BACKGROUND Adherence to advice given by the consultation-liaison (CL) psychiatrist is a prerequisite for the effectiveness and success of psychiatric consultation. It is unknown which factors are associated with better adherence to advice. AIM To review the adherence of consultees with advice given by the psychiatrist during inpatient consultation. METHOD Systematic literature review. RES...

AIM To evaluate the effect of an education programme on nurses' knowledge, attitude and competence on suicide prevention and management for patients with suicide attempt or ideation and their family members; and to examine the strengths and weaknesses of the programme from the participants' perspectives. BACKGROUND Providing care for patients with suicidal ideation or after suicidal acts in g...

PURPOSE OF STUDY To determine whether sleep deprivation affects not only junior doctors' performance in answering medical questions but whether their ability to judge their own performance is also affected by lack of sleep. METHODS A questionnaire based follow up study in two district general hospitals of the Carmarthenshire NHS Trust. Eleven house officers and 15 senior house officers (SHOs)...

BACKGROUND People with dementia often die badly, receiving end-of-life care of poorer quality than that given to those who are cognitively intact. AIMS To define good end-of-life care for people with dementia and identify how it can be delivered across care settings in the UK. METHOD In-depth interviews were conducted with 27 bereaved family carers and 23 care professionals recruited from t...

Two years have passed since the worst firearms incident in recent British civil history. Most of the casualties were managed at a local district general hospital; this experience was reported soon afterwards. Two casualties were managed at Princess Alexandra's Hospital, RAF Wroughton; both are still under review. This paper describes their injuries, investigations and treatment. Current thought...

Context Healthcare organisations in Saudi Arabia are striving to improve patient safety and quality of care through implementation of safety systems and creating a culture of safety. Objective The purpose of this study to evaluate the extent to which the culture supports patient safety at Saudi hospitals. Data Collection A survey questionnaire was distributed hospital-wide in 13 general hospita...

Prescribing errors are a well recognised cause of adverse incidents and have a direct effect on patients.[1] This impacts on the doctor-family relationship and results in breakdown of trust and communication.[2] This quality improvement project was carried out in the paediatric ward of a district general hospital in Northern Ireland. A retrospective analysis of paediatric prescribing errors bet...

The recent rise of specialty hospitals--typically for-profit firms that are at least partially owned by physicians--has led to substantial debate about their effects on the cost and quality of care. Advocates of specialty hospitals claim they improve quality and lower cost; critics contend they concentrate on providing profitable procedures and attracting relatively healthy patients, leaving (p...

INTRODUCTION Atoifi Adventist Hospital is a 90 bed general hospital in East Kwaio, Malaita, Solomon Islands providing services to the population of subsistence villagers of the region. Health professionals at the hospital and attached College of Nursing have considerable human capacity and willingness to undertake health research. However they are constrained by limited research experience, tra...