Download or read book Developing Valid Injury Outcome Indicators written by Colin Cryer and published by . This book was released on 2004-01-01 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Serious Injury Outcome Indicators written by New Zealand Statistics New Zealand and published by . This book was released on 2013 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Serious Injury Outcome Indicators written by and published by . This book was released on 2011 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Serious Injury Outcome Indicators written by and published by . This book was released on 2012 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Measuring Spinal Cord Injury written by Giovanni Galeoto and published by Springer Nature. This book was released on 2021-04-07 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes validated outcome measures for the international Spinal Cord Injury population. Based on rigorous systematic reviews of ca. 80,000 scientific articles, the authors present assessment tools for various clinical uses in the health sciences, following parameters of validity, reliability, and responsiveness. It is important for the development of clinical practice and research that practical and appropriate measures become universally accepted; this would allow comparisons and meta- analysis of high-quality randomized controlled trials of people with this increasingly common injury. This book emphasizes the need for consensus among researchers as to which tools must be studied in depth or adapted to other national contexts, or which measurement instruments should be standardized in order to develop universal norms and standards for the performance of people with Spinal Cord Injury. It offers a valuable practical guide for clinicians, rehabilitation professionals and nurses, but will also help researchers to gain more confidence in using valid and reliable assessment tools for comparable clinical trials.

Download or read book Reducing the Burden of Injury written by Committee on Injury Prevention and Control and published by National Academies Press. This book was released on 1999-01-04 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

Download or read book Development and Validation of a Hospital Indicator of Resource Use Intensity for Injury Admissions written by Teegwendé Valérie Porgo and published by . This book was released on 2018 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Injuries are the 5th leading cause of hospitalization in Canada and their care cost 16 billion dollars in 2010. Studies in the United States suggest that resource use fo racute injury care may be driven by factors other than the clinical status of patients. However, the lack of tools to measure and monitor resource use intensity has hampered the development of interventions aiming to improve the efficiency of injury care. Objectives: Our goal was to develop and validate a hospital indicator of resource use intensity for injury admissions. Our objectives were to (1) review how data on costs have been used to evaluate injury care; (2) estimate patient-level resource use for injury admissions, identify determinants of resource use intensity, and evaluate inter-hospital variations in resource use; and (3) develop a hospital indicator of resource use intensity fo rinjury admissions, and evaluate its internal and temporal validity. Methods: For the first objective, we conducted a systematic review of the literature. For the second and third objectives, we conducted retrospective, multicenter cohort studies based on ≥ 16-year-olds admitted to adult trauma centers in Quebec from 2014 to 2016. We extracted data from the Quebec trauma registry and hospital financial reports and estimated resource use with activity-based costs. For the second objective, we identified determinants using a multilevel linear model and assessed their relative importance with Cohen’s f2 , and evaluated variations with intraclass correlation coefficients (ICC) and 95% confidence intervals. For the third objective, we conducted analyses by trauma center designation level (I/II and III/IV). We developed risk-adjustment models using a competing risks framework for the whole sample and for specific diagnostic groups. We assessed model internal validity with the optimism-corrected coefficient of determination (r2 ), and temporal validity with yearly r2 . We performed benchmarking by comparing the adjusted geometric mean cost of each center, obtained using shrinkage estimates, to the provincial geometric mean. Results: In our systematic review, we identified 10 eligible studies, of which nine were conducted in the United States. Hospital comparisons were adjusted according to patient case mix in only five studies (50%). In our second study (n = 32,411), activity centers associated with the greatest resource use were the regular ward (57%), followed by the operating room (23%) and the intensive care unit (13%). The strongest determinant of resource use was discharge destination (f2 = 7%). Among injury types, the highest resource use was observed for spinal cord injuries: $11,193 (7115-17,606) per admission. While resource use increased with increasing age for the regular ward, it decreased with increasing age for the operating room. Resource use was 19% higher in level I centers compared to level IV centers and we observed significant variations in resource use across centers (ICC = 5% [4-6]), particularly for the operating room (28% [20-40]). In our third study (n = 33,124), the risk-adjustment models explained between 11% and 30% (optimism-corrected r2) of the variation in resource use. Temporal validity in the whole sample was high with yearly r2 between 29% and 31% and between 16% and 17% for level I/II and III/IV centers, respectively. Median resource use in the whole sample was$5014 (Quartiles 1 and 3: 3045-8762). In the whole sample and among patients with traumatic brain, isolated orthopedic and isolated thoracoabdominal injuries, we identified centers with higher or lower than expected resource use. Conclusions: Our review highlighted the need for more data on trauma center resource use, particularly in single-payer healthcare systems. Results from our second and third studies suggest that between 70% and 90% of the variation in resource use for injury care in Quebec is dictated by factors other than the clinical status of patients on arrival. We developed an indicator to identify variations in resource use intensity within a single trauma center or system over time, or across provinces or countries. This indicator and the determinants of resource use intensity we identified can be used to establish evidence-based resource allocations and design high-impact interventions to improve the efficiency of acute injury care. Research is underway to examine the association between hospital resource use intensity and clinical outcomes for trauma patients based on the methods we developed. Future research should identify determinants of inter-hospital variations inresource use intensity and aspects of resource use that drive optimal patient outcomes.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book A Chartbook of the New Zealand Injury Prevention Strategy written by Colin Cryer and published by . This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Chartbook of the New Zealand Injury Prevention Strategy written by Colin Cryer and published by . This book was released on 2006 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Developing a Protocol for Observational Comparative Effectiveness Research A User s Guide written by Agency for Health Care Research and Quality (U.S.) and published by Government Printing Office. This book was released on 2013-02-21 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)

Download or read book A Chartbook of the New Zealand Injury Prevention Strategy written by Pauline Gulliver and published by . This book was released on 2007 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Measuring Injury Outcomes Proceedings of a National Conference written by S. Luchter (ed) and published by . This book was released on 1998 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sports Related Concussions in Youth written by National Research Council and published by National Academies Press. This book was released on 2014-02-04 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Download or read book Proceedings of the International Collaborative Effort on Injury Statistics written by and published by . This book was released on 1995 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Developing Leading Safety Indicators for the New Zealand Construction Industry written by Brian H. W. Guo and published by . This book was released on 2016 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Construction remains one of the top contributors for workplace injuries and fatalities in many countries. Due to the inability of lagging indicators (e.g., accident rates) to provide early warnings of accidents, the development of leading safety indicators has been a topic of increasing concern for both academics and practitioners in recent years. A review of existing leading indicators in the construction industry reveals that they have the following limitations: (1) ambiguous definitions, (2) problematic simplification process, and (3) a lack of development method. Therefore, the overarching goal of the research is to develop a set of descriptive safety leading indicators that can be used to (1) simplify complex safety phenomena, (2) measure safety performance, and (3) predict the trend in safety. To achieve the goal and address the limitations of existing construction leading indicators, this research first develops a pragmatic method for developing leading indicators, which consists of four steps: conceptualization, operationalization, indicators generation, and validation and revision. The development method provides a systematic process for developing leading indicators. In order to offer systemic insights into simplification process of complex safety realities, this research then explores the dynamics and complexity of construction safety management at the industry and project level. Eight construction safety archetypes are identified, which capture the common behaviour patterns of construction safety management. In addition, a system dynamics model is developed and simulated to monitor the dynamics of safety level at the project level. Furthermore, this research develops and tests an integrative model of safety behaviour using structural equation modelling (SEM). The results improve an understanding of safety behaviours shaping mechanisms and thus help to determine leading indicators with predictive validity. The validity of the integrative model is tested across small and large construction companies. Results suggest that the relationships among safety climate factors and safety behavior were equivalent across the two groups. Finally, a pressure-state-practice (PSP) model is develop to provide an overall framework for developing leading indicators. The safety level of a construction project is conceptualized as a high-level abstract construct that can be assessed by state indicators, pressure indicators, and practice indicators. Criterion validity (i.e., concurrent validity and predictive validity), practicability and cost-effectiveness of the leading indicators were qualitatively tested and supported by the empirical evidence collected from three construction projects. Overall, the research adds to the body of scientific knowledge of leading safety indicators. It improves the understanding of complexity and dynamics of safety management in the construction industry. In addition, the safety leading indicators developed in this paper provide the construction industry with a promising tool to measure safety performance proactively and facilitate safety assessment.

Download or read book Injury Research written by Guohua Li and published by Springer Science & Business Media. This book was released on 2012-01-07 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injury is recognized as a major public health issue worldwide. In most countries, injury is the leading cause of death and disability for children and young adults age 1 to 39 years. Each year in the United States, injury claims about 170,000 lives and results in over 30 million emergency room visits and 2.5 million hospitalizations. Injury is medically defined as organ/tissue damages inflicted upon oneself or by an external agent either accidentally or deliberately. Injury encompasses the undesirable consequences of a wide array of events, such as motor vehicle crashes, poisoning, burns, falls, and drowning, medical error, adverse effects of drugs, suicide and homicide. The past two decades have witnessed a remarkable growth in injury research, both in scope and in depth. To address the tremendous health burden of injury morbidity and mortality at the global level, the World Health Organization in 2000 created the Department of Injury and Violence Prevention, which has produced several influential reports on violence, traffic injury, and childhood injury. The biennial World Conference on Injury Control and Safety Promotion attracts a large international audience and has been successfully convened nine times in different countries. In the United States, the National Center for Injury Prevention and Control became an independent program of the federal Centers for Disease Prevention and Control in 1997. Since then, each state health department has created an office in charge of injury prevention activities and over a dozen universities have established injury control research centers. This volume will fill an important gap in the scientific literature by providing a comprehensive and up-to-date reference resource to researchers, practitioners, and students working on different aspects of the injury problem and in different practice settings and academic fields.