Birmingham Children’s Hospital, Birmingham, United Kingdom Full list of author information is available at the end of the article Table 1 Initial management Initial Management Percentage of children who received intervention (%) DGH Regional centre Adrenaline IM(pre-hospital + in hospital) 66(33; 33) 70(16:54) Antihistamines 89 60 Steroids 87 46 Oxygen 37 33 Fluids 17 10 Nebulised salbutamol 76 40

People with intellectual disabilities are vulnerable in healthcare environments. They experience health and healthcare inequalities, and when admitted to general hospitals are at a greater risk of patient safety incidents. This is well known in specialist services, but less recognized within primary or secondary healthcare. The most significant barriers to safer and better healthcare appear to ...

In January of this year, through the kindness of the University Court and of the Managers of the Royal Infirmary and Royal Maternity Hospital, I was given three months' leave of absence for the purpose of studying abroad. This time was spent in America and Canada, the more important of the clinics one visited being as follows: In New York, the Bellevue Hospital, a large general hospital with im...

BACKGROUND Physical disorders are commonly comorbid with depression in children attending general medical facilities. However, the depression component is rarely recognised. METHODS A questionnaire on sociodemographics and history of presenting medical conditions was administered together with the Children's Depression Inventory (CDI) to all 11-year-old to 17-year-old children attending at ni...

BACKGROUND Hospitals are constantly being challenged to provide high-quality care despite ageing populations, diminishing resources, and budgetary restraints. While the costs of care depend on the patients' needs, it is not clear which patient characteristics are associated with the demand for care and inherent costs. The aim of this study was to ascertain which patient-related characteristics ...

Lean thinking is a method for organising complex production processes so as to encourage flow and reduce waste. While the principles of lean thinking were developed in the manufacturing sector, there is increasing interest in its application in health care. This case history documents the introduction and development of Redesigning Care, a lean thinking-based program to redesign care processes ...

Mortality among emergency medical admissions to hospital is higher for admissions at the weekend than on weekdays; this also holds true for certain specific conditions. However, it is unknown whether that effect is limited to weekends. This study calculated mortality in emergency medical admissions for each day of the week, and compared mortality at weekends with weekdays, at nights with days, ...

In the Soviet Union, as in many other countries, the treatment of inpatients claims the lion's share of health service expenditure. However, analysis of the activity of Soviet hospitals remains at a rudimentary level in certain major respects, one explanation for which is likely to be the comparatively low figures for cost per case and cost per bed-day. Given that little attention is devoted to...

According to the National Committee for Clinical Laboratory Standards (NCCLS, 2004), a method to evaluate the inducible clindamycin resistance in accordance with an approach of the disks of erythromycin and clindamycin--the D test--has been reported. We analyzed the performance of this method in 200 coagulase negative staphylococci (CoNS) strains obtained from blood cultures of hospitalized pat...

BACKGROUND Within existing research in health and medicine, the nature of knowledge on how teams conduct safe work practices has yet to be properly explored. METHODS We address this concern by exploring the varieties in which knowledge is expressed during interdisciplinary surgical operations. Specifically, the study was conducted in a surgical section of a Norwegian regional general hospital...