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Is it surprising that they have a longer stay or more days in the ICU?
How many community orthopedic surgeons will be willing to do a 3rd hip replacement on an otherwise highly functioning 80 year old.
Stanford and NYU Medical Center have around 20 fewer central line infections than the average hospital; Mass General, on the other hand; has nearly four times as many.Ucla is one of the leading transplant centers in the world.And so what that ucla has 4 times the rate of uncontrolled diabetes than the national average.Teaching hospitals like ucla, Stanford, Johns Hopkins, and Harvard will also do the surgery that community hospitals won't.It's too tough a case.Doctors: How do I become a great doctor?Do Harvard coders include anyone with a positive blood culture that has a central line as a line infection?Does anyone believe that Harvard doctors are more than 4 times worse than Stanford doctors?Now I don't know anything about that hospital but I doubt that they are doing heart/lung transplants or salvage bone marrow transplants in refractory acute leukemia patients.
Let's just send her to Hopkins.
They are artificially created to try to measure something that may not reflect what is being measured.Do they understand the variability in data obtained by self reporting and internal coding?But central line infections also don't have much to do with doctors.And for some reason, Johns Hopkins - supposedly a national leader in medicine, and a dream destination for thousands of med students each year - doesn't report safety data at all.".It's the nurses and nursing protocols that take care of central lines to reduce infection rates that this quality measure reflects.That makes the operation take longer, the recovery longer, and the outcome less certain.But then there's higher risks of pneumothorax, pain from the procedure, cost, and bleeding isn't there?The authors are laudatory of Scott and White Memorial Hospital in Temple, Texas for their short hospital stays.The premise of the article in the Atlantic is: "Just like colleges and medical schools, residency programs vary in terms of reputation - which naturally affects the number and caliber of the medical students who apply to get.Opening the iTunes Store."Even more surprising, patient safety also varies widely across hospitals.I'm not arguing that everyone should be having organs transplanted but trying to point out that this comparison of hospitals based on these sorts of "quality measures" help healthcare jeux geant casino epinal policy experts write reports but don't really reflect quality of care.User Rating up up up up, category, back.





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