Julia L Mafumo, Takalani R Luhallma, Maria S Maputle
Professional nurses supporting learners during professional socialisation in Limpopo province
Health SA = SA Gesondheid
changing healthcare landscape united states teaching hospitals face increasing pressure provide medical education well costeffective care study investigated financial resource utilization mortality impact teaching hospital status pediatric patients admitted sepsis conducted retrospective weighted statistical analysis hospitalized children diagnosis sepsis agency healthcare research quality 2009 kids inpatient database provided data analysis diagnosis sepsis severity illness levels based patient refined diagnosisrelated groups 720 septicemia disseminated infections teaching hospital status based presence training programs statistical analysis conducted using stata 121 stata corporation college station tx weighted analysis revealed 17461 patients sepsis9982 teaching 7479 nonteaching hospitals comparing patients length stay 82 vs 48 p 0001 number procedures received 203 vs 087 p 0001 mortality 47 vs 16 p 0001 costs per day 2326 vs 1736 p 0001 total costs 20428 vs 7960 p 0001 higher teaching hospitals even stratified severity classes length stay number procedures received total costs higher teaching hospitals difference mortality study suggested teaching hospitals provide pediatric inpatient care sepsis greater costs resource utilization without clear improvement overall mortality rates comparison nonteaching hospitals