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PURPOSE Rates of serious medication errors in three pediatric inpatient units (intensive care, general medical, and general surgical) were measured before and after introduction of unit-based clinical pharmacists. METHODS Error rates on the study units and similar patient care units in the same hospital that served as controls were determined during six-(More)
OBJECTIVE This study presents data on the use of complementary and alternative therapies to treat anxiety and depression in the United States. METHOD The data came from a nationally representative survey of 2,055 respondents (1997-1998) that obtained information on the use of 24 complementary and alternative therapies for the treatment of specific chronic(More)
CONTEXT Health values (utilities or preferences for health states) are often incorporated into clinical decisions and health care policy when issues of quality vs length of life arise, but little is known about health values of the very old. OBJECTIVE To assess health values of older hospitalized patients, compare their values with those of their(More)
To investigate whether time-tradeoff utilities of survivors of myocardial infarction change over time and whether changes in utilities correlate with changes in functional status, the authors conducted serial interviews using a time tradeoff and three measures of functional status in a cohort of 67 patients who had recently had myocardial infarction. The(More)
To characterize determinants of 4-, 12-, and 24-month urinary control after robot-assisted laparoscopic prostatectomy (RALP). Adjusted comparative study using prospectively collected, patient self-reported urinary control for 602 consecutive RALPs. Urinary control defined as: (1) EPIC urinary function (UF) scored from 0 to 100 and (2) continence (zero pads(More)
OBJECTIVE To examine the use of physical therapy and occupational therapy among Medicare beneficiaries nationwide before and after the 1997 Balanced Budget Act, which introduced prospective payment for rehabilitation services. DESIGN We analyzed responses from the longitudinal Medicare Current Beneficiary Survey, merged with Medicare claims, to track(More)
CONTEXT Iatrogenic injuries are very common in critically ill adults. However, the financial implications of these events are incompletely understood. OBJECTIVE To determine the costs of adverse events in patients in the medical intensive care unit and in the cardiac intensive care unit. DESIGN, SETTING, AND PATIENTS We performed a matched case-control(More)
OBJECTIVE To examine the impact on patient care of a New York State regulation that restricted house staff working hours. DESIGN Retrospective cohort study. SETTING General medical service of an urban teaching hospital. PATIENTS A total of 263 (94%) of 281 patients discharged from the study service during October 1988 and 263 (93%) of 283 patients(More)
OBJECTIVES This study sought to assess the cost-effectiveness of captopril therapy for survivors of myocardial infarction. BACKGROUND The recent randomized, controlled Survival and Ventricular Enlargement (SAVE) trial showed that captopril therapy improves survival in survivors of myocardial infarction with an ejection fraction < or = 40%. The present(More)
BACKGROUND The Boston Racial and Ethnic Approaches to Community Health (REACH) 2010 Breast and Cervical Cancer Coalition developed a case management intervention for women of African descent to identify and reduce medical and social obstacles to breast cancer screening and following up abnormal results. METHODS We targeted black women at high risk for(More)