Academic literature on the topic 'Baragwanath Hospital. Department of Medicine'

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Journal articles on the topic "Baragwanath Hospital. Department of Medicine"

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Plani, F. "(A219) Development of a Hospital Disaster Plan for Countries with Limited Resources." Prehospital and Disaster Medicine 26, S1 (May 2011): s60. http://dx.doi.org/10.1017/s1049023x11002093.

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The Chris Hani Baragwanath Hospital (CHBH) in South Africa is the largest in the world, with 2,900 beds. Its trauma unit boasts 15 resuscitation bays, while the triage area has space for 40 stretchers. There are 5,000 trauma resuscitations performed yearly, out of 50,000 patients seen in the Trauma Emergency Department. There is an eight-bed Trauma Intensive Care Unit (ICU) and a 56-bed Trauma Ward. There also are 25 stepdown beds, 70 outlying beds, a six-bed Burn ICU, 20-bed ward, and a 24-bed shortstay ward. There are about 80 resuscitations and 70 trauma emergency operations weekly. However, the hospital is severely limited in financial and human resources, with only 2–3 interns, two registrars, and one trauma consultant on-call. The hospital is at > 130% bed occupancy. The CHBH was designated as the main disaster hospital for the 2010 FIFA World Cup, due to its proximity to the 96,000-seat Soccer City. Nominal disaster plans existed, but there were no resources, preparations, or knowledge, as was the case with most other government hospitals. The Trauma Directorate developed a new plan for the World Cup, future mass-casualty incidents at CHBH, and for other resource limited hospitals. The plans are centered on four critical issues: (1) preparedness of hospital structure and staff; (2) dissemination of the plan; (3) disaster training; and (4) the development of “Disaster Bags” for 350 casualties A free disaster course trained > 400 staff members on in-hospital triage and trauma management. All hospital staff were allocated specific functions in case of disasters. This is the first time the CHBH has had an integrated disaster plan, with separate equipment allocation, through private funding, and involving all disciplines.
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Carter, Timothy. "Baragwanath Hospital." Medical Journal of Australia 142, no. 9 (April 1985): 515–16. http://dx.doi.org/10.5694/j.1326-5377.1985.tb133198.x.

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Marik, P. E., P. Kraus, and J. Lipman. "Intensive Care Utilisation: The Baragwanath Experience." Anaesthesia and Intensive Care 21, no. 4 (August 1993): 396–99. http://dx.doi.org/10.1177/0310057x9302100403.

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Intensive care medicine is an expensive service whose impact on health care has been questioned. South Africa is a country undergoing rapid social and political change and the role of intensive care medicine in the health care system of this country needs to be assessed. In this paper we evaluated the quality, cost-effectiveness and utilisation of technology in the intensive care unit of Baragwanath Hospital, a hospital serving the black community of Soweto.
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Plani, F. "(P1-40) Development of Hospital Triage Training at the Chris Hani Baragwanath Hospital." Prehospital and Disaster Medicine 26, S1 (May 2011): s111. http://dx.doi.org/10.1017/s1049023x11003724.

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Development of Hospital Triage Training at the Chris Hani Baragwanath Hospital F. Plani1, E Degiannis, P Lingham No disaster training had ever been carried out at the CHBH, the biggest hospital in the world with over 2900 beds and over 5000 staff members. The 2010 Disaster Plan required that all clinical staff undergo the appropriate training. Basic Interprofessional Training for Trauma Disasters 411 staff members attended a half day course during May/June 2010, presented and sponsored by CHBH Trauma Directorate consultants. The aims of the course were to disseminate the trauma disaster plan in interdisciplinary and interprofessional fashion, clarify hospital triage, familiarize staff with Trauma Unit equipment, and practice resuscitations in mass casualty incidents. The course started with presentations on CHBH Disaster Plans and Protocols and Principles of Triage and Standard of Care in Disasters. This was followed by 3 multiple patient scenarios with rotating groups, over a whole hospital floor with: 1) 50 mixed patients outside the hospital; 2) 10 serious patients in the ER; 3) 10 patients deteriorating later in a ward or ICU. Next were individual patient resuscitations, Primary, Secondary, Tertiary Survey and “hand-over”, patient resuscitations in a disaster, using the contents from “Disaster Bags” and questionnaires to assess confidence and suitable treatment areas (Red, Yellow, Green, OT) for allocation in a disaster. The course was wrapped up by a familiarization visit to ED and the colour coded areas.ResultsFinal questionnaires demonstrated that all participants were a lot more confident in the triage of patients and the initial resuscitation using the implements found in the resuscitation room and the “Disaster Bags”. The course has been adopted as part of staff orientation at all professional levels from 2011 onwards, and is in the process to be extended to secondary level hospitals in Gauteng, RSA.
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Eisenberg, R. L. "TRISS METHODOLOGY IN PENETRATING TRAUMA: 198 PATIENTS AT BARAGWANATH HOSPITAL." ANZ Journal of Surgery 63, no. 7 (July 1993): 515–19. http://dx.doi.org/10.1111/j.1445-2197.1993.tb00443.x.

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Seedat, Faheem, Reyna Daya, and Sindeep A. Bhana. "Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit." Case Reports in Medicine 2018 (2018): 1–4. http://dx.doi.org/10.1155/2018/5948254.

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A 24-year-old man presented to the Chris Hani Baragwanath Academic Hospital emergency department with recurrent seizures having previously been diagnosed with epilepsy from age 14. The biochemical investigations and brain imaging were suggestive of seizures secondary to hypocalcemia, and a diagnosis of idiopathic hypoparathyroidism was confirmed. After calcium and vitamin D replacement, the patient recovered well and is seizure free, and off antiepileptic therapy. This case highlights the occurrence of brain calcinosis in idiopathic hypoparathyroidism; the occurrence of acute symptomatic seizures due to provoking factors other than epilepsy; and the importance, in the correct clinical setting, of considering alternative, and sometimes treatable, causes of seizures other than epilepsy.
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Van Blydenstein, Alex, L. Nqwata, N. P. K. Banda, P. Ashmore, and M. L. Wong. "Factors affecting compliance and control of asthma in patients attending the Respiratory Outpatient Department, Chris Hani Baragwanath Academic Hospital." South African Respiratory Journal 21, no. 4 (December 4, 2015): 91. http://dx.doi.org/10.7196/sarj.2015.v21i4.43.

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<p>Background. ere is a sense among respiratory physicians that asthma is poorly controlled in public sector hospitals, possibly due to poor<br />adherence and lack of knowledge regarding inhaler technique.<br />Objective. To describe the status of asthma control in patients attending the Respiratory Outpatient Department at Chris Hani Baragwanath<br />Academic Hospital.<br />Methods. A retrospective record review was conducted on outpatient les of asthmatics known to the Respiratory Department. Data<br />obtained included demographics, level of control and number of admissions and exacerbations.<br />Results. A total of 519 patient les were reviewed, 74.2% of whom were female. e mean (standard deviation) age was 47 (16.5) years.<br />We found 47.2% of patients were controlled, 30.4% partially controlled and 22.4% uncontrolled. Most patients (88%) had no admissions in<br />the previous year. About 60% had not experienced exacerbations in the previous year. ere were signicant dierences between the three<br />groups for number of exacerbations, both per year and per lifetime, and type of steroid prescribed. For a number of signicant areas, such<br />as forced expiratory volume in one second (FEV1%) predicted and competency of inhaler technique, a large proportion of the data (&gt;30%)<br />had not been documented by the attending doctor in the patient les.<br />Conclusion. In this population of mostly middle-aged female asthmatics, less than half the patients were well-controlled despite very few<br />admissions or exacerbations in the previous year. Documentation by clinicians of aspects indicative of asthma control was generally poor, and<br />better documentation should be encouraged in order to improve knowledge and highlight awareness of best practice in the management of asthma.</p>
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Khoosal, M., J. Wadula, L. Wainwright, and G. Naidu. "Bloodstream Infections (BSI) in the Pediatric Oncology Unit at C.H. Baragwanath Hospital." International Journal of Infectious Diseases 12 (December 2008): e362. http://dx.doi.org/10.1016/j.ijid.2008.05.963.

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Ngubane, N. S., and J. Jeebodh. "VP02.25: Congenital abnormalities diagnosed antenatally at Chris Hani Baragwanath Hospital: a retrospective descriptive study." Ultrasound in Obstetrics & Gynecology 56, S1 (October 2020): 64. http://dx.doi.org/10.1002/uog.22376.

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Ghoor, A., T. Mabaso, K. Mopeli, A. Izu, S. A. Madhi, S. G. Lala, C. Verwey, and Z. Dangor. "Empyema in children hospitalised at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa: A retrospective study." South African Medical Journal 108, no. 12 (November 26, 2018): 1055. http://dx.doi.org/10.7196/samj.2018.v108i12.13099.

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Dissertations / Theses on the topic "Baragwanath Hospital. Department of Medicine"

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Ajudua, Emmanuel Enuagwuna. "Profile of diabetic complications amongst diabetics attending internal medicine outpatient department and family medicine outpatient department in Dora Nginza Hospital, PE hospital complex." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97196.

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Thesis (MFamMed)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: Introduction: Diabetes is the most prevalent endocrinology problem encountered in primary care practice. If recent trends showing a dramatic increase in prevalence (believed to be a consequence of a decline in physical activity and excessive caloric intake) continue, then the condition will soon affect nearly 20 million people in the U.S a reflection of the global trend. Effective management requires care that is thoughtful and meticulous, incorporating intensive patient education. Euglycemic control, with the level of glycosylated haemoglobin (HbA1c) kept below 7.0mmol/L, has emerged as a major treatment objective because of its association with a marked reduction in the risk for micro vascular complications. The primary physician is in the unique position to provide comprehensive care to the diabetic patient. Setting: The aim of this study is to evaluate the profile of complications arising due to diabetes mellitus among adult diabetics attending internal medicine outpatient department and family medicine/primary care outpatient department in the Dora Nginza hospital, PE hospital complex. Method: The study is a descriptive retrospective study in which names of patients were collated from clinic records of both clinics, files sought at the records department covering the period between Jan 2007 and Jan 2008 inclusive. Prevalence of statistical variables was generated using frequency tables, bar graphs, cross tabulations and chi square test. Results: Hyperglycemia was the major complication which predominantly was associated with high haemoglobin A1c (HbA1c) levels. However, some hyperglycaemic cases were also found to be associated with normal HbA1c. Complications were found to be more in type 2 diabetics. Patients with hypertension, obesity, smoking and alcohol use were observed to have a higher risk of developing diabetic complications. The findings on retinopathy in this study was inconclusive in view of the fact that patients sent for fundoscopy did not return with documented results from the sister hospital PE provincial hospital. Family Medicine outpatient department overall did better in patient care compared to the Internal Medicine outpatient department. Conclusion: The challenge for the primary care physician is to design a therapeutic program that is safe practical and acceptable to the patient. The ultimate goal of therapy is the prevention of micro vascular and macro vascular complications, consequence of diabetes that makes the condition a major risk factor for cardiovascular disease, stroke, visual impairment, renal failure, impotence, peripheral neuropathy, limb loss and ultimately death. These can be averted through appropriate education of both hospital staff, patients and their care givers. The recommendations made are based on the findings of the study.
AFRIKAANSE OPSOMMING: Nie beskikbaar.
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Presley, Belinda Denise. "The Influence of On-Site Surgical Pathology Department Services in Rural Hospital Physician Satisfaction." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3728643.

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There is limited information regarding physician satisfaction as it relates to the presence of a surgical pathology department in rural hospitals. Physician satisfaction directly influences the quality of patient care. The theoretical frameworks that informed this study included institutional theory and population ecology. The research questions addressed differences in levels of physician satisfaction between physicians who have access to an on-site surgical pathology department and physicians who do not have such access. The research also examined differences in satisfaction between physician specialties that have or do not have access to an on-site surgical pathology department services. A quantitative, cross-sectional study was employed utilizing three primary instruments: the Henry Ford Hospital Survey, Standardized (Synoptic) Pathology Reports, and PAR Medical Colleague Questionnaire. Statistical analyses including ANOVA, linear regression, and t tests were used to examine the relationships between the study’s variables. The results revealed that there is statistically significant evidence to support that on-site surgical pathology department services influence physician satisfaction. Potential implications for positive social change from this study include a better understanding and awareness of the relationship between physician satisfaction and utilization of on-site pathology services, which may ultimately benefit healthcare facilities by more intently addressing quality of care and patient satisfaction.

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Amin, Khan Mandokhail Boonyong Keiwkarnka. "Patient satisfaction towards outpatient department services of medicine in banphaeo autonomous hospital Samut Sakhon Province, Thailand /." Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd399/4937996.pdf.

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Eiselen, Thea. "Working towards the implementaion of an international accreditation programme in a Nuclear Medicine Department of a South African teaching hospital." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50550.

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Thesis (MSc)--Stellenbosch University, 2005.
ENGLISH ABSTRACT: Introduction: Quality assurance in Nuclear Medicine is of utmost importance in order to ensure optimal scintigraphic results and correct patient management. A customised Quality Management System (QMS) should be documented and implemented by following the international guidelines set by the International Standardisation Organization (ISO). Materials & Methods: A Quality Control Manual (QCM), defining the departmental quality policy, mission, vision and objectives was customised following the framework of a tried and tested design. As ISO focuses on client satisfaction and staff harmony, the following departmental objectives were audited in working towards the accreditation of the Nuclear Medicine Department of Tygerberg Hospital: referring physician satisfaction, patient satisfaction as well as staff satisfaction and harmony. Information was collected by means of questionnaires completed by referring physicians and staff members. One-on-one interviews were executed on patients. An international ISO accredited Nuclear Medicine department was visited to establish the suggested path to follow en route to successful ISO accreditation and certification. Results: Referring physicians indicated overall satisfaction with service provision, but a need for electronic report and image transfers seemed too dominant. The patient satisfaction survey resulted into overall satisfaction with personal service providing, but the provision of written and understandable information, long waiting times and t equipment must receive attention. Staff questionnaires indicated a general lack of communication between different professional groups and the need for interpersonal loyalty and team building. Improvement measures were identified to ensure the continuous improvement of the QMS by focusing on these quality parameters. Conclusion: The department has QA procedures in place, but does not meet all criteria for external accreditation. In order to ensure departmental harmony and sustainability of client and staff satisfaction, the departmental objectives in measured and improved where needed. The successful implementation and continuous improvement of a customised QMS, following the guidelines outlined in the QCM will lead to successful accreditation.
AFRIKAANSE OPSOMMING: Inleiding: Die belangrikheid van kwaliteit versekering in Kerngeneeskunde vir die versekering van optimale flikkergrafiese resultate en korrekte pasient handtering kan nie onderskat word me. 'n Klantgerigte Kwaliteitsbeheersisteem (KBS) moet gedokumenteer en geimplimenteer word vir die Kerngeneeskunde Departement deur die riglyne te volg soos uiteengesit deur die Internationale Standardiserings Organisasie (ISO). Materiale & Metodes: 'n Kwaliteitskontrol handleiding (KB), wat die departementele kwaliteitsbeleid, die missie en visie asook die departementele doelwitte definieer is ontwerp en saamgestel vir die Kerngeneeskunde departement van Tygerberg Hospitaal. Hierdie ontwerp is gebaseer op die raamwerk van 'n aanvaarde kwalteitsbeheersisteem. ISO fokus op klante tevredenheid asook personeel harmonie en tevredenheid. Vir hierdie rede is daar 'n tevredenheidpeiling uitgevoer op die klante en personeel in die strewe na ISO akkreditasie en sertifikasie. Inligting was versamel deur vraelyste wat ingevul was deur die verwysende geneeshere, pasiente en personeel. Resultate: 'n Kwaliteitskontrole handleiding was saamgestel VIr gebruik in die Kerngeneeskunde department. Die interne audit resultate het aangedui dat die verwysende geneeshere tevrede is met die algehele dienslewering. Die behoefde aan elektronies versende verlae en beelde was dominerend. Die pasient tevredenheidspeiling het bevestig dat die pasiente tevrede is met persoonlike dienslewering, maar 'n tekort aan verstaanbare en geskrewe inligting was geidentifiseer. Die lang wagtye en stukkende apparaat is ook gebiede wat verbertering benodig. Algemene gebrek aan komminukasie tussen die verskillende beroepsgroepe, die behoefte aan interpersoonlike lojaliteit en span werk was die hoof bevindinge van die personeel tevredenheidspeiling. Verbeterings maatreels, gefokus op hierdie departementele doelwitte, was geidentifiseer ten eide te verseker dat die KBS voordurend verbeter en in stand gehou word. Samevatting: Alhoewel die departement wel KB prosedures in plek het, voldoen dit nie aan al die criteria vir eksterne akkreditasie nie. Ten einde departementele harmonie en kliente tevredenheid te verseker, met die oog op ISO sertifikasie, moet die departmenteIe doelwitte deurlopend gemeet en verbeter word.
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Page, Jacqueline. "Parent and physician decision making in children with suspected ear infection presenting to a children's hospital emergency department." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0017/MQ48175.pdf.

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Wong, Chi-pang, and 黃志鵬. "The impact of the establishment of emergency medicine ward at accident& emergency department on hospital admission." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45174416.

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Procter, Claire. "Lumbar punctures in the paediatric emergency medicine department at Red Cross War Memorial Children's Hospital: An evaluation." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20854.

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Background: Lumbar punctures (LPs) are frequently performed in the paediatric medical emergency unit (MEU) department to diagnose or exclude meningitis. Unsuccessful lumbar punctures (LPs) cause diagnostic uncertainty which may prolong hospital stay and result in unnecessary antibiotic treatment and increased costs to the hospital and patients. It is important to determine factors that may be effective in reducing unsuccessful LPs. There is a paucity of studies on this topic from sub-Saharan Africa. Previous studies have shown inconsistent results and the use of sedation has not previously been studied. Aims: To determine the prevalence of unsuccessful lumbar punctures(LPs) and the factors influencing this in the medical emergency unit (MEU) and short stay ward (SSW) at Red Cross War Memorial Children's Hospital, Cape Town.
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Blom, Alice, and Susanna Olsson. "Improved Patient Admission Planning - A Discrete Event Simulation Study at the Department of Pulmonary Medicine, Linköping University Hospital." Thesis, Linköpings universitet, Kommunikations- och transportsystem, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-137678.

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The Swedish health care system plays a vital role in satisfying the citizens’ demands for quality health care services. To deliver the right services in time in a hospital, an efficient admission plan is required, but this can be difficult to achieve. The Department of Pulmonary Medicine at the University Hospital in Linköping needs a better admission plan for their patients. In the department, the patient demand does not match the capacity, which leads to overcrowding at the ward. The aim of this thesis is to improve the admission plan of patients for the ward at the Department of Pulmonary Medicine by using discrete event simulation. To fulfil the aim, a simulation study is performed to understand how the system is working, where the problems emerged and how to prevent overcrowding. Different experiments are performed to check what could improve the admission plan at the ward. The results from this study shows that an improvement of the admission plan could be reached by better cooperation between involved units, improved documentation at the Department, a queue system of patients based on medical priorities and changed number of care beds. These solutions can prevent overcrowding and deliver health care services in time.
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Montazeri, Amine. "Developing a Pathologists’ Monthly Assignment Schedule: A Case Study at the Department of Pathology and Laboratory Medicine of The Ottawa Hospital." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33028.

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In the Department of Pathology and Laboratory Medicine, at the beginning of each month, the clinical managers use expert knowledge to assign pathologists to expected daily specimens based on the criteria of workload restrictions, clinical sub-specialties, and availability. Since the size of the pathologists’ assignment problem is large, finding a feasible assignment manually is a very time-consuming process that takes a number of iterations over a number of days to complete. Moreover, every time there is a need to make a revision, a new assignment needs to be developed taking into account all the above criteria. The goal of this research is to develop an optimization model and a decision support tool that will help with monthly staffing of pathologists based on the criteria outlined above. The developed model is rooted in the classical operations research assignment problem and it is extended to account for the following requirements: each pathologist should be assigned to a similar specimen type throughout a week; for a given pathologist, there should be a rotation of the specimen types between the weeks; and the clinical managers’ preferences in terms of assigning a particular specimen type to a particular pathologist on a specific day need to be considered. A monthly assignment model covering 36 pathologists and 26 specimen types was solved using IBM ILOG CPLEX Optimization Studio. It is embedded in a decision support tool that helps clinical managers to make staffing decisions. The decision support tool has been validated using data from The Ottawa Hospital (TOH).
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Wilson, Merna Akram. "Triage Template to Improve Emergency Department Flow." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1622280768033809.

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Books on the topic "Baragwanath Hospital. Department of Medicine"

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Dubb, Asher. Asher's anthology: A selection of his writing. Johannesburg: Unacel Publishers, 2004.

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Federal-Provincial Advisory Committee on Institutional and Medical Services (Canada). Subcommittee on Institutional Program Guidelines. Nuclear medicine units in hospitals: Guidelines for establishing standards for special services in hospitals : report. 4th ed. Ottawa: Health and Welfare, 1986.

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Hospital social work: The interface of medicine and caring. New York: Routledge, 2005.

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Tasmania. Parliament. Standing Committee on Public Works. Mersey Community Hospital, Department of Emergency Medicine upgrade and associated program of works. [Hobart, Tas.]: Parliament of Tasmania, Parliamentary Standing Committee on Public Works, 2010.

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American Society of Health-System Pharmacists, ed. Safe and effective medication use in the emergency department. Bethesda, MD: American Society of Health-System Pharmacists, 2009.

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Tarascon emergency department quick reference guide. Sudbury, Mass: Jones & Bartlett Learning, 2011.

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Lloyd, Geoffrey Gower. Textbook of general hospital psychiatry. Edinburgh: Churchill Livingstone, 1991.

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Emergency department triage handbook. Gaithersburg, Md: Aspen Publishers, 1992.

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The maximally efficient and optimally effective emergency department. Lanham, Md: University Press of America, 2009.

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Knapp, Lee A. Hospital emergency department management of mass casualty incidents involving biological and chemical terrorism. [Jacksonvill, Fla.]: Protective Research Group, 2000.

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Book chapters on the topic "Baragwanath Hospital. Department of Medicine"

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Pizzuti, Alfredo. "Practical data management in the Cardiology Department of a City Hospital." In Developments in Cardiovascular Medicine, 357–65. Dordrecht: Springer Netherlands, 1991. http://dx.doi.org/10.1007/978-94-011-3720-1_22.

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Britton, Keith. "St Bartholomew’s Hospital and Medical School: Department of Nuclear Medicine." In A History of Radionuclide Studies in the UK, 77–82. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-28624-2_11.

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Kufian, F. R., M. K. A. Karim, N. N. Rapie, W. N. S. W. Aziz, and S. Radziah. "Occupational Dose in Nuclear Medicine Department; Hospital Kuala Lumpur Experience." In 3rd International Conference on Radiation Safety & Security in Healthcare Services, 43–50. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-10-7859-0_6.

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Gathmann, P., and A. Friedmann. "Differential-Diagnostical and Management Difficulties in 3.354 Psychosomatic/Psychiatric Patients Referred to a Psychosomatic Department in a General Hospital Setting." In Psychosomatic Medicine, 137–39. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4684-5454-3_23.

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Schorr, C. A., J. Sebastien, and R. P. Dellinger. "Severe Sepsis Beyond the Emergency Department and ICU: Targeting Early Identification and Treatment on the Hospital Floor." In Annual Update in Intensive Care and Emergency Medicine, 557–69. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-13761-2_41.

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Oueida, Soraia, Seifedine Kadry, and Sorin Ionescu. "Estimating Key Performance Indicators of a New Emergency Department Model." In Hospital Management and Emergency Medicine, 580–98. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch029.

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In this article, a real-life Emergency Department (ED) is studied and analyzed in order to propose areas for improvement in its operations and patient flow. EDs are in native very busy and complex systems where medical facility treatments are provided to arriving patients without any prior appointment. ED, a 24/7 open facility, interacts with the majority of other departments of the healthcare system. Due to this complexity and unplanned nature of patient surge, simulation modeling is proven to be very effective in order to study the necessary changes needed for better performance. As a consequence of these challenges, the patient LoS (Length of Stay) and the human-resource utilization rates are increased and thus leading to staff and customer dissatisfaction which need to be addressed for better performance. An emergency department of a hospital in Lebanon is chosen for simulation using Arena software where a model is designed to match the real system. This model is then verified, validated and enhanced by proposing some modifications in the resource allocation levels. These improvements are achieved by running different scenarios using Arena Process Analyzer and suggesting an optimal solution using Arena OptQuest tool without the need of interrupting the real system.
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Vezyridis, Paraskevas, Stephen Timmons, and Heather Wharrad. "Lessons Learned from the Implementation of an Emergency Department Information System." In Hospital Management and Emergency Medicine, 172–91. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch010.

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Clinical information systems are increasingly used in emergency departments across the English National Health Service. The implementation outcome is unpredictable and success is not guaranteed. This study identifies facilitating social and technical factors for implementing an Emergency Department Information System. This is a qualitative study, using interviews with 28 emergency department clinicians, administrators and managers. Project management documents, user guides, design blueprints and internal reports were also analysed. Lessons learned include the importance of acquiring an established, customised and user-friendly system, attracting funding, establishing communication channels between stakeholders, developing detailed implementation plans and tailored training programmes, investing in peer-support, and analysing the workflow impact of the system. Socio-technical factors, both in and out of the hospital, influenced the success of the implementation. By being systematic in addressing these socio-technical factors certain implementation barriers can be overcome.
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McStay, Christopher M. "Communication With Hospital Administration." In Communication in Emergency Medicine, edited by Maria E. Moreira and Andrew J. French, 143–55. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190852917.003.0010.

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Effective communication with hospital administration requires an understanding of the key stakeholders with whom emergency department (ED) staff and leadership might interact. This chapter will outline typical governance structures for hospitals and identify other key hospital leaders with whom ED leadership should maintain relationships and lines of communication. The chapter will also suggest effective internal communication strategies such that communication with hospital leadership is most effective. Finally, through the use of relevant case studies, the chapter will demonstrate how effective communication can lead to solutions to improve patient care. Throughout practical tips to improve effective communication will be emphasized.
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Saoud, Manel Saad, Abdelhak Boubetra, and Safa Attia. "A Simulation Knowledge Extraction-Based Decision Support System for the Healthcare Emergency Department." In Hospital Management and Emergency Medicine, 192–212. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch011.

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Nowadays, healthcare systems services have become a serious concern for many countries across the world. Due to its complexity and Variability the Emergency Department (ED) is considered the most critical unit of the hospital and the healthcare systems in general. Increasing the patient satisfaction, reducing as much as possible the patient's waiting time and the patient's length of stay, and optimizing the resources utilization are the overriding preoccupation for any ED manager. To support the performance enhancement in the ED, simulation studies have profusely been involved. In this paper the authors describe a decision support system based on the combination of a simulation and a temporal knowledge extraction model for the operation improvement of the emergency department in the public hospital Lakhdar Bouzidi in Bordj Bou Arreridj (Algeria). Their methodology points out how agent-based modeling simulation can benefit from data mining analysis methods to provide a powerful decision support system that can help managers to improve the functioning of the ED.
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Almoaber, Basmah, and Daniel Amyot. "A Review on the Contribution of Emergency Department Simulation Studies in Reducing Wait Time." In Hospital Management and Emergency Medicine, 599–623. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch030.

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Background: Because of the important role of hospital emergency departments (EDs) in providing urgent care, EDs face a constantly large demand that often results in long wait times. Objective: To review and analyze the existing literature in ED simulation modeling and its contribution in reducing patient wait time. Methods: A literature review was conducted on simulation modeling in EDs. Results: A total of 41 articles have met the inclusion criteria. The papers were categorized based on their motivations, modeling techniques, data collection processes, patient classification, recommendations, and implementation statuses. Real impact is seldom measured; only four papers (~10%) have reported the implementation of their recommended changes in the real world. Conclusion: The reported implementations contributed significantly to wait time reduction, but the proportion of simulation studies that are implemented is too low to conclude causality. Researchers should budget resources to implement their simulation recommendations in order to measure their impact on patient wait time.
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Conference papers on the topic "Baragwanath Hospital. Department of Medicine"

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Wijewickrama, A. K., and Soemon Takakuwa. "Simulation Analysis of an Outpatient Department of Internal Medicine in a University Hospital." In 2006 Winter Simulation Conference. IEEE, 2006. http://dx.doi.org/10.1109/wsc.2006.323111.

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Placeres, MM, M. Castellà, and D. Soy. "2SPD-035 Medicine shortages: impact on a third-level hospital pharmacy department activity." In 24th EAHP Congress, 27th–29th March 2019, Barcelona, Spain. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/ejhpharm-2019-eahpconf.75.

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Acevedo, F. J., J. E. Fuentes, and J. D. Enderle. "Design of Computerized Maintenance Management System for the Chilean Naval Hospital Biomedical Engineering Department." In 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference. IEEE, 2005. http://dx.doi.org/10.1109/iembs.2005.1616370.

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Meroño Saura, MA, P. Pacheco-López, C. Fernández Zamora, S. Clavijos Bautista, and MD Nájera Pérez. "4CPS-350 Role of the pharmacist in internal medicine: analysis of pharmaceutical interventions during a rotation in an internal medicine department." In 25th Anniversary EAHP Congress, Hospital Pharmacy 5.0 – the future of patient care, 23–28 March 2021. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/ejhpharm-2021-eahpconf.182.

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Zdara, Jaroslav. "PSYCHOLOGICAL INVESTIGATION OF NURSES FROM THE DEPARTMENT OF EMERGENCY MEDICINE AT THE UNIVERSITY HOSPITAL IN HRADEC KRALOVE." In 4th SGEM International Multidisciplinary Scientific Conferences on SOCIAL SCIENCES and ARTS Proceedings. STEF92 Technology, 2017. http://dx.doi.org/10.5593/sgemsocial2017/33/s12.073.

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Zhou, Yao-Hui, Jin-Sui Xiao, Zhi-Pan Gu, and Shao-Hua He. "Environmental Monitoring and Evaluation on the Nuclear Technology Application in Department Nuclear Medicine in a Large Hospital." In 2009 3rd International Conference on Bioinformatics and Biomedical Engineering (iCBBE). IEEE, 2009. http://dx.doi.org/10.1109/icbbe.2009.5162781.

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Dalimunthe, Dina Arwina, Imam Budi Putra, and Nelva Karmila Jusuf. "Infectious and Non-infectious Skin Diseases Pattern in Dermatology and Venereology Department, Universitas Sumatera Utara Hospital, Medan, Indonesia in 2018." In The 2nd International Conference on Tropical Medicine and Infectious Disease. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009859000680071.

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Villanueva, C. A. G., J. R. Luzano, A. E. S. Arcellana, A. S. Rivera, E. F. P. Ramos, J. J. R. Torres, A. N. N. I. Pajes, et al. "Pilot Implementation and Evaluation of the Sepsis Bundle in the Department of Medicine of the Philippine General Hospital." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a6554.

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Abuldinova, Ol'ga, Valeriy Voytsekhovskiy, Olga Prikhodko, and Nikolay Goborov. "EVALUATION OF CONTOUR ANALYSIS OF PHOTOPLETHYSMOGRAM IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA." In XIV International Scientific Conference "System Analysis in Medicine". Far Eastern Scientific Center of Physiology and Pathology of Respiration, 2020. http://dx.doi.org/10.12737/conferencearticle_5fe01d9c751eb4.43119205.

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The scientific article presents the results of evaluation of contour analysis of photoplethysmogram in patients treated in the pulmonology Department of the Amur regional clinical hospital with a diagnosis of: Community-acquired pneumonia of moderate severity, the peak phase.
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Ali, N., M. Piodena-Aportadera, R. Chong, N. Roslan, E. Fan, and E. Ho. "P44 Improving advance care planning (ACP) documentation in frequent department of geriatric medicine (GRM) admitters with dementia in an asian hospital." In ACP-I Congress Abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-acpicongressabs.127.

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Reports on the topic "Baragwanath Hospital. Department of Medicine"

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Rylander, Thomas R. Improving Patient Throughput in the Winn Army Community Hospital Department of Emergency Medicine. Fort Belvoir, VA: Defense Technical Information Center, May 1999. http://dx.doi.org/10.21236/ada420875.

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