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[PMID]:26868333
[Au] Autor:Cervo S; De Paoli P; Mestroni E; Perin T; Escoffier L; Canzonieri V; Steffan A
[Ad] Endereço:CRO Biobank, CRO Aviano National Cancer Institute, Aviano (Pordenone) - Italy.
[Ti] Título:Drafting biological material transfer agreement: a ready-to-sign model for biobanks and biorepositories.
[So] Source:Int J Biol Markers;31(2):e211-7, 2016 May 28.
[Is] ISSN:1724-6008
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Due to the scarcity of publications, guidelines, and harmonization among national regulations, biobanks and institutions face practical and theoretical issues when drafting a material transfer agreement (MTA), the fundamental tool to regulate the successful exchange of biosamples and information. Frequently researchers do not execute MTAs because of a general lack of knowledge about this topic. It is thus critical to develop new models to prevent loss of traceability and opportunities both for researchers and biobanks, their exposure to various risks, and delays in transferring biomaterials. METHODS: Through the involvement of institutional groups and professionals with multidisciplinary expertise, we have drawn up a ready-to-sign MTA for the CRO-Biobank (the biobank of the National Cancer Institute, CRO, Aviano), a standardized template that can be employed as a ready-to-use model agreement. RESULTS: The team identified the essential components to be included in the MTA, which comprise i) permissions, liability and representations; ii) custodianship and distribution limitations; iii) appropriate use of materials, including biosafety concerns; iv) confidentiality, non-disclosure, and publications; v) intellectual property protection for both the provider and recipient. CONCLUSIONS: This paper aims to be an unabridged report (among the few works in the existing literature) providing a description of the whole process related to the formation of an MTA. Biobanks and institutions may consider adopting our ready-to-sign form as a standard model. The article discusses the most important issues tackled during the drafting of the document, thus proposing an operative approach for other institutions that face the same problems.
[Mh] Termos MeSH primário: Bancos de Espécimes Biológicos/normas
Contrato de Transferência de Pacientes
[Mh] Termos MeSH secundário: Seres Humanos
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170405
[Lr] Data última revisão:
170405
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160213
[St] Status:MEDLINE


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[PMID]:26281813
[Au] Autor:Gardner R; Choo EK; Gravenstein S; Baier RR
[Ad] Endereço:Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island; Healthcentric Advisors, Providence, Rhode Island.
[Ti] Título:"Why Is This Patient Being Sent Here?": Communication from Urgent Care to the Emergency Department.
[So] Source:J Emerg Med;50(3):416-21, 2016 Mar.
[Is] ISSN:0736-4679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite patients' increasing use of urgent care centers (UCC), little is known about how urgent care clinicians communicate with the emergency department (ED). OBJECTIVES: To assess ED clinicians' perceptions of the quality and consistency of communication when patients are referred from UCCs to EDs. METHODS: Emergency medicine department chairs distributed a brief, electronic survey to a statewide sample of ED clinicians via e-mail. The survey included multiple-choice and free-text questions focused on types of communication desired and received from UCCs, types of test results available on transfer, and suggestions for improvement. RESULTS: Of 199 ED clinicians, 102 (51.3%) responded. More than four out of five respondents "somewhat" or "strongly agreed" that each of the following would be helpful: a telephone call, the reason for referral, specific concern, a copy of the chart, and UCC contact information. However, ED clinicians reported not consistently receiving these: only a fifth (21.6%) of clinicians reported receiving the specific concern for their last 5 patients transferred from a UCC, and 34.3% recalled receiving a copy of the chart. Overall, 54.9% reported receiving laboratory test results "often or almost always," 49.0% electrocardiograms, and 44.1% imaging reports. Qualitative analysis revealed several themes: incomplete data when patients are referred; barriers to discussion between ED and urgent care clinicians; and possible solutions to improve communication. CONCLUSIONS: Our findings highlight variation in communication from UCCs to EDs, indicating a need to improve communication standards and practices. We identify several potential ways to improve this clinical information hand-off.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/organização & administração
Atitude do Pessoal de Saúde
Comunicação
Continuidade da Assistência ao Paciente/organização & administração
Serviço Hospitalar de Emergência/organização & administração
Contrato de Transferência de Pacientes/normas
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Seres Humanos
Relações Interprofissionais
Melhoria de Qualidade/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1612
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150819
[St] Status:MEDLINE


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[PMID]:25971951
[Au] Autor:Klemm HT
[Ad] Endereço:Freies Institut für medizinische Begutachtungen, Ludwigstrasse 25, 95444, Bayreuth, Deutschland, dr.klemm@fimb.de.
[Ti] Título:[Data protection, radiation protection and copyright: Problems of transferring results in assessment practice].
[Ti] Título:Datenschutz, Strahlenschutz und Urheberrecht: Probleme der Befundübermittlung in der Begutachtungspraxis..
[So] Source:Unfallchirurg;118(6):564-6, 2015 Jun.
[Is] ISSN:1433-044X
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:In Germany, the medical assessor is subject to the law on contracts for work and services ("Werksvertragsrecht"). When a medical expert assesses a subject on behalf of a third party, there is no contractual relationship between them. In the field of private insurance law and in social insurance law, the medical expert is faced with various procedural requirements. Failing to meet these legal requirements often makes the assessment difficult or even impossible. The transfer of radiographs to the medical assessor is dealt with in the German X-ray regulations ("Röntgenverordnung"). The assessor, who is without doubt an examining doctor, has the right to have the radiographs temporarily made available (§ 28 et al.). Passing on the radiographs is all the more appropriate if by doing so additional X-ray examinations can be avoided. The right of access to medical data in the social security law, apart from X-ray regulations, is regulated by German Civil Code (BGB) § 810 and German Basic Law section 1 paragraph 1 in connection with section 2 paragraph 1 ("§ 810 BGB; Art. 1 Abs. 1, Art. 2 Abs. 1 GG"). In the absence of third party interest worthy of protection, the right of access to assessment records has to be granted to the subject, who will then authorize the examining medical expert to exercise this right. In private insurance law, only the private health insurance has its regulation concerning obtaining information about treatment or the access to medical assessments. In other types of insurance the medical assessor's right of access to medical examination data and/or the basis for medical findings can only be derived from secondary obligations as part of the insurance contract or directly from general constitutional personal rights.
[Mh] Termos MeSH primário: Confidencialidade/legislação & jurisprudência
Contratos/legislação & jurisprudência
Direitos Autorais/legislação & jurisprudência
Prova Pericial/legislação & jurisprudência
Proteção Radiológica/legislação & jurisprudência
Contrato de Transferência de Pacientes/legislação & jurisprudência
[Mh] Termos MeSH secundário: Segurança Computacional/legislação & jurisprudência
Alemanha
Propriedade/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150515
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-015-0010-2


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[PMID]:25281056
[Au] Autor:Dojmi Di Delupis F; Mancini N; di Nota T; Pisanelli P
[Ad] Endereço:Inter-institutional Integrated Department, University of Florence and Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy, francescodojmi@yahoo.it.
[Ti] Título:Pre-hospital/emergency department handover in Italy.
[So] Source:Intern Emerg Med;10(1):63-72, 2015 Feb.
[Is] ISSN:1970-9366
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:In Italy, emergency department (ED) triage is a complex and delicate interface in which different emergency healthcare providers interact: physicians, nurses, and pre-hospital rescuers. There are significant differences in the communication, training, and abilities of these providers. Communication failures during the pre-hospital/hospital interface have been identified as a major preventable cause of patient harm. We previously evaluated handover in simulated scenarios, and developed specialized handover training for pre-hospital emergency rescuers. The purpose of this study is to evaluate communication during the clinical handover between pre-hospital to ED staff, using realistic scenarios. A nurse, trained through high-fidelity simulation handover scenarios, used our adapted ISBAR tool to evaluate inter-professional communication at triage. We evaluated and statistically analyzed 240 handovers performed by pre-hospital rescuers over nine observing shifts. On the whole, the data analysis highlights a lack of communication standards, a lack of formal transfer of responsibility of patient care, and a marked inconsistency in information communicated by every professional group examined. Only those rescuers who were previously trained in handover performed 100% of the ISBAR tool items. The information most often communicated was the reason for the call, (85%) and the information least often communicated was the complete ABCDE patient survey (1%). Currently, ED personnel receive poor verbal information from pre-hospital providers. The general habit of pre-hospital providers is to give different written reports to the triage nurses without a true shared transfer of responsibility. This lack of standardization in communication presumably has an adverse impact upon patient care.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/métodos
Transferência da Responsabilidade pelo Paciente
Contrato de Transferência de Pacientes
Triagem/métodos
[Mh] Termos MeSH secundário: Continuidade da Assistência ao Paciente/normas
Continuidade da Assistência ao Paciente/estatística & dados numéricos
Serviços Médicos de Emergência/estatística & dados numéricos
Serviço Hospitalar de Emergência/organização & administração
Serviço Hospitalar de Emergência/estatística & dados numéricos
Seres Humanos
Relações Interprofissionais
Itália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141005
[St] Status:MEDLINE
[do] DOI:10.1007/s11739-014-1136-x


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[PMID]:24965440
[Au] Autor:Chalmers D; Nicol D; Nicolás P; Zeps N
[Ad] Endereço:Centre for Law and Genetics, Law Faculty, University of Tasmania, Private Bag 89, Hobart, Tas, 7001, Australia.
[Ti] Título:A role for research ethics committees in exchanges of human biospecimens through material transfer agreements.
[So] Source:J Bioeth Inq;11(3):301-6, 2014 Sep.
[Is] ISSN:1176-7529
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:International transfers of human biological material (biospecimens) and data are increasing, and commentators are starting to raise concerns about how donor wishes are protected in such circumstances. These exchanges are generally made under contractual material transfer agreements (MTAs). This paper asks what role, if any, should research ethics committees (RECs) play in ensuring legal and ethical conduct in such exchanges. It is recommended that RECs should play a more active role in the future development of best practice MTAs involving exchange of biospecimens and data and in monitoring compliance.
[Mh] Termos MeSH primário: Pesquisa Biomédica/ética
Comitês de Ética em Pesquisa
Contrato de Transferência de Pacientes
[Mh] Termos MeSH secundário: Ética em Pesquisa
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1510
[Cu] Atualização por classe:140822
[Lr] Data última revisão:
140822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140627
[St] Status:MEDLINE
[do] DOI:10.1007/s11673-014-9552-1


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[PMID]:23747990
[Au] Autor:Kiraç FS
[Ad] Endereço:Pamukkale Üniversitesi Tip Fakültesi, Nükleer Tip Anabilim Dali, Denizli-Türkiye. fskirac@yahoo.com
[Ti] Título:[The meaning and significance of copyright transfer form].
[Ti] Título:Yayin hakki devir formunun anlami ve önemi..
[So] Source:Anadolu Kardiyol Derg;13(4):388-9, 2013 Jun.
[Is] ISSN:1308-0032
[Cp] País de publicação:Turkey
[La] Idioma:tur
[Mh] Termos MeSH primário: Cardiologia
Direitos Autorais/ética
Publicações Periódicas como Assunto
Contrato de Transferência de Pacientes
[Mh] Termos MeSH secundário: Direitos Autorais/legislação & jurisprudência
Seres Humanos
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:130610
[Lr] Data última revisão:
130610
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130611
[St] Status:MEDLINE
[do] DOI:10.5152/akd.2013.169


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[PMID]:23279227
[Au] Autor:Josseaume J; Verner L; Brady WJ; Duchateau FX
[Ad] Endereço:Medical Department, Mondial Assistance France, Paris, France.
[Ti] Título:Multidrug-resistant bacteria among patients treated in foreign hospitals: management considerations during medical repatriation.
[So] Source:J Travel Med;20(1):22-8, 2013 Jan-Feb.
[Is] ISSN:1708-8305
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The repatriation of patients from foreign hospitals can foster the emergence and spread of multidrug-resistant bacteria (MRB). We aimed to evaluate the incidence of MRB in patients treated in foreign hospitals and repatriated by international inter-hospital air transport in order to better manage these patients and adjust our procedures. METHODS: The records from all consecutive aeromedical evacuations and overseas repatriations carried out by Mondial Assistance France between December 2010 and November 2011 were reviewed for this study. Only inter-hospital transfers with inpatient destination of an acute care unit were considered. Patients were allocated to one of two groups: those identified as MRB carriers at their arrival in France and those who were not identified as such (either negative for MRB or not tested). Data were compared between the two groups. RESULTS: Analysis was performed on 223 patients: 16 patients (7%) were identified as MRB carriers. Compared with confirmed non-MRB patients, MRB carriers came more frequently from a high-risk unit (88% vs 59%, p = 0.05) and had a longer foreign hospital stay [13 (3-20) vs 8 (6-14) d, p = 0.01]. CONCLUSIONS: The occurrence of MRB among patients repatriated from foreign hospitals is noted in a significant minority of such individuals transferred back to their home country. The typical MRB patient was admitted to a high-risk unit in a foreign hospital prior to repatriation with longer foreign hospital admissions. The prospective identification of these patients prior to transport is difficult. While these factors are associated with MRB presence, their absence does not rule out highly resistant bacterial colonization. A systematic review of this important medical issue is warranted with the development of guidelines.
[Mh] Termos MeSH primário: Bactérias
Infecção Hospitalar
Resistência a Múltiplos Medicamentos
Hospitalização/estatística & dados numéricos
Internacionalidade
Transferência de Pacientes
[Mh] Termos MeSH secundário: Adulto
Idoso de 80 Anos ou mais
Antibacterianos
Bactérias/efeitos dos fármacos
Bactérias/patogenicidade
Criança
Procedimentos Clínicos/normas
Infecção Hospitalar/epidemiologia
Infecção Hospitalar/microbiologia
Infecção Hospitalar/terapia
Infecção Hospitalar/transmissão
Feminino
França/epidemiologia
Seres Humanos
Incidência
Controle de Infecções/métodos
Unidades de Terapia Intensiva/estatística & dados numéricos
Tempo de Internação
Masculino
Transferência de Pacientes/métodos
Transferência de Pacientes/normas
Transferência de Pacientes/estatística & dados numéricos
Estudos Retrospectivos
Fatores de Risco
Contrato de Transferência de Pacientes/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1306
[Cu] Atualização por classe:130102
[Lr] Data última revisão:
130102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130103
[St] Status:MEDLINE
[do] DOI:10.1111/j.1708-8305.2012.00668.x


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[PMID]:22988699
[Au] Autor:Heppner F
[Ti] Título:The gift that keeps on costing: a real-life story of a dentist's kind gesture gone sour.
[So] Source:HDA Now;:28-30, 2012.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Instituições Associadas de Saúde/legislação & jurisprudência
Administração da Prática Odontológica/legislação & jurisprudência
Contrato de Transferência de Pacientes/legislação & jurisprudência
[Mh] Termos MeSH secundário: Falência/legislação & jurisprudência
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1210
[Cu] Atualização por classe:161021
[Lr] Data última revisão:
161021
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:120920
[St] Status:MEDLINE


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[PMID]:22374801
[Au] Autor:Kroner DG
[Ad] Endereço:Department of Criminology and Criminal Justice, Faner Hall - Mail Code 4504, Southern Illinois University Carbondale, Carbondale, IL 62901­4328, USA. dkroner@siu.edu
[Ti] Título:Service user involvement in risk assessment and management: the Transition Inventory.
[So] Source:Crim Behav Ment Health;22(2):136-47, 2012 Apr.
[Is] ISSN:1471-2857
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Drawing on self-prediction theory and the positive benefits of increasing health service user participation in risk assessments, the Transition Inventory (TI) was developed. It is an aid to the assessment of areas that people anticipate will be of difficulty in the next stage of transition, for example from open hospital to the community. AIMS: The aim of this paper is to determine reliability and convergent/discriminant validity data for the TI and its subscales, including behavioral impulsivity, social pressure, substance misuse, financial/employment, leisure, negative affect, interpersonal and family concerns and social alienation. METHODS: Eighty-eight male offenders coming towards the end of a period of imprisonment were asked to complete the TI. Their results were compared with the staff-rated Measures of Criminal Attitudes and Associates (MCAA) scale, alcohol blame and causation of crime items. Comparisons with the MCAA's antisocial intent scale, which is a future-orientated scale, and the associates scale allowed for convergent/discriminant validity to be examined with TI scales. With a community offender sample, TI results were used to predict researcher ratings. RESULTS: The TI scales demonstrated adequate internal consistency. Overall, the MCAA's antisocial intent scale had higher correlations with the TI than with a nonfuture-orientated scale. TI scales also demonstrated convergent validity with other measures and preliminary predictive validity with researcher ratings. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The TI provides a way to increase service user involvement in the assessments that determine when and how they transfer to settings where they will have more independence.
[Mh] Termos MeSH primário: Transtorno da Personalidade Antissocial/reabilitação
Crime/psicologia
Inventário de Personalidade/estatística & dados numéricos
Prisioneiros/legislação & jurisprudência
Prisioneiros/psicologia
Medição de Risco/legislação & jurisprudência
Medição de Risco/estatística & dados numéricos
Autoimagem
Contrato de Transferência de Pacientes/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Antissocial/psicologia
Canadá
Comorbidade
Seres Humanos
Estilo de Vida
Masculino
Meia-Idade
Planejamento de Assistência ao Paciente
Psicometria/estatística & dados numéricos
Reprodutibilidade dos Testes
Distribuição Espacial da População
Facilitação Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1211
[Cu] Atualização por classe:120320
[Lr] Data última revisão:
120320
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120301
[St] Status:MEDLINE
[do] DOI:10.1002/cbm.1825


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[PMID]:21450234
[Au] Autor:Platts-Mills TF; Biese K; LaMantia M; Zamora Z; Patel LN; McCall B; Egbulefu F; Busby-Whitehead J; Cairns CB; Kizer JS
[Ad] Endereço:Department of Emergency Medicine, University of North Carolina, Chapel Hill, NC 27599-7594, USA. tplattsm@med.unc.edu
[Ti] Título:Nursing home revenue source and information availability during the emergency department evaluation of nursing home residents.
[So] Source:J Am Med Dir Assoc;13(4):332-6, 2012 May.
[Is] ISSN:1538-9375
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. DESIGN: Cross-sectional observational study. SETTING: Single academic ED. PARTICIPANTS: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. MEASUREMENTS: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. RESULTS: Questionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P < .001) and less frequently white (62% versus 97%, P < .001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P < .001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P < .05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. CONCLUSION: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/economia
Medicaid/economia
Transferência de Pacientes
Instituições de Cuidados Especializados de Enfermagem/estatística & dados numéricos
Contrato de Transferência de Pacientes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Serviço Hospitalar de Emergência/estatística & dados numéricos
Feminino
Custos de Cuidados de Saúde
Seres Humanos
Modelos Lineares
Masculino
Análise Multivariada
Determinação de Necessidades de Cuidados de Saúde
Admissão do Paciente/economia
Admissão do Paciente/estatística & dados numéricos
Instituições de Cuidados Especializados de Enfermagem/economia
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1209
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:110401
[St] Status:MEDLINE
[do] DOI:10.1016/j.jamda.2010.12.009



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