Showing posts with label Patient Mortality Rates. Show all posts
Showing posts with label Patient Mortality Rates. Show all posts

Saturday, June 4, 2011

When are stroke patients more likely to receive clot busting drugs?

by Todd Neale, MedPage Today Staff Writer

Patients suffering an acute ischemic stroke are about 20% more likely to receive clot-busting therapy with tissue plasminogen activator (tPA) if they arrive at the hospital on the weekend, a retrospective study showed.

When are stroke patients more likely to receive clot busting drugs? However, there was no difference in rates of inhospital mortality based on the time of admission, Abby Kazley, PhD, of the Medical University of South Carolina in Charleston, and colleagues reported in the January issue of Archives of Neurology.

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Wednesday, May 4, 2011

HIV & AIDS Information :: A third of deaths in patients with HIV are attributable to other serious illness present at time of HIV diagnosis

A substantial proportion of the mortality in HIV-positive patients is caused by serious illnesses that were present before diagnosis with HIV, Danish investigators report in the online edition of the Journal of Acquired Immune Deficiency Syndromes.

Overall, a third of all deaths were attributable to illnesses that were already present at the time of HIV diagnosis. The study also showed that mortality rates were significantly higher in patients with HIV than in the general Danish population.

The introduction of effective antiretroviral therapy in the late 1990s transformed the prognosis of many HIV-positive patients. Non-AIDS-related diseases are an increasingly important cause of illness and death in patients with HIV, and the burden of such diseases is expected to increase as the HIV-positive population ages.

However, the impact of illnesses acquired by patients before their diagnosis with HIV on prognosis is poorly understood.

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See also:
AIDS/HIV Nurses:
http://nursefriendly.com/aids/

Geneviève Clavreul, RN, Ph.D., President & CEO, Solutions Outside the Box:"She brings over forty years of management consulting experience to the Solutions Outside the Box team. Her expertise is management with a focus on healthcare, nursing, and HIV/AIDS. She is also a well-known HIV/AIDS and healthcare activist, using her own resources to speak out on issues of significance to women, people living with HIV/AIDS, and patient advocacy."
Solutions Outside the Box
PO Box 867
Pasadena, CA 91102-0867
Office Number: (626) 844-7812 Office Fax: (626) 844-7813
http://www.solutionsoutsidethebox.net

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RichardFerri.com:"Welcome to RichardFerri.com! The goal of this site is to give you information on the real needs of HIV positive people and their medical care. I am an AIDS specialist who is also HIV positive. So my view on living with HIV is more than just lessons learned from a textbook or a clinical exam. I live with this virus and know how it can make you feel. One of the areas that I am impassioned about is symptom management. Most clinicians do not know how to treat the ongoing symptoms of HIV disease. Many shy away from pain and symptom management because it is too difficult. I welcome treating people's symptoms and getting them back on the road to health."
rick@richardferri.com
Crossroads Medical
269 Chatham Road, Harwich, MA 02645
http://www.richardferri.com/

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Karen Mercereau, RN, RN Patient Advocates, PLLC:"For over 7 years, we at RN Patient Advocates have worked independently with patients to assist them in finding the best healthcare and treatment outcomes possible. Do you have a medical crisis? Wonder what doctors might best help you? Have a mystery illness that no one can diagnose? Have several doctors who don’t speak to each other? Wonder what all of your medications actually do for you? Experienced clinical RNs are a treasure trove of information and, working as independent RN Patient Advocates, can stand by your side through your illness: asking the healthcare questions you don’t know how to ask, teaching you what is really going on in your body, researching and teaching you the full range of treatment options, guiding you through the maze of the healthcare system so it can best serve you."
Karen Mercereau, RN
RN Patient Advocates, PLLC
3400 West Goret Road
P.O. Box 87968
Tucson, AZ 85754-7968
(520) 743-7008
http://patientadvocates.com/

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.inspirationalnursing.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com
http://www.nursinghumor.com

Friday, April 29, 2011

Nurses Long Work Hours, Scheduling Can Increase Patient Mortality

A new study has found that patient deaths from pneumonia and acute myocardial infarction were significantly more likely in hospitals where nurses reported schedules with long work hours. The finding was just one of several revelations from a study of nurses' work schedules, patient outcomes, and staffing led by University of Maryland School of Nursing researchers in collaboration with researchers at the Johns Hopkins University School of Medicine.

The study is the latest in ongoing research on nurse scheduling and staffing funded by the National Council of State Boards of Nursing. In the current study, Alison Trinkoff, ScD, MPH, RN, FAAN, professor at the School, and co-authors Meg Johantgen, PhD, RN; Carla Storr, PhD, MPH, RN; Yulan Liang, PhD; Ayse Gurses, PhD;and Kihye Han, MD, RN shifted their focus from the effects on nurses in previous studies to patient well-being.

The team linked patient outcome and staffing information from 71 acute-care hospitals in two representative states (Illinois and North Carolina) with the survey responses of 633 randomly selected nurses who worked in these hospitals. Their findings are published in "Nurses' Work Schedule Characteristics, Nurse Staffing, and Patient Mortality," in the January/February issue of the journal Nursing Research. Most U.S. hospitals use 12-hour nursing shifts exclusively, as opposed to eight-hour shifts, a trend begun during nursing shortages nationwide in the 1980s. "Although many nurses like these schedules because of the compressed nature of the workweek, the long schedule?as well as shift work in general?lead to sleep deprivation," says Trinkoff.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Monday, April 4, 2011

Hospital Acquired Infections Becomes A Leading Cause In Patient Deaths | OneMedPlace

Patients today are between a rock and a hard place because when they get sick a hospital may be the last place they want to go. Hospital Acquired Infections, also known as Healthcare-associated infections (HAI) are the 4th leading cause of patient deaths, killing 270 people per day in the USA. Recently the Federal Government and Payers are implementing incentives and penalties on hospitals that are not doing all they can to reduce HAIs.

HAIs are defined as infections not present and without evidence of incubation at the time of admission to a health care setting. Within hours after admission, a patient’s flora begins to acquire characteristics of the surrounding bacterial pool. Most infections that become clinically evident after 48 hours of hospitalization are considered hospital-acquired. Infections that occur after the patient is discharged from the hospital can be considered healthcare-associated if the organisms were acquired during the hospital stay.  There have been several cases of patients going into the hospital for minor surgeries and coming out in coffins, yet limited media coverage has been devoted to this area of concern.

Healthcare-associated infections can be localized or systemic, can involve any system of the body, be associated with medical devices or blood product transfusions. Three major sites of healthcare-associated infections are bloodstream infection, pneumonia, and urinary tract infection. HAIs result in excess length of stay, mortality and healthcare costs. In 2002, an estimated 1.7 million healthcare-associated infections occurred in the United States, resulting in 99,000 deaths.  In March 2009, the CDC released a report estimating overall annual direct medical costs of healthcare-associated infections that ranged from $28-45 billion.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

The five hospital factors that affect heart attack survival, Science Daily

Until now, little has been known about the factors that may influence this variation in death rates. The Yale team reviewed 11 hospitals through interviews and site visits. Those selected were among the best and worst performers, as rated by the federal agency that administers Medicare and Medicaid.

"Previous research looked at whether hospital characteristics like urban location, teaching status, geographical region, and socio-economic status of patients are related to acute myocardial infarction (AMI) mortality rates, but these factors don't explain much of the variation in mortality," said Leslie A. Curry, Ph.D., research scientist at the Yale Global Health Leadership Institute and lead author on the paper. "We were particularly interested in the roles of social interactions and organizational culture, which are difficult to measure using common research approaches like surveys."

Hospitals in the high- and low-performing groups differed substantially in five ways: organizational values and goals, senior management involvement, broad staff presence and expertise in AMI care, communication and coordination, and problem solving.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursefriendly.com
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Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

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http://nursefriendly.posterous.com

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com