scholarly journals Testing the use of translation apps to overcome everyday healthcare communication in Australian aged‐care hospital wards—An exploratory study

Nursing Open ◽  
2021 ◽  
Author(s):  
Kerry Hwang ◽  
Sue Williams ◽  
Emiliano Zucchi ◽  
Terence W.H. Chong ◽  
Monita Mascitti‐Meuter ◽  
...  
Keyword(s):  
Exploratory Study ◽  
Aged Care ◽  
Care Hospital ◽  
Healthcare Communication ◽  
Hospital Wards

Foot Pathology and Inappropriate Footwear as Risk Factors for Falls in a Subacute Aged-Care Hospital

2007 ◽  
Vol 97 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Rebecca L. Jessup
Keyword(s):  
Risk Factors ◽  
Hospital Setting ◽  
Clinical Problem ◽  
Aged Care ◽  
Care Hospital ◽  
Increased Risk ◽  
Risk Of Falls ◽  
History Of ◽  
Risk Factors For Falls ◽  
Hospital Wards

Background: Falls are a major clinical problem in the hospital setting. This study examined the prevalence of foot pathology and footwear type likely to increase the risk of falls in two subacute-care hospital wards serving elderly patients. Methods: Two wards of a subacute aged-care hospital were selected for study. Patients were assessed for the presence of foot pathology, and their footwear was evaluated for characteristics identified in the literature as placing individuals at increased risk of falls. Results: Of 44 patients assessed, 98% had foot pathology, and 41% had foot pathology requiring podiatric medical management. Eighty-six percent of inpatients wore footwear that was likely to increase their risk of falls, with 66% wearing slippers or moccasins. Conclusions: The results of this study demonstrate the need for hospital inpatients who are identified as being at high risk for falling, or have a history of falls, to undergo an assessment of their foot pathology and footwear so that appropriate measures can be taken to address these risk factors. (J Am Podiatr Med Assoc 97(3): 213–217, 2007)

scholarly journals Missed care in residential aged care in Australia: An exploratory study

2017 ◽  
Vol 24 (5) ◽  
pp. 411-416 ◽  
Author(s):  
Julie Henderson ◽  
Eileen Willis ◽  
Lily Xiao ◽  
Ian Blackman
Keyword(s):  
Exploratory Study ◽  
Aged Care ◽  
Residential Aged Care ◽  
Missed Care

scholarly journals EXPLORATORY STUDY TO ASSESS THE EFFECTIVENESS OF AYURVEDIC MANAGEMENT OF UNDERWEIGHT IN CHILDREN AT A TERTIARY CARE HOSPITAL OF INDIA

2018 ◽  
Vol 9 (6) ◽  
pp. 71-77
Author(s):  
Deepthi Viswaroopan ◽  
Shailaja U ◽  
Arun Raj GR ◽  
Vijayalaxmi Mallannavar ◽  
Jithesh Raj KT
Keyword(s):  
Exploratory Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Bioaerosol assessment of indoor air in hospital wards from a tertiary care hospital

2020 ◽  
Vol 7 (1) ◽  
pp. 28-34
Author(s):  
Santosh Kotgire ◽  
◽  
Rabia Akhtar ◽  
Ajit Damle ◽  
Sufia Siddiqui ◽  
...  
Keyword(s):  
Indoor Air ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hospital Wards

scholarly journals Implementation and adherence to the Bedside Paediatric Early Warning System (BedsidePEWS) in a pediatric tertiary care hospital

2020 ◽  
Author(s):  
Orsola Gawronski ◽  
Federico Ferro ◽  
Corrado Cecchetti ◽  
Marta Luisa Ciofi Degli Atti ◽  
Immacolata Dall'oglio ◽  
...  
Keyword(s):  
Early Warning ◽  
Tertiary Care ◽  
Vital Signs ◽  
Hospital Inpatient ◽  
Care Hospital ◽  
Transcutaneous Oxygen ◽  
Transcutaneous Oxygen Saturation ◽  
Clinical Records ◽  
Hospital Wards ◽  
Score Range

Abstract Background Escalation of care in deteriorating children admitted to hospital wards in relation to pediatric early warning scores has been rarely reported. The aim of this study is to examine adherence to the vital signs and BedsidePEWS escalation protocol at a large tertiary care children’s hospital.Methods This is a prospective observational study. A 6-month audit on adherence to BedsidePEWS was performed on the wards in 2018. Data on the frequency and accuracy of BedsidePEWS score calculations, escalation of patient observations, monitoring and medical reviews were recorded.Two research nurses performed weekly visits to the hospital wards to collect data on BedsidePEWS scores, medical reviews, type of monitoring and vital signs recorded. Data were described through means or medians according to the distribution. Inferences were calculated either with Chi-square, Student’s t test or Wilcoxon-Mann–Whitney test, as appropriate (P <0.05 considered as significant).Results A total of 522 Vital Signs (VS) and score calculations on 177 patient clinical records were observed from 13 hospital inpatient wards. Frequency of VS and score documentation occurred <3 times per day in 33% of the observations. Adherence to the VS documentation frequency according to the hospital protocol was observed in 54% for all patients; for children with chronic health conditions (CHC) it was significantly lower than children admitted for acute medical conditions (47%, P=0.006). The BedsidePEWS score was correctly calculated and documented in 84%, systolic blood pressure was recorded in 79% and temperature in 91% of the VS recording events. Patients within a 0-2 BedsidePEWS score range were all reviewed at least once a day by a physician. Only 50% of the patients in the 5-6 score range were reviewed within 4 hours and 42% of the patients with a score ≥7 within 2 hours. Transcutaneous Oxygen Saturation continuous monitoring was applied to 60% of the children at higher risk (BedsidePEWS ≥5).Conclusions Escalation of patient observations, monitoring and medical reviews matching the BedsidePEWS is still suboptimal. Children with CHC are at higher risk of lower compliance. Impact of adherence to predefined response algorithms on patient outcomes should be further explored.

scholarly journals Dealing with the impact of the COVID-19 pandemic on a rapid response team operation in Brazil: Quality in practice

2020 ◽  
Author(s):  
Hermano Alexandre Lima Rocha ◽  
Antonia Célia de Castro Alcântara ◽  
Fernanda Colares de Borba Netto ◽  
Flavio Lucio Pontes Ibiapina ◽  
Livia Amaral Lopes ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Rapid Response Team ◽  
Lessons Learned ◽  
Rapid Response ◽  
Initial Assessment ◽  
Care Hospital ◽  
Large Tertiary Care ◽  
Response Team ◽  
Hospital Wards ◽  
The Impact

Abstract Quality problem or issue Up to 13 July 2020, &gt;12 million laboratory-confirmed cases of coronavirus disease of 2019 (COVID-19) infection have been reported worldwide, 1 864 681 in Brazil. We aimed to assess an intervention to deal with the impact of the COVID-19 pandemic on the operations of a rapid response team (RRT). Initial assessment An observational study with medical record review was carried out at a large tertiary care hospital in Fortaleza, a 400-bed quaternary hospital, 96 of which are intensive care unit beds. All adult patients admitted to hospital wards, treated by the RRTs during the study period, were included, and a total of 15 461 RRT calls were analyzed. Choice of solution Adequacy of workforce sizing. Implementation The hospital adjusted the size of its RRTs during the period, going from two to four simultaneous on-duty medical professionals. Evaluation After the beginning of the pandemic, the number of treated cases in general went from an average of 30.6 daily calls to 79.2, whereas the extremely critical cases went from 3.5 to 22 on average. In percentages, the extremely critical care cases went from 10.47 to 20%, with P &lt; 0.001. Patient mortality remained unchanged. The number of critically ill cases and the number of treated patients increased 2-fold in relation to the prepandemic period, but the effectiveness of the RRT in relation to mortality was not affected. Lessons learned The observation of these data is important for hospital managers to adjust the size of their RRTs according to the new scenario, aiming to maintain the intervention effectiveness.

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