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1

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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3

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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4

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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5

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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6

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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7

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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8

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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9

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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10

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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Padayachee, Rushen Siva, Yvonne Perner, Diane MacKinnon, Biance Rowe, and Sugeshnee Pather. "A retrospective analysis of paediatric lymphomas at Chris Hani Baragwanath Academic Hospital in Soweto, South Africa." Annals of Diagnostic Pathology 33 (April 2018): 51–57. http://dx.doi.org/10.1016/j.anndiagpath.2017.11.006.

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Groome, M. J., M. J. Kohler, W. Albrich, M. Khoosal, and S. A. Madhi. "Paediatric Community-Associated Methicillin-Resistant Staphylococcus aureus Infection at Chris Hani Baragwanath Hospital, Soweto, South Africa." International Journal of Infectious Diseases 12 (December 2008): e61. http://dx.doi.org/10.1016/j.ijid.2008.05.1232.

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AMERICANCOLLEGEOFEMERGENCYPHY. "Hospital and emergency department overcrowding." Annals of Emergency Medicine 19, no. 3 (March 1990): 336. http://dx.doi.org/10.1016/s0196-0644(05)82059-1.

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14

Horwitz, Simonne. "‘Black Nurses in White’: Exploring Young Women's Entry into the Nursing Profession at Baragwanath Hospital, Soweto, 1948–1980." Social History of Medicine 20, no. 1 (April 1, 2007): 131–46. http://dx.doi.org/10.1093/shm/hkl085.

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15

De Araujo, J., Y. Adam, C. Van Gelderen, and E. Vardas. "O11 The epidemiology of HPV types associated with CIN at a colposcopy clinic at Chris Hani Baragwanath Hospital." International Journal of Gynecology & Obstetrics 107 (October 2009): S96. http://dx.doi.org/10.1016/s0020-7292(09)60383-0.

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Black, Andrew, Freddy Sitas, Trust Chibrawara, Zoe Gill, Mmamapudi Kubanje, and Brian Williams. "HIV-attributable causes of death in the medical ward at the Chris Hani Baragwanath Hospital, South Africa." PLOS ONE 14, no. 5 (May 6, 2019): e0215591. http://dx.doi.org/10.1371/journal.pone.0215591.

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17

Troude, Pénélope, Said Laribi, Gauthier Maillard, Patrick Plaisance, and Christophe Segouin. "Emergency department of a university hospital." European Journal of Emergency Medicine 20, no. 4 (August 2013): 256–62. http://dx.doi.org/10.1097/mej.0b013e328356fa28.

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18

Tachakra, S. S. "Hospital admission through the emergency department." JAMA: The Journal of the American Medical Association 267, no. 12 (March 25, 1992): 1609b—1609. http://dx.doi.org/10.1001/jama.267.12.1609b.

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Hoffman, D. M. "Hospital admission through the emergency department." JAMA: The Journal of the American Medical Association 267, no. 12 (March 25, 1992): 1609c—1609. http://dx.doi.org/10.1001/jama.267.12.1609c.

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20

Khan, A. B., K. Thandrayen, and S. Omar. "Tracheal tube cuff pressure monitoring: Assessing current practice in critically ill patients at Chris Hani Baragwanath Academic Hospital." Southern African Journal of Critical Care 35, no. 1 (August 15, 2019): 7. http://dx.doi.org/10.7196/sajcc.2019.v35i1.373.

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21

Vermeulen, A., C. N. Menezes, M. Mashabane, O. K. Butler, P. Mosiane, S. Goetsch, and S. Naicker. "Patterns of renal disease: A 30-year renal biopsy study at Chris Hani Baragwanath Academic Hospital, Soweto, Johannesburg, South Africa." South African Medical Journal 109, no. 7 (June 28, 2019): 486. http://dx.doi.org/10.7196/samj.2019.v109i7.13644.

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Chima, Felix O. "Lexington's U.S. Health Department Drug Treatment Hospital." Employee Assistance Quarterly 13, no. 4 (January 21, 1998): 33–54. http://dx.doi.org/10.1300/j022v13n04_03.

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23

Chernoff, Peter, Comfort Adedokun, Iomhar O’Sullivan, John McManus, and Ann Payne. "Burnout in the Emergency Department hospital staff at Cork University Hospital." Irish Journal of Medical Science (1971 -) 188, no. 2 (July 26, 2018): 667–74. http://dx.doi.org/10.1007/s11845-018-1871-5.

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24

BHATTI, MUHAMMAD AYAZ, and MAHMOOD UR RAHMAN. "PREVENTIVE MEDICINE DEPARTMENT;." Professional Medical Journal 19, no. 02 (February 22, 2012): 162–67. http://dx.doi.org/10.29309/tpmj/2012.19.02.2000.

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Objectives: To measure the current status of preventive activities in civil and military hospitals. To compare the quantum ofpreventive and curative activities in the hospitals. To make recommendations for promotion of preventive activities to reduce the curative burdenfrom the hospitals. Study Design: This was a cross-sectional study. Sampling Technique: Universal sampling. All the major military and publicsector hospitals having bed strength more than 400 in Rawalpindi were included in the study. All the preventive and curative work was taken intoaccount. Methodology: A structured questionnaire was developed and data regarding the quantum of work was collected from all the fourmajor Military and civil hospitals having bed strength more than 400 beds through registers and annual reports of the hospital and was analyzedin the form of frequencies, tabulation, cross tabulation, percentages and was displayed in tables and graphs using SPSS (10.5), Microsoft Exceland calculus. Results: Only seven percent work is preventive and ninety three percent is curative. In the preventive activity MH is marginallyhigher than the rest of the hospitals. In all the hospitals among the preventive activities 31% are antenatal visits, 20 % tetanus toxoid injection,19% BCG, Growth monitoring 13%, Measles injection 11% and family planning 6% in all the hospitals. Ante natal activities in the army sectorhospitals are more prominent 39-44% and also in the public sector 17-26%. Next to the antenatal are tetanus toxoids to pregnant ladies whichrange from 16-35% in military and 16-20 % in the public sector hospitals. Growth monitoring is more efficiently carried out in the RawalpindiGeneral Hospital i.e. 17% while in others 7-12%. Family Planning services are delivered very poorly only 9% in RGH and 6% in DHQ, zero % inCMH and 5% in MH. Measles vaccination is carried out efficiently in DHQ 27%, 11% in RGH and 8% in MH and again poorly 3% in CMH. BCG is27% in DHQ, 20% in MH, 17% in RGH and 10% in CMH. Conclusions: The study show that hospitals are showing very poor performance inpreventive aspect and this is the reason that countries like Pakistan are facing economic burden on the national exchequer and this burden willkeep on increasing if no appropriate action is taken.
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Johnson, Tara, David Gaus, and Diego Herrera. "Emergency Department of a Rural Hospital in Ecuador." Western Journal of Emergency Medicine 17, no. 1 (January 21, 2016): 66–72. http://dx.doi.org/10.5811/westjem.2015.11.27936.

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White, J. Douglas. "The hospital emergency department: Returning to financial viability." American Journal of Emergency Medicine 6, no. 6 (November 1988): 673. http://dx.doi.org/10.1016/0735-6757(88)90128-3.

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Wilson, W., J. Lipman, J. Scribante, S. Kobilski, C. Lee, P. Krause, J. Cooper, and J. Barr. "Septic Shock: Does Adrenaline have a Role as a First-line Inotropic Agent?" Anaesthesia and Intensive Care 20, no. 4 (November 1992): 470–74. http://dx.doi.org/10.1177/0310057x9202000413.

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Fifteen adult patients, admitted to Baragwanath Hospital ICU with septic shock after adequate fluid loading and on no other inotropic agents, were given adrenaline in incremental doses. Oxygen transport and haemodynamic variables were monitored with each dose increment until a systolic blood pressure of 120 mmHg was obtained. This was reached on an average dose of adrenaline of 0.16±0.02 μg/kg/min. Mean arterial blood pressure increased by 22±2 mmHg mainly due to an increase in cardiac index (1±0.2 l/min/m2) and systemic vascular resistance index (130±41 dyn.s.cm.-5m-2) with a small increase in heart rate of 8±3 beats per minute. Oxygen delivery was increased with no significant increase in oxygen consumption and lactate levels increased. Adrenaline is therefore an effective initial inotropic agent. Patients may respond to lower doses than when used concurrently with other inotropic agents but there was still a significant dose variation in response. We cannot, however, exclude a deleterious effect on oxygen utilization.
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Oskar, Ausserer, and Thuile Christian. "Department of Complementary Medicine at the Hospital of Meran." European Journal of Integrative Medicine 4 (September 2012): 40. http://dx.doi.org/10.1016/j.eujim.2012.07.568.

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Singh, S., F. Solomon, S. A. Madhi, Z. Dangor, and S. G. Lala. "An evaluation of the quality of discharge summaries from the general paediatric wards at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa." South African Medical Journal 108, no. 11 (October 26, 2018): 953. http://dx.doi.org/10.7196/samj.2018.v108i11.12966.

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George, A., Z. Dangor, and S. G. Lala. "Lamenting the changes in clinical bedside paediatric teaching at Chris Hani Baragwanath Academic Hospital: More resources are needed to train effective doctors." South African Medical Journal 110, no. 5 (April 29, 2020): 347. http://dx.doi.org/10.7196/samj.2020.v110i5.14678.

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Rakic, Violeta, Ljiljana Markovic-Denic, and Milomir Maksimovic. "Frequency of hospital infections at department of urogoly." Medical review 63, no. 11-12 (2010): 767–70. http://dx.doi.org/10.2298/mpns1012767r.

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Introduction. At departments of urology, as well as other hospital departments, hospital infections represent an important problem. The objective of this work was to determine the frequency and the most common localizations of hospital infections at the Department of urology. Material and methods. All the patients hospitalized for longer than 48 hours at the Department of Urology, General hospital, Sabac were included in a prospective study of incidence in the period of 12 months. The everyday epidemiological surveillance was carried out, as well as the inspection of the existing medical files. The diagnosis of hospital infections was made on the basis of known definitions. Results. Ninetyfour out of 554 hospitalized patients included in the research had 122 hospital infections. One hospital infection was recorded in 64 of those included in the research, whereas two and three infections were recorded in 26 and 2 patients, respectively. The incidence rate of the patients with hospital infections was 17.3%, and the rate of the incidence of the infections 22.4%. The incidence rate by 1,000 patients-hospitalization days was 12.4. Out of the total number of infections, 69.7% were urinary tract infections, 27% surgical site infections and 3.3% sepses. The incidence rate of the patients with urinary infections was 14.7% and the incidence rate of urinary infections 15.6%. The rate of urinary infections in the patients with urinary catheter (19.6%) was sig?nificantly higher than in those patients without urinary catheter (p<0.001). The rate of incidence of surgical site infections was 6.1% and the incidence rate of blood infections was 0.7%. Conclusion. The most common hospital infections in our work were urinary infections and surgical site infections. The rates recorded in our study are similar to those in the hospitals that have only started the surveillance of hospital infections.
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Markovic-Denic, Ljiljana, Nada Cemerlic-Adjic, Bogoljub Mihajlovic, Katica Pavlovic, Svetozar Nicin, and Miklos Fabri. "Hospital infections at the department of cardiovascular surgery." Medical review 63, no. 11-12 (2010): 851–54. http://dx.doi.org/10.2298/mpns1012851m.

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Introduction. Despite modern surgical techniques, preoperative preventive use of antibiotics and optimal treatment of operative site, patients who underwent surgical procedures are still at a risk of developing hospital infections. The aim of this paper was to estimate the frequency of hospital infections at the Department of Cardiovascular Surgery and their presence according to the anatomic localization as well as to identify the most frequent causes of hospital infections. Material and methods. During one-year period, all surgically treated patients were prospectively followed at the Department of Cardiovascular Surgery of the Institute of Cardiovascular Diseases, Vojvodina. There were 1302 patients who underwent 1396 surgical procedures during the period observed. The descriptive epidemiological method was applied in the study. The following odds ratio and rates were calculated: the incidence rate of patients with hospital infections, the incidence rate of hospital infections and the incidence rate in relation to hospital stay of each patient (incidence density). Results. During that period, 36 hospital infections were recorded in 33 patients. The average incidence rate of patients with hospital infection was 2.53% and hospital infection rate was 2.58% (from 0% to 5.13%). The male-female ratio was 3.1:1. The most frequent hospital infections were surgical site infections (incidence rate 0.86%), then gastroenteritis (incidence rate 0.77%) and bloodstream infections (incidence rate 0.46%). The most common causes of hospital infections were: Staphylococcus aureus (14.8%), Acinetobacter spp (22.2%) and coagulase negative staphylococcus (11.1%). Conclusion. The fact is that the incidence rate of hospital infections is relatively low, and such a trend can continue only if the continuous epidemiological control and preventive measures are implemented in the future.
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Roberts, Gwenneth L., Brian I. O'Toole, Joan M. Lawrence, and Beverley Raphael. "Domestic violence victims in a hospital emergency department." Medical Journal of Australia 159, no. 5 (September 1993): 307–10. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137866.x.

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Noori, Omar, Shweta Batra, Amith Shetty, and Katharine Steinbeck. "Adolescent presentations to an adult hospital emergency department." Emergency Medicine Australasia 29, no. 5 (August 2, 2017): 539–44. http://dx.doi.org/10.1111/1742-6723.12842.

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Dodds, Annabel. "Private hospital emergency department: An ACEM trainee experience." Emergency Medicine Australasia 33, no. 1 (January 25, 2021): 147–48. http://dx.doi.org/10.1111/1742-6723.13710.

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Keyes, Daniel C., Bonita Singal, Charles W. Kropf, and Andrea Fisk. "Impact of a New Senior Emergency Department on Emergency Department Recidivism, Rate of Hospital Admission, and Hospital Length of Stay." Annals of Emergency Medicine 63, no. 5 (May 2014): 517–24. http://dx.doi.org/10.1016/j.annemergmed.2013.10.033.

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Kuhn, P. J. "Developing a research department in a community hospital." Academic Medicine 71, no. 1 (January 1996): 1–2. http://dx.doi.org/10.1097/00001888-199601000-00002.

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Kayastha, S. R., B. Parajuli, A. Basi, and D. Shrestha. "Orthopaedic Services during Nationwide COVID-19 Lockdown: Dhulikhel Hospital, Kathmandu University Hospital Experience and Review." Kathmandu University Medical Journal 18, no. 2 (November 17, 2020): 29–35. http://dx.doi.org/10.3126/kumj.v18i2.32941.

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Background The Nepal government issued a nationwide lockdown due to COVID-19 from 24 March to 21 July 2020. This halted elective medical services in our hospital. A number of modifications in the orthopaedic practices at our department were made. Objective This article discusses the impact on orthopaedic load at the Department of Orthopaedics and Trauma, Dhulikhel Hospital, Kathmandu University Hospital during the lockdown. Method This is a longitudinal observational study done during the nation-wide lockdown including all the patients who presented to the hospital requiring orthopaedic consultation. For comparison purposes, the patient numbers from the same date in previous year (2019) were retrieved. Result We received no COVID-19 cases requiring orthopaedics consultation. A total of 1828 patients were seen in the Orthopaedic Outpatient Department, 1077 trauma patients in the Emergency Department, 216 patients were admitted and 210 orthopaedics procedures were performed at the operation theatre. There was 82.21% decrease in OPD patients and 56% less surgeries in OT compared to the same duration of last year. Conclusion There was a great reduction in the patient numbers visiting the hospital, which reflected in decreased number of admission and surgery. A greater part of our work during the lockdown was trauma.
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APOLO, JULIO O., and DOUGLAS DiCOCCO. "Suture technicians in a childrenʼs hospital emergency department." Pediatric Emergency Care 4, no. 1 (March 1988): 12–14. http://dx.doi.org/10.1097/00006565-198803000-00004.

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Edgar, J. R., M. L. Wong, M. Hale, and C. N. Menezes. "Histopathological diagnoses on pleural biopsy specimens over a 15-year period at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa: A retrospective review." South African Medical Journal 109, no. 1 (December 13, 2018): 53. http://dx.doi.org/10.7196/samj.2018.v109i1.13400.

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ROCHE, ANN M., KERRIANNE WATT, ROD McCLURE, DAVID M. PURDIE, and DAVID GREEN. "Injury and alcohol: a hospital emergency department study." Drug and Alcohol Review 20, no. 2 (June 2001): 155–66. http://dx.doi.org/10.1080/09595230124932.

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Tranovich, Michael, Christopher Gooch, and Joseph Dougherty. "Radiograph Interpretation Discrepancies in a Community Hospital Emergency Department." Western Journal of Emergency Medicine 20, no. 4 (July 2, 2019): 626–32. http://dx.doi.org/10.5811/westjem.2019.1.41375.

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Lee, Sang Bong, Dong Hoon Kim, Taeyun Kim, Changwoo Kang, Soo Hoon Lee, Jin Hee Jeong, Seong Chun Kim, Yong Joo Park, and Daesung Lim. "Emergency Department Triage Early Warning Score (TREWS) predicts in-hospital mortality in the emergency department." American Journal of Emergency Medicine 38, no. 2 (February 2020): 203–10. http://dx.doi.org/10.1016/j.ajem.2019.02.004.

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Xhardo, E., and F. Agaçi. "Department of Internal Medicine, University Hospital “Shefqet Ndroqi”, Tirana, Albania." INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine) 16, no. 3 (April 1, 2020): 292–96. http://dx.doi.org/10.22141/2224-0721.16.3.2020.205281.

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Martí-Climent, Josep M. "Specialists in Hospital Radiophysics in the Department of Nuclear Medicine." Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) 39, no. 3 (May 2020): 135–37. http://dx.doi.org/10.1016/j.remnie.2020.04.001.

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Hirasawa, Akira. "Department of Clinical Genetics and Genomic Medicine, Okayama University Hospital." Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 132, no. 1 (April 1, 2020): 25–28. http://dx.doi.org/10.4044/joma.132.25.

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Huergo, Sergio Aguilar, José Manuel Guerra Laso, Elena Magaz García, Noelia Carracedo Falagán, María López Veloso, Sara Raposo García, Susana García Escudero, Mario Prieto García, and Paula Dios Diez. "ANALYSIS OF MORTALITY OF INTERNAL MEDICINE DEPARTMENT OF LEON HOSPITAL." European Journal of Internal Medicine 22 (October 2011): S1—S2. http://dx.doi.org/10.1016/s0953-6205(11)60005-8.

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Siegel, Charles, Sheryl Johnston, and Stuart Adair. "Department of Laboratory Medicine, Bellin Memorial Hospital, Green Bay, Wisconsin." American Journal of Clinical Pathology 94, no. 4 (October 1, 1990): 464–69. http://dx.doi.org/10.1093/ajcp/94.4.464.

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Paksu, S., L. Duran, M. Altuntas, H. Zengin, O. Salis, SN Ozsevik, H. Albayrak, N. Murat, A. Guzel, and MS Paksu. "Amitriptyline overdose in emergency department of university hospital." Human & Experimental Toxicology 33, no. 9 (February 6, 2014): 980–90. http://dx.doi.org/10.1177/0960327113520019.

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Abstract:
Objective: The purpose of this study was to evaluate the patients with acute amitriptyline poisoning and investigate predictive factors for the development of life-threatening complications. Methods: Demographics, clinical, laboratory, and electrocardiographic (ECG) findings of 250 patients were evaluated retrospectively. Predictive parameters for the development of serious complications were studied. Results: Median age of patients was 14.6 years, of which, 70% of patients were female and 66% were in pediatric age group. The most common pathological clinical finding and laboratory abnormality were alteration of consciousness and hyponatremia. The rate of convulsive seizure, arrhythmia, and respiratory depression were 17 (6.8%), 16 (6.4%), and 11 (4.4%), respectively. These complications were more seen in pediatric patients than adults (15.8% and 1.2%). The incidence of hyponatremia was more in pediatric patients and severe poisoning groups (38.8 and 53.4%, respectively). The levels of amitriptyline and nortriptyline were significantly higher in the group with complications than the group without complications ( p < 0.05). All adult patients were discharged with good prognosis. In pediatric age group, one patient was discharged with severe neurological sequelae and one patient died. QRS duration >100 ms, long corrected QT duration interval, and low Glasgow Coma Score (GCS) at admission were identified as independent risk factors for the development of life-threatening complications (odds ratio: 69.4, 1.9, and 1383, respectively; p < 0.05). Conclusion: Amitriptyline poisoning may be associated with life-threatening complications, especially in pediatric age group and in patients with hyponatremia. Low GCS, presence of hyponatremia, high serum drug levels, and pathological ECG findings on admission may be helpful in predicting the development of complications and poor prognosis.
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San Román, José A., Francisco J. Luquero, Luis de la Fuente, Alberto Pérez-Rubio, Sonia Tamames, Francisco Fernández-Avilés, and Javier Castrodeza. "Assessment of Inappropriate Hospital Stays in a Cardiology Department." Revista Española de Cardiología (English Edition) 62, no. 2 (February 2009): 211–15. http://dx.doi.org/10.1016/s1885-5857(09)71540-3.

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