This article aimed to: (1) review the work carried out in Lanarkshire between 1996 and 1999 on a Scottish Executive funded project and (2) to discuss the situation from 1999 to 2006. (1) This 3-year project led to the successful development and implementation of over 100 integrated care pathways in an urban teaching hospital (Glasgow) and a district general hospital (Lanarkshire) and was the fi...

INTRODUCTION Torsion of the testis is a well known entity having been first described in detail in 1840. To establish if the management of torsion of the testis has changed in recent years we have carried out a retrospective review of cases presenting to three teaching hospitals and two district general hospitals in Northern Ireland over the three years to 1985. METHODS

BACKGROUND In many different countries the Hospital Survey on Patient Safety Culture (HSOPS) is used to assess the safety culture in hospitals. Accordingly, the questionnaire has been translated into Dutch for application in the Netherlands. The aim of this study was to examine the underlying dimensions and psychometric properties of the questionnaire in Dutch hospital settings, and to compare ...

"And still manage to get it wrong," might be the rider added by many doctors. Criticisms of British hospitals are many and bitter. Some cannot be divorced from NHS politics. It is not due to policy alone that large sums of money were spent on teaching hospitals while patients in asylums lived in squalor, nor was it due to policy that elsewhere district general hospitals were postponed as their ...

OBJECTIVES Medical councils worldwide have outlined new standards for postgraduate medical education. This means that residency programmes will have to integrate modern educational views into the clinical workplace. Postgraduate medical education is often characterised as a process of learning from experience. However, empirical evidence regarding the learning processes of residents in the clin...

BACKGROUND Detecting novel healthcare-associated infections (HCAI) as early as possible is an important public health priority. However, there is currently no evidence base to guide the design of efficient and reliable surveillance systems. Here we address this issue in the context of a novel pathogen spreading primarily between hospitals through the movement of patients. METHODS Using a math...

Northern Ireland has one of the largest surgical training programmes in the United Kingdom. The surgical trainees' assessment of the quality of training provided has been collated prospectively since 1983, and provides a useful insight into the strengths and weaknesses of the programme, as well as the training value of individual posts. The overall quality of clinical training in surgery was co...

in order to achieve success in today's competitive world, organizations should adapt to environmental changes. on the other hand, managers should have a set of values and ethical guidelines for their administrative and organizational functions. this study aimed to investigate the association between work ethics and attitudes towards organizational changes among the administrative, financial and...

OBJECTIVE To assess surgical team members' differences in perception of non-technical skills. DESIGN Questionnaire design. SETTING Operating theatres (OTs) at one university hospital, three teaching hospitals and one general hospital in the Netherlands. PARTICIPANTS Sixty-six surgeons, 97 OT nurses, 18 anaesthetists and 40 nurse anaesthetists. METHODS All surgical team members, of five ...

Interprofessional teamwork is widely advocated in health and social care policies. However, the theoretical literature is rarely employed to help understand the nature of collaborative relations in action or to critique normative discourses of teamworking. This paper draws upon Goffman's (1963) theory of impression management, modified by Sinclair (1997), to explore how professionals 'present' ...