Results 56 of the 89 eligible centers participated (67% of shortterm hospital beds), 64 % of those beds were in teaching hospitals. Of the 7709 episodes of HA-BSIs, 874 (11 %) were secondary to a SSI. Gastrointestinal surgeries were, by far, the leading cause of BSIs (244 – 28%) followed by cardiac surgery (132 – 15%), and orthopaedic surgery (98 – 11%). Implants were present in 25 cases (19%)....

background satisfaction with health care is an important criterion and variable in assessing the quality of medical care. especially mother’s satisfaction from childbirth care procedure is a determinant factor in psychological and social health the study aimed to assess mothers’ satisfaction in terms of education and information provided by maternal care givers. material and methods a descripti...

In recent years, there has been an increasing emphasis in health systems on the provision of ambulatory care services. Payers have created incentives to decrease hospitalization rates and length of stay, making way for a new shift toward pay-for-performance, outcomes-based reimbursement, and accountable care. There is also an increasing focus in medicine on preventive health, patient education,...

Joint Commission–accredited ambulatory care organizations now have the option of expanding their accreditation to include the Primary Care Medical Home designation beginning July 1, 2011. The Joint Commission’s Board of Commissioners recently approved the Primary Care Medical Home option, which will help ambulatory care organizations improve care coordination, increase patient satisfaction, and...

The purposes of this descriptive, correlational study were to measure pain, fatigue, and functional limitations affecting the "at home" recovery process for ambulatory gynecologic laparoscopic surgery and to explore the relationships between these variables and the return to normal activities. Subjects (N = 91) recorded daily ratings of pain, fatigue, and function on a Home Recovery Log for 6 d...

For decades, outpatient teaching has been equated with the outpatient clinic or facility, with brief, discontinuous patient encounters in a variety of settings. In spite of diverse suggested remedies, the result has been a difficult environment for learning and teaching. In addition, medical students possess limited clinical information at the time of their initial physical diagnosis experience...

CONTEXT There is growing international interest in teaching clinical skills in a variety of contexts, one of which is Clinical Skills Centres. The drivers for change making Skills Centres an important adjunct to ward and ambulatory teaching come both from within and outside medical education. Educationally, self-directed learning is becoming the accepted norm, encouraging students to seek and m...

OBJECTIVES This report presents statistics on ambulatory care visits to physician offices, hospital outpatient departments (OPDs), and hospital emergency departments (EDs) in the United States in 2007. Ambulatory medical care utilization is described in terms of patient, provider, and visit characteristics. METHODS Data from the 2007 National Ambulatory Medical Care Survey and National Hospit...

Objective To review the effects of low intensity laser therapy (LILT) on healing and to explore its role in community nursing. Setting Primary care, outpatient clinic, community health centre Primary argument Low intensity laser therapy encompasses many positive attributes that make it a useful healing mechanism in community nursing. Conclusions Laser light is non‐invasive, painless, free from ...

Objective. To compare peer teaching in a medical and a pharmacy clinical teaching unit and to provide suggestions for future research in pharmacy near-peer teaching. Methods. This exploratory observational study used principles of ethnographic methodology for data collection and analysis. Observations were collected in a large downtown teaching hospital. An average of 4-6 hours per day were spe...