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23 records – page 1 of 3.

Administrative hospitalization database validation of cardiac procedure codes.

https://arctichealth.org/en/permalink/ahliterature130676
Source
Med Care. 2013 Apr;51(4):e22-6
Publication Type
Article
Date
Apr-2013
Author
Douglas S Lee
Audra Stitt
Xuesong Wang
Jeffery S Yu
Yana Gurevich
Kori J Kingsbury
Peter C Austin
Jack V Tu
Author Affiliation
Institute for Clinical Evaluative Sciences, Toronto, ON, Canada M4N3M5. dlee@ices.on.ca
Source
Med Care. 2013 Apr;51(4):e22-6
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Cardiac Surgical Procedures - classification
Cardiovascular Diseases - epidemiology - surgery
Clinical Coding - standards - statistics & numerical data
Cohort Studies
Coronary Artery Bypass - classification
Coronary Care Units - organization & administration
Databases as Topic
Endovascular Procedures - classification
Forms and Records Control - standards
Hospitalization - statistics & numerical data
Humans
Medical Records Systems, Computerized - standards
Ontario - epidemiology
Registries
Reproducibility of Results
Abstract
Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries.
To examine accuracy of cardiac procedure coding in administrative databases versus a prospective clinical registry.
We examined a total of 182,018 common cardiac procedures including percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) surgery, valve surgery, and cardiac catheterization procedures during fiscal years 2005 and 2006 across 18 cardiac centers in Ontario, Canada.
Accuracy of codes in the Canadian Institute for Health Information (CIHI) administrative databases were compared with the clinical registry of the Cardiac Care Network.
Comparing 17,511 CIHI and 17,404 registry procedures for CABG surgery, the positive predictive value (PPV) of CIHI-coded CABG surgery was 97%. In 6229 CIHI-coded and 5885 registry-coded valve surgery procedures, the PPV of the administrative data source was 96%. Comparing 38,527 PCI procedures in CIHI to 38,601 in the registry, the PPV of CIHI was 94%. Among 119,751 CIHI-coded and 111,725 registry-coded cardiac catheterization procedures, the PPV of administrative data was 94%. When the procedure date window was expanded from the same day to ±1 days, the PPV was 96% (PCI) and exceeded 98% (CABG surgery), 97% (valve surgery), and 95% (cardiac catheterization).
Using a clinical registry as the gold standard, the coding accuracy of common cardiac procedures in the CIHI administrative database was high.
PubMed ID
21979370 View in PubMed
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[A register of acute myocardial infarction in practical public health]

https://arctichealth.org/en/permalink/ahliterature55514
Source
Sov Zdravookhr. 1988;(5):50-6
Publication Type
Article
Date
1988

[Development of cardiology and specialized cardiologic services in Siberia and the Far East].

https://arctichealth.org/en/permalink/ahliterature237710
Source
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1986;9(1):15-7
Publication Type
Article
Date
1986

[Effect of improvement of pre-hospital medical services on mortality in acute myocardial infarction]

https://arctichealth.org/en/permalink/ahliterature55717
Source
Kardiologiia. 1984 Nov;24(11):100-3
Publication Type
Article
Date
Nov-1984
Author
G A Gol'dberg
Iu M Iankin
Source
Kardiologiia. 1984 Nov;24(11):100-3
Date
Nov-1984
Language
Russian
Publication Type
Article
Keywords
Adult
Coronary Care Units - organization & administration
English Abstract
First Aid
Humans
Middle Aged
Mobile Health Units - organization & administration
Myocardial Infarction - mortality - therapy
Quality of Health Care
Siberia
Abstract
One of the ways to cut down the time interval from the moment a patient with acute myocardial infarction calls for aid until the time of his hospitalization is to increase the number of cardiological teams and also to define in detail the sequence of the appropriate actions of the controller and the emergency aid physician. As a result of the earlier arrival of specialized cardiologic teams at the place of the call, there has been a change in the structure of complications that such teams encounter; for example, cases of clinical death have occurred more frequently in the presence of the team. Subsequently, the number of cases of effective resuscitation rose from 5 in 1979 to 13 in 1982. The gradual reduction over four years of the duration of the prehospital stage in acute myocardial infarction has led to a decrease in both prehospital and hospital mortality. Interestingly, the prehospital mortality rate lowered gradually whereas the hospital mortality reduced significantly during the first year after which its parameters stabilized.
PubMed ID
6521192 View in PubMed
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Evaluation of a patient care delivery model: patient outcomes in acute cardiac care.

https://arctichealth.org/en/permalink/ahliterature147137
Source
J Nurs Scholarsh. 2009;41(4):399-410
Publication Type
Article
Date
2009
Author
Raquel M Meyer
Sping Wang
Xiaoqiang Li
Donna Thomson
Linda O'Brien-Pallas
Author Affiliation
Nursing Health Services Research Unit, Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. raquel.meyer@utoronto.ca
Source
J Nurs Scholarsh. 2009;41(4):399-410
Date
2009
Language
English
Publication Type
Article
Keywords
Adult
Aged
Coronary Care Units - organization & administration
Cross-Sectional Studies
Factor Analysis, Statistical
Female
Health Facility Environment - organization & administration
Health services needs and demand
Humans
Linear Models
Longitudinal Studies
Male
Middle Aged
Models, Nursing
New Brunswick
Nonlinear Dynamics
Nursing Evaluation Research
Nursing Staff, Hospital - organization & administration
Ontario
Outcome Assessment (Health Care) - organization & administration
Personnel Staffing and Scheduling - organization & administration
Prospective Studies
Systems Theory
Workload - statistics & numerical data
Abstract
To evaluate the influence of nurse staffing and work environment variables on patient outcomes by testing a conceptual model.
A prospective, correlational design with cross-sectional and longitudinal components was conducted in Canadian cardiac and cardiovascular care inpatient units.
Data were collected from multiple sources. Hierarchical linear modeling was used to examine relationships among variables.
The findings indicate that patient outcomes are influenced not only by patient and nurse characteristics, but also by organizational staffing practices. Organizations that manage the complexity of work conditions and target staffing utilization levels between 80% and 88% at the unit level can optimize patient outcomes.
Empirical validation of the model provides evidence to inform management decisions about hospital nurse staffing.
PubMed ID
19941586 View in PubMed
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23 records – page 1 of 3.