Variation in US Hospital Practices for Bronchoscopy in the ICU

Abstract The quality of care provided to citizens by professionals and institutions depends on the quality and availability of information. Early commencement of treatment and medication, and the decisions on how to proceed, depend a lot on patients’ data in the different modalities available. It is also important to notice that large pools of data help inform health and wellbeing parameters for the largest possible community. To make that possible it is necessary both to have the best hospital practices but also to get consent and collaboration from patients. In order to accomplish such a goal, it is necessary to use practices, which adhere to legal constraints and are transparent while handling data and also to transmit those practices and protocols to professionals and patients. The present document aims to provide a framework envisaging the seamless application of the clinical procedures, following legal guidance and making the process known, secure and trustworthy. It aims to contribute to clinical practice, and clinical research, thereby contributing to big data analysis by ensuring trust and best clinical data handling.

Download Full-text

Research issues in breastfeeding

Journal of Neonatology ◽

10.1177/097321790902300403 ◽

2009 ◽

Vol 23 (4) ◽

pp. 286-290

Author(s):

JP Dadhich

Keyword(s):

Infant Feeding ◽

Scientific Evidence ◽

Cultural Beliefs ◽

Newborn Infants ◽

National Guidelines ◽

Research Issues ◽

Hiv Positive Mothers ◽

Maternity Benefits ◽

Hospital Practices ◽

Initiation Of Breastfeeding

Enough scientific evidence is available in favour of breastfeeding as the optimal way of providing nutrition to the newborn infants and the preferred way of feeding in the sick neonates. Global and national guidelines for infant feeding recommend initiation of breastfeeding with in one hour of birth and exclusive breastfeeding for the first six months of life. However, it remains a challenge to implement these recommendations. There are several factors such as traditional practices, cultural beliefs, availability of skilled support to the lactating mother, commercial influence, maternity benefits, hospital practices, infant feeding in HIV positive mothers etc. which impacts successful breastfeeding. Though a variety of published literature is available on these subjects, there is a need to have more studies. This article is an attempt to highlight some of these issues.

Download Full-text

The moral relevance of lived experience in complex hospital practices

Theological Ethics and Moral Value Phenomena ◽

10.4324/9781315110257-5 ◽

2017 ◽

pp. 65-92

Author(s):

Frans J.H. Vosman

Keyword(s):

Lived Experience ◽

Moral Relevance ◽

Hospital Practices

Download Full-text

Assessment of Available Technologies for Hospital Waste Management

Advances in Environmental Engineering and Green Technologies - Environmental Issues Surrounding Human Overpopulation ◽

10.4018/978-1-5225-1683-5.ch010 ◽

2017 ◽

pp. 172-188

Author(s):

Alok Rai ◽

Richa Kothari ◽

D. P. Singh

Keyword(s):

Waste Management ◽

Human Life ◽

Human Society ◽

Body Parts ◽

Human Beings ◽

Hospital Waste ◽

Liquid Discharge ◽

Hospital Wastes ◽

Hospital Practices ◽

Modern Hospital

Modern hospital practices with galloping growth in medical technology facilitate increase human life span, decrease mortality rate and increase natality rate. Life supporting health services generates potentially hazardous and infectious hospital wastes like pharmaceuticals, cottons, food, paper, plastics, radionuclide, sharps, and anatomical parts etc. These wastes are complex in nature with maximum part of municipal solid waste and small part of biomedical waste (anatomical parts, body parts etc.). Improper conduct and management of hospital waste create several problems and nosocomial diseases to human beings and harms environment. Traditional practices included for management are open burning, mixing waste, liquid discharge and waste disposal without treatment normally. Hence, this issue comes in lime light and several guidelines come to sort out this problem. Thus, challenges associated with traditional hospital waste management techniques and modern techniques for management are assessed in general and association with human society in particular in this chapter.

Download Full-text

Breastfeeding Outcomes Among WIC-Participating Infants and Their Relationships to Baby-Friendly Hospital Practices

Breastfeeding Medicine ◽

10.1089/bfm.2019.0004 ◽

2019 ◽

Vol 14 (6) ◽

pp. 424-431 ◽

Cited By ~ 2

Author(s):

Shelley Jung ◽

Tabashir Z. Nobari ◽

Shannon E. Whaley

Keyword(s):

Hospital Practices

Download Full-text

Differences in hospital admissions practices following self-harm and their influence on population-level comparisons of self-harm rates in South London: an observational study

BMJ Open ◽

10.1136/bmjopen-2019-032906 ◽

2019 ◽

Vol 9 (10) ◽

pp. e032906

Author(s):

C Polling ◽

Ioannis Bakolis ◽

Matthew Hotopf ◽

Stephani L. Hatch

Keyword(s):

Hospital Admissions ◽

Population Level ◽

City Centre ◽

Spatial Patterning ◽

Patient Demographics ◽

Admission Data ◽

Self Harm ◽

Hospital Practices ◽

The Impact ◽

The City

ObjectivesTo compare the proportions of emergency department (ED) attendances following self-harm that result in admission between hospitals, examine whether differences are explained by severity of harm and examine the impact on spatial variation in self-harm rates of using ED attendance data versus admissions data.SettingA dataset of ED attendances and admissions with self-harm to four hospitals in South East London, 2009–2016 was created using linked electronic patient record data and administrative Hospital Episode Statistics.DesignProportions admitted following ED attendance and length of stay were compared. Variation and spatial patterning of age and sex standardised, spatially smoothed, self-harm rates by small area using attendance and admission data were compared and the association with distance travelled to hospital tested.ResultsThere were 20 750 ED attendances with self-harm, 7614 (37%) resulted in admission. Proportion admitted varied substantially between hospitals with a risk ratio of 2.45 (95% CI 2.30 to 2.61) comparing most and least likely to admit. This was not altered by adjustment for patient demographics, deprivation and type of self-harm. Hospitals which admitted more had a higher proportion of admissions lasting less than 24 hours (54% of all admissions at highest admitting hospital vs 35% at lowest). A previously demonstrated pattern of lower rates of self-harm admission closer to the city centre was reduced when ED attendance rates were used to represent self-harm. This was not altered when distance travelled to hospital was adjusted for.ConclusionsHospitals vary substantially in likelihood of admission after ED presentation with self-harm and this is likely due to the differences in hospital practices rather than in the patient population or severity of self-harm seen. Public health policy that directs resources based on self-harm admissions data could exacerbate existing health inequalities in inner-city areas where these data may underestimate rates relative to other areas.

Download Full-text

Barriers and facilitators to breastfeeding during the immediate and one month postpartum periods, among Mexican women: a mixed methods approach

International Breastfeeding Journal ◽

10.1186/s13006-020-00327-3 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Sonia Hernández-Cordero ◽

Ana Lilia Lozada-Tequeanes ◽

Ana Cecilia Fernández-Gaxiola ◽

Teresa Shamah-Levy ◽

Matthias Sachse ◽

...

Keyword(s):

Infant Formula ◽

Exclusive Breastfeeding ◽

Mexican Women ◽

Timely Initiation ◽

Private Hospitals ◽

Public And Private ◽

Public And Private Hospitals ◽

Hospital Practices ◽

Timely Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Abstract Background Evidence suggests that inadequate hospital practices, as well as sociocultural and community factors have detrimental effects on timely initiation as the first breastfeed within first hour after birth, and exclusive breastfeeding. The purpose of the study was to examine the factors that influence timely initiation of breastfeeding and exclusive breastfeeding at birth and 1 month postpartum in Mexican women delivering in public and private hospitals. Methods Mixed methods were conducted between May and July 2017, including surveys (n = 543) and semi-structured interviews (n = 60) in the immediate (7 h) and intermediate (30 days) postpartum periods. Participants were women aged 15–49 years, in public and private hospitals, of urban and rural municipalities of Chihuahua and Puebla, Mexico. Results Timely initiation was reported by 49.4% of mothers, and 34.7% reported that their children received infant formula at the hospital. Only 44.8% of women reported exclusive breastfeeding at 1 month postpartum. Timely initiation of breastfeeding was higher in women with vaginal delivery (62.1 vs 35.5%; p < 0.05) and those who received information during pregnancy (OR 1.07; p = 0.018). Exclusive breastfeeding at 1 month postpartum was related to older maternal age (OR 1.05; p < 0.001) and the fact that the mothers had received more information about breastfeeding during pregnancy (OR 1.13; p = 0.0001). Infant formula use was less associated with timely initiation (OR 0.46; p = 0.001). Participants in qualitative data identified the emotional, physical and economic benefits of breastfeeding, however, the perception about insufficient production of human milk, and the belief that infant formula is recommended, persists. Conclusions Modification of hospital practices, such as decreasing the number of cesarean and the use of infant formula, as well as the support of the initiation and continuation of exclusive breastfeeding by health personnel and family members, could help increase breastfeeding practices in Mexican women.

Download Full-text

Patients' Hand Hygiene at Home Predicts Their Hand Hygiene Practices in the Hospital

Infection Control and Hospital Epidemiology ◽

10.1086/675826 ◽

2014 ◽

Vol 35 (5) ◽

pp. 585-588 ◽

Cited By ~ 9

Author(s):

Anna Barker ◽

Ajay Sethi ◽

Emily Shulkin ◽

Rachell Caniza ◽

Sara Zerbel ◽

...

Keyword(s):

Hand Hygiene ◽

Intrinsic Value ◽

Healthcare Associated Infections ◽

Hospital Hygiene ◽

Factors Associated ◽

Hygiene Practices ◽

Hospital Patients ◽

Hospital Practices ◽

Healthcare Associated ◽

At Home

We examine factors associated with hand hygiene practices of hospital patients. Hygiene in the hospital decreased compared to that at home, and home practices were strongly associated with hospital practices. Understanding and leveraging the intrinsic value some patients associate with hand hygiene may be important for improving overall hospital hygiene and decreasing healthcare-associated infections.

Download Full-text