Stakeholder influence in public sector information systems strategy implementation-The case of public hospitals in South Africa.

Recent literature on organisational strategy has called for greater emphasis on individuals (stakeholders) and what they do in the process of strategizing. Public sector organisations have to engage with an array of heterogeneous stakeholders in fulfilling their mandate. The public health sector in particular needs to engage with a diversity of stakeholders at local, regional and national levels when strategising.

Use of postanesthesia discharge criteria to reduce discharge delays for inpatients in the postanesthesia care unit.

Study Objective: To determine whether a set of predetermined discharge criteria, used by nurses, shortens the length of patient stay in the postanesthesia care unit (PACU) without compromising safety.

Study Design: Prospective clinical study.

Setting: Postoperative recovery area of a large, tertiary-care, academic hospital.

Epiglottic hematoma leading to airway obstruction after general anesthesia.

Bleeding into the upper airway can cause airway obstruction and death if not recognized promptly. Anesthesiologists are quite familiar with potential airway obstruction from acute epiglottitis, but they may be less familiar with the potential for airway obstruction from epiglottic hematoma. We report what we believe is the second case of epiglottic hematoma after anesthesia and surgery that led to an acute upper airway obstruction.