Abstract:
:The study determines the extent to which payment thresholds for reporting malpractice claims to the National Practitioner Data Bank identifies substandard health care delivery in the Department of Defense. Relevant data were available on 2,291 of 2,576 medical malpractice claims reported to the closed medical malpractice case data base of the Office of the Assistant Secretary of Defense (Health Affairs). Amount paid was analyzed as a diagnostic test using standard of care assessment from each military Surgeon General office as the criterion. Using different paid threshold amounts per claim as a positive test, the sensitivity of identifying substandard care declined from 0.69 for all paid cases to 0.41 for claims over $40,000. Specificity increased from 0.75 for all paid claims to 0.89 for claims over $40,000. Positive and negative predictive values and likelihood ratio were similar at all thresholds. Malpractice case payment was of limited value for identifying substandard medical practice. All paid claims missed about 30% of substandard care, and reported about 25% of acceptable medical practice.
journal_name
Mil Medjournal_title
Military medicineauthors
Metter EJ,Granville RL,Kussman MJsubject
Has Abstractpub_date
1997-04-01 00:00:00pages
257-61issue
4eissn
0026-4075issn
1930-613Xjournal_volume
162pub_type
杂志文章abstract:UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00432
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:To evaluate the lid and meibomian gland status of active duty forces (ADF) and U.S. veterans (USV) to compare the prevalence of lid dysfunction and disease in each population. METHODS:One examiner observed 113 consecutive patients in both groups during a 2-week period at two federal service optometry clinics. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
abstract::This study evaluated the risk to hearing health associated with duty on the flight deck of a Nimitz class aircraft carrier. Descriptive data includes time-weighted average noise exposure and an evaluation of temporary threshold shift for a group of nonaviator flight deck personnel (FD), and a comparison of accrued per...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.429
更新日期:2004-06-01 00:00:00
abstract::Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy401
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Superficial fungal foot infection is one of the most important dermatological diseases currently affecting military personnel. Many Thai naval rating cadets are found to suffer from superficial fungal foot infections and their sequels. OBJECTIVE:To investigate prevalence, potent risk factors, responding pat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx187
更新日期:2018-09-01 00:00:00
abstract::U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources. Yet little is known about their help-seeking behavior and perceived stigma and barriers to care. Participants were three groups of U.S. Army Combat Medics surveyed at 3- and 12-mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00367
更新日期:2014-08-01 00:00:00
abstract::Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00031
更新日期:2010-12-01 00:00:00
abstract::A cross-sectional postal survey was conducted to evaluate the health of a random sample of United Kingdom Armed Forces personnel who were deployed to the 1990-1991 Persian Gulf conflict compared with nondeployed controls and controls deployed to Bosnia. The health of service women was examined and compared with that o...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:INTRODUCTION:The military dietary reference intakes (MDRIs), outlined in Army Regulation 40-25, OPNAVINST 10110.1/MCO10110.49, AFI 44-141, establish standards intended to meet the nutrient requirements of Warfighters. Therefore, the purpose of this study was to comprehensively compare the revised MDRIs, published in 20...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.1093/milmed/usy153
更新日期:2019-03-01 00:00:00
abstract::Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00057
更新日期:2012-09-01 00:00:00
abstract:STUDY OBJECTIVE:Many studies have shown that community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) is a very prevalent organism. However, no data have been published to date with regard to CAMRSA prevalence in patients presenting to the emergency department (ED) of a military medical facility. Our obj...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.10.945
更新日期:2008-10-01 00:00:00
abstract:INTRODUCTION:As the healthcare system shifts from fee-for service toward value-driven healthcare, interest has grown in medication-related quality metrics to evaluate quality and value within the healthcare system. While the Defense Health Agency (DHA) has taken steps to align healthcare quality measures across the ent...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz435
更新日期:2020-06-08 00:00:00
abstract::Arteriopathy associated with human immunodeficiency virus infection and clinical acquired immunodeficiency syndrome is well-documented. The pathophysiology of this arteriopathy may vary in different vascular beds. Although arteriopathy of central nervous system (CNS) circulation has been recognized in pediatric patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.647
更新日期:2007-06-01 00:00:00
abstract::The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.2.210
更新日期:2008-02-01 00:00:00
abstract::This paper reports on data from a survey of international military mental health professionals. In a series of open-ended questions, respondents were asked to describe their country in terms of the field of military psychology, the role of mental health professionals on deployment, the degree to which the field of men...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:The current treatment options for neuropathic pain due to nerve injuries are limited and largely unsatisfactory. Mesenchymal stem cell transplantation (MSC) has shown promise as an emerging therapy for neuropathic pain. However, a number of critical parameters, including the sources of cells, the number of c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00096
更新日期:2017-03-01 00:00:00
abstract::Under operational conditions, current doctrine requires separate application of the standard military insect repellent and camouflage face paint. Working with an industrial partner, Amon Re, Inc., we developed a combined camouflage face paint and insect repellent that offers excellent protection from arthropod disease...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::The impact of a pharmacy officer on patient compliance and blood pressure control on a deployed nuclear-powered aircraft carrier for a 2-week at-sea period was evaluated. Before any counseling by a pharmacy officer, 43 crewmembers on chronic medications anonymously completed a compliance questionnaire. The pharmacy of...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::There is little research on whether the transient nature of the military family contributes to transition difficulty to parenthood or to the type of social supports utilized. Data were collected by mailed survey from a convenience sample of military and civilian mothers at 3 months after delivery. No significant diffe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::We present the case of a young woman presenting to a military field hospital in Afghanistan with a non-ST-elevation myocardial infarction (NSTEMI) associated with the diet drug sibutramine. We also provide a brief literature review on the association between sibutramine and myocardial infarction. ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-10-00011
更新日期:2010-08-01 00:00:00
abstract::Since 1997, the absence of a global, DoD public health laboratory system has been identified as a vulnerability in the U.S. military's effort to identify and quickly respond to emerging infections. The AFHSC Division of GEIS Operations has attempted to mitigate this vulnerability by supporting initiatives such as the ...
journal_title:Military medicine
pub_type: 社论
doi:10.7205/milmed-d-11-00356
更新日期:2012-03-01 00:00:00
abstract::The radiopacity of intermediate restorative materials should be sufficient to enable the clinician to distinguish the material from normal and decalcified tooth structure. The purpose of this study was to determine the relative radiopacities of intermediate restorative materials, including a newly introduced high-visc...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract::In response to an apparent clustering of homicides at Fort Carson, Colorado, the U.S. Army Public Health Command (formerly the U.S. Army Center for Health Promotion and Preventive Medicine) Behavioral and Social Health Outcomes Program conducted a multidisciplinary epidemiologic consultation to identify factors contri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00344
更新日期:2012-04-01 00:00:00
abstract::Wide use of a succession of different manufactured antimicrobial agents during the past 60 years has prompted the eventual emergence and progressive spread through the world's interconnecting bacterial populations of a growing variety of genes expressing resistance to those agents. The complex processes that spread an...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::BK virus nephropathy and cellular rejection are common causes of allograft dysfunction in renal transplant recipients. The two can be difficult to distinguish on allograft biopsy and can be present simultaneously. Management of the patient with coexistent BK infection and rejection is complicated by the conflicting id...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00489
更新日期:2014-06-01 00:00:00
abstract::This study of 10 patients presents the early results of a protocol of debridement, antibiotic bead placement, and use of the Ilizarov method with a circular external fixator for treatment of infected nonunions of the tibia in a military population. The nonunions resulted from high-energy fractures in nine cases and an...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.9.728
更新日期:2004-09-01 00:00:00
abstract::American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00256
更新日期:2017-03-01 00:00:00
abstract::Using a gas mask (GM) may involve considerable inconvenience, impairment of respiration and communication, and serious psychological reactions. The medical literature is primarily focused on the occupational aspects of using the GM by young and healthy workers. In contrast, there is hardly any information concerning t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::Camp Bullis, Texas, is an active training facility for the U.S. Army and Air Force with a storied history dating back to the late 19th century. In the early 1940s, an epidemic of a seasonal tick-borne rickettsial-like illness occurred at Camp Bullis; the last case was reported in 1947. To date, the etiology of this di...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.169.11.863
更新日期:2004-11-01 00:00:00