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https://www.readbyqxmd.com/read/27850754/1117-staff-safety-during-interfacility-pediatric-ambulance-transport
#1
Joonghyun Ahn, Kyle Candela, Philomena Costabile, Eric Henderson, Sarabdeep Singh, Oritsetimeyin Moju, Theophilus Moss, Corina Noje
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850152/512-interfacility-transport-of-patients-with-time-sensitive-critical-illness-a-geospatial-analysis
#2
Samuel Galvagno, Yekaterina Vasilyeva, Michael Widener, Quincy Tran, Zachary Ginsberg, Thomas Scalea, James O'Connor, Lewis Rubinson
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850002/362-transport-teams-documentation-of-interfacility-transferred-patients-with-aortic-dissections
#3
Rebecca Duncan, Benchaa Boualam, Carina Newton, Mark Rose, Maria Borja, Nancy Bogne, Walesia Robinson, Quincy Tran
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27832843/time-is-the-enemy-mortality-in-trauma-patients-with-hemorrhage-from-torso-injury-occurs-long-before-the-golden-hour
#4
A Q Alarhayem, J G Myers, D Dent, L Liao, M Muir, D Mueller, S Nicholson, R Cestero, M C Johnson, R Stewart, Grant O'Keefe, B J Eastridge
INTRODUCTION: The concept of the "Golden Hour" has been a time-honored tenet of prehospital trauma care, despite a paucity of data to substantiate its validity. Non-compressible torso hemorrhage has been demonstrated to be a significant cause of mortality in both military and civilian settings. We sought to characterize the impact of prehospital time and torso injury severity on survival. Furthermore, we hypothesized that time would be a significant determinant of mortality in patients with higher Abbreviated Injury Scale (AIS) grades of torso injury (AIS ≥ 4) and field hypotension (prehospital SBP ≤ 110 mmHg) as these injuries are commonly associated with hemorrhage...
October 20, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27774608/hemovigilance-in-massachusetts-and-the-adoption-of-statewide-hospital-blood-bank-reporting-using-the-national-healthcare-safety-network
#5
Melissa Cumming, Anthony Osinski, Lynne O'Hearn, Pamela Waksmonski, Michele Herman, Deborah Gordon, Elzbieta Griffiths, Kim Knox, Eileen McHale, Karen Quillen, Jorge Rios, Patricia Pisciotto, Lynne Uhl, Alfred DeMaria, Chester Andrzejewski
A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for regulatory compliance purposes to statewide adoption of electronic reporting via the National Healthcare Safety Network (NHSN). The NHSN is a web-based surveillance system that offers the capacity to capture transfusion-related adverse events, incidents, and monthly transfusion statistics from participating facilities...
October 23, 2016: Transfusion
https://www.readbyqxmd.com/read/27743926/improving-transfer-times-for-acute-ischemic-stroke-patients-to-a-comprehensive-stroke-center
#6
Thomas V Kodankandath, Paul Wright, Paul M Power, Marcella De Geronimo, Richard B Libman, Thomas Kwiatkowski, Jeffrey M Katz
BACKGROUND AND OBJECTIVE: The transfer of acute ischemic stroke (AIS) patients to a comprehensive stroke center (CSC) must be rapid. Delays pose an obstacle to time-sensitive stroke treatments and, therefore, increase the likelihood of exclusion from endovascular stroke therapy. This study aims to evaluate the impact of the Stroke Rescue Program, with its goal of minimizing interfacility transfer delays and increasing the number of transport times completed within 60 minutes. METHODS: The Stroke Rescue Program was initiated to facilitate the rapid transfer of AIS patients from regional primary stroke centers (PSCs) to the network's CSC...
October 12, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27668918/profile-of-interfacility-emergency-department-transfers-transferring-medical-providers-and-reasons-for-transfer
#7
Joyce Li, Stephanie Pryor, Ben Choi, Chris A Rees, Mamata V Senthil, Nicholas Tsarouhas, Sage R Myers, Michael C Monuteaux, Richard G Bachur
OBJECTIVES: The aim of this study was to determine the reasons for pediatric emergency department (ED) transfers and the professional characteristics of transferring providers. METHODS: We performed a multicenter, cross-sectional survey of ED medical providers transferring patients younger than 18 years to 1 of 4 tertiary care children's hospitals. Referring providers completed surveys detailing the primary reasons for transfer and their medical training. RESULTS: The survey data were collected for 25 months, during which 641 medical providers completed 890 surveys, with an overall response rate of 25%...
September 23, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27637444/emergent-interhospital-transport-of-pediatric-patient-with-a-berlin-heart-device
#8
James H Hertzog, Thomas E Pearson, Marc A Priest, Ellen Spurrier, Ryan R Davies
Ventricular assist devices (VADs) for the mechanical support of cardiac failure are being used more frequently in children of increasingly younger age. These children have significant and multiple medical comorbidities, and their length of hospital stay has been increasing. As this population of hospitalized VAD-supported children increases, so does the possibility of their need for interfacility transport for specialized diagnostic or therapeutic procedures. Reports on such transports are limited to 3 children who underwent scheduled elective transfers...
September 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27637433/a-63-year-old-male-interfacility-transfer-for-extracorporeal-membrane-oxygenation-evaluation
#9
Joseph Schili, Peter V R Tilney, Jacob T Gutsche, Jason Cohen
No abstract text is available yet for this article.
September 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27565083/nationwide-secondary-overtriage-in-level-3-and-level-4-trauma-centers-are-these-transfers-necessary
#10
Kevin T Lynch, Rachael M Essig, Dustin M Long, Alison Wilson, Jorge Con
BACKGROUND: Secondary overtriage (SO) refers to the interfacility transfer of trauma patients who are rapidly discharged home without surgical intervention by the receiving institution. SO imposes a financial hardship on patients and strains trauma center resources. Most studies on SO have been conducted from the perspective of the receiving hospital, which is usually a level 1 trauma center. Having previously studied SO from the referring rural hospital's perspective, we sought to identify variables contributing to SO at the national level...
August 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27515146/informatics-in-infection-control
#11
REVIEW
Michael Y Lin, William E Trick
Informatics tools are becoming integral to routine infection control activities. Informatics has the potential to improve infection control outcomes in surveillance, prevention, and connections with public health. Surveillance activities include fully or semiautomated surveillance of infections, surveillance of device use, and hospital/ward outbreak investigation. Prevention activities include awareness of multidrug-resistant organism carriage on admission, enhanced interfacility communication, identifying inappropriate infection precautions, reducing device use, and antimicrobial stewardship...
September 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27488492/a-novel-methodology-to-characterize-interfacility-transfer-strategies-in-a-trauma-transfer-network
#12
David Gomez, Barbara Haas, Kristian Larsen, Aziz S Alali, Russell D MacDonald, Jeffrey M Singh, Homer Tien, Theodore J Iwashyna, Gordon Rubenfeld, Avery B Nathens
BACKGROUND: More than half of severely injured patients are initially transported from the scene of injury to nontrauma centers (NTCs), with many requiring subsequent transfer to trauma center (TC) care. Definitive care in the setting of severe injury is time sensitive. However, transferring severely injured patients from an NTC is a complex process often fraught with delays. Selection of the receiving TC and the mode of interfacility transport both strongly influence total transfer time and are highly amenable to quality improvement initiatives...
October 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27453219/clinical-outcomes-among-transferred-children-with-ischemic-and-hemorrhagic-strokes-in-the-nationwide-inpatient-sample
#13
Malik M Adil, Gabriel A Vidal, Lauren A Beslow
INTRODUCTION: Children with ischemic stroke (IS) and hemorrhagic stroke (HS) may require interfacility transfer for higher level of care. We compared the characteristics and clinical outcomes of transferred and nontransferred children with IS and HS. METHODS: Children aged 1-18 years admitted to hospitals in the United States from 2008 to 2011 with a primary discharge diagnosis of IS and HS were identified from the National Inpatient Sample database by ICD-9 codes...
July 21, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27449891/characteristics-and-outcomes-of-women-using-emergency-medical-services-for-third-trimester-pregnancy-related-problems-in-india-a-prospective-observational-study
#14
Matthew C Strehlow, Jennifer A Newberry, Corey B Bills, Hyeyoun Elise Min, Ann E Evensen, Lawrence Leeman, Elizabeth A Pirrotta, G V Ramana Rao, S V Mahadevan
OBJECTIVES: Characterise the demographics, management and outcomes of obstetric patients transported by emergency medical services (EMS). DESIGN: Prospective observational study. SETTING: Five Indian states using a centralised EMS agency that transported 3.1 million pregnant women in 2014. PARTICIPANTS: This study enrolled a convenience sample of 1684 women in third trimester of pregnancy calling with a 'pregnancy-related' problem for free-of-charge ambulance transport...
2016: BMJ Open
https://www.readbyqxmd.com/read/27438782/surgeon-and-hospital-cost-variability-for-septoplasty-and-inferior-turbinate-reduction
#15
Andrew Thomas, Jeremiah Alt, Craig Gale, Sathya Vijayakumar, Reema Padia, Matthew Peters, Trevor Champagne, Jeremy D Meier
BACKGROUND: Septoplasty and turbinate reduction (STR) is a common procedure for which cost reduction efforts may improve value. The purpose of this study was to identify sources of variation in medical facility and surgeon costs associated with STR, and whether these costs correlated with short-term complications. METHODS: An observational cohort study was performed in a multifacility network using a standardized cost-accounting system to determine costs associated with adult STR from January 1, 2008 to July 31, 2015...
October 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27392652/the-association-between-evaluation-at-academic-centers-and-the-likelihood-of-expectant-management-in-low-risk-prostate-cancer
#16
Nataniel H Lester-Coll, Henry S Park, Charles E Rutter, Christopher D Corso, Brandon R Mancini, Debra N Yeboa, Simon P Kim, Cary P Gross, James B Yu
OBJECTIVES: To identify factors associated with expectant management in a large cohort of men with low-risk prostate cancer based on cancer center type (community versus academic). Expectant management, consisting of active surveillance or observation for men with low-risk prostate cancer is an increasingly recognized management option given the morbidity and lack of a survival benefit associated with definitive treatment. However, the influence of cancer center type on treatment selection is uncertain...
July 5, 2016: Urology
https://www.readbyqxmd.com/read/27286291/diagnostic-imaging-strategies-for-occult-hip-fractures-a-decision-and-cost-effectiveness-analysis
#17
Brian J Yun, M G Myriam Hunink, Anand M Prabhakar, Marilyn Heng, Shan W Liu, Rameez Qudsi, Ali S Raja
OBJECTIVE: Hip fractures cause significant morbidity and mortality. Determining the optimal diagnostic strategy for the subset of patients with potential occult hip fracture remains challenging. We determined the most cost-effective strategy for the diagnosis of occult hip fractures from the choices of performing only computed tomography (CT), performing only magnetic resonance imaging (MRI), performing CT and if negative performing MRI (MRI-selective strategy) or discharging the patient without advanced imaging...
October 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27282834/role-of-health-insurance-status-in-interfacility-transfers-of-patients-with-st-elevation-myocardial-infarction
#18
Michael J Ward, Sunil Kripalani, Yuwei Zhu, Alan B Storrow, Thomas J Wang, Theodore Speroff, Daniel Munoz, Robert S Dittus, Frank E Harrell, Wesley H Self
Lack of health insurance is associated with interfacility transfer from emergency departments for several nonemergent conditions, but its association with transfers for ST-elevation myocardial infarction (STEMI), which requires timely definitive care for optimal outcomes, is unknown. Our objective was to determine whether insurance status is a predictor of interfacility transfer for emergency department visits with STEMI. We analyzed data from the 2006 to 2011 Nationwide Emergency Department Sample examining all emergency department visits for patients age 18 years and older with a diagnosis of STEMI and a disposition of interfacility transfer or hospitalization at the same institution...
August 1, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27261957/pre-trauma-center-management-of-intracranial-pressure-in-severe-pediatric-traumatic-brain-injury
#19
Gregory Hansen, Patrick J McDonald, Doug Martin, Jeff K Vallance
OBJECTIVES: Pre-trauma center care is a critical component in severe pediatric traumatic brain injury (TBI). For geographically large trauma catchment areas, optimizing increased intracranial pressure (ICP) management may potentially improve outcomes. This retrospective study examined ICP management in nontrauma centers and during interfacility transport to the trauma center. METHODS: Charts from a pediatric level I trauma center were reviewed for admissions between 2008 and 2013...
June 2, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27255878/cerebral-oxygenation-and-acceleration-in-pediatric-and-neonatal-interfacility-transport
#20
Michael E Valente, Judy A Sherif, Colleen G Azen, Phung K Pham, Calvin G Lowe
OBJECTIVE: The purpose of this study is to measure peak acceleration forces during interfacility transport; examine whether drops in cerebral oxygenation occurred; and test the associations between cerebral oxygenation, acceleration, and patient positioning. METHODS: A cerebral oximeter (INVOS-5100C; Somanetics, Minneapolis, MN) monitored regional saturation of oxygen (rSO2 [cerebral oxygenation]) in pediatric and neonatal patients (N = 24) transported between facilities by ground ambulance, helicopter, or fixed wing aircraft...
May 2016: Air Medical Journal
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