Background & Aims of the Study: Organizational health in hospitals can reduce medical errors, increase the quality of care, improve organizational learning, and enhance collaboration, innovation, and cost reduction. The remarkable success of successful organizations lies in organizational culture and employee b...

OBJECTIVE To assess the demands made on a regional trauma centre by a district trauma unit. DESIGN Two part study. (1) Prospective analysis of one month's workload. (2) Retrospective analysis of one year's workload by using a computer based records system. Comparison of two sets of results. SETTING Accident unit in Gwynedd Hospital, Bangor. PATIENTS (1) All patients who attended the accid...

Scientific calculators have emerged as useful tools for mathematical procedures and manipulations. From the year 2002, the ministry of education approved the use scientific calculators in the Kenya Certificate of Secondary Education (KCSE) examination and in the classroom, as a tool to aid in computations. This was intended to avoid wastage of time in solving mathematical problems and improve s...

We performed a prospective observational study using a stroke register, case-note review and survey of carers with 6 months of follow-up in two adjacent health districts in East London. District 1 was a teaching district and had no special stroke service; District 2 had a comprehensive stroke service comprising stroke unit, review of all stroke admissions and community follow-up. Three hundred ...

BACKGROUND The Nursing Act 33 of 2005 holds nurse practitioners responsible for all acts and omissions in the delivery of quality patient care. But quality patient care is influenced by a number of factors beyond the control of nurse practitioners. Patient safety culture is one such factor and is seldom explored in hospitals in developing countries. This article describes the patient safety cul...

The role of the leader of a medical unit has evolved over time to expand from simply a medical role to a more managerial one. This study aimed to explore how the behavior of a hospital-based emergency department's (ED's) leader might be related to ED unit performance and ED employees' work satisfaction. One hundred and twelve hospital-based EDs in Taiwan were studied: 10 in medical centers, 32 ...

Small hospitals sit at the apex of the pyramid of primary care in the health systems of many low-income countries. If the Millennium Development Goal for child survival is to be achieved, hospital care for referred severely ill children will need to be improved considerably in parallel with primary care in many countries. Yet little is known about how to achieve this. This article describes the...

Erratum Following publication of the original article [1] it was brought to our attention that the sequence of the author affiliations was incorrectly ordered. In the original article the sequence appears as follows: Guang’anmen Hospital, China Academy of Chinese Medical Sciences, No.5 Beixiange Street, Xicheng District, Beijing 100053, China Graduate School, Beijing University of Chinese Medic...

BACKGROUND The hierarchical pyramid inside Spanish public hospitals was radically changed by the Health Reform Law promulgated in 1986. According to it, the manpower of the hospitals was divided into three divisions (Medical, Nursing, General Services/Administration), which from then on occupied the same level, only subject to the general manager. Ten years after the implementation of the law, ...