scholarly journals Completion Rates of Advance Directives in a Trauma Emergency Room: Association with Age

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jan A. Graw ◽  
René Burchard
Keyword(s):  
Emergency Room ◽  
Teaching Hospital ◽  
Traumatic Injury ◽  
Patient Characteristics ◽  
Educational Background ◽  
Completion Rates ◽  
Academic Teaching ◽  
Trauma Emergency Room ◽  
Academic Teaching Hospital ◽  
The Moment

Introduction An advance directive (AD) is a written legal document in which a person can express wishes and preferences for medical treatment for the moment when that person is no longer able to make medical decisions because of a serious illness or injury. While ADs have emerged in public, it is unclear, how many adults in Germany have completed an AD, and frequencies differ among different patient cohorts and medical settings. The aim of this study was to evaluate how many patients visiting a trauma emergency room (ER) in an academic teaching hospital had completed an AD. Furthermore, patient characteristics were compared between patients who had completed an AD and those who had not completed an AD. Methods. Patients with a traumatic injury or disease who attended the ER of an academic teaching hospital in the period from October 2015 to March 2016 (n = 499) were surveyed for completion rates of ADs. Results. Prior to their visit to the ER, 12.8% of the included patients possessed a completed AD. Patients with a completed AD had a higher age (median age: 54 (IQR: 34–66) vs. 35 (IQR: 25–50) p < 0.001 ) and were less often living in an urban residential location (UR) (UR: 23.5% vs. 39.4%, p = 0.029 ). Groups did not differ between sex ( p = 0.115 ), frequencies of high school graduates ( p = 0.482 ), and possession of a private health insurance ( p = 0.072 ), disability insurance ( p = 0.291 ), or an accident insurance ( p = 0.790 ). Conclusion. Completion rates of ADs remain low among patients visiting an ER of an academic teaching hospital in Germany. Increasing age but not factors such as sex, educational background, or insurance status were associated with a higher frequency of completed ADs.

Simulation-Based Education Improves Quality of Care During Cardiac Arrest Team Responses at an Academic Teaching Hospital

CHEST Journal ◽  
2008 ◽  
Vol 133 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Diane B. Wayne ◽  
Aashish Didwania ◽  
Joe Feinglass ◽  
Monica J. Fudala ◽  
Jeffrey H. Barsuk ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Quality Of Care ◽  
Teaching Hospital ◽  
Academic Teaching ◽  
Simulation Based ◽  
Academic Teaching Hospital ◽  
Cardiac Arrest Team

scholarly journals Retrospective Study of Self Esteem in Patients with Pityriasis Versicolor

2020 ◽  
Vol 32 (2) ◽  
pp. 93
Author(s):  
Bagus Meurah Suropati ◽  
Eko Budi Koendhori ◽  
Sawitri Sawitri ◽  
Evy Ervianti
Keyword(s):  
Sex Education ◽  
Teaching Hospital ◽  
Outpatient Clinic ◽  
Basic Education ◽  
Skin Surface ◽  
Self Esteem ◽  
Pityriasis Versicolor ◽  
Academic Teaching ◽  
Education Levels ◽  
Academic Teaching Hospital

Background: Pityriasis Versicolor (PV) is a fungal infection of the skin, caused by the Malassezia sp., a genus of fungi. Patients commonly present with bordered skin patches of white, grey, and sometimes brown on their skin surface. The prominent changing of skin colour in exposed areas of the skin may cause feelings of insecurity to the patients and become limelight for other people, impacting their self esteem. Purpose: To evaluate the self esteem profile in PV patients at the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. Methods: This was a retrospective descriptive study based on medical records of the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. The data were collected from June 2018 to May 2019. This research evaluates PV patients's profiles by age, sex, education level, occupation, residential environment, site of infection, duration of the infection, and self esteem. The patient's self esteem was assessed using the Rosenberg Self Esteem Scale (RSES). Result: Fiftythree PV patient’s self esteem values were successfully recorded. Of the 53 patients, the score was low in 3 people (5.67%), the normal score in 50 people (94.33%), and no one had a high score. Of the 3 people with low self esteem scores, 2 of them were men, consisting of 1 teenager and 2 adults, having basic education levels, who were students and housewives. The three patients had the infection for more than 3 months and they resided in Tambaksari, Wonocolo, and outside Surabaya. Conclusion: The majority of PV patients at the dermato-venereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital have normal self esteem scores.

scholarly journals Clinical laboratory automation: a case study

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Claudia Archetti ◽  
Alessandro Montanelli ◽  
Dario Finazzi ◽  
Luigi Caimi ◽  
Emirena Garrafa
Keyword(s):  
Teaching Hospital ◽  
Clinical Laboratory ◽  
Indirect Costs ◽  
Turnaround Time ◽  
Laboratory Automation ◽  
Direct And Indirect Costs ◽  
Academic Teaching ◽  
The North ◽  
Academic Teaching Hospital

<em>Background</em>. This paper presents a case study of an automated clinical laboratory in a large urban academic teaching hospital in the North of Italy, the Spedali Civili in Brescia, where four laboratories were merged in a unique laboratory through the introduction of laboratory automation. <br /><em>Materials and Methods</em>. The analysis compares the preautomation situation and the new setting from a cost perspective, by considering direct and indirect costs. It also presents an analysis of the turnaround time (TAT). The study considers equipment, staff and indirect costs. <br /><em>Results</em>. The introduction of automation led to a slight increase in equipment costs which is highly compensated by a remarkable decrease in staff costs. Consequently, total costs decreased by 12.55%. The analysis of the TAT shows an improvement of nonemergency exams while emergency exams are still validated within the maximum time imposed by the hospital. <br /><em>Conclusions</em>. The strategy adopted by the management, which was based on re-using the available equipment and staff when merging the pre-existing laboratories, has reached its goal: introducing automation while minimizing the costs.

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