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[PMID]:28075516
[Au] Autor:Sujenthiran A; Charman SC; Parry M; Nossiter J; Aggarwal A; Dasgupta P; Payne H; Clarke NW; Cathcart P; van der Meulen J
[Ad] Endereço:Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
[Ti] Título:Quantifying severe urinary complications after radical prostatectomy: the development and validation of a surgical performance indicator using hospital administrative data.
[So] Source:BJU Int;120(2):219-225, 2017 Aug.
[Is] ISSN:1464-410X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To develop and validate a surgical performance indicator based on severe urinary complications that require an intervention within 2 years of radical prostatectomy (RP), identified in hospital administrative data. PATIENTS AND METHODS: Men who underwent RP between 2008 and 2012 in England were identified using hospital administrative data. A transparent coding framework based on procedure codes was developed to identify severe urinary complications which were grouped into 'stricture', 'incontinence' and 'other'. Their validity as a performance indicator was assessed by evaluating the consistency with diagnosis codes and association with patient and surgical characteristics. Kaplan-Meier methods were used to assess time to first occurrence and multivariable logistic regression was used to estimate adjusted odds ratios (ORs) for patient and surgical characteristics. RESULTS: A total of 17 299 men were included, of whom 2695 (15.6%) experienced at least one severe urinary complication within 2 years. High proportions of men with a complication had relevant diagnosis codes: 86% for strictures and 93% for incontinence. Urinary complications were more common in men from poorer socio-economic backgrounds (OR comparing lowest with highest quintile: 1.45; 95% confidence interval [CI] 1.26-1.67) and in those with prolonged length of hospital stay (OR 1.54, 95% CI 1.40-1.69), and were less common in men who underwent robot-assisted surgery (OR 0.65, 95% CI 0.58-0.74). CONCLUSION: These results show that severe urinary complications identified in administrative data provide a medium-term performance indicator after RP. They can be used for research assessing outcomes of treatment methods and for service evaluation comparing performance of prostate cancer surgery providers.
[Mh] Termos MeSH primário: Codificação Clínica
Avaliação de Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias
Prostatectomia/efeitos adversos
Prostatectomia/métodos
Neoplasias da Próstata/cirurgia
Transtornos Urinários/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Competência Clínica
Constrição Patológica/diagnóstico
Constrição Patológica/etiologia
Bases de Dados Factuais
Inglaterra
Seres Humanos
Tempo de Internação
Masculino
Serviço Hospitalar de Registros Médicos/organização & administração
Meia-Idade
Reprodutibilidade dos Testes
Fatores Socioeconômicos
Incontinência Urinária/diagnóstico
Incontinência Urinária/etiologia
Transtornos Urinários/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170728
[Lr] Data última revisão:
170728
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170112
[St] Status:MEDLINE
[do] DOI:10.1111/bju.13770


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[PMID]:26700714
[Au] Autor:Russo GA
[Ad] Endereço:Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts. Electronic address: Gregory.russo@bmc.org.
[Ti] Título:When Electronic Health Records (EHRs) Talk, Everyone Can Win: Our Experience Creating a Software Link Between Hospital and Radiation Oncology EHRs.
[So] Source:Int J Radiat Oncol Biol Phys;94(1):206-7, 2016 Jan 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/organização & administração
Registro Médico Coordenado/métodos
Serviço Hospitalar de Registros Médicos
Radioterapia (Especialidade)/organização & administração
Planejamento da Radioterapia Assistida por Computador
Software
[Mh] Termos MeSH secundário: Boston
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:151224
[Lr] Data última revisão:
151224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151225
[St] Status:MEDLINE


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[PMID]:25618455
[Au] Autor:Escarrabill J; Tebé C; Espallargues M; Torrente E; Tresserras R; Argimón J; en nombre del equipo del Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR) y del Observatorio de Terapias Respiratorias (Obs TRD)
[Ad] Endereço:Hospital Clínic, Barcelona, España; Plan Director de las Enfermedades del Aparato Respiratorio (PDMAR), Barcelona, España; Observatorio de las Terapias Respiratorias (Obs TRD). Departamento de Salud, CatSalut, AQuAS, PDMAR y Fundació d'Osona per a la Recerca i Educació Sanitària (FORES), Vic, Barcel
[Ti] Título:Variability in home mechanical ventilation prescription.
[So] Source:Arch Bronconeumol;51(10):490-5, 2015 Oct.
[Is] ISSN:1579-2129
[Cp] País de publicação:Spain
[La] Idioma:eng; spa
[Ab] Resumo:INTRODUCTION: Few studies have analyzed the prevalence and accessibility of home mechanical ventilation (HMV). The aim of this study was to characterize the prevalence of HMV and variability in prescriptions from administrative data. METHODS: Prescribing rates of HMV in the 37 healthcare sectors of the Catalan Health Service were compared from billing data from 2008 to 2011. Crude accumulated activity rates (per 100,000 population) were calculated using systematic component of variation (SCV) and empirical Bayes (EB) methods. Standardized activity ratios (SAR) were described using a map of healthcare sectors. RESULTS: A crude rate of 23 HMV prescriptions per 100,000 population was observed. Rates increase with age and have increased by 39%. Statistics measuring variation not due to chance show a high variation in women (CSV=0.20 and EB=0.30) and in men (CSV=0.21 and EB=0.40), and were constant over time. In a multilevel Poisson model, hospitals with a chest unit were associated with a greater number of cases (beta=0.68, P<.0001). CONCLUSIONS: High variability in prescribing HMV can be explained, in part, by the attitude of professionals towards treatment and accessibility to specialist centers with a chest unit. Analysis of administrative data and variability mapping help identify unexplained variations and, in the absence of systematic records, are a feasible way of tracking treatment.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar/estatística & dados numéricos
Prescrições
Doença Pulmonar Obstrutiva Crônica/terapia
Respiração Artificial/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Atitude do Pessoal de Saúde
Pressão Positiva Contínua nas Vias Aéreas/instrumentação
Pressão Positiva Contínua nas Vias Aéreas/estatística & dados numéricos
Pressão Positiva Contínua nas Vias Aéreas/utilização
Mineração de Dados
Feminino
Acesso aos Serviços de Saúde
Serviços de Assistência Domiciliar/organização & administração
Unidades Hospitalares
Seres Humanos
Masculino
Serviço Hospitalar de Registros Médicos/organização & administração
Meia-Idade
Nebulizadores e Vaporizadores
Oxigenoterapia/instrumentação
Distribuição de Poisson
Prescrições/estatística & dados numéricos
Pneumologia/organização & administração
Respiração Artificial/utilização
Terapia Respiratória/estatística & dados numéricos
Terapia Respiratória/utilização
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:151002
[Lr] Data última revisão:
151002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150126
[St] Status:MEDLINE


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[PMID]:25630097
[Au] Autor:Haik W
[Ti] Título:Hospital discharge status codes: risks and rewards.
[So] Source:Revenue-cycle Strateg;11(10):1-3, 2014 Dec-2015 Jan.
[Is] ISSN:1549-0858
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Controle de Formulários e Registros/normas
Classificação Internacional de Doenças
Serviço Hospitalar de Registros Médicos/normas
Sistemas Computadorizados de Registros Médicos/normas
Alta do Paciente
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Seres Humanos
Controle de Qualidade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150129
[Lr] Data última revisão:
150129
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:150130
[St] Status:MEDLINE


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[PMID]:25399201
[Au] Autor:Eke CB; Ibekwe RC; Muoneke VU; Chinawa JM; Ibekwe MU; Ukoha OM; Ibe BC
[Ad] Endereço:Department of Paediatrics, College of Medicine University of Nigeria Enugu Campus, Nigeria/University of Nigeria Teaching Hospital Ituku - Ozalla, Enugu, Nigeria. chriseke2006@yahoo.com.
[Ti] Título:End--users' perception of quality of care of children attending children's outpatients clinics of University of Nigeria Teaching Hospital Ituku--Ozalla Enugu.
[So] Source:BMC Res Notes;7:800, 2014 Nov 15.
[Is] ISSN:1756-0500
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Knowledge of the specific details of end-users actual experiences with health system helps to identify areas for improvement in ways that standardized satisfaction measures are less able to provide in order to save lives, uphold public confidence and trust in healthcare delivery. The aim of the study was to assess the end-users' perception of the quality of clinical services rendered to children attending paediatric out-patient clinics of University of Nigeria Teaching Hospital, Ituku - Ozalla, Enugu. METHODS: A cross sectional descriptive study was undertaken using exit point interviewer administered pre-tested/semi-structured questionnaire.Assessment of perception of quality of care was undertaken in three service areas; waiting time, attitude of staff and comfort of the waiting hall. Data was analyzed using SPSS 16.0 and presented as percentages. Chi-square was used to compare means (p < 0.05). RESULTS: A total of 367 respondents were interviewed. Over 50% of them were generally satisfied with overall quality of care. 329 (89.6%) were very satisfied with quality of doctors' services, while the least satisfaction was with the quality of medical records services 139 (37.9%). Majority of the respondents 197 (53.7%) spent between 3-6 hours for each clinic visit and most of the waiting time spent was in the medical records and consultation. CONCLUSION: The care--givers perception of the general quality of care was adjudged high. However, overall waiting time was perceived to be unsatisfactory.Efforts should be made to reduce the time spent by clients while accessing care in the facility.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Comportamento do Consumidor
Hospitais de Ensino
Avaliação de Processos e Resultados (Cuidados de Saúde)/normas
Ambulatório Hospitalar
Pais/psicologia
Percepção
Indicadores de Qualidade em Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Adulto
Idoso
Agendamento de Consultas
Atitude do Pessoal de Saúde
Estudos Transversais
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Entrevistas como Assunto
Masculino
Serviço Hospitalar de Registros Médicos
Meia-Idade
Nigéria
Relações Médico-Paciente
Melhoria de Qualidade
Encaminhamento e Consulta
Inquéritos e Questionários
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1506
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141117
[St] Status:MEDLINE
[do] DOI:10.1186/1756-0500-7-800


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[PMID]:25055424
[Au] Autor:Barthélemy M; Guérin P
[Ti] Título:[Medical and hospital archives, a legacy to value. Practice of the archiving unit of Paris' Assistance Public-hospitals].
[Ti] Título:Les archives hospitalères et médicales, un patrimoine a valoriser. L'expérience du service des Archives de l'Assistance Publique-Hôpitaux de Paris..
[So] Source:Rev Soc Fr Hist Hop;(150):15-20, 2014 Mar.
[Is] ISSN:1255-250X
[Cp] País de publicação:France
[La] Idioma:fre
[Mh] Termos MeSH primário: Arquivos/história
Sistemas de Informação Hospitalar
Hospitais Públicos
[Mh] Termos MeSH secundário: Confidencialidade
Gestão da Informação em Saúde/história
Gestão da Informação em Saúde/normas
História do Século XIX
Sistemas de Informação Hospitalar/história
Sistemas de Informação Hospitalar/organização & administração
Sistemas de Informação Hospitalar/normas
Unidades Hospitalares/história
Unidades Hospitalares/organização & administração
Hospitais Públicos/história
Hospitais Públicos/organização & administração
Seres Humanos
Serviço Hospitalar de Registros Médicos/história
Serviço Hospitalar de Registros Médicos/organização & administração
Serviço Hospitalar de Registros Médicos/normas
Paris
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1409
[Cu] Atualização por classe:140724
[Lr] Data última revisão:
140724
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:140725
[St] Status:MEDLINE


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[PMID]:24248003
[Au] Autor:Abdekhoda M; Ahmadi M; Dehnad A; Hosseini AF
[Ti] Título:Information technology acceptance in health information management.
[So] Source:Methods Inf Med;53(1):14-20, 2014.
[Is] ISSN:2511-705X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: User acceptance of information technology has been a significant area of research for more than two decades in the field of information technology. This study assessed the acceptance of information technology in the context of Health Information Management (HIM) by utilizing Technology Acceptance Model (TAM) which was modified and applied to assess user acceptance of health information technology as well as viability of TAM as a research construct in the context of HIM. METHODS: This was a descriptive- analytical study in which a sample of 187 personnel from a population of 363 personnel, working in medical records departments of hospitals affiliated to Tehran University of Medical Sciences, was selected. Users' perception of applying information technology was studied by a researcher-developed questionnaire. Collected data were analyzed by SPSS software (version16) using descriptive statistics and regression analysis. RESULTS: The results suggest that TAM is a useful construct to assess user acceptance of information technology in the context of HIM. The findings also evidenced the perceived ease of use (PEOU) and perceived usefulness (PE) were positively associated with favorable users' attitudes towards HIM. PU was relatively more associated (r= 0.22, p = 0.05) than PEOU (r = 0.014, p = 0.05) with favorable user attitudes towards HIM. CONCLUSIONS: Users' perception of usefulness and ease of use are important determinants providing the incentive for users to accept information technologies when the application of a successful HIM system is attempted. The findings of the present study suggest that user acceptance is a key element and should subsequently be the major concern of health organizations and health policy makers.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Atitude Frente aos Computadores
Registros Eletrônicos de Saúde
Gestão da Informação em Saúde
Informática Médica
[Mh] Termos MeSH secundário: Hospitais Universitários
Irã (Geográfico)
Serviço Hospitalar de Registros Médicos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131120
[St] Status:MEDLINE
[do] DOI:10.3414/ME13-01-0079


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[PMID]:23678841
[Au] Autor:Isfahani SS; Bahrami S; Torki S
[Ad] Endereço:Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan University, Isfahan, Iran.
[Ti] Título:Job characteristic perception and intrinsic motivation in medical record department staff.
[So] Source:Med Arch;67(1):51-5, 2013.
[Is] ISSN:0350-199X
[Cp] País de publicação:Bosnia and Herzegovina
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Human resources are key factors in service organizations like hospitals. Therefore, motivating human recourses to achieve the objectives of an organization is important. Job enrichment is a strategy used to increase job motivation in staffs. The goal of the current study is to determine the relationship between job characteristics and intrinsic motivation in medical record staff in hospitals related to Medical Science University in Isfahan in 2011-2012 academic year. METHOD: The type of the study is descriptive and corelational of multi variables. The population of the study includes all the medical record staffs of medical record department working in Medical Science hospitals of Isfahan. One hundred twentyseven subjects were selected by conducting a census. In the present study, data collected by using two questionnaires of job characteristics devised by Hackman and Oldeham, and of intrinsic motivation. Content validity was confirmed by experts and its reliability was calculated through coefficient of Cronbach's alpha (r1 = 0.84- r2 = 0.94). The questionnaires completed were entered into SPSS(18) software; furthermore, statistical analysis done descriptively (frequency percent, mean, standard deviation, Pierson correlation coefficient,...) and inferentially (multiple regression, MANOVA, LSD). FINDINGS: A significant relationship between job characteristics as well as its elements (skill variety, task identity, task significance, autonomy and feedback) and intrinsic motivation was noticed. (p < or = 0.05). Also the results of multivariable regression showed that the relationship between job characteristic and intrinsic motivation was significant and job feedback had the most impact upon the intrinsic motivation. No significant difference was noticed among the mean amounts of job characteristic perception according to age, gender, level of education, and the kind of educational degree in hospitals. However, there was a significant difference among the mean amounts of job characteristic perception according to the unit of service and the years of servicein hospitals. CONCLUSION: The findings show that all job characteristics had positive effect upon intrinsic motivations and job feedback had the most effect on intrinsic motivation. Hence, it is necessary to take into account that job characteristics have a great role in changing the level of intrinsic motivation in the staffs.
[Mh] Termos MeSH primário: Satisfação no Emprego
Serviço Hospitalar de Registros Médicos
Motivação
[Mh] Termos MeSH secundário: Adulto
Atitude
Feminino
Hospitais Universitários
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1310
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130518
[St] Status:MEDLINE


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[PMID]:23593915
[Au] Autor:Trueland J
[Ti] Título:Outsourcing: case studies. World class post.
[So] Source:Health Serv J;123(6341):S8-9, 2013 Feb 28.
[Is] ISSN:0952-2271
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço Hospitalar de Registros Médicos/organização & administração
Estudos de Casos Organizacionais
Serviços Terceirizados
[Mh] Termos MeSH secundário: Eficiência Organizacional
Inglaterra
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1307
[Cu] Atualização por classe:130418
[Lr] Data última revisão:
130418
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:130419
[St] Status:MEDLINE


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[PMID]:23593913
[Au] Autor:Austin S
[Ti] Título:Good partnerships.
[So] Source:Health Serv J;123(6341):S6, 2013 Feb 28.
[Is] ISSN:0952-2271
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Registros Médicos
Serviços Terceirizados
[Mh] Termos MeSH secundário: Eficiência Organizacional
Inglaterra
Hospitais Públicos
Serviço Hospitalar de Registros Médicos/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1307
[Cu] Atualização por classe:130418
[Lr] Data última revisão:
130418
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:130419
[St] Status:MEDLINE



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