Min Jung Lee, Wook Oh, Ja Soon Jang, Ju Young Lee
A pilot study: Horticulture-related activities significantly reduce stress levels and salivary cortisol concentration of maladjusted elementary school children
Complementary therapies in medicine
improve patient outcomes provider team practice california perinatal quality care collaborative cpqcc created simulating success quality improvement program assist hospitals implementing neonatal resuscitation training curriculum study aimed examine costs associated design implementation simulating success program 20172020 total 14 sites participated simulating success program 4 systematically collected resource utilization data using microcosting approach examined costs design implementation program occurring cpqcc 4 study sites data collection forms used track personnel time equipmentsupplies space use travel including transportation food lodging cost analysis conducted healthcare sector perspective costs incurred cpqcc allocated participant sites combined sitespecific costs estimate mean cost per site along 95 confidence interval ci cost estimates inflationadjusted 2022 us dollars designing implementing simulating success program cost 22814836 cpqcc personnel cost accounting largest share 922 followed programrelated travel 61 equipmentsupplies 15 space use 02 allocating costs across participant sites accounting sitespecific resource utilizations resulted mean cost 3921069 per participant site 95 ci 34094524432686 sensitivity analysis varying several study assumptions eg number participant sites exclusion design costs useful life span manikins mean cost per site changed 3564522 3993573 four sites monthly cost neonatal resuscitation training lower program implementation period mean 111252 per site preimplementation period mean 250401 per site 3 months simulating success program ended monthly cost neonatal resuscitation training also lower preimplementation period two four sites establishing multisite neonatal situ simulation program requires investment sufficient resources however programs may financial nonfinancial benefits long run offsetting need neonatal resuscitation training improving practice