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Preventable hospitalizations through ED: does the number of hospital beds matter under the global budget in a single-payer system in Taiwan?
Front Public Health
January 2025
Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Background: Taiwan implemented global hospital budgeting with a floating-point value, which created a prisoner's dilemma. As a result, hospitals increased service volume, which caused the floating-point value to drop to less than one New Taiwan Dollar (NTD). The recent increase in the number of hospital beds and the call to enhance the floating-point value to one NTD raise concerns about the potential for increased financial burden without adding value to patient care if hospitals expand their bed capacity for volume-based competition.
View Article and Find Full Text PDFEpidemiology of Wrestling Injuries in Female Athletes at US Emergency Departments.
Cureus
December 2024
Orthopedic Surgery, OrthoNebraska, Omaha, USA.
Purpose Wrestling injuries in female athletes is an understudied topic. The aim of this study is to characterize the injuries that occur in female wrestlers aged five to 18 who presented to United States (US) emergency departments (ED) from 2014-2023 and compare patterns between youth and adolescent wrestlers. Method This was a retrospective comparative study including female patients aged five to 18 years of age presenting to the ED due to an injury related to their participation in the sport of wrestling.
View Article and Find Full Text PDFProspective Trial of a Passive Diversion Device to Reduce Blood Culture Contamination.
Open Forum Infect Dis
January 2025
Department of Medicine, UMass Chan Medical School, Worcester, Massachusetts, USA.
Background: Blood culture contaminants can lead to inappropriate antibiotic use, prolonged length of stay, and additional hospital costs. Several devices have been developed to reduce the risk of blood culture contamination by diverting a portion of the initial blood sample from the blood culture bottle. We assessed the effectiveness of 1 blood diversion device (BDD) in a prospective trial performed at the 2 separate emergency departments (EDs) of an academic medical center.
View Article and Find Full Text PDFIntegrating acute care surgery in South Korea: enhancing trauma and non-trauma emergency care.
World J Emerg Surg
January 2025
Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, South Korea.
Background: Trauma surgery is a fundamental aspect of medicine. According to the 2023 mortality report from Statistics Korea, external factors such as intentional self-harm and transportation incidents are leading causes of death among individuals aged 10 to 30, accounting for 7.9% of overall mortality.
View Article and Find Full Text PDFHow do staff work in NHS hospital operations management meetings to support resilience in everyday service delivery? A qualitative study.
BMC Health Serv Res
January 2025
SAPPHIRE Group, Population Health Sciences, Leicester University, Leicester, UK.
Background: Operations Management meetings in NHS hospitals provide an opportunity for operational and clinical staff to monitor demand and capacity and manage patient flow. These meetings play an important role in the achievement of resilient performance over time. However, little is known about the work that takes place within these meetings in the United Kingdom's National Health Service.
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