Implication for health policy/practice/research/medical education: This article presents the concerns of not involving the younger generation in the management section of hospitals especially in the private practice sector. Copyright © 2013, Trauma Research Center; Licensee Kowsar Ltd. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http:/...

A scoring system based on therapeutic intervention on critically ill patients called the therapeutic intervention scoring system (TISS) was used to assess the quantity of care provided in a medical intensive care unit. Besides observing the unit census, the severity of illness and the work load were studied. The survival rate was 77 percent. The non-survivors had admission TISS points higher th...

www.thelancet.com Published online May 9, 2017 http://dx.doi.org/10.1016/S0140-6736(17)31195-9 1 Is the weekend effect a worrying manifestation of systematic deficiencies in the quality and safety of health care, or instead simply an artefact, constructed from confounding, bias, and the imperfections of existing methods for making sense of observational data? This question has not only motivate...

BACKGROUND A total of 12.7 million Mexicans reside as migrants in the United States, of whom only 45% have health insurance in this country while access to health insurance by migrants in Mexico is fraught with difficulties. Health insurance has been shown to impact the use of health care in both countries. This paper quantifies hospitalizations by migrants who return from the US seeking medica...

Introduction: Given the ever-increasing importance and value of information, providing the management with a reliable information system, which can facilitate decision-making regarding planning, organization and control, is vitally important. This study aimed to analyze and evaluate the information needs of medical equipment offices. Methods: This descriptive applied cross-sectional study was c...

I have a confession: I sometimes allow patients to stay an extra day or three in hospital, even when they’re technically stable enough to leave. I’ve spoken to many other secret transgressors, but it’s still a hard thing to admit. Yes: I know that it’s bad. England has relatively few acute beds. We’ve lost them rapidly, while emergency admissions and delayed transfers have risen inexorably. Ove...

BACKGROUND hospitals are under pressure to reduce waiting times and costs. One strategy that may be effective focuses on optimising the flow of emergency patients. OBJECTIVE we undertook a patient flow analysis of older emergency patients to identify and address delays in ensuring timely care, without additional resources. DESIGN prospective systems redesign study over 2 years. SETTING th...

OBJECTIVE National guidelines recommend 'early' coronary angiography within 96 h of presentation for patients with non-ST elevation acute coronary syndromes (NSTE-ACS). Most patients with NSTE-ACS present to their district general hospital (DGH), and await transfer to the regional cardiac centre for angiography. This care model has inherent time delays, and delivery of timely angiography is pro...

Multiple pregnancies (twin, triplet, and higher-order pregnancy) are associated with an increased risk of resultant preterm and low birth weight infants. The increase of multiple pregnancies for several decades in Japan has been an important consideration in bed allocation planning for neonatal intensive care unit (NICU). The guideline of the Japan Society of Obstetrics and Gynecology (JSOG) in...

INTRODUCTION The number of patients requiring prolonged mechanical ventilation (PMV) is likely to increase. Transferring patients to specialised weaning units may improve outcomes and reduce costs. The aim of this study was to establish the incidence and outcomes of PMV in a UK administrative health care region without a dedicated weaning unit, and model the potential impact of establishing a d...