Aggressive behaviour by psychiatric patients is a serious issue in clinical practice, and adequate management of such behaviour is required, with careful evaluation of the factors causing the aggression. To examine the characteristics of aggressive incidents by ward type, a cross-sectional descriptive study was conducted for 6 months between April 2012 and June 2013 using the Staff Observation ...

Any suboptimum treatment in the management of patients can lead to medication errors (MEs) that may increase morbidity and mortality in hospitalized individuals. By establishing well-designed patient care activities within the managed care setting, clinical pharmacists can cooperate with other health care professionals to provide quality care and maximize safety. The aim of this study was to ev...

Background In the Netherlands more than 50% of the adverse events are related to surgical procedures. Therefore the risks of direct harm and high hospitalization costs are substantial. This makes adequate staffing of surgeons and nurses an important issue on clinical wards as insufficient staffing is related to higher mortality and morbidity rates. Clinical surgeons and nurses sometimes perceiv...

OBJECTIVE To evaluate the effect of the 6-PACK programme on falls and fall injuries in acute wards. DESIGN Cluster randomised controlled trial. SETTING Six Australian hospitals. PARTICIPANTS All patients admitted to 24 acute wards during the trial period. INTERVENTIONS Participating wards were randomly assigned to receive either the nurse led 6-PACK programme or usual care over 12 month...

Methods Baseline assemnet made on wound infection rate of 100 patients before the impelemenation of hand hygiene using the WHO accreditted alcohol based hand rub technique. Six monthe after, surgical site wound infection in 100 pateints of similar profile is reaudited. Wound infection is declared if there are clinical signs of wound infection from day 3 on post operative course. Wounds already ...

BACKGROUND Heart failure is common in the elderly and is associated with high rates of hospitalisation, readmission and mortality. International guidelines however are not frequently implemented in this population. METHODS We retrospectively studied the clinical profile, investigations, treatment on discharge, length of hospital stay, readmission rate and mortality in 261 patients, aged ≥75 y...

Introduction: Lack of knowledge and awareness about hospital waste has been a concern amid inadequate management facilities ineffective policies. Objectives: To isolate the bacteria from sample collected different departments study sensitivity profile isolated bacteria. Method: Cross-sectional was conducted for period 3 months examining solid Hetauda Bagmati Province. Untreated samples were lik...

During the clinical years, medical students frequently experience physical and mental health problems, which are exacerbated by their work schedules. To address this issue, we develop a bi-objective mathematical model in study. The two objectives of 1) balancing workload each student group 2) minimizing deviation among groups. In addition, includes constraints on ward rotation sequencing. requi...