منابع مشابه
Deciding not to resuscitate in Dutch hospitals.
The use of do not resuscitate (DNR) orders in Dutch hospitals was studied as part of a nationwide study on medical decisions concerning the end of life. DNR decisions are made in 6 per cent of all admissions, and 61 per cent of all in-hospital deaths were preceded by a DNR decision. We found that in only 14 per cent of the cases had the patients been involved in the DNR decision (32 per cent of...
متن کاملPerformance of Dutch hospitals in the management of splenectomized patients.
BACKGROUND After splenectomy, patients are at increased risk of sepsis with considerable mortality. This risk can be reduced by taking preventive measures, such as prescribing immunizations and antibiotic prophylaxis. Studies from various countries show that a substantial percentage of patients are not managed adequately. The aim of the present study was to investigate the quality of care in th...
متن کاملBenchmarking and reducing length of stay in Dutch hospitals
BACKGROUND To assess the development of and variation in lengths of stay in Dutch hospitals and to determine the potential reduction in hospital days if all Dutch hospitals would have an average length of stay equal to that of benchmark hospitals. METHODS The potential reduction was calculated using data obtained from 69 hospitals that participated in the National Medical Registration (LMR). ...
متن کاملProductivity and quality of Dutch hospitals during system reform
This study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated compet...
متن کاملDirect medical costs of adverse events in Dutch hospitals
BACKGROUND Up to now, costs attributable to adverse events (AEs) and preventable AEs in the Netherlands were unknown. We assessed the total direct medical costs associated with AEs and preventable AEs in Dutch hospitals to gain insight in opportunities for cost savings. METHODS Trained nurses and physicians retrospectively reviewed 7,926 patient records in 21 hospitals. Additional patient inf...
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ژورنال
عنوان ژورنال: BMJ
سال: 1999
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.318.7199.1644