Introduction of new agents for the treatment for colorectal cancer (CRC) has been accompanied by the publication of guidelines. The COLCHIC cohort was set up to evaluate CRC treatment practices and the use of these innovative and expensive agents. Patients initiating CRC treatment at the Bordeaux teaching hospital between 1 March 2005 and 1 March 2006 were identified, and treatment courses from...

OBJECTIVES To determine the factors that influence non-consultant hospital doctors (NCHDs) in their decision to prescribe antimicrobial agents. METHODS A qualitative study using semi-structured interviews centred on a life grid tracking the medical career of 22 NCHDs employed by a university teaching hospital in the west of Ireland. RESULTS Early in their careers NCHD prescribing is based p...

We identify the frequency at which various IT management strategies (e.g., best of breed, best of suite, or singlevendor solutions) are pursued in U.S. hospitals. We also examine hospital characteristics that are associated with pursuing one strategy over another. After combining several secondary data sources, 3343 hospitals were analyzed. Of these, 61 percent indicated a single vendor; 29 per...

Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures Mortality differences between university, non-teaching public and for-profit hospitals are investigated using a French exhaustive administrative dataset on patients admitted for heart attack. Our results show that innovative procedures play a key role in explaining the effect of ownership status...

OBJECTIVE Examine variation in short-term outcomes of late preterm births (34(0/7)-36(6/7) weeks) between a university teaching hospital, teaching community hospital, and nonteaching community hospital. STUDY DESIGN Review of maternal and newborn data from a random sample of late preterm births at three hospitals in North Carolina from 2008 to 2009. Outcomes included length of stay, neonatal ...

While planning a new maternity teaching hospital, we encountered the problem of relating number of delivery rooms to expected case load. The flow of patients in the teaching and research sections of the hospital could be predicted on the basis of previous experience, but for an attached "sector unit" the problem was much more difficult. The unit was intended to serve a new function, and therefo...

Albumin is an expensive drug which imposes relatively high cost on the health care system. Doing ABC analysis in Shahid Motahari Hospital, it was revealed that albumin is categorized in class A. Therefore, the present study aimed to evaluate the pattern of albumin use and the physicians' adherence to evidenced-based albumin guidelines in this large general non-teaching hospital in Shiraz, Iran....

background: the provision of accurate and timely drug information to health care professionals is an important mechanism to promote safe and effective drug therapy for patients. world’s drug and poison information centers (dpics) are mainly affiliated to hospitals, rather rarely with faculties of pharmacy or with faculties of medicine and other related organizations. methods: data was collected...

background: one of the means of assessing dose to patients from computed tomography (ct) procedure is through the determination of the skin entrance dose (esd) with the appreciation of the concern that ocular exposure effects from ct scan includes possible induction of cancer and cataract. due to the relatively more recent introduction of ct scans, little work has been done in this area in the ...