Background Brief cessation advice from healthcare professionals significantly increases the likelihood of patients quitting smoking, yet patients are not routinely provided with this advice. Smoke-free Brief cessation advice from healthcare professionals significantly increases the likelihood of patients quitting smoking, yet patients are not routinely provided with this advice. Smoke-free hosp...

OBJECTIVE To assess, from the worker's viewpoint, the structure, the process and the results of the Emergency Hospital Services that have taken up the guideline of "Welcoming with Risk Classification" in two teaching hospitals of the state of Paraná. METHOD Quantitative and descriptive research, exploratory and prospective, using random sampling stratified by professional category, comprising...

AIMS To evaluate a systematic approach to the development and implementation of evidence based asthma management guidelines. METHODS Comparative study of children (2-18 years) with acute asthma; a control cohort (cohort 1) was recruited before implementation of the guidelines and two cohorts were recruited after implementation (cohorts 2 and 3). RESULTS There was no difference in the propor...

The importance of efficiency and improvement of health service for resolving people's health requirement and meeting their expectation is increasing. In addition, it considers as a priority for making decision and manager's activity in health officials. Manager's control on the management principle and the proper use of their management skill and creating a sense of trust and commitment are the...

BACKGROUND Successful implementation of continuous quality improvement (CQI) programs in hospitals remains rare in all countries, making it necessary to experiment with implementation methods while considering the cultural factors of resistance to change. OBJECTIVE To assess the impact of an educational intervention on involvement of clinical department staff in the quality process. SETTING...

The Accreditation Council for Graduate Medical Education (ACGME) has launched a new shared learning collaborative as part of its larger Clinical Learning Environment Review (CLER) initiative. The collaboration, called Pursuing Excellence in Clinical Learning Environments, aims to improve teaching practices and patient care in the hospitals, medical centers, and ambulatory care sites where resid...

BACKGROUND A study was conducted in 2006 to compare differences in objective quality of care measures among hospitals labeled "Most Wired"--a hospital or member-hospital of a health system listed among the Hospital and Health Network's Healthcare's Most Wired Hospitals for 2004--versus hospitals without that designation. METHODS Ten quality indicators representing cardiac and pulmonary measur...

RECENTLY Dr. Alex Comfort (I963) has referred in a particular context to the 'irruption of the physicist' into the medical field. Although his entry has been generally less dramatic than this would suggest, the physicist is increasingly to be found in the membership of clinical departments and research teams. Most teaching hospitals and many other large hospitals have physics departments and th...

There is a call for greater preparation for the ethical challenges encountered by physicians in their future professional duties. This study in Egypt aimed to reveal problems and perceived needs for medical ethics education of resident physicians working at University of Alexandria hospitals. In a descriptive, cross-sectional survey, 128 residents answered a self-administered questionnaire. Mor...

This study was carried out to assess if there was a difference in the Chest X- ray (CXR) report on recruited nurses carried out overseas and later repeated in Ireland. This study was carried out in two Irish teaching hospitals. The subjects of this study comprised all overseas nurses recruited in each of the two hospitals within the defined period. The total number of subjects recruited from th...