Through the Safer Wards project we aimed to reduce the number of incidents of physical violence on older people's mental health wards. This was done using quality improvement methods and supported by the Trust's extensive programme of quality improvement, including training provided by the Institute for Healthcare Improvement. Violence can be an indicator of unmet needs in this patient populati...

OBJECTIVES The purpose of this study was to understand how staff responded to individualised patient falls prevention education delivered as part of a cluster randomised trial, including how they perceived the education contributed to falls prevention on their wards. DESIGN A qualitative explanatory study. METHODS 5 focus groups were conducted at participatory hospital sites. The purposive ...

BACKGROUND Key questions regarding residential alternatives to standard acute psychiatric care, such as crisis houses and short-stay in-patient units, concern the role that they fulfil within local acute care systems, and whether they manage people with needs and illnesses of comparable severity to those admitted to standard acute wards. AIMS To study the extent to which people admitted to re...

Background. Siriraj Hospital has implemented post-authorization of target antibiotics (piperacillin/tazobactam, meropenem, imipenem/cilastatin and doripenem) for nearly 10 years. Currently, antibiotic approval is implemented by ID clinical fellows. Methods. During February – September 2013, we conducted a cluster randomized controlled trial in 6 general medical wards at Siriraj hospital to comp...

BACKGROUND The use of supporting techniques to protect the perineum in the last phase of birth is controversial. The objective of this investigation was to gain more knowledge on the use of hand techniques for perineal support in Norwegian maternity wards. MATERIAL AND METHOD A questionnaire investigation addressed to the leaders of all the country''s maternity wards. RESULTS We received an...

Although teaching hospitals are increasingly using nurse practitioners (NPs) to provide inpatient care, few studies have compared care delivered by NPs and housestaff or the ability of NPs to admit and manage unselected general medical patients. In a Midwest academic teaching hospital 381 patients were randomized to general medical wards staffed either by NPs and a medical director or medical h...