Bed utilization indices at a tertiary care hospital in Goa: an eight year trend analysis.

A retrospective data analysis of records from medical records department of Goa Medical College Hospital was done to analyse the trends of various bed utilisation indices from 1999 - 2006. Average length of stay, bed occupancy rate, turnover interval and bed turnover ratio were the indices calculated. During the eight year period from 1999 to 2006, the average length of stay for the entire hospital registered a small decline from 6.23 to 5.51 days, the overall bed occupancy rate increased from 72.13% to 83.12% and the bed turnover interval declined from 2.41 days to 1.12 days. The Orthopaedics ward had the highest increase in bed occupancy and also fastest decline in turnover interval in 2006. Bed utilization indices are an objective measure of the efficiency of the hospital management system.

Patients' satisfaction with hospital care in a referral institute in Manipur.

A cross-sectional study was conducted to determine the level of patients' satisfaction with hospital care in Regional Institute of Medical Sciences, Imphal among inpatients during the month of May 2007. Interview schedule was developed covering certain domains regarding patients care. Overall satisfaction level was determined by using a summated Likert score. Most of the patients (260, 74.1%) were satisfied with the overall care received. Patients were found to be unsatisfied in the domains pertaining to admission procedure (145, 41.3%), comfort and cleanliness (164, 46.7%), food service (194, 55.3%). Patient admitted in the Obstetrics and Gynecology ward showed a significantly higher level of dissatisfaction as compared to patients from other departments (p<0.03).

Methicillin resistant Staphylococcus aureus infections-implications in hospital infection control.

BACKGROUND: A significant part of nosocomial infections are caused by methicillin resistant Staphylococcus aureus (MRSA). Nosocomial MRSA are known to be multidrug resistant and thus difficult to treat. METHODS: A 2 year study was conducted between January 2001 and December 2002 at Karnataka Institute of Medical Sciences Hospital, Hubli to assess the prevalence of MRSA and its antibiotic susceptibility pattern in various wards. RESULTS: S. aureus was isolated from 714 patients, 283 (37.53%) of which exhibited methicillin resistance. Although these MRSA were multidrug resistant in all the wards, the problem was more severe in NICU and orthopedic wards. CONCLUSION: The results highlight the need for effective implementation of infection control measures in the hospital. There is a need for the judicious use of antimicrobial agents in the hospital and outside as their indiscriminate use can exert pressure in selecting out MRSA and other multidrug resistant organisms.

Inpatient satisfaction with physician services at King Khalid University Hospital, Riyadh, Saudi Arabia

The satisfaction of 400 inpatients with physician services at King Khalid University Hospital, Riyadh was evaluated. Patient characteristics and ward of admission were collected and a questionnaire based on the st and ardized Likert scale was used. The highest mean satisfaction score was for admission and the lowest for communication. Among service items, the highest mean score was for physicians enquiring about patient conditions and opinions when planning care and the lowest for physicians asking for opinions about care quality and problems. Female and less educated patients were more satisfied with their care than male and educated patients. Male surgical and medical ward patients were the most dissatisfied with physicians'services.These findings offer hospital management information about shortcomings requiring remedial intervention

O significado do "Ethos" e da consciência ética do enfermeiro em suas relaçöes de trabalho / The meaning of \"ethos\" and nurses ethical conscience in their working relationships

Este trabalho, de abordagem qualitativa e de ótica fenomenológica, investigou o significado do "êthos" e da consciência ética do enfermeiro em suas relaçöes de trabalho. Os achados foram obtidos através de diálogos, observaçäo participante e análise de anotaçöes de enfermagem. Os sujeitos foram: 1. enfermeiros docentes acompanhando alunos num Hospital, Centro de Saúde e Ambulatório; 2. enfermeiros prestando assistência direta ao cliente nas áreas acima referidas. Esta busca proporcionou a percepçäo dos valores éticos que constituem o "êthos" e a consciência ética dos sujeitos da pesquisa, suas contradiçöes bem como conduziu a uma nova compreensäo do fenômeno.

Distribution and analysis of 8,268 nosocomial infections at the Hospital Säo Paulo: 1985 to 1989

Since 1985, the Hospital Säo Paulo has a nosocomial infection (NI) control program. The NI control commitee acts in all sectors of the hospital, performing active epidemiologic surveillance. During a period of 58 months (March, 1985 to december, 1989) 8, 268 NI were identified in the 86,849 hospiytalized patients, representing a rate of 9.5 por cento. The most prevalent NI was that of the respiratory tract 21.8 per cent (1,803) followed by: surgical wound 16.7 per cent (1,383), urinary tract 12.2 per cent (1,011), bloodstream 11.2 per cents (924) and other sites 38 per cent (3,147). There was a significant fall in NI rate for each site, mainly respiratory and urinary tract. The patients admitted to the General Intensive Care Unit represented 11 per cent (897) of all detected NI. Some of most frequently isolated agents were: S. aureus 19 per cent (915), E. coli 14 per cent (673), Klebsiella spp 12.4 per cent (598) and pseudomonas spp 12.2 per cent (587)

Nosocomial infections in Maharaj Nakhon Chiang Mai Hospital 1987.

All 5,543 patients discharged from 24 wards of Maharaj Nakhon Chiang Mai hospital from April 8 to July 7, 1987 were studied. It was found that 29.2 per cent of patients had community infections, 6.3 per cent (348) of the patients developed nosocomial infections, the infection rate was 9.3 per cent (514 episodes). The highest infection rate was found among ICU, followed by private, surgical, medical, pediatrics, and Ob-Gyn nursing services. Females were more affected than males. The most common infections were urinary and respiratory; followed by bacteremia, surgical wound infections, infections of skin, and gastrointestinal tract. E. coli, Pseudomonas aeruginosa and Klebsiella species were the major causative micro-organisms. The commonly used antibiotics were penicillins and aminoglycosides. Patients who had a nosocomial infection had to stay in hospital for an average of 17 days longer than patients who did not. The mortality rate of patients who had a nosocomial infection was 3.8 times that of patients who did not.

Nosocomial infections in Srinagarind Hospital.

Surveillance of nosocomial infections (N.I.) in Srinagarind hospital was done from June 1987 to May 1988. Seven thousand three hundred and fifty-five discharged patients in 10 high risk wards were studied. Eight hundred and fourteen patients had N.I., and incidence rate of 11.06 per cent. There were 1,255 episodes of N.I., an infection rate of 17 per cent. Urinary tract infection was the commonest infection followed by lower respiratory infections. The infection rate was highest in the rehabilitation ward where patients were hospitalized longer than patients in other wards. The commonest pathogens isolated were P. aeruginosa, Klebsiella species and E. coli. Urinary tract infection was most common due to E. coli, while lower respiratory, bacteraemia, and both surgical wound, skin and soft tissue infections were due to P. aeruginosa, Klebsiella species and P. aeruginosa, respectively.