PURPOSE Continuous cardiac monitoring in a stroke unit (SU) may improve detection of atrial fibrillation (AF), and SU care may improve the rate of anticoagulation by better adherence to a standardized treatment protocol in patients with AF. We investigated the effects of the SU on the detection of AF and the rate of warfarin therapy in patients with AF. MATERIALS AND METHODS Acute stroke pati...

background: discharging from hospital is one of the most complicated issues in health system. this process should follow standard clinical criteria and needs mutual cooperation of the hospital and society. psychiatric patients, nowadays, are hospitalized only for the severe period of their sickness and after that they are returned to the society. this study compares the current discharge proces...

Abstract Aim Quality of documentation patient notes Method Guidance for standards was taken from ‘The importance Clinical Documentation, Ann R Coll Surg Engl(Suppl) 2014; 96:18–20’ Data 100 patients over 2 weeks. Assessed: Results Availability notes: 15/100 were not available on the wards at time data collection Conclusions Based above results significances of: Unable to provide proof treatment...

Two levels of grazing intensity were unposed on pasture durtng a spring-time pre-treatment period in two years at Massey University’s Dary Cattle Research Urut. The two grazing intensws were lax (L), 2000-2500 kg DMlha residual herbage mass (RHM) and intense (I) 1000-1500 kg DM/ha RHM. imposed for 2 grazmg rotations. Durmg this period, net herbage accumulation (NHA) on the L wards was approxima...

Statistical process control (SPC) charts have previously been advocated for infection control quality improvement. To determine their effectiveness, a multicentre randomised controlled trial was undertaken to explore whether monthly SPC feedback from infection control nurses (ICNs) to healthcare workers of ward-acquired meticillin-resistant Staphylococcus aureus (WA-MRSA) colonisation or infect...

Poorly organised clinical equipment can waste significant amounts of time otherwise available for direct patient care. As a group of foundation year one doctors, we identified the organisation of clinical equipment across surgical wards at North Bristol NHS Trust to be poor with stocks often low and items frequently difficult to locate. Time-motion studies (n=80) were confirmatory demonstrating...

BACKGROUND Clinical supervision is an important factor in the development of competency in residency program. Attending physicians play a key role in supervision of residents. However little is known about how attending physicians and residents perceive the quality of clinical supervision. The aim of this study was to explore the differences between perceived qualities of supervision in these t...

Background The incidence of pressure injury/ulcers is persistent despite multiple prevention strategies in hospitals across the globe. Current standard injury/ulcer care supported by subjective skin tissue assessments, risk assessment tools and clinical judgement ineffective consistent prevention. Aim A pragmatic study, aligning with SQUIRE guidelines, was conducted at Chelsea Westminster to me...