scholarly journals Characteristics of and management strategies for 54 suicidal inpatients in a general hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 139-145
Author(s):  
Rong Tan ◽  
De-Ying Hu ◽  
Yan-Hong Han ◽  
Yi-Lan Liu ◽  
Xiao-Ping Ding ◽  
...  
Keyword(s):  
General Hospital ◽  
Reporting System ◽  
Safety Management ◽  
Management Strategies ◽  
Hospital Environment ◽  
Hospital Treatment ◽  
Malignant Neoplasms ◽  
Hospital Safety ◽  
Improve Hospital ◽  
Lethal Means

Abstract Objective The aim of this study was to explore the characteristics of and preventive management strategies for suicidal inpatients in a general hospital. Methods A total of 54 suicide victims were drawn from a patient safety adverse event network reporting system during hospitalization in a general hospital from November 2008 to January 2017. Results Subjects who committed suicide in the general hospital were women and those who suffered from malignant neoplasms during general hospital treatment. Furthermore, most of the patients who committed suicide used more violent suicide methods. The most common and lethal means was jumping from heights at the windowsill. Conclusions It is concluded that management strategies for suicide prevention can be provided from the aspects of patients, medical staff and the hospital environment. It is not only urgent but also feasible to reduce the suicide rate of inpatients and further improve hospital safety management.

Description of multimorbidity clusters of admitted patients in medical departments of a general hospital

2021 ◽  
pp. postgradmedj-2020-139361
Author(s):  
María Matesanz-Fernández ◽  
Teresa Seoane-Pillado ◽  
Iria Iñiguez-Vázquez ◽  
Roi Suárez-Gil ◽  
Sonia Pértega-Díaz ◽  
...  
Keyword(s):  
General Hospital ◽  
Multiple Correspondence Analysis ◽  
Hypertensive Heart Disease ◽  
Chronic Kidney Failure ◽  
Hospital Environment ◽  
Heart Valve Disease ◽  
Malignant Neoplasms ◽  
Hospital Data ◽  
Data Set ◽  
And Gender

ObjectiveWe aim to identify patterns of disease clusters among inpatients of a general hospital and to describe the characteristics and evolution of each group.MethodsWe used two data sets from the CMBD (Conjunto mínimo básico de datos - Minimum Basic Hospital Data Set (MBDS)) of the Lucus Augusti Hospital (Spain), hospitalisations and patients, realising a retrospective cohort study among the 74 220 patients discharged from the Medic Area between 01 January 2000 and 31 December 2015. We created multimorbidity clusters using multiple correspondence analysis.ResultsWe identified five clusters for both gender and age. Cluster 1: alcoholic liver disease, alcoholic dependency syndrome, lung and digestive tract malignant neoplasms (age under 50 years). Cluster 2: large intestine, prostate, breast and other malignant neoplasms, lymphoma and myeloma (age over 70, mostly males). Cluster 3: malnutrition, Parkinson disease and other mobility disorders, dementia and other mental health conditions (age over 80 years and mostly women). Cluster 4: atrial fibrillation/flutter, cardiac failure, chronic kidney failure and heart valve disease (age between 70–80 and mostly women). Cluster 5: hypertension/hypertensive heart disease, type 2 diabetes mellitus, ischaemic cardiomyopathy, dyslipidaemia, obesity and sleep apnea, including mostly men (age range 60–80). We assessed significant differences among the clusters when gender, age, number of chronic pathologies, number of rehospitalisations and mortality during the hospitalisation were assessed (p<0001 in all cases).ConclusionsWe identify for the first time in a hospital environment five clusters of disease combinations among the inpatients. These clusters contain several high-incidence diseases related to both age and gender that express their own evolution and clinical characteristics over time.

Reassessment of Suicide Attempters at Home, Shortly After Discharge from Hospital

Crisis ◽  
2010 ◽  
Vol 31 (6) ◽  
pp. 303-310 ◽  
Author(s):  
Bas Verwey ◽  
Jeroen A. van Waarde ◽  
Molla A. Bozdağ ◽  
Iris van Rooij ◽  
Edwin de Beurs ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
General Hospital ◽  
Hospital Environment ◽  
Initial Assessment ◽  
Suicide Attempters ◽  
Systematic Assessment ◽  
Suicide Intent ◽  
Initial Hospital ◽  
Discharge From Hospital ◽  
At Home

Background: Assessment of suicide attempters in a general hospital may be influenced by the condition of the patient and the unfavorable circumstances of the hospital environment. Aims: To determine whether the results of a reassessment at home shortly after discharge from hospital differ from the initial assessment in the hospital. Methods: In this prospective study, systematic assessment of 52 suicide attempters in a general hospital was compared with reassessment at home, shortly after discharge. Results: Reassessments at home concerning suicide intent, motives for suicide attempt, and dimensions of psychopathology did not differ significantly from the initial hospital assessment. However, patients’ motives for the suicide attempt had changed to being less impulsive and more suicidal, worrying was significantly higher, and self-esteem was significantly lower. A third of the patients had forgotten their aftercare arrangements and most patients who initially felt no need for additional help had changed their mind at reassessment. Conclusions: Results from this group of suicide attempters suggest that a brief reassessment at home shortly after discharge from hospital should be considered.

The rise and fall of PET and PET/CT

2005 ◽  
Vol 44 (S 01) ◽  
pp. S58-S60 ◽  
Author(s):  
W. Mohnike
Keyword(s):  
Clinical Practice ◽  
General Hospital ◽  
Private Practice ◽  
Ct Imaging ◽  
Hospital Environment ◽  
Governmental Organizations ◽  
Pet Ct

Summary:PET is being considered a diagnostic commodity in clinical practice worldwide and thus receives increasing attention by health insurances and governmental organizations. In Germany, however, neither PET nor PET/CT are subject to reimbursement. This renders clinical PET and PET/CT imaging a challenge both in a general hospital environment and in private practice. This article describes briefly these challenges, which are not solely related to turf battles and associated costs.

scholarly journals How can never event data be used to reflect or improve hospital safety performance * ? *

Anaesthesia ◽  
2021 ◽  
Author(s):  
J. Olivarius‐McAllister ◽  
M. Pandit ◽  
A. Sykes ◽  
J. J. Pandit
Keyword(s):  
Safety Performance ◽  
Event Data ◽  
Hospital Safety ◽  
Improve Hospital ◽  
Never Event

scholarly journals Management of patients with spinal cord trauma in the hospital environment and life quality

2021 ◽  
Author(s):  
Sarah Joanny da Silva Pereira ◽  
Natália Barros Salgado Vieira ◽  
Ana Flavia Silva Castro
Keyword(s):  
Spinal Cord ◽  
Life Quality ◽  
Hospital Environment ◽  
Complete Analysis ◽  
Hospital Treatment ◽  
Spinal Cord Trauma ◽  
Trauma Recovery ◽  
Secondary Damage ◽  
Management Procedures ◽  
Risk Patients

Background: Spinal cord trauma has a negative prognosis, with low life quality. Management procedures increase chances of survival and a better life quality. Objectives: Review in the scientific literature which treatments are recommended to spinal cord trauma in the hospital and how it affects life quality. Methods: A literature review was carried out in the MEDLINE/Pubmed, Scientific Electronic Library Online (SciELO) and LILACS databases, using the terms “spinal trauma”, “recovery”, “patient management”, “accessibility” and “life quality”, in Portuguese, English and Spanish. 87 articles were found and 15 followed for complete analysis. This exclusion criteria were used: (a) articles published before 2015; (b) articles that did not fit the proposed theme. Results: At the hospital, treatment to spinal cord trauma is supportive, reducing secondary damage. Respiratory disorders are treated with intubation. Management of the respiratory tract should also include physiotherapy of the pectoral region, secretion clearance, mucolytic and bronchodilators. High-risk patients may need tracheostomy. The more complex the injury and the higher the level, the more aggressive the neurogenic shock. The first treatment should be fluid resuscitation, to maintain euvolemia. The second, vasopressors and inotropes. MAP should be above 85-90 mmHg during the first week to avoid neurological damage. Conclusions: The treatments are extremely important, but the prognosis is usually negative, given the limitations that reduce the life quality of these people, who suffer from a lack of accessibility.

Deliberate Self-Harm Patients Who Discharge Themselves from the General Hospital Without Adequate Psychosocial Assessment

Crisis ◽  
2004 ◽  
Vol 25 (4) ◽  
pp. 183-186 ◽  
Author(s):  
Rachel Crowder ◽  
Rohan Van Der Putt ◽  
Ceri-Anne Ashby ◽  
Andrew Blewett
Keyword(s):  
General Hospital ◽  
Care Pathway ◽  
Alcohol Intoxication ◽  
Psychosocial Assessment ◽  
Hospital Environment ◽  
Control Group ◽  
Deliberate Self Harm ◽  
Increased Risk ◽  
Self Harm ◽  
Integrated Care Pathway

Abstract: Deliberate self-harm patients who leave the acute hospital environment before the completion of psychiatric assessment have an increased risk of subsequent self-harm. We considered the available data on 50 premature self-discharges identified prospectively in a general hospital with a well-developed integrated-care pathway for self-harm patients, and compared them to a control group. The self-discharge group was found to be more likely to have attempted self-poisoning without alcohol intoxication or other forms or combinations of self-harm, and an absence of identifiable previous self-harm or prior contact with local specialist psychiatric services. The two groups showed no difference in age, sex, or area of residence based on community mental health team sectors. It is proposed that these findings indicate hypotheses for further studies of why people leave the hospital without adequate assessment, and how service design could be improved in order to help them.

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