Type: research