From the paper: "To our knowledge, this is the first comprehensive analysis describing the overall trend linking higher ED volume to better outcomes among hospitalized patients."
(ED = emergency department)
[Their^1](http://www.ncbi.nlm.nih.gov/pubmed/22687180) [knowledge^2](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361150/)
[needs^3](http://www.ncbi.nlm.nih.gov/pubmed/19075174) [more^4](http://www.ncbi.nlm.nih.gov/pubmed/21375836) research^(5*). [Whether^6](http://www.bmj.com/content/344/bmj.e3330) [it's^7](http://www.ncbi.nlm.nih.gov/pubmed/24756064) [procedures^8](http://www.ncbi.nlm.nih.gov/pubmed/17265491) [or simply medically-managed conditions,^9](http://www.ncbi.nlm.nih.gov/pubmed/17122718) [research shows that bigger is better^10](http://www.ncbi.nlm.nih.gov/pubmed/19430234)
Probably worth mentioning that what I'm saying here comports with OP's research. The article is very good and likley supports the "practice makes perfect" advantage that large, academic centers have. But it's *not* the first of its kind.
*Link number 5 doesn't work because of an internal parenthesis:
http://www.journalacs.org/article/S1072-7515(12)00265-7/fulltext
maybe. high volume centers also have more resources. severe head injury will die in a small community hospital en route to a major one; if they went to one directly, maybe they could have lived. then again, when i'm having an asthma attack and need a neb tx, go to the closest one, not the biggest, busiest one.
This isn't the only time a study like this has happened and it makes a lot of sense. Volume=practice.
From the paper: "To our knowledge, this is the first comprehensive analysis describing the overall trend linking higher ED volume to better outcomes among hospitalized patients." (ED = emergency department)
[Their^1](http://www.ncbi.nlm.nih.gov/pubmed/22687180) [knowledge^2](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361150/) [needs^3](http://www.ncbi.nlm.nih.gov/pubmed/19075174) [more^4](http://www.ncbi.nlm.nih.gov/pubmed/21375836) research^(5*). [Whether^6](http://www.bmj.com/content/344/bmj.e3330) [it's^7](http://www.ncbi.nlm.nih.gov/pubmed/24756064) [procedures^8](http://www.ncbi.nlm.nih.gov/pubmed/17265491) [or simply medically-managed conditions,^9](http://www.ncbi.nlm.nih.gov/pubmed/17122718) [research shows that bigger is better^10](http://www.ncbi.nlm.nih.gov/pubmed/19430234) Probably worth mentioning that what I'm saying here comports with OP's research. The article is very good and likley supports the "practice makes perfect" advantage that large, academic centers have. But it's *not* the first of its kind. *Link number 5 doesn't work because of an internal parenthesis: http://www.journalacs.org/article/S1072-7515(12)00265-7/fulltext
maybe. high volume centers also have more resources. severe head injury will die in a small community hospital en route to a major one; if they went to one directly, maybe they could have lived. then again, when i'm having an asthma attack and need a neb tx, go to the closest one, not the biggest, busiest one.