OBJECTIVE Motivated staff are needed to improve quality and safety in healthcare organizations. Stimulating and engaging staff to participate in accreditation processes is a considerable challenge. The purpose of this study was to explore the experiences of health executives, managers and frontline clinicians who participated in organizational accreditation processes: what motivated them to eng...

Background. Computed-tomography (CT) is increasingly performed among patients who visit an emergency department (ED), many of whom require the administration of intravenous contrast, to make an accurate diagnosis of their condition and offer prompt treatment. Though the safety profile of new intravenous contrast agents has improved, patients are still exposed to significant risk from potentiall...

The reactions of patients and staff were investigated in a representative sample of daily settings in a psychiatric inpatient ward in order to assess the relative amounts of variance accounted for by settings, individual differences, modes of response, and their interactions. The results indicated that, for patients, individual differences accounted for more variance than setting differences, w...

The use of enteral feeding tubes has become more frequent, both in hospital settings and in home care. The feeding tubes serve not only to deliver nutrients, but also as a route for medication provision. Nonetheless, the pharmaceutical, legal and technical implications of medication delivery via enteral feeding tubes are not widely understood by doctors and nurses. Not only is the type of medic...

For associate degree nursing students at Eastern Kentucky University, Richmond, the perioperative nursing clinical experience typically included a one-day observation of a surgical procedure, with students entering the OR suite after the surgery started and having to leave before the surgery was completed. An associate professor of nursing and a perioperative staff education coordinator partner...

OBJECTIVE Recent Army transformation has led to significant changes in roles and demands for division mental health (DMH) staff members. This article focuses on predeployment and deployment. METHODS Surveillance of Combat and Operational Stress Reactions data, review of DMH implementation plans, and observations by staff members, providers, and soldiers were reviewed. RESULTS During the cou...

The International Commission on Radiological Protection (ICRP) statement on tissue reactions, issued by the Commission in April 2011, reviewed epidemiological evidence and suggested that there are some tissue reactions where threshold doses are or may be lower than those previously considered. For the lens of the eye, the threshold is now considered to be 0.5 Gy. The absorbed dose threshold for...