a good account given as to site, plans, area per patient, arrangement of the administrative units, detail of structure as foundations, walls, floors, roofing, stairs, partitions, windows, woodwork, painting, water supplies, heating, lighting, signalling, plumbing and sewerage, ventilation, refrigeration, elevators. Then follows a chapter on the divisions of a general hospital, administrative de...

BACKGROUND AND PURPOSE Randomized trials have demonstrated reduced morbidity and mortality with stroke unit care; however, the effect on length of stay, and hence the economic benefit, is less well-defined. In 2001, a multidisciplinary stroke unit was opened at our institution. We observed whether a stroke unit reduces length of stay and in-hospital case fatality when compared to admission to a...

BACKGROUND Research into migration and health is often confronted with methodological challenges related to the identification of migrants in various settings. Furthermore, it is often difficult to reach an acceptable level of participation among migrant groups in quantitative research. The aim of this study is to conduct a qualitative assessment of the barriers encountered during the implement...

BACKGROUND Palliative care has emerged as a specialist discipline in the past 25 years. However in relation to acute hospitals, a sense exists that patients who are receiving end of life care may not experience support which fully reflects appropriate palliative care management. OBJECTIVE This study aimed to analyse the end of life care received by patients in the acute wards of a busy teachi...

The aim of this study was to evaluate the patient safety in inpatient wards of an educational hospital affiliated with Tehran University of Medical Sciences from the viewpoint of nursing staff using the six sigma methodology. This was a cross-sectional descriptive analytical study, carried out in an educational hospital affiliated with Tehran University of Medical Sciences in 2010. The study wa...

BACKGROUND Estimates show that as many as one in 10 patients are harmed while receiving hospital care. Previous strategies to improve safety have focused on developing incident reporting systems and changing systems of care and professional behaviour, with little involvement of patients. The need to engage with patients about the quality and safety of their care has never been more evident with...

To evaluate the drug utilization of third generation cephalosporins using core drug use indicators in various wards of Sri Ramachandra Hospital. Third generation cephalosporins are the most commonly prescribed broad spectrum antibiotic even before the culture sensitivity results arrives. Hence this study was undertaken to study the drug utilization evaluation of third generation cephalosporins ...

THE staff of the Belfast Hospital for Sick Children for many years have been working under the most difficult and trying conditions. The hospital was built over half a century ago, and had become pitifully antiquated; the out-patient department was so congested that satisfactory work had become a physical impossibility, while the old equipment and long-since-obsolete type of operating-theatres ...

This study evaluated daily cleaning with germicidal bleach wipes on wards with a high incidence of hospital-acquired Clostridium difficile infection (CDI). The intervention reduced hospital-acquired CDI incidence by 85%, from 24.2 to 3.6 cases per 10,000 patient-days, and prolonged the median time between hospital-acquired CDI cases from 8 to 80 days.

Background: Bio-aerosols in the air of hospital wards have an important role in the development of infections. It is important to make quantitative and qualitative estimations of microorganisms in the air of these wards as an index for environmental hygiene applicable to different hospital wards. The aim of the study was to investigate degrees of diversity and density of bio-aerosols in the ed...