Problems of patient safety have been well documented in hospitals. However, we have very limited data about patient safety problems among home care clients. The purpose of this study was to assess the burden of safety problems among Canadian home care clients using data collected through the Resident Assessment Instrument - Home Care (RAI HC), and to explore the role of age and patient safety r...

BACKGROUND HIV-immigrant use of health services and related cost has hardly been analysed. We compared resource utilisation patterns and direct health care costs between Spanish and immigrant HIV-infected patients. METHODS All HIV-infected adult patients treated during the years 2003-2005 (372 patients) in this hospital were included. We evaluated the number of out-patient, Emergency Room (ER...

PURPOSE Patients leaving the hospital are at increased risk of functional decline and hospital readmission. The Employee and Community Health service at Mayo Clinic in Rochester developed a care transition program (CTP) to provide home-based care services for medically complex patients. The study objective was to determine the relationship between CTP use, 30-day hospital readmission, and Emerg...

BACKGROUND Influenza peaks during the wintertime in temperate regions and during the annual rainy season in tropical regions - however reasons for the observed differences in disease ecology are poorly understood. We hypothesize that episodes of extreme precipitation also result in increased influenza in the Northeastern United States, but this association is not readily apparent, as no defined...

BACKGROUND Alzheimer's disease (AD) is a neurodegenerative disorder incurring significant social and economic costs. This study uses a US administrative claims database to evaluate the effect of AD on direct healthcare costs and utilization, and to identify the most common reasons for AD patients' emergency room (ER) visits and inpatient admissions. METHODS Demographically matched cohorts age...

BACKGROUND This study documented elevated rates of emergency room (ER) visits for acute upper and lower respiratory infections and asthma-related conditions in the children of Quito, Ecuador associated with the eruption of Guagua Pichincha in April of 2000. METHODS We abstracted 5169 (43% females) ER records with primary respiratory conditions treated from January 1-December 27, 2000 and exam...

Increasing use in the past decade has created pressure for hospital emergency rooms (ERs). Healthcare provided through an ER is expensive and is not designed to meet the complex needs of an older, chronically-ill population. ER visits are presented as the outcome of a decision-making process. Thirty veterans who had visited the ER in the previous year were asked about their decisions to use the...

Objective: To investigate the reasons leading cancer patients to visit an emergency room (ER) and associated factors, which will suggest policies reduce unnecessary ER visits.Material Methods: A cross-sectional study was done in Songklanagarind Hospital, major referral center Southern Thailand. The data of aged 18 years or older diagnosed during 2011 2018 were retrieved from our Hospital Inform...

Pharmacists have increased their clinical role in providing comprehensive care with advanced knowledge medications therapy. Clinical pharmacists the ability to provide most appropriate pharmacotherapy, education on self-management of asthma, and counseling medication use compliance. This study evaluated outcomes impact pharmacist-managed asthma clinic a federal Indian Health Service facility fo...

BACKGROUND Meta-analysis can be used to pool rate measures across studies, but challenges arise when follow-up duration varies. Our objective was to compare different statistical approaches for pooling count data of varying follow-up times in terms of estimates of effect, precision, and clinical interpretability. METHODS We examined data from a published Cochrane Review of asthma self-managem...