BACKGROUND As health status is consistently negatively correlated with socio-economic deprivation, the need for health services is generally assumed to be greater in more deprived communities. The Inverse Care Law predicts that access to good quality primary care services in more deprived wards will be less than that in affluent wards. However, the relationship between deprivation and geographi...

Background: Inpatient suicides and absconding of inpatients at risk of self-endangering behavior constitute important challenges for all medical disciplines. Patients at risk are often admitted to locked wards in psychiatric hospitals to prevent absconding, suicide attempts, and suicides. However, there is currently insufficient evidence that treatment on locked wards can effectively prevent th...

INTRODUCTION A number of the recently published papers have suggested that high mortality among women with acute coronary syndromes might be related to suboptimal pharmacological treatment, namely to the lower rate of administration of antiplatelet agents, statins, β-blockers, and angiotensin-converting enzyme inhibitors (ACEIs). OBJECTIVES The aim of the study was to compare pharmacotherapy ...

OBJECTIVE To determine the efficacy of a targeted multifactorial falls prevention programme in elderly care wards with relatively short lengths of stay. DESIGN Cluster randomised trial. SETTING 24 elderly care wards in 12 hospitals in Sydney, Australia. PARTICIPANTS 3999 patients, mean age 79 years, with a median hospital stay of seven days. INTERVENTIONS A nurse and physiotherapist eac...

Background: Biological aerosol particles smaller than 10 microns in diameter are among the health concerns hospitals since they remain air for a long time and infectious easily transported. We aimed to investigate concentration of Escherichia coli Staphylococcus aureus bioaerosols evaluate their risk indoor environment different wards Khatam al-Anbia hospital, Jask, Iran, 2020. Methods: This de...

OBJECTIVE to examine the effect of a multi-component, delirium prevention intervention on rates of incident delirium for patients admitted to specialist elderly care wards. DESIGN 'before' and 'after' study. SETTING three specialist elderly care wards in a general hospital. SUBJECTS older people admitted as emergencies. METHODS a multi-component delirium prevention intervention that tar...

Background: In some hospitals, patients hospitalized on the medical ward are mechanically ventilated due to a shortage of intensive care unit (ICU) beds. Objective: To determine outcomes and prognostic factors of medical patients mechanically ventilated on general medical wards. Material and Method: A prospective observational study was performed in general medical wards of a 2,000-bed tertiary...

BACKGROUND Recent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focus...

The overall aim of the RAFAELA system is that the personnel resources should be in balance with the patients' caring needs, i.e. when the nursing intensity per nurse is on the optimal level of the unit. The RAFAELA system consists of three parts: the OPCq (Oulu Patient Classification Qualisan) instrument for measuring the nursing intensity, registration of the daily nursing resources and the PA...