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Reducing Employee Injuries from Aggressive Patient Behavior at Children's Hospital by Implementing a Behavioral Response Team.
Pediatr Qual Saf
January 2025
Department of Pediatrics and Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Background: Among hospitalized children, episodes of aggressive patient behavior place healthcare staff at risk for serious injuries. By implementing a behavioral response team at a children's hospital, we aimed to reduce monthly employee injuries related to aggressive patient behavior from 3.4 to 2.
View Article and Find Full Text PDFAssessment of the Child-Pugh Score, Model for End-Stage Liver Disease Score, Fibrosis-4 Index, and AST to Platelet Ratio Index as Non-endoscopic Predictors of the Presence of Esophageal Varices and Variceal Bleeding in Chronic Liver Disease Patients.
Cureus
November 2024
Gastroenterology and Hepatology, Osmania General Hospital, Hyderabad, IND.
Background Esophageal varices (EVs) develop as a complication of chronic liver disease and, when left unaddressed, can lead to variceal hemorrhage manifesting as severe hematemesis and occasionally, melena. Due to its frequent negative associations, early diagnosis and the implementation of non-selective beta blocker primary prophylaxis are imperative. Although upper gastrointestinal endoscopy has historically been used to image and identify EVs, patients frequently find this intrusive treatment to be uncomfortable and burdensome.
View Article and Find Full Text PDFExperiences and perceptions of acute testicular pain, with a focus on reasons for delayed presentation to hospital: a qualitative evidence synthesis.
Emerg Med J
November 2024
School of Medicine, University of Nottingham, Medical School, Nottingham, UK
Background: The annual incidence of testicular torsion is approximately 1 in 4000 males under the age of 25. Despite the 97% testicular salvage rate when surgical intervention is within 6 hours of onset, orchidectomy is required in 40% of cases. These comparatively poor outcomes are driven by delays to intervention, the majority of which take place prior to presentation to healthcare.
View Article and Find Full Text PDFEthical leadership in health-care organizations - a scoping review.
Leadersh Health Serv (Bradf Engl)
October 2024
Symbiosis Institute of Health Sciences, Symbiosis International (Deemed University), Pune, India.
Purpose: The purpose of this study is to explore the impact of EL style on key variables in health-care settings. Very few studies investigate the impact and outcomes of EL on health-care organizations. Synthesis of evidence will assist health-care leaders in making informed decisions about the outcomes they can expect from practicing EL.
View Article and Find Full Text PDFNonprescribed Substance Use in the General Hospital: A Retrospective Study.
J Acad Consult Liaison Psychiatry
October 2024
Vanderbilt University Medical Center, Vanderbilt University School of Medicine, TN.
Background: Nonprescribed substance use (NPSU) is a recognized phenomenon exhibited by patients with substance use disorders while admitted to inpatient hospitals. What factors distinguish patients who engage in NPSU, or how their hospitalizations and outcomes differ, remains to be understood in full.
Objectives: Our study describes a cohort of medically admitted patients with substance use disorders with behaviors concerning for NPSU during their hospitalization.
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