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Occupational Safety And Hospital

Tommaso Sciortino, Bethania Fernandes, Marco Conti Nibali, Lorenzo G Gay, Marco Rossi, Egesta Lopci, Anna E Colombo, Maria G Elefante, Federico Pessina, Lorenzo Bello, Marco Riva
BACKGROUND: Stereotactic biopsy is consistently employed to characterize cerebral lesions in patients who are not suitable for microsurgical resection. In the past years, technical improvement and neuroimaging advancements contributed to increase the diagnostic yield, the safety, and the application of this procedure. Currently, in addition to histological diagnosis, the molecular analysis is considered essential in the diagnostic process to properly select therapeutic and prognostic algorithms in a personalized approach...
March 20, 2019: Acta Neurochirurgica
Nathalie Floret, François L'Hériteau, Dominique Abiteboul, Catherine Verdun-Esquer, Anne Berger-Carbonne, Christian Rabaud
Occupational blood and body fluids exposure. Occupational blood and body fluids exposure (BBFE) is a serious daily risk to healthcare workers (HCW) wherever they work (i.e. hospital, nursing home or private care). The knowledge of BBFE epidemiology over these 3 sectors of care allows HCF to be aware of BBFE circumstances and can enhance prevention in order to improve overall BBFE prevention. The improvement for compliance with standard precautions and protocols to prevent exposure to BBFE and the increase of safety device disposal use are the main keys of HCW safety...
April 2018: La Revue du Praticien
Maria Ganczak, Katarzyna Topczewska, Maria Budnik-Szymoniuk, Marcin Korzeń
BACKGROUND: Due to numerous blood exposures hospital staff are at risk of acquiring hepatitis B virus (HBV) infections. This study aimed at estimating prevalence of HBV, associated risk factors and HBV vaccination among Polish health care workers (HCWs). METHODS: A cross-sectional sero-survey was conducted (October 2016-January 2018) in 10 randomly selected hospitals from two provinces: of low and high incidence of HBV, with the use of an anonymous, self- administered questionnaire...
March 12, 2019: BMC Public Health
Hui-Ting Huang, Chung-Hung Tsai, Chia-Fen Wang
Advocating for improving workplace safety and health has gained substantial support in recent years. The medical industry is a high-risk industry and receives considerable public attention. This study used an integrative approach as a starting point and combined the contextual factors of an organization: perceived organizational support, safety climate, social influence, and shared decision making. Subsequently, the effects of these factors on preventive action and safety satisfaction were investigated. This study surveyed employees of two hospitals, one in Northern Taiwan and one in Eastern Taiwan, collecting valid data from 468 respondents...
March 11, 2019: International Journal of Environmental Research and Public Health
Frank H Y Lai, Elaine W H Yan, Lynette Mackenzie, Kenneth N K Fong, Georg S Kranz, Eric C W Ho, Silvia H U Fan, Alice T K Lee
BACKGROUND: The Chinese HomeFAST self-reported screening tool was developed to measure the number of hazards and the risk of home falls and other accidents for community-living older adults. METHODS: This reliability, validity, and clinical utility study consisted of three phases. The tool's linguistic validity was established in the first phase of study, with a panel of domiciliary healthcare experts. In the second phase, the instrument yielded inter-rater reliability between community-living older adults and a group of experienced occupational therapists...
March 12, 2019: Disability and Rehabilitation
Ruth Cox, Sue Laracy, Celeste Glasgow, Kathy Green, Leo Ross
STUDY DESIGN: This is a prospective cohort study. INTRODUCTION: Evidence is emerging that advanced practice hand therapy clinics improve patient outcomes. PURPOSE OF THE STUDY: The aim of this study was to evaluate an advanced practice hand therapy model of care for patients with chronic hand conditions on surgical outpatient waiting lists at eight Australian public hospitals. METHODS: Nonurgent and semiurgent patients were screened and treated, as required, by an advanced practice hand therapist and then discharged from the surgical outpatient waiting list as appropriate...
March 8, 2019: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Siyao Xing, Ashraf Roshdy, Jayachandran Radhakrishnan, Kevin Kiff, Jake Collins
BACKGROUND: High bed occupancy rates have delayed patient discharges from UK critical care units, especially in acute medical hospitals. As a result, more patients are discharged home directly from critical care (DH). METHODS: In this observational, retrospective study, we quantify the trends in DH from 2013 to 2018, and assess readmission rates and outcome in this group when compared to patients discharged from a ward, from 2014 to 2016. RESULTS: DH rates, as a proportion of critical care admissions, increased every year (2...
March 2019: Journal of the Royal College of Physicians of Edinburgh
Cecilia Orellana, Bertina Kreshpaj, Gun Johansson, Bo Burström, Katarina Kjellberg, Tomas Hemmingsson, Magnus Axén, Letitia Davis, David Wegman, Theo Bodin
INTRODUCTION: There is uncertainty regarding the trends in occupational injuries (OIs) in Sweden due to a significant and increasing problem with under-reporting to injury registers. Under-reporting, in general, is likely to be exacerbated by the rise in precarious employment (PE), a set of unfavourable employment characteristics that would benefit from formal definition and study. PE and global trends are believed also to affect companies and their commitment to health and safety. The present study attempts to bridge these knowledge gaps and presents a study protocol for planned studies, with three main objectives: first, to review the literature for definitions of PE emphasising those that are multidimensional and operationalise components in routinely collected register data; second, to estimate the under-reporting of OI in Swedish registers and third, using results from the first objective, to conduct large, register-based prospective studies, designed to measure effect sizes and interactions between PE, business performance and OI...
February 19, 2019: BMJ Open
Kousalya Prabahar, Teja Katikam, Saranya Punniyakotti, Praveen Devanandan
To evaluate the anti-hypertensive drugs used in pregnancy induced hypertension and to determine the safety of the anti-hypertensive drugs administered in gestational hypertensive patients. Pregnancy induced hypertension are very common in women and if unnoticed may lead to severe complications. The appropriate therapy is very much essential for the welfare of both the mother and the child. Hence this study was undertaken to identify the commonly used and safe drugs in pregnancy induced hypertension. This retrospective study was carried out in the Medical Records Department of a specialized gynecological hospital...
January 2019: Pakistan Journal of Pharmaceutical Sciences
Richard S Hotchkiss, Elizabeth Colston, Sachin Yende, Derek C Angus, Lyle L Moldawer, Elliott D Crouser, Greg S Martin, Craig M Coopersmith, Scott Brakenridge, Florian B Mayr, Pauline K Park, June Ye, Ian M Catlett, Ihab G Girgis, Dennis M Grasela
OBJECTIVES: To assess for the first time the safety and pharmacokinetics of an antiprogrammed cell death-ligand 1 immune checkpoint inhibitor (BMS-936559, Bristol-Myers Squibb, Princeton, NJ) and its effect on immune biomarkers in participants with sepsis-associated immunosuppression. DESIGN: Randomized, placebo-controlled, dose-escalation. SETTING: Seven U.S. hospital ICUs. STUDY POPULATION: Twenty-four participants with sepsis, organ dysfunction (hypotension, acute respiratory failure, and/or acute renal injury), and absolute lymphocyte count less than or equal to 1,100 cells/μL...
February 8, 2019: Critical Care Medicine
Sherna Marcus, Jeremy N Friedman, Ashley Lacombe-Duncan, Sanjay Mahant
Objectives: To describe the acceptability, safety and effectiveness of neuromuscular electrical stimulation (NMES) in infants and young children with neurological impairment (NI) who have severe dysphagia. Design: A prospective pilot study using a before and after study design. Setting: The Hospital for Sick Children, Toronto, Canada. Patients: Ten infants and young children (0-24 months) with NI and severe dysphagia on videofluoroscopic swallow study (VFSS) who were referred to an occupational therapist (OT)...
2019: BMJ Paediatrics Open
Ibrahim Alnaami, Nabil J Awadalla, Mona Alkhairy, Suleiman Alburidy, Abdulaziz Alqarni, Almohannad Algarni, Rawan Alshehri, Bodoor Amrah, Mishal Alasmari, Ahmed A Mahfouz
BACKGROUND: The purpose was to measure the prevalence and related risk factors of low back pain (LBP) among health care workers (HCWs) at different levels of health care in southwestern Saudi Arabia. METHODS: A cross-sectional study using a self-administered questionnaire was conducted among HCWs providing primary, secondary and tertiary health care services in the Aseer region, southwestern Saudi Arabia. The questionnaire collected data regarding having LBP in the past 12 months, socio-demographics, work conditions and history of chronic diseases, regular physical exercise and overexertional back trauma...
February 8, 2019: BMC Musculoskeletal Disorders
Juan P Gurria, Heather Nolan, Stephanie Polites, Melody Threlkeld, Katherine Arata, Lisa Phipps, Alison Muth, Richard A Falcone
BACKGROUND: Blood-borne pathogen exposure (BBPE) represents a significant safety and resource burden, with more than 380,000 events reported annually across hospitals in the United States. The perioperative environment is a high-risk area for BBPE, and efforts to reduce exposures are not well defined. A multidisciplinary group of nurses, surgical technologists, surgeons, and employee health specialists created a BBPE prevention bundle to reduce Occupational Safety and Health Administration (OSHA) recordable cases...
February 4, 2019: Joint Commission Journal on Quality and Patient Safety
Lynette Cusack, Rick Wiechula, Tim Schultz, Joanne Dollard, Jill Maben
OBJECTIVES: There is an international policy trend for building government hospitals with greater proportions of single-occupancy rooms. The study aim was to identify advantages and disadvantages for patients and nursing staff of a pending move to 100% single room hospital, in anticipation of the challenges for nurse managers of a different ward environment. This paper presents these findings, summarising potential advantages and disadvantages as well as comparison with findings from similar studies in England...
February 1, 2019: Journal of Nursing Management
Ericka L Fink, Sue R Beers, Amy J Houtrow, Rudolph Richichi, Cheryl Burns, Lesley Doughty, Roberto Ortiz-Aguayo, Catherine A Madurski, Cynthia Valenta, Maddie Chrisman, Lynn Golightly, Michelle Kiger, Cheryl Patrick, Amery Treble-Barna, Dorothy Pollon, Craig M Smith, Patrick Kochanek
OBJECTIVES: Few feasibility, safety, and efficacy data exist regarding ICU-based rehabilitative services for children. We hypothesized that early protocolized assessment and therapy would be feasible and safe versus usual care in pediatric neurocritical care patients. DESIGN: Randomized controlled trial. SETTING: Three tertiary care PICUs in the United States. PATIENTS: Fifty-eight children between the ages of 3-17 years with new traumatic or nontraumatic brain insult and expected ICU admission greater than 48 hours...
January 30, 2019: Pediatric Critical Care Medicine
Anke Wagner, Monika A Rieger, Tanja Manser, Heidrun Sturm, Juliane Hardt, Peter Martus, Constanze Lessing, Antje Hammer
BACKGROUND: Promoting patient and occupational safety are two key challenges for hospitals. When aiming to improve these two outcomes synergistically, psychosocial working conditions, leadership by hospital management and supervisors, and perceptions of patient and occupational safety climate have to be considered. Recent studies have shown that these key topics are interrelated and form a critical foundation for promoting patient and occupational safety in hospitals. So far, these topics have mainly been studied independently from each other...
January 21, 2019: BMC Health Services Research
Bethany Young, Megan Moyer, William Pino, David Kung, Eric Zager, Monisha A Kumar
BACKGROUND/OBJECTIVE: In November 2014, our Neurointensive Care Unit began a multi-phased progressive early mobilization initiative for patients with subarachnoid hemorrhage and an external ventricular drain (EVD). Our goal was to transition from a culture of complete bed rest (Phase 0) to a physical and occupational therapy (PT/OT)-guided mobilization protocol (Phase I), and ultimately to a nurse-driven mobilization protocol (Phase II). We hypothesized that nurses could mobilize patients as safely as an exclusively PT/OT-guided approach...
January 18, 2019: Neurocritical Care
Sumedh Bele, Christine Cassidy, Janet Curran, David W Johnson, Chad Saunders, J A Michelle Bailey
BACKGROUND: Over-occupancy at the two tertiary pediatric care hospitals in Alberta, Canada is steadily increasing with simultaneous decline in occupancy of pediatric beds at regional hospitals. Over-occupancy negatively impacts timeliness and potentially, the safety of patient care provided at these two tertiary hospitals. In contrast, underutilization of pediatric beds at regional hospitals poses the risk of losing beds provincially, dilution of regional pediatric expertise and potential erosion of confidence by regional providers...
January 11, 2019: BMC Health Services Research
Heidrun Sturm, Monika A Rieger, Peter Martus, Esther Ueding, Anke Wagner, Martin Holderried, Jens Maschmann
BACKGROUND: Workload and demands on hospital staff have been growing over recent years. To ensure patient and occupational safety, hospitals increasingly survey staff about perceived working conditions and safety culture. At the same time, routine data are used to manage resources and performance. This study aims to understand the relation between survey-derived measures of how staff perceive their work-related stress and strain and patient safety on the one hand, and routine data measures of workload and quality of care (patient safety) on the other...
2019: PloS One
Ararso Baru, Aklilu Azazh, Lemlem Beza
BACKGROUND: Globally, about 1.25 million people die annually from road trafficcollisions. Evidence from global safety report shows a decreasing trend of road traffic injury indeveloped countries while there is an increasing trend in many developing countriesincluding Ethiopia. This study is aimed at assessing factors affecting injury severity levels of road traffic collision victims referred to selected public hospitals in Addis Ababa based on the Haddon Matrix. METHODS: Ahospital-based cross-sectional study designwas implemented to randomly select a total of 363 road traffic collision victims...
January 3, 2019: BMC Emergency Medicine
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