Rebecca Ward Consulting - Business Effectiveness and Planning
RSS

Recent Posts

2018 STOP Domestic Violence Conference Australia
Two slimming supplement brands sold online found to contain banned substances
The Dangerous Game of Telephone in Hospitals
What Causes Domestic Violence?
Broken to Brilliant - Audio Book Launch

Categories

ACHSM
Aged Care
Big Pharma
Budget
Business
Caffeine
Cardiology
Cartoon
Connecting
Cost Effectiveness
Depression
Domestic Violence
Education
electronic health records
Emergency Department
Employment
Freebies
Funding
Gun Control
Healthcare
Infectious Disease
Legal
Legal Humour
Medical Humour
Mental Health
Mining
Newsletter
Nursing
Obesity
Opthalmology
Patient Safety
Pharmacology
politics
Presentation Skills
Public Speaking
Queensland
Roads
Safety
Strategy
Stress
Suicide
Theatre Caps

Archives

July 2018
May 2018
April 2018
March 2018
February 2018
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
December 2015
November 2015
September 2015
August 2015
July 2015
June 2015
May 2015
February 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013

powered by

My Blog

Busiest US EDs Have Best Outcomes

Busiest US EDs Have Best Outcomes

Study objective: Although numerous studies have demonstrated a relationship between higher volume and improved outcomes in the delivery of health services, it has not been extensively explored in the emergency department (ED) setting. Therefore, we seek to examine the association between ED hospitalization volume and mortality for common high-risk conditions.
Methods:Using data from the Nationwide Inpatient Sample, a national sample of hospital discharges, we evaluated mortality overall and for 8 different diagnoses between 2005 and 2009 (total admissions 17.55 million). These conditions were chosen because they are frequent (in the top 25 of all ED hospitalizations) and high risk (>3% observed mortality). EDs were excluded from analysis if they did not have at least 1,000 total annual admissions and 30 disease-specific cases. EDs were then placed into quintiles based on hospitalized volume. Regression techniques were used to describe the relationship between volume (number of hospitalized ED patients per year) and both subsequent early inpatient mortality (within 2 days of admission) and overall mortality, adjusted for patient and hospital characteristics.
Results:Mortality decreased as volume increased overall and for all diagnoses, but the relative importance of volume varied, depending on the condition. Absolute differences in adjusted mortality rates between very high-volume EDs and very low-volume EDs ranged from –5.6% for sepsis (95% confidence interval [CI] –6.5% to –4.7%) to –0.2% for pneumonia (95% CI –0.6% to 0.1%). Overall, this difference was –0.4% (95% CI –0.6% to –0.3%). A similar pattern was observed when early hospital deaths were evaluated.
Conclusion: Patients have a lower likelihood of in-hospital death if admitted through high-volume EDs.




0 Comments to Busiest US EDs Have Best Outcomes:

Comments RSS

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint