Nurses (ACEN), the organization of chief nurse executives of teaching hospitals across Canada, has agreed on this position statement on nursing workload. In a previous issue of the Canadian Journal of Nursing Leadership, Affonso et al. (2003) identified workload as a significant issue for nurses in delivering processes of care in a way that supports patient safety. We cannot underestimate the i...

measures aimed at bringing the hospital medical staffing structure into balance over the next 10 earss' This initiative has been endorsed by the Central Committee for Hospital Medical Services and the Hospital Junior StaffCommittee. If the proposals are agreed implementation will start on 1 January 1987 and will result in major changes to the junior hospital doctors' career structure. This stud...

Objectives To examine the perception of educational environment among clinical year students in Thailand using Dundee ready education environment measure (DREEM) and identify factors associated with the DREEM scores. Methods A total of 2,467 fourth- to sixth-year students from 34 teaching hospitals nationwide responded to a Thai version of DREEM questionnaire. Data on each student's sex, year...

introduction: increasing volume of information in various sciences, such as medicine, has led to the use of various strategies to effectively provide students, researchers, and teachers with medical and paramedical information. the iranian ministry of health and medical education has developed an online digital library, called iranian national medical digital library (inmdl), which provides acc...

introduction: users of hospital information system know its problems better than others. studying their views are very important and can be especially effective in the development of the information system. the aim of this study was to investigate the users' views towards the quality of hospital information system in the training hospitals of mashhad university of medical sciences. methods: the...

I t is widely accepted that ‘‘continuity of care’’ is vital to its quality and safety. The traditional approach to achieving this in the inpatient setting has been to minimize transfers among providers to reduce interruptions in the care process. In recent years the effort to limit duty hours for resident physicians (junior doctors) in the US, UK, and EU has highlighted the fact that continuity...

OBJECTIVE To examine the extent of implementation for patient safety (PS) and patient-centeredness (PC) strategies and their association with hospital characteristics (type, ownership, teaching status, annual evaluation grade) in Iran. METHODS A cross-sectional study through an adapted version of the MARQuIS questionnaire, eliciting information from hospital and nursing managers in 84 Iranian...

OBJECTIVES To determine if the lower mortality often observed in teaching-intensive hospitals is because of lower complication rates or lower death rates after complications (failure to rescue) and whether the benefits at these hospitals accrue equally to white and black patients, since black patients receive a disproportionate share of their care at teaching-intensive hospitals. DESIGN A ret...

Background: Acute use of methamphetamine affects the sympathetic system and causes symptoms like tachycardia, hypertension (HTN), tachypnea, peripheral blood vessels constriction, hyperthermia, and mydriasis that can lead to many medical complications. Thus, this study aimed to evaluate the use of methamphetamine, clinical symptoms, and admission causes in pati...

Rates of resistance for two consecutive years for 28 centres (10 Teaching, nine Associate Teaching and nine District General hospitals) in the UK were compared. Combined rates of resistance for each of the hospital types of Staphylococcus aureus to methicillin revealed an increase in the rate of resistance in Teaching hospitals (12.5% year 1, 23.5% year 2), but, for Associate Teaching and Distr...