Medical emergency teams (METs) are common features of adult and pediatric hospitals and have been accepted as beneficial by many in health care, including regulatory agencies. In pediatrics, the value (quality outcome / cost) derived from operating METs is not known. Bonafide et al report the first significant effort in children to address MET value by detailing costs, in their large children’s...

We examine the joint optimization of financial leverage and irreversible capacity investment in a real options framework with risky debt and endogenous interest costs. Higher capacity, ceteris paribus, increases operating leverage and default probability, but lowers ex post adjustment costs and generates larger tax shields. A key insight is that financial leverage and capacity are substitutes i...

The objective of this study was to assess the effect of four different nurse staffing strategies on hospital costs: Part-time RNs; RN temporary agencies; RN rich skill mix; and organizationally experienced RNs. Two regression equations were specified to consider the effect of these strategies on personnel and benefit costs and on non-personnel operating costs. A number of additional variables w...

OBJECTIVE To identify aspects of provision of total joint replacements which could be improved. DESIGN 10 month prospective study of hospital admissions and hospital costs for patients whose total joint replacement was cancelled. SETTING Information and Waiting List Unit, Musgrave Park Regional Orthopaedic Service, Belfast. PATIENTS 284 consecutive patients called for admission for total ...

PURPOSE How to manage posthemorrhoidectomy secondary hemorrhage, a rare but serious complication, effectively remains controversial. This study evaluated the effectiveness of using rectal irrigation as an initial treatment for posthemorrhoidectomy secondary hemorrhage. METHODS Among 4,880 patients on whom elective closed hemorrhoidectomy for symptomatic hemorrhoidal disease was performed, 45 ...

The purpose of the work is to demonstrate results modeling impact innovation on efficiency operating costs for crop production by agricultural enterprises. Based dialectical method cognition, abstract-logical, and graphic methods were used; nonlinear correlation-regression analysis economic-mathematical It established that innovations technical technological character contribute increase extrem...

The social housing project “PassiveHouseSocialPlus” in Germany with 42 residential apartments demonstrates how low rents and operating costs can be combined. Different concepts for reducing were implemented tested one refurbished new apartment building. High energy efficiency heating (passive house standard) domestic hot water preparationwere complemented by measures household electricity (e.g....