INTRODUCTION Foreign field hospitals (FFHs) may provide care for the injured and substitute for destroyed hospitals in the aftermath of sudden-onset disasters. PROBLEM In the aftermath of sudden-onset disasters, FFHs have been focused on providing emergency trauma care for the initial 48 hours following the sudden-onset disasters, while they tend to be operational much later. In addition, man...

There is no legislative framework in In-dia at the moment, which would enable collating data from hospitals on standard indicators of quality of patient care. It is only such data on patient care processes and outcomes, which would enable any meaningful audit of medical services with a view to making these services patient oriented. Hospital services should be such as to facilitate better patie...

BACKGROUND Vaccination-impact studies of the live-attenuated pentavalent oral vaccine Rotateq® have demonstrated that the burden of rotavirus gastroenteritis has been reduced significantly after the introduction of RotaTeq® vaccination, but less is known about the benefit of this vaccination on hospital overcrowding. METHODS As part of an observational surveillance conducted during the RV sea...

We present a general approach to estimating parameters of continuous-time Markov chains from discretely sampled data. This methodology is combined with a new stochastic model for transmission of hospital-acquired infections — one which accounts for dynamic bed occupancy — providing a method for estimating the parameters of such systems. We pay particular attention to the conditions under which ...

Background Health system reform is essential to make desired Changes. In Iran, first phase of Health Reform Plan (HRP) was implemented in hospitals affiliated with Ministry of Health and Medical Education (MHME) in 2014. Aim The present study was carried out to evaluate the performance of hospitals affiliated with Urmia University of Medical Sciences at the time of the implementation of HRP. ...

Crowding in emergency departments (EDs) is associated with long lengths of stay (LOS); however, it is not known whether the effect is equal across different chief complaints.The aim of the study was to compare the effect of crowding on LOS in the 10 most common medical or surgical chief complaints in the ED.All adult visits to a university hospital ED on weekdays between 8 AM and 9 PM in 2012 (...

Methods 6 questionnaires (5 voluntary, last mandatory) assessed CYHC implementation & sustainability every 6 months. Quarterly data on MRSAB, MSSAB & CDI, procurement soap & AHR, hospital type & bed occupancy collected for each hospital with data on other national infection control interventions Mixed effects Poisson regression model assessed associations between procurement & HCAI rates, testi...

BACKGROUND The association between emergency department (ED) overcrowding and poor patient outcomes is well described, with recent work suggesting that the phenomenon causes delays in time-sensitive interventions, such as resuscitation. Even though most researchers agree on the fact that admitted patients boarding in the ED is a major contributing factor to ED overcrowding, little work explicit...

OBJECTIVE To investigate factors associated with unscheduled admission following presentation to emergency departments (EDs) at three hospitals in England. DESIGN AND SETTING Cross-sectional analysis of attendance data for patients from three urban EDs in England: a large teaching hospital and major trauma centre (site 1) and two district general hospitals (sites 2 and 3). Variables included ...

Medical scores, criteria and classification systems support clinical decision-making and management. They enable the clinician to predict the outcome, stratify risk, assess conditions and diagnose diseases accurately. In the emergency medicine, it is very important to ascertain safety criteria to discharge patients, time to remain in the E.R., and also ascertain the time intervals for discharge...