It's great fun, and its packed with amazing performances especially from the multi-talented and beautiful Julie Andrews.
10.1016/j.annemergmed.2012.06.I was a big fan of this movie when I was 6, loved it, visually it is fantastic and the music is just too beautiful. Hospital administrators' views on barriers and opportunities to delivering palliative care in the emergency department. Grudzen CR, Richardson LD, Major-Monfried H, et al. Half of older Americans seen in emergency department in last month of life most admitted to hospital, and many die there. Emergency Department-Initiated Palliative Care in Advanced Cancer: A Randomized Clinical Trial. Grudzen CR, Richardson LD, Johnson PN, et al. Effects of initiating palliative care consultation in the emergency department on inpatient length of stay. Is survival better at hospitals with higher "end-of-life" treatment intensity? Med Care 2010 48:125–32. Published by BMJ.īarnato AE, Chang CC, Farrell MH, et al. Trial results will be submitted for publication in a peer-reviewed journal.Īdult palliative care health informatics.
Oversight will also be provided by the National Institutes of Health, an Independent Monitoring Committee and a Clinical Informatics Advisory Board. Institutional Review Board approval was obtained at New York University School of Medicine to evaluate the CMS data. Analysis will also determine the site, provider and patient-level characteristics that are associated with variation in impact of PRIM-ER. Using Centers for Medicare and Medicaid Services (CMS) data, we will assess the primary outcomes in approximately 300 000 patients: ED disposition to an acute care setting, healthcare utilisation in the 6 months following the ED visit and survival following the index ED visit. The study is divided into two phases: a pilot phase, to ensure feasibility in two sites, and an implementation and evaluation phase, where we implement the intervention and test the effectiveness in 33 EDs over 2 years. The intervention includes four core components: (1) evidence-based, multidisciplinary primary palliative care education (2) simulation-based workshops (3) clinical decision support and (4) audit and feedback. This is the protocol for a pragmatic, cluster-randomised stepped wedge trial to test the effectiveness of PRIM-ER in 35 EDs across the USA.
This study aims to implement and evaluate Primary Palliative Care for Emergency Medicine (PRIM-ER) on ED disposition, healthcare utilisation and survival in older adults with serious illness. Palliative care interventions in the ED capture high-risk patients at a time of crisis and can dramatically improve patient-centred outcomes. Bejamin Abella, Gallane Abraham, Terri Arlitsch Cridge, Robert Asselta, Brittany Ballaraon, Aveh Bastani, Danielle Bastien, Andrew Black, Shannon Bledsoe, Deidre Bolden, David Bolden, Tracy Bollman, Abby Bonato, Marie-Carmelle Elie, Jeffrey Caterino, Laraine Chiu, Joshua Chodosh, Molly Christenson, Julie Cooper, Ashley Deutsch, Ahmed Elsayem, Natasha Ergorova, Karen Evelyn, M Fernanda Bellolio, Charles Feronti, Jessica Fleischer-Black, Natalie Frontera, Tim Fuller, Ellin Gafford, Michelle Gamboa, Maureen Gang, Shelby Garduno, Michael Gartner, Rebecca Goett, Emily Grange, Corita Grudzen, Roshni Guerry, Jennifer Harris, Daniel Herbert Cohen, Christopher Hirtz, Judith Hochman, Leora Horwitz, Eric Isaacs, Mindi Johnson, Deb Johnson, Karen Jubanyik, Anne Kim, Gail Knight, Regina Kulacz, Sangeeta Lamba, Michelle Lin, Heather Linsata, Meghan Liroff, Elizabeth Long, Caitlin Loprinzi-Brauer, Anne Navarro, Troy Madsen, Kaysea Mclay, Joseph Miller, Catharin Morello, John O'Neill, Ronny Otero, Kei Ouchi, Lynne Richardson, Christopher Richardson, Todd Rowe, Elizabeth Schoenfeld, Melissa Shaw, Donna Shelley, Ashley Shreves, Jennifer Siller, Elizabeth Singer, Lauren Southerland, Laura Steucher, Robert Swor, Kelly Szabo, Andrea Torre, Karen Toulson, Andrea Troxel, Rachel Urosek, Julie Uspal, Tiny Varghese, Arvind Venkat, Travis Wood, Erin ZimnyĮmergency departments (ED) care for society's most vulnerable older adults who present with exacerbations of chronic disease at the end of life, yet the clinical paradigm focuses on treatment of acute pathologies.
0 kommentar(er)
