BACKGROUND To date, delirium prevalence and incidence in acute hospitals has been estimated from pooled findings of studies performed in distinct patient populations. OBJECTIVE To determine delirium prevalence across an acute care facility. DESIGN A point prevalence study. SETTING A large tertiary care, teaching hospital. PATIENTS 311 general hospital adult inpatients were assessed over...

OBJECTIVE To evaluate the efficacy of hands and knees position and pelvic rocking exercises on the incidence of fetal occiput posterior position at birth. DESIGN Multicentre randomised controlled trial. SETTING Seven maternity units in New South Wales, Australia, encompassing teaching hospitals and district general hospitals. PARTICIPANTS 2547 pregnant women at 37 weeks' gestation; 1292 r...

OBJECTIVE To assess the cost effectiveness of tension-free vaginal tape compared with open Burch colposuspension as a primary treatment for urodynamic stress incontinence. DESIGN Cost-utility analysis alongside a multicentre randomised comparative trial. SETTING Gynaecology or Urology departments in 14 centres in the UK and Ireland, including University-associated teaching hospitals and dis...

This study was designed to investigate the clinical and economic aspects of deliberate self-poisoning services in four teaching hospitals in Leeds, Leicester, Manchester and Nottingham. We investigated the management of the current self-harm episode, including direct in-hospital costs, in 456 individuals who presented to hospital on a total of 477 occasions with deliberate self-poisoning during...

The graduate medical education (GME) system in the United States is in need of reform to ensure that the physician workforce being trained is able to meet the current and future health care needs of the population. However, GME funding to existing teaching hospitals and programs relies heavily on support from Medicare, which was capped in 1997. Thus, new, innovative models to expand GME are nee...

OBJECTIVES To assess the experience gained by pre-registration house officers (PRHOs) at the end of their first post. To assess confidence in managing common emergencies and experience gained in practical procedures. To compare traditional six month posts with four month posts and to compare the experiences of PRHOs posted in teaching hospitals (THs) with those based in district general hospita...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 introduction: there is not enough time for any organization to experience everything by itself but it is possible to compare its processes with other organizations in order to fulfill its functions effectively. the main aim of this research was to assess and compare discharge processes in ali-ebne abitaleb and quaem hospit...

INTRODUCTION The increasing disease burden of coronary artery disease (CAD) calls for sustainable cardiac service. Teaching hospitals and general hospitals in Malaysia are main providers of percutaneous coronary intervention (PCI), a common treatment for CAD. Few studies have analyzed the contemporary data on local cardiac facilities. Service expansion and budget allocation require cost evidenc...

Dear Editor: We investigated the association between the educational environment and performance in the General Medicine Intraining Examination (GMITE) among postgraduate year (PGY)1 and 2 resident physicians in Japanese teaching hospitals since 2012. GMITE includes 100 questions designed by a committee comprised of experts organized by the Japan Organization of Advancing Medical Education Prog...

BACKGROUND Informal payments in the health sector of many developing countries are considered as a major impediment to health care reforms. Informal payments are a form of systemic fraud and have adverse effects on the performance of the health system. In this study, the frequency and extent of informal payments as well as the determinants of these payments were investigated in general hospital...