Hospital Mortality and the Quality Term Paper

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Such additions would increase the validity of the study by widening its scope, even if the focus remains quantitative and retrospective.

Measurement

Measurement occurred via a number of stud variables, including ED initial complaints, admission diagnosis, primary discharge diagnoses, weekend admissions, weekday admissions, gender, race, age, and other variables. These are supplemented by ICU variables such as wait time until the results of tests, admission and discharge. Hospital mortality was also used as a measurement factor. The measurements appear to be consistent with the objective of the study, to relate specific elements of ED care with mortality rates.

Data Collection and Analysis

Data included targeted information such as arrival in emergency department, registration time, medication, intervention results, as well as specific patient data. Data were analyzed by a variety of methods, including descriptive statistics and logistic regression analysis. Statistical methods include scatter plots, box plots, cross tabs, and regression. These methods of collection and analysis are thorough and consistent with the study objective. A larger population base may have resulted in greater analysis validity. The collection and analysis methods themselves are however consistent with research criteria.

Conclusions

The conclusions are drawn according to the measurement criteria. While the results show that race was not a significant factor in mortality rates, weekend and weekday admissions were. According to the study results, weekend admissions entailed significantly higher mortality rates than weekday admissions.

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Other factors included age, with which the likelihood of mortality increased. This likelihood decreased for walk-in patients as opposed to those arriving by ambulance. Mortality also increased for patients for whom more time elapsed after an ICU admission order and for those with mainly respiratory problems. Another problem related to care is hospital staffing differences between weekends and weekdays. Weekend staff for example tends to be less experienced and numerous than those on weekdays. This is a significant factor in the higher mortality rates over weekends.

The study mostly adheres to research criteria. The data interpretation methods are thorough and statistically valid, while the results compare well with the initial study objective. The results show that a problem does exist to prove the hypothesis that several factors influence the mortality rate of ED and ICU patients. The only significant limitation is the population size and variety. However, the study does provide a valuable basis for future investigations of this kind. Quality emergency service is one of the most important issues today, and would benefit greatly from more in-depth….....

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