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Surgical wound infections are the most common hospital-acquired infections among patients who undergo inpatient surgery. Risk of infection is a function of both patient susceptibility and exposure. The authors studied all discharges in Pennsylvania from October 1, 2004, through September 30,...
Hospital-acquired infections add considerable morbidity and mortality to patient care. However, a detailed economic analysis of these infections on an individual case basis has been lacking. The authors examined both the hospital revenues and expenses in 54 cases of patients with central...
The objective was to determine if a personal digital assistant (PDA) diabetes management system improves processes and outcomes of diabetes care in a primary care setting. Outcomes and processes of care were compared between and within 2 groups of patients with type II diabetes. The intervention...
In July 2005, Pennsylvania became the first state in the nation to publicly report statewide data on hospital-acquired infections (HAI). The published research brief revealed that 11 668 hospitalizations with HAI had markedly different mortality rates, lengths of stay (LOS), and charges than...
Physician practice behavior often produces poor clinical outcomes in the management of cardiovascular disease risk factors in spite of effective treatments and guidelines. The behavior of 165 physicians in 2 settings (suburban and urban) was studied. After collecting baseline clinical data,...
Pay-for-performance is being applied at the physician level to stimulate improvements in quality of care and cost efficiency; however, little is known about how physicians will respond. We interviewed physicians exposed to a financial incentive program in California to identify possible barriers...
Integrating information technology (IT) into medical settings is considered essential to transforming hospitals into 21st-century health care institutions. Yet the role of IT departments in maximizing the effectiveness of information systems is not well understood. This article reports a 3-round...
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