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Dissertation
Health status measurement in family medicine research : the sickness impact profile and its application in a follow-up study in patients with non-specific abdominal complaints
Authors: ---
ISBN: 9039301263 Year: 1993 Publisher: Utrecht : s.n.,


Dissertation
Clinimetrics in Parkinson's disease
Authors: ---
Year: 2003 Publisher: Rotterdam Optima

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Dissertation
Utilisation du biomonitoring pour le diagnostic des bronchopneumonies et la gestion de l'antibiothérapie chez le porcelet
Author:
Year: 2005 Publisher: Liège : Presses de la Faculté de Médecine Vétérinaire de l'Université de Liège,

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Book
Explaining variations in hospital death rates : randomness, severity of illness, quality of care
Authors: ---
Year: 1991 Publisher: Santa Monica, CA : RAND Corporation,

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Hospital death rates vary markedly, even for the same disease. The authors studied a representative sample of 1,126 congestive heart failure patients and 1,150 acute myocardial infarction patients in hospitals with unexpectedly high disease-specific death rates (targeted hospitals) vs. all other (untargeted) hospitals in California, Illinois, Minnesota, and New York, using both inpatient deaths and deaths within 30 days of admission. Death rates in targeted hospitals were 5.0 to 10.9 higher per 100 admissions than in untargeted hospitals. However, 56 to 82 percent of the excess could result from random binomial variation, even if all hospitals provided the same quality of care to the same age/sex/race mix of patients. The authors measured severity of illness and quality of care using detailed medical records abstracts; at the individual patient level, higher severity and lower quality were both associated with higher probability of death. However, they found only small and insignificant differences in quality between targeted and untargeted hospitals; even at a 95 percent confidence bound on the estimated difference in quality, quality differences could explain only 0.3 or fewer of the excess deaths per 100 admissions in targeted hospitals. Severity differences were also small for hospitals treating congestive heart failure patients. For myocardial infarction patients, however, severity differences explained up to 2.8 excess deaths per 100 admissions in targeted hospitals. There is some evidence that targeting hospitals with consistently high death rates over periods longer than one year may better identify potential quality problems.


Book
Improving treatment decisions for patients with community-acquired pneumonia
Authors: ---
Year: 2002 Publisher: Rockville, Md. : Agency for Healthcare Research and Quality,

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This report describes two tools developed by AHRQ-funded research that help assess the need for hospitalization. The first tool is the Pneumonia Severity Index (PSI). The second tool is an instrument that enables clinicians to determine whether a hospitalized pneumonia patient is medically stable before being discharged. This report also discusses the importance of early administration of antibiotic therapy and the effectiveness of older, proven, yet inexpensive antibiotics compared with those used in the outpatient treatment of patients with CAP.


Dissertation
Studies on the pathophysiology, disease severity assessment and management of sickle cell disease
Authors: ---
ISBN: 9051707894 Year: 2004

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