Temporal Series Analysis on Avoidable Mortality for the Assessment of an Intervention Program in a Hospital
Journal Title: Hospital Practices and Research - Year 2017, Vol 2, Issue 1
Abstract
Background: Avoidable mortality (AM) is one of the most important health indicators (HI) and represents the quality of care in a hospital. Objective: This study measured the efficacy of a training program for a hospital healthcare staff to reduce AM. Methods: This epidemiological study on community intervention analyzed time-series data on HI by semesters from 2008 to 2015. The pre-intervention phase was examined from January 2008 to December 2014; the intervention phase was investigated in the first semester of 2015; and the post-intervention phase was examined in the second semester of 2015. Results: Resindicate a series with a rising tendency until the 14th semester and a pronounced descent in the 16th semester. The relative variation rate (RVR) was -20% to +20% with some exceptions. HI was 0.53% in the 16th semester rather than the expected 0.70% observed in the pre-intervention phase; therefore, 0.17% additional deaths were avoided because of the training seminar. Conclusion: The positive results suggest that this strategy is an important element in decreasing avoidable deaths in hospitals.
Prevalence of Dissociative Experiences in Those Referred to Emergency Psychiatric Centers After Attempting Suicide
Background: Dissociation is a symptom that can be related to traumatic childhood events. Dissociation in some cases is categorized in a distinct subgroup from other psychiatric disorders. Objective: The purpose of this s...
Unintended Consequences of Hospital Payment: The Case of Swiss Diagnosis Related Groups
Background: In 2012, Switzerland changed from retrospective to prospective hospital payment based on diagnosis related groups (DRGs), following the example of the United States, Australia, and Germany. As in these countr...
The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran
Background: Open heart surgery is a prevalent therapeutic intervention for cardiovascular diseases. Significant adverse effects occur after heart surgery, one of which is patient readmission to the hospital. Objective: T...
Whether Hospital Accreditation Has Led to Improvement of Care Quality in Iran or not?
The most important mission of hospitals is to provide appropriate and high quality care for patients. Different methods and models have been used to assess the quality of care. One conventional model used recently in man...
Endophthalmitis in the Tertiary Referral Center in Iran; Etiology and Causative Organisms
Background: Endophthalmitis is a severe and sight-threatening complication of ocular surgery or ocular trauma. The identification of common types and causative organisms is essential for prevention and management. Object...