Health services research
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Health services research · Apr 2009
Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.
To study the impact of performance obstacles on intensive care nurses' workload, quality and safety of care, and quality of working life (QWL). Performance obstacles are factors that hinder nurses' capacity to perform their job and that are closely associated with their immediate work system. ⋯ Performance obstacles in ICUs are a major determinant of nursing workload, perceived quality and safety of care, and QWL. In general, performance obstacles increase nursing workload, which in turn negatively affect perceived quality and safety of care and QWL. Redesigning the ICU work system to reduce performance obstacles may improve nurses' work.
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Health services research · Apr 2009
Comparative StudyEnhancement of identifying cancer specialists through the linkage of Medicare claims to additional sources of physician specialty.
To examine the number of cancer specialists identified in three national datasets, the effect of combining these datasets, and the use of refinement rules to classify physicians as cancer specialists. ⋯ Researchers should consider taking the additional effort and cost to refine classification by using additional data sources based on their study objectives.
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Health services research · Apr 2009
Anesthesia provider model, hospital resources, and maternal outcomes.
Determine the ability of anesthesia provider model and hospital resources to explain maternal outcome variation. ⋯ Hospitals that use only CRNAs, or a combination of CRNAs and anesthesiologists, do not have systematically poorer maternal outcomes compared with hospitals using anesthesiologist-only models.