Methods The Amphia hospital is a large teaching hospital. In the third quarter of 2009 a BUN, defined by the national patient safety initiative, was introduced consisting of 4 components. 1) preoperative hair removal, 2) perioperative antibiotic prophylaxis, 3) normothermia and 4) limit the number of door openings. BUN compliance was measured every quarter by visual observations by dedicated in...

BACKGROUND Inappropriate antimicrobial utilization in hospitalized patients has been associated with adverse effects, emergence of resistant bacteria, and increased health care cost. Participation of clinical pharmacists, working as an integral part of a hospital antimicrobial management team (AMT), has been shown to improve antimicrobial use; however, the long-term impact of such a team on ant...

Handover is a "major preventable cause of patient harm"[1] and this project aims to improve the quality of night handover within a teaching hospitals general medicine department, resulting in the safe transfer of patient care to the night team. Quality of handover was assessed both qualitatively, via structured qualitative interviews with trainees and a baseline survey assessing doctor's opinio...

OBJECTIVE To determine the hours, volume, and type of work undertaken by preregistration house officers. DESIGN Continuous observation of 472 hours of work performed by 12 preregistration house officers based in medical wards, using standard procedures for studying work patterns. SETTING A teaching hospital with 340 beds assigned to general medicine and coronary care. SUBJECTS 12 Of the 1...

STUDY OBJECTIVE To evaluate the validity and reliability of an objective scoring system, the Post-Anesthetic Discharge Scoring System (PADSS), which was compared against existing Clinical Discharge Criteria in the ambulatory surgery unit of our hospital. DESIGN randomized, open study. SETTING Ambulatory surgery unit at a university teaching hospital. PATIENTS 247 ambulatory surgery patien...

At the time of writing, the author was a modern matron in a surgical division of an NHS teaching hospital in London. This article considers the differences between leadership and management, and discusses the skills required by modern matrons to lead safe and successful clinical services. It also examines three leadership styles - transactional, transformational and situational - and their rele...

The current research aimed to investigate the link between the quality of working life and the systematic commitment of nurses in the teaching hospitals in Tabriz. The methodology used was functional regarding the purpose and the proportional allocation as far as the stratified sampling method was concerned. The study population consisted of all the nurses in Tabriz. The instrument used in this...