BACKGROUND Clinicians, nurses, and managers in hospitals are continuously confronted by new technologies and methods that require changes to working practice. Quality systems can help to manage change while maintaining a high quality of care. A new model of quality systems inspired by the works of Donabedian has three factors: structure (resources and administration), process (culture and profe...

STUDY OBJECTIVES (1) To evaluate the development of clinical governance within public health departments. (2) To assess two models for examining clinical governance in public health departments. DESIGN Semi-structured interviews carried out during the annual visits of the regional director of public health to the health authority public health departments. SETTING West Midland Region, Engla...

BACKGROUND The inpatient morbidity and mortality of acute kidney injury (AKI) vary considerably in different clinical units, yet studies to compare the difference remain limited. METHODS We compared the clinical characteristics of AKI in Intensive Care Unit (ICU), medical and surgical departments by using the data derived from the 2013 nationwide cross-sectional survey of AKI in China to capt...

introduction. medical education quality improvement is a main problem of medical education system in iran. one of the strategies for medical education quality improvement is internal evaluation. general instruction objectives are determining problems of clinical departments and introducing strategies in different levels of management for solving the problems and following up suggestions. method...

results two bacterial types, st208, and st218, were identified in all 140 samples. the st208 mainly came from icu and department of respiratory medicine, while st218 from department of plastic surgery; 70.21% of st208 and 84.78% of st218 were carbapenem-resistant acinetobacter baumannii (crab) and carbapenem-susceptible acinetobacter baumannii (csab), respectively. multidrug-resistance genes in...

OBJECTIVES To investigate associations between nurse work practice environment measured at department level and individual level work-family conflict on burnout, measured as emotional exhaustion, depersonalization and personal accomplishment among Swedish RNs. METHODS A multilevel model was fit with the individual RN at the 1st, and the hospital department at the 2nd level using cross-section...