A5023640863- Orthopedic Infections and Treatments
- Healthcare cost, quality, practices
- Healthcare Policy and Management
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Psychosocial and Emotional Development
- Attention Deficit Hyperactivity Disorder
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Orthopaedic implants and arthroplasty
- Palliative and Oncologic Care
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
- Suicide and Self-Harm Studies
- Advanced X-ray and CT Imaging
- Nonmelanoma Skin Cancer Studies
- Surgical site infection prevention
- Airway Management and Intubation Techniques
- Cutaneous Melanoma Detection and Management
- Anesthesia and Sedative Agents
- Hemodynamic Monitoring and Therapy
- Patient Dignity and Privacy
- Cancer survivorship and care
- Disaster Response and Management
- Intensive Care Unit Cognitive Disorders
Hospital Universitario Fundación Jiménez Díaz
2016-2025
Hospital Universitario Quirónsalud Madrid
2023-2024
Universidad Autónoma de Madrid
2019-2024
Abstract Ecological momentary assessment (EMA) is gaining importance in psychiatry. This article assesses the characteristics of patients who used a new electronic EMA tool: MEmind Wellness Tracker. Over one year, 13811 adult outpatients our Psychiatry Department were asked to use MEmind. We collected information about socio‐demographic data, psychiatric diagnoses, illness severity, stressful life events and suicidal thoughts/behavior. compared active users ( N = 2838) non‐active 10,973)...
Orthopedic implant-associated infections caused by multidrug-resistant Enterobacteriaceae are a growing challenge for healthcare providers due to their increasing incidence and the difficulties of medical surgical treatment.A retrospective observational study all cases multidrug resistant orthopedic infection diagnosed in tertiary European hospital from December 2011 November 2017 was carried out. Clinical records were reviewed using previously designed protocol. Data analysis performed with...
Unnecessary preoperative testing poses a risk to patient safety, causes surgical delays, and increases healthcare costs. We describe the effects of implementing fully EHR-integrated closed-loop clinical decision support system (CDSS) for placing automatic preprocedural test orders at two teaching hospitals in Madrid, Spain. Interrupted time series analysis was performed evaluate changes rates after CDSS implementation, which took place from September 2019 December 2019. included 228,671...
ABSTRACT Background Increasing demand for elective surgery makes optimizing preoperative assessment a priority. Value-based healthcare aims to provide the highest value patients at lowest possible cost through various mechanisms including reorganizing care into integrated practice units (IPUs). However, few studies have analyzed effectiveness of implementing virtually led IPUs assessment. Methods We performed retrospective observational cohort study undergoing teaching hospital in Madrid,...
Objective Reducing backlogs for elective care is a priority healthcare systems. We conducted an interrupted time series analysis demonstrating the effect of algorithm placing automatic test order sets prior to first specialist appointment on avoidable follow-up appointments and attendance rates. Design Interrupted analysis. Setting 4 academic hospitals from Madrid, Spain. Participants Patients referred primary attending 10 033 470 outpatient 16 clinical specialties during 6-year period (1...
Objective: A substantial number of children and adolescents with ADHD show severe affective behavioral dysregulation. dysregulation profile (DP) distinguishes those participants at a higher risk comorbidity, dysfunction, poorer response to treatment. It was identified as high scoring in certain subscales the Strengths Difficulties Questionnaire (SDQ-DP). We developed cross-sectional study assess clinical utility SDQ-DP ADHD. Method: Two hundred fifty clinic-referred were assessed. Univariate...
Despite the implications of trochanteric and subtrochanteric intramedullary (IM) nail infection for patients with hip fracture, little is known about risk factors therapeutic failure mortality in this population. We performed a retrospective observational analysis including diagnosed IM at Spanish academic hospital during 10-year period, minimum follow-up 22 months. Of 4044 implants, we identified 35 cases study period (0.87%), 17 which were chronic infections. Patients (n = 10) presented...
Controversy surrounds the current debate regarding effects of outsourcing health services, as recent studies claim that increased leads to reduced costs at expense worse patient outcomes. The goal value-based model is enable healthcare systems create more value for patients, and evidence points improvements in public outcomes, experience, expenditure incorporating components healthcare. Some emerging indicates promising results outsourced hospitals which follow a delivery. Although...
Introduction Understanding patient and caregiver experience is key to providing person-centered care. The palliative care approach includes holistic assessment whole-person at the end of life, that also involves patient's family loved ones. aim this study was describe way caregivers experienced patients' deaths during their ones' last hospital admission, comparing inpatient (PCU) non-palliative (Non-PCU) units.
Non-suicidal self-injury (NSSI) behaviors are self-injurious inflicted without intending death. Literature has shown the relationship between stressful life events (SLE) and NSSI behaviors. The Strengths Difficulties Questionnaire-Dysregulation Profile (SDQ-DP) is defined as an index of self-regulatory problems, related to higher risk for suicidal ideation attempts in adolescents. In this study SDQ-DP behaviors, mediated by SLE a clinical sample children adolescents analyzed. A...
Introduction: Prosthetic joint infections are an increasingly important problem among patients undergoing arthroplasty procedures, and associated with significant morbidity, reduced quality of life, substantial healthcare costs, even mortality. Arthroplasties performed increasing frequency in elderly patients, who present specific problems.Areas covered: Surgical therapy is clearly influenced by the clinical status patient, which some case can contraindicate surgery. Antibiotic selection...
Propofol is a general anesthetic used in multiple clinical scenarios. Despite growing evidence supporting its use palliative care, propofol rarely sedation. Reluctance toward the adoption of as sedative agent often associated with fear adverse events such respiratory arrest.
Background The spreading adoption of value-based models healthcare delivery has incentivized the use patient-reported outcomes and experience measures (PROMs PREMs) in clinical practice, with potential to enrich decision-making process data. Methods This perspective article explores PROs shared (SDM) as components healthcare. We describe PROMs PREMs within present a digital framework for informing using aggregated data from system program, including early results implementation hospital...