BACKGROUND Hospital readmission places a high burden on both health care systems and patients. Most readmissions are thought to be related to the quality of the health care system. OBJECTIVES The aim of this study was to examine the causes and rates of early readmission in emergency department in a Tehran hospital. PATIENTS AND METHODS A cross-sectional investigation was performed to study ...

This study examined whether Winnipeg hospitals experience predictable "high-volume periods" in order to determine whether hospital overcrowding might be anticipated and, therefore, avoided. We found that high-volume periods among medical patients occurred during all but one year between 1987 and 1998. Most high-volume periods occurred during influenza seasons. Preventing such recurrent bed pres...

I was pleased to have been accepted to visit the Endourology and Stone Service at Barts by the director of the service, Mr. Noor Buchholz. This 1-month visit from June to July 2011 turned out to be one of my most valued professional experiences. St. Bartholomew’s Hospital is part of the Barts and The London NHS Trust, a tertiary university hospital trust caring for an often underprivileged popu...

The rate of patients who visit emergency departments (EDs) but leave before being evaluated and treated is an important indicator of ED performance. This study examines patient- and hospital-level characteristics that may increase the risk of patients leaving EDs before being seen. The data are from the National Ambulatory Care Reporting System, an administrative database, and represent 4.3 mil...

This study tests whether the rate of inappropriate hospital admissions is high in areas with high medical admission rates. Seventy small geographic areas were formed by grouping Massachusetts ZIP codes by similarity of hospital use. Appropriateness of hospital admission was measured both by applying the Appropriateness Evaluation Protocol and by applying physicians' judgment to the medical reco...

Background Aging is an urgent global-scale issue and Japan is the frontrunner of aging. Emergency department (ED) admission of the oldest-old challenges emergency physicians and polypharmacy has been considered as one of its possible risk factors. The aim of this study was to analyze hospital admission among patients aged 85 years and older using ambulance transport regarding its relationship w...

INTRODUCTION As an emerging and rapidly growing specialty, academic hospitalists face unique challenges in career advancement. Key mentoring needs, especially developing reputation and relationships outside of their institution are often challenging. METHODS We describe the structure of a novel Visiting Professorship in Hospital Medicine Program. It utilizes reciprocal exchanges of hospitalis...

affects 300 million people worldwide and 5.4 million people in the UK of whom 80 per cent are adults.1 Despite advances in the diagnosis and management of asthma,2 surveys indicate that many patients have poorly controlled symptoms and experience frequent exacerbations.3,4 Three quarters of hospital admissions and nine out of 10 deaths from asthma are likely to be preventable.1,5 The financial ...