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Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Total Pages: 396
Release: 2014-04-01
Genre: Medical
ISBN: 1587634333

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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.


Care Without Coverage

Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 213
Release: 2002-06-20
Genre: Medical
ISBN: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.


Textbook of Clinical Hemodynamics

Textbook of Clinical Hemodynamics
Author: Michael Ragosta
Publisher: Elsevier Health Sciences
Total Pages: 264
Release: 2008-01-01
Genre: Medical
ISBN: 1416040005

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Here's a source of guidance on the analysis of the hemodynamic waveforms generated in the cardiac catheterization lab. It progresses from a review of basic monitoring principles and normal waveforms through an assessment of the waveform data associated with the full range of individual coronary diseases, providing the assistance needed to accurately interpret any findings encountered in practice. Its extremely clinically oriented approach makes it an ideal hands-on tool for any clinician involved in diagnosing cardiac problems using interventional cardiology.


Strategies to Improve Cardiac Arrest Survival

Strategies to Improve Cardiac Arrest Survival
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 291
Release: 2015-09-29
Genre: Medical
ISBN: 030937202X

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Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.


Acute Pulmonary Embolism

Acute Pulmonary Embolism
Author: A. Geibel
Publisher: Springer Science & Business Media
Total Pages: 202
Release: 2012-12-06
Genre: Medical
ISBN: 3642511902

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The value of echocardiography in the diagnostic work-up of patients with suspected acute pulmonary embolism.- New developments in the thrombolytic therapy of venous thrombosis.- Mechanism of blood coagulation. Newer aspects of anticoagulant and antithrombotic therapy.MR-angiography in the diagnosis of pulmonary embolism.Scintigraphy-ventilation/perfusion scanning and imaging of the embolus.- Clinical course and prognosis of acute pulmonary embolism.- The molecular mechanisms of inherited thombophilia.


Acute Heart Failure

Acute Heart Failure
Author: Alexandre Mebazaa
Publisher: Springer Science & Business Media
Total Pages: 922
Release: 2009-12-24
Genre: Medical
ISBN: 1846287820

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For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.


An Introduction to Efficiency and Productivity Analysis

An Introduction to Efficiency and Productivity Analysis
Author: Timothy J. Coelli
Publisher: Springer Science & Business Media
Total Pages: 376
Release: 2005-07-22
Genre: Business & Economics
ISBN: 9780387242651

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Softcover version of the second edition Hardcover. Incorporates a new author, Dr. Chris O'Donnell, who brings considerable expertise to the project in the area of performance measurement. Numerous topics are being added and more applications using real data, as well as exercises at the end of the chapters. Data sets, computer codes and software will be available for download from the web to accompany the volume.


Introductory Guide to Cardiac Catheterization

Introductory Guide to Cardiac Catheterization
Author: Arman T. Askari
Publisher: Lippincott Williams & Wilkins
Total Pages: 224
Release: 2010-09-20
Genre: Medical
ISBN: 1605478857

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"The staff in every catheterization laboratory in the world participates in some form of hazing. Although largely benign and expected, this ritual can place even more stress on an already unsettled and insecure newcomer. The first edition of this manual was spearheaded by cardiology fellows who remembered well what it was like to enter the cath lab for the first time. Now, several years later, these 'hazees' have in many cases become the 'hazers' but the additional experience and responsibility has allowed for a more comprehensive and updated manual.Our goal is to produce a thoroughly practical and easily accessible manual for physicians, physicians-in-training, nurses, cath lab x-ray techs, mid-level providers and students. Since we have been subjected to years of questions, first from our mentors and now from our students, we are acutely familiar with the most pertinent and necessary data for any student no matter the level of training. The manual remains specifically designed with an easy-to-read format that includes highlighted 'pearls,' updated American College of Cardiology/American Heart Association (ACC/AHA) guidelines, numerous visuals including carefully delineated schematics of standard coronary projections, and special 'troubleshooting' notesthat provide potential solutions for frequently encountered problems"--Provided by publisher.