BACKGROUND Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known. OBJECTIVE To examine the impact of UpToDate on outcomes of care. DESIGN Retrospective study. SETTING National sample of US inpatient hospitals. PATIENTS Fee-for-service Medicare beneficiaries. INTERVE...

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. ...

BACKGROUND The Hospital Quality Alliance (HQA) is the first initiative that routinely reports data on hospitals' performance nationally. Heretofore, such data have been unavailable. METHODS We used data collected by the Centers for Medicare and Medicaid Services on 10 indicators of the quality of care for acute myocardial infarction, congestive heart failure, and pneumonia. The main outcome m...

The main objective of this research paper is to ascertain the problems and causes related to the failure of health care equipment and devices in Hyderabad public sector hospitals and to recommend policies and strategies to develop a procedure or mechanism for better management of health care equipment to improve health care delivery and to minimize wastage of scarce public resources. A structur...

Background and Objectives: The goal of current study is to evaluate the performance of hospitals and their departments. This manuscript aimed at estimation of the most productive scale size (MPSS), returns to scale (RTS), and benchmarking for inefficient hospitals and their departments. Methods: The radial and non-radial data envelopment analysis (DEA) ap...

BACKGROUND Against the backdrop of systemic inefficiency in the public health care system and the theoretical claims that markets result in performance and efficiency improvement, developing countries' governments have been rapidly commercializing health care delivery. This paper seeks to determine whether commercialization through an expansion in private hospitals has led to performance improv...

Prior to the widespread adoption of intracoronary stent implantation, potential complications of percutaneous coronary intervention (PCI) necessitated the presence of backup cardiac surgery. However, as stent implantation has become the predominant form of PCI, the incidence of emergent cardiac surgery has declined exponentially. Despite this, current guidelines recommend against the performanc...

AIM To assess the comparability of five performance indicator scores for treatment delay among patients diagnosed with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention in relation to the quality of the underlying data. METHODS Secondary analyses were performed on data from 1017 patients in seven Dutch hospitals. Data were collected using...

OBJECTIVE The World Health Organization (WHO) Regional Office for Europe launched in 2003 a project aiming to develop and disseminate a flexible and comprehensive tool for the assessment of hospital performance and referred to as the performance assessment tool for quality improvement in hospitals (PATH). This project aims at supporting hospitals in assessing their performance, questioning thei...