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Journal articles on the topic 'Surgical ward'

Author: Grafiati

Published: 4 June 2021

Last updated: 27 April 2022

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1

McLaren, Emma, and Charles Maxwell-Armstrong. "Noise Pollution on an Acute Surgical Ward." Annals of The Royal College of Surgeons of England 90, no. 2 (March 2008): 136–39. http://dx.doi.org/10.1308/003588408x261582.

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INTRODUCTION This study was undertaken to measure and analyse noise levels over a 24-h period on five general surgical wards. PATIENTS AND METHODS Noise levels were measured on three wards with four bays of six beds each (wards A, B and C), one ward of side-rooms only (ward D) and a surgical high dependency unit (ward E) of eight beds. Noise levels were measured for 15 min at 4-hourly intervals over a period of 24 h midweek. The maximum sound pressure level, baseline sound pressure level and the equivalent continuous level (LEq) were recorded. Peak levels and LEq were compared with World Health Organization (WHO) guidelines for community noise. Control measurements were taken elsewhere in the hospital and at a variety of public places for comparison. RESULTS The highest peak noise level recorded was 95.6 dB on ward E, a level comparable to a heavy truck. This exceeded all control peak readings except that recorded at the bus stop. Peak readings frequently exceeded 80 dB during the day on all wards. Each ward had at least one measurement which exceeded the peak sound level of 82.5 dB recorded in the supermarket. The highest peak measurements on wards A, B, C and E also exceeded peak readings at the hospital main entrance (83.4 dB) and coffee shop (83.4 dB). Ward E had the highest mean peak reading during the day and at night – 83.45 dB and 81.0 dB, respectively. Ward D, the ward of side-rooms, had the lowest day-time mean LEq (55.9 dB). Analysis of the LEq results showed that readings on ward E were significantly higher than readings on wards A, B and C as a group (P = 0.001). LEq readings on ward E were also significantly higher than readings on ward D (P < 0.001). Day and night levels differ significantly, but least so on the high dependency unit. CONCLUSIONS The WHO guidelines state that noise levels on wards should not exceed 30 dB LEq (day and night) and that peak noise levels at night should not exceed 40 dB. Our results exceed these guidelines at all times. It is likely that these findings will translate to other hospitals. Urgent measures are needed to rectify this.

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Hull, Louise, David Birnbach, Sonal Arora, Maureen Fitzpatrick, and Nick Sevdalis. "Improving Surgical Ward Care." Annals of Surgery 259, no. 5 (May 2014): 904–9. http://dx.doi.org/10.1097/sla.0000000000000451.

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Zänkert, Anna. "In the Surgical Ward." CNE.fortbildung 13, no. 03 (May 1, 2020): 12–16. http://dx.doi.org/10.1055/a-1126-5896.

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Pucher, Philip H., Rajesh Aggarwal, Pritam Singh, Tharanny Srisatkunam, Ahmed Twaij, and Ara Darzi. "Ward Simulation to Improve Surgical Ward Round Performance." Annals of Surgery 260, no. 2 (August 2014): 236–43. http://dx.doi.org/10.1097/sla.0000000000000557.

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Butler, Christopher M. "Mixed-sex wards – a surgeon's view." Bulletin of the Royal College of Surgeons of England 92, no. 1 (January 1, 2010): 12–13. http://dx.doi.org/10.1308/147363510x481241.

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When I started my medical training nearly 40 years ago life in NHS hospitals seemed so much simpler. General surgeons performed most of the surgery and were managed by their secretaries; nurses nursed; and wards were designated 'male or female surgical'. The wards were overseen by the gimlet eyes of the ward sister and hospital matron. These formidable ladies would have had apoplexy at the sight of or even the thought of a man in the female surgical ward or vice versa.

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MELZACK, R., F. V. ABBOTT, W. ZACKSON, D. S. MULDER, and M. W. L. DAVIS. "Pain on a Surgical Ward." Survey of Anesthesiology 31, no. 6 (December 1987): 352. http://dx.doi.org/10.1097/00132586-198712000-00030.

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Collier, R. "Sleepless in the surgical ward." Canadian Medical Association Journal 180, no. 11 (May 25, 2009): 1095–96. http://dx.doi.org/10.1503/cmaj.090772.

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Sehgal, Apurv, Joel Ward, Dilraj Kalsi, Shaneel Patel, and Ashok Handa. "Improving Surgical Ward Round Quality." Annals of Surgery 266, no. 6 (December 2017): e71-e72. http://dx.doi.org/10.1097/sla.0000000000001586.

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Fattah, Adel. "Leading the surgical ward round." BMJ 330, no. 7487 (February 12, 2005): s68.2—s68. http://dx.doi.org/10.1136/bmj.330.7487.s68-a.

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Ataiyero, Yetunde, Judith Dyson, and Moira Graham. "An observational study of hand hygiene compliance of surgical healthcare workers in a Nigerian teaching hospital." Journal of Infection Prevention 23, no. 2 (February 25, 2022): 59–66. http://dx.doi.org/10.1177/17571774211066774.

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Background Patients sometimes contract healthcare associated infections (HCAI) which are unrelated to their primary reasons for hospital admission. Surgical site infections are the most investigated and most recurrent type of HCAI in developing countries, affecting up to one-third of surgical patients. Objective This study aimed to assess and offer context to the hand hygiene resources available in a Nigerian teaching hospital through ward infrastructure survey, and to determine the hand hygiene compliance rate among surgical healthcare workers (HCWs) in a Nigerian teaching hospital through hand hygiene observations. Methods Ward infrastructure survey was conducted in the two adult surgical wards of the hospital using the World Health Organisation (WHO) hand hygiene ward infrastructure survey form. Hand hygiene observations were monitored over seven days in the surgical wards using a modified WHO hand hygiene observation form. Results Hand hygiene resources were insufficient, below the WHO recommended minimum standards. Seven hundred hand hygiene opportunities were captured. Using SPSS version 24.0, we conducted a descriptive analysis of audit results, and results were presented according to professional group, seniority and hand hygiene opportunities of the participants. Overall hand hygiene compliance was 29.1% and compliance was less than 40% across the three professional groups of doctors, nurses and healthcare assistants. Conclusion Hand hygiene compliance rates of the surgical HCWs are comparable to those in other Sub-Saharan African countries as well as in developed countries.

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Gruber, Magdalena Monika, Alexandra Weber, Jette Jung, Jens Werner, and Rika Draenert. "Impact and Sustainability of Antibiotic Stewardship on Antibiotic Prescribing in Visceral Surgery." Antibiotics 10, no. 12 (December 11, 2021): 1518. http://dx.doi.org/10.3390/antibiotics10121518.

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Background: Antibiotic stewardship (AS) ward rounds are a core element in clinical care for surgical patients. Therefore, we aimed to analyze the impact of surgical AS ward rounds on antibiotic prescribing, and the sustainability of the effect after the AS interventions are no longer provided. Methods: On four wards of the department of visceral surgery, we conducted two independent retrospective prescribing analyses (P1, P2) over three months each. During the study periods, the level of AS intervention differed for two of the four wards (ward rounds/no ward rounds). Results: AS ward rounds were associated with a decrease in overall antibiotic consumption (91.1 days of therapy (DOT)/100 patient days (PD) (P1), 70.4 DOT/100PD (P2)), and improved de-escalation rates of antibiotic therapy (W1/2: 25.7% (P1), 40.0% (P2), p = 0.030; W3: 15.4 (P1), 24.2 (P2), p = 0.081). On the ward where AS measures were no longer provided, overall antibiotic usage remained stable (71.3 DOT/100PD (P1), 74.4 DOT/100PD (P2)), showing the sustainability of AS measures. However, the application of last-resort compounds increased from 6.4 DOT/100PD to 12.1 DOT/100PD (oxazolidinones) and from 10.8 DOT/100PD to 13.2 DOT/100PD (carbapenems). Conclusions: Antibiotic consumption can be reduced without negatively affecting patient outcomes. However, achieving lasting positive changes in antibiotic prescribing habits remains a challenge.

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Hynninen, Nina, Reetta Saarnio, and Satu Elo. "Care practices of older people with dementia in the surgical ward: A questionnaire survey." SAGE Open Medicine 4 (January 1, 2016): 205031211667603. http://dx.doi.org/10.1177/2050312116676033.

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Objectives: The objective of this study was to describe the care practices of nursing staff caring older people with dementia in a surgical ward. Methods: The data were collected from nursing staff (n = 191) working in surgical wards in one district area in Finland during October to November 2015. Data were collected using a structured questionnaire and analyzed statistically. The instrument consists of a total number of 141 items and four dimensions. The dimensions were as follows: background information (12 of items), specific characteristics of older people with dementia in a surgical ward (24 of items), specific characteristics of their care in a surgical ward (66 of items) and use of physical restraints and alternative models for use of restraints for people with dementia (39 of items). Results: The questions which measure the nursing staff’s own assessment of care practices when caring for people with dementia in surgical wards were selected: counseling people with dementia, reaction when a surgical patient with dementia displays challenging behavior and use of alternative approach instead of physical restraints. Most commonly the nursing staff pay attention to patient’s state of alertness before counseling older people with dementia. Instead of using restraints, nursing staff gave painkillers for the patient and tried to draw patients’ attention elsewhere. The nursing staff with longer work experience estimate that they can handle the patients’ challenging behavior. They react by doing nothing more often than others. They pretend not to hear, see or notice anything. Conclusion: The findings of this study can be applied in nursing practice and in future studies focusing on the care practices among older people with dementia in acute care environment. The results can be used while developing patient treatments process in surgical ward to meet future needs.

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Bayanzay, Karim, Behzad Amoozgar, Varun Kaushal, Alissa Holman, Valentina Som, and Shuvendu Sen. "Impact of profession and wards on moral distress in a community hospital." Nursing Ethics 29, no. 2 (November 2, 2021): 356–63. http://dx.doi.org/10.1177/09697330211015349.

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Background: Recently, a singular survey titled “Measure of Moral Distress—Healthcare Professionals,” which addresses shortcomings of previous instruments, has been validated. Aim: To determine how moral distress affects nurses and physicians differently across the various wards of a community hospital. Participant and research context: We distributed a self-administered, validated survey titled “Measure of Moral Distress—Healthcare Professionals” to all nurses and physicians in the medical/surgical ward, telemetry ward, intensive care units, and emergency rooms of a community hospital. Findings: A total of 101 surveys were included in the study. The mean Measure of Moral Distress—Healthcare Professionals score for all respondents was 143.0 (standard deviation = 79.8). The mean Measure of Moral Distress—Healthcare Professionals score was 1.75 greater for nurses than for physicians (92.5 vs 161.5, p < .001), and nurses were 2.52 times more likely to consider leaving their position due to moral distress (68% vs 27%). The mean Measure of Moral Distress—Healthcare Professionals score for moral distress was least prevalent in the medical/surgical ward (92.5, SD = 38.2) and highest in the telemetry ward (197.7, SD = 83.6). The intensive care unit ward had a mean Measure of Moral Distress—Healthcare Professionals score mildly greater than the emergency room. Ethical considerations: No participant identifying information or information connecting a survey response to an individual was collected. This study was approved by the Raritan Bay Medical Center’s Institutional Review Board. Discussion: This study provides insight into the level of moral distress in the community hospital setting. Telemetry nurses experience significantly more than nurses in other wards. Telemetry nurses typically manage patients sicker than medical/surgical wards, however do not have the resources of the critical care units. This scenario presents challenges for telemetry nurses and may explain their elevated moral distress. Conclusion: In community hospitals, telemetry nurses experience a considerably greater amount of moral distress compared to their colleagues in other wards. As measured by the Measure of Moral Distress—Healthcare Professionals questionnaire, moral distress continues to be higher among nurses compared to physicians.

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Thu, Le Thi Arm, Michael J. Dibley, Vo Van Nho, Lennox Archibald, William R. Jarvis, and Annette H. Sohn. "Reduction in Surgical Site Infections in Neurosurgical Patients Associated With a Bedside Hand Hygiene Program in Vietnam." Infection Control & Hospital Epidemiology 28, no. 05 (May 2007): 583–88. http://dx.doi.org/10.1086/516661.

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Objective. We conducted an intervention study to assess the impact of the use of an alcohol-chlorhexidine-based hand sanitizer on surgical site infection (SSI) rates among neurosurgical patients in Ho Chi Minh City, Vietnam. Design. A quasi-experimental study with an untreated control group and assessment of neurosurgical patients admitted to 2 neurosurgical wards at Cho Ray Hospital between July 11 and August 15, 2000 (before the intervention), and July 14 and August 18, 2001 (after the intervention). A hand sanitizer with 70% isopropyl alcohol and 0.5% Chlorhexidine gluconate was introduced, and healthcare workers were trained in its use on ward A in September 2000. No intervention was made in ward B. Centers for Disease Control and Prevention definitions of SSI were used. Patient SSI data were collected on standardized forms and were analyzed using Stata software (Stata). Results. A total of 786 patients were enrolled: 377 in the period before intervention (156 in ward A and 221 in ward B) and 409 in the period after intervention (159 in ward A and 250 in ward B). On ward A after the intervention, the SSI rate was reduced by 54% (from 8.3% to 3.8%; P = .09), and more than half of superficial SSIs were eliminated (7 of 13 vs 0 of 6 in ward B; P = .007). On ward B, the SSI rate increased by 22% (from 7.2% to 9.2%; P = .8). In patients without SSI, the median postoperative length of stay and the duration of antimicrobial use were reduced on ward A (both from 8 to 6 days; P <.001) but not on ward B. Conclusions. Our study demonstrates that introduction of a hand sanitizer can both reduce SSI rates in neurosurgical patients, with particular impact on superficial SSIs, and reduce the overall postoperative length of stay and the duration of antimicrobial use. Hand hygiene programs in developing countries are likely to reduce SSI rates and improve patient outcomes.

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Beggs, Hilary. "Extended visiting in a surgical ward." Nursing Standard 5, no. 33 (May 8, 1991): 29–31. http://dx.doi.org/10.7748/ns.5.33.29.s40.

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Rama, I., T. Jones, I. Mohamed, T. Wijayaratne, M. Al-Joukhadar, J. Scobie, and N. Dattani. "Improving vascular surgical ward rounds through implementation of ward round checklists." International Journal of Surgery 55 (July 2018): S139. http://dx.doi.org/10.1016/j.ijsu.2018.05.739.

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Kanno, Maya, Mana Doi, Kazumi Kubota, and Yuka Kanoya. "Risk factors for postoperative delirium and subsyndromal delirium in older patients in the surgical ward: A prospective observational study." PLOS ONE 16, no. 8 (August 2, 2021): e0255607. http://dx.doi.org/10.1371/journal.pone.0255607.

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Postoperative delirium (POD) and subsyndromal delirium (SSD) among older patients is a common, serious condition associated with a high incidence of negative outcomes. However, there are few accurate methods for the early detection of POD and SSD in surgical wards. This study aimed to identify risk factors of POD and SSD in older patients who were scheduled for surgery in a surgical ward. This was a prospective observational study. Study participants were older than 65 years, underwent urology surgery, and were hospitalized in the surgical ward between April and September 2019. Delirium symptoms were assessed using the Confusion Assessment Method (CAM) on the preoperative day, the day of surgery, and postoperative days 1–3 by the surgical ward nurses. SSD was defined as the presence of one or more CAM criteria and the absence of a diagnosis of delirium based on the CAM algorithm. Personal characteristics, clinical data, cognitive function, physical functions, laboratory test results, medication use, type of surgery and anesthesia, and use of physical restraint and bed sensor were collected from medical records. Multiple logistic regression analyses were conducted to identify the risk factors for both POD and SSD. A total of 101 participants (mean age 74.9 years) were enrolled; 19 (18.8%) developed POD (n = 4) and SSD (n = 15). The use of bed sensors (odds ratio 10.2, p = .001) was identified as a risk factor for both POD and SSD. Our findings suggest that the use of bed sensors might be related to the development of both POD and SSD among older patients in surgical wards.

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Hossain, M., TJ Crook, and SR Keoghane. "Clostridium Difficile in Urology." Annals of The Royal College of Surgeons of England 90, no. 1 (January 2008): 36–39. http://dx.doi.org/10.1308/003588408x242358.

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INTRODUCTION The objective was to determine the incidence of Clostridium difficile infection in a UK urology ward from 2000 to 2005, and correlate and compare the data with other specialty wards and national figures. PATIENTS AND METHODS Urology patients with a positive stool culture for C. difficile between 2000 and 2005 were identified from a hospital database. The medical records of these patients were reviewed and data such as antibiotic use, urological diagnosis and elective/emergency status of the patient were recorded and analysed. The number of C. difficile cases on an elderly care ward, an acute medical ward and an acute surgical ward were also recorded for this period. Data on the number of admissions and occupied bed-days on all 4 wards were compared. RESULTS There were 33 cases of C. difficile on the urology ward between 2000 and 2005. The incidence of this infection varied between 10.2 and 48.4 cases per 10,000 patient episodes (mean 21.0). There was a significant difference between the number of C. difficile cases per 1000 patient days between the urology ward and the acute medical ward (P = 0.002) and the elderly care ward (P = 0.03). CONCLUSIONS There is no evidence to suggest that there has been an increase in the incidence of C. difficile in a UK urology ward. The rates on the urology ward were lower than the national average, and significantly lower than those rates on an acute medical ward and an elderly care ward. There is a 0.21% chance of a patient testing positive for C. difficile during their stay on a urology ward.

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KD Ephraim, Richard, Yaw A Awuku, Ignatious Tetteh-Ameh, Charles Baffe, Godsway Aglagoh, Victor A Ogunajo, Kizito Owusu-Ansah, Prince Adoba, Samuel Kumordzi, and Joshua Quarshie. "Acute kidney injury among medical and surgical in-patients in the Cape Coast Teaching Hospital, Cape Coast, Ghana: a prospective cross-sectional study." African Health Sciences 21, no. 2 (August 2, 2021): 795–805. http://dx.doi.org/10.4314/ahs.v21i2.40.

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Background: Acute kidney injury (AKI) is a syndrome associated with high morbidity, mortality and high hospital costs. Despite its adverse clinical and economic effects, only a few studies have reported reliable estimates on the incidence of AKI in sub-Sahara Africa. We assessed the incidence and associated factors of AKI among medical and surgical patients admitted to a tertiary hospital in Ghana. Methods: A prospective cross-sectional study was conducted among one hundred and forty-five (145) consecutive patients admitted to the medical and the surgical wards at the Cape Coast Teaching Hospital (CCTH), Cape Coast, Ghana from April 2017 to April 2018. Socio-demographic and clinical information were collected using structured questionnaires. AKI was diagnosed and staged with the KDIGO guideline, using admission serum creatinine as baseline kidney function. Results: The mean age of the study participants was 46.6±17.7 years, whilst the male:female ratio was 68:77. The overall incidence of AKI among the participants was 15.9% (95% CI: 10.33 – 22.84%). Stage 1 AKI occurred in 56.5% of the par- ticipants, whilst stages 2 and 3 AKI respectively occurred among 4.1% and 2.8% of respondents. About 20% of the partic- ipants in the medical ward developed AKI (n= 15) whilst 12% of those in surgical ward developed AKI (n= 8). Among the participants admitted to the medical ward, 60.0%, 26.7% and 13.3% had stages 1, 2 and 3 AKI respectively. Whilst 50.0%, 25.0% and 25.0% respectively developed stages 1, 2 and 3 AKI in the surgical ward. Medical patients with AKI had hyper- tension (40%), followed by liver disease (33.3%); 37.5% of surgical inpatients had gastrointestinal (GI) disorders. Conclusion: The incidence of AKI is high among medical and surgical patients in-patients in the CCTH, Ghana, with hy- pertension and liver disease as major comorbidities. Keywords: Acute kidney injury; KDIGO; medical; surgical; hypertension; liver disease.

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Kowalczuk, Krystyna, Elżbieta Krajewska-Kułak, and Marek Sobolewski. "Factors Determining Work Arduousness Levels among Nurses: Using the Example of Surgical, Medical Treatment, and Emergency Wards." BioMed Research International 2019 (December 31, 2019): 1–12. http://dx.doi.org/10.1155/2019/6303474.

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Introduction. Staff shortages among nurses have been severely felt in most countries around the world for many years. In Poland, this problem is particularly visible due to the lowest nursing employment rate per 1000 inhabitants among 28 EU states and the high rate of leaving the profession. The average age of Polish nurses has been constantly growing for several years—in 2016 it was 50.79, while in 2008 it was 44.19. These data confirm that young nurses are the first to leave the profession. Diagnosis of the working conditions and psychosocial burden level among nurses should be subject to detailed analysis, so that leaving the profession will not additionally deepen the difficult staffing situation in health care. Aim. The aim of the study was to identify factors affecting the assessment of work arduousness levels among nursing personnel. Materials and Methods. The study was conducted among 573 nurses working on surgical, medical treatment, and emergency wards. A standardized job evaluation questionnaire was used to conduct the survey. Results. (1) Stress levels depended on the ward in which the surveyed person worked. Nurses working in the emergency ward assessed their conditions the best, with the lowest stress. The average general result in this group was 38.1 points versus 46 and 45.7 points in the surgical and medical treatment wards, respectively. (2) At the level of the whole studied group, both the nurses’ age and work experience did not differ statistically significantly in the total assessment of working conditions. Differences in the assessment of work arduousness in different age categories occurred at the level of individual wards. In the surgical ward, younger employees were characterized by higher stress levels, especially in the area of arduousness (p=0.0165). In the medical treatment wards, there was a similar age-to-stress ratio for the area of organizational uncertainty (p=0.0063). With age, employees of the emergency ward became more indifferent to stress related to unpleasant working conditions (p=0.0009), while stress related to organizational uncertainty increased (p=0.0495). (3) Nurses working in managerial positions assessed the overall stress related to their job higher than other nurses. They were particularly at risk for burdens related to haste, responsibility, and organizational uncertainty. The average overall assessment of work arduousness for this group was 44.6 points, while for surgical nurses it was 37.2 points. Correlations between the performed function and stress levels were found for almost all of the studied work characteristics (except for hazards). (4) Education had a statistically significant impact on the perception of working conditions in several dimensions. The people with the lowest education evaluated working conditions the best. The difference between people with a higher and those with a secondary education with a specialization was definitely smaller and often nonexistent. Education differentiated the work arduousness assessment depending on the ward. The most statistically significant correlations were obtained in surgical wards, and the least in medical treatment wards. Conclusions. (1) The study results indicate the need to diagnose problems related to work conditions in the context of occupational stress within individual hospital wards. To limit employee turnover, nursing staff managers should approach the issue of improving working conditions individually for each ward, due to differences in the nature of the work and level of stressogenicity. (2) In each hospital ward, employees at different stages of their career are sensitive to the psychosocial burden resulting from different work characteristics. These areas should be thoroughly diagnosed and the burden minimized to prevent departures from the profession—at early stages of the professional career as well as among experienced personnel. (3) Nurses working in managerial positions should receive the necessary substantive support, due to the higher stress burden associated with greater responsibility.

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O Donoghue, Margaret, Grace Corcoran, Louise Lawlor, Carol Lyons, Linda Brewer, Alan Moore, Una Donnelly, et al. "Hardwicke: transition from a surgical ward to an exemplar Specialist Geriatric Ward." International Journal of Integrated Care 17, no. 5 (October 17, 2017): 216. http://dx.doi.org/10.5334/ijic.3526.

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Donoghue, Margaret O., Grace Corcoran, Carol Lyons, Alan Moore, Linda Brewer, Louise Lawlor, Paul Maloney, et al. "031Transition from a Surgical Ward to an Exemplar Specialist Geriatric Ward (SGW)." Age and Ageing 46, Suppl_3 (September 2017): iii13—iii59. http://dx.doi.org/10.1093/ageing/afx144.70.

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Grujovic, Zoran, Milena Ilic, and Biljana Milicic. "The level of microbial contamination and frequency of surgical site infections at the Department of Orthopedic and Traumatologic Surgery of the Clinical Hospital Center in Kragujevac." Medical review 58, no. 5-6 (2005): 287–91. http://dx.doi.org/10.2298/mpns0506287g.

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Introduction. The level of microbial contamination is an important risk factor for surgical site infections. The aim of this study was to investigate the frequency of surgical site infections in regard to the level of microbial contamination at the Department of Orthopedic and Traumatologic Surgery of the Clinical Hospital Center in Kragujevac. Material and methods. This study included 474 patients who underwent surgery in the period from January 1, 2002 to December 31, 2002 at the Department of Orthopedic and Traumatologic Surgery of the Clinical Hospital Center in Kragujevac. Hospital infections were identified using CDC definitions, modified to fit our circumstances. The traditional classification of surgical sites in regard to the level of microbial contamination includes three categories: clean, contaminated and dirty. Results The incidence of surgical site infections was higher at the Orthopedic Surgery Ward (5.94%) compared to Traumatologic Surgery Ward (5.02%). Additionally, a significantly higher frequency of deep surgical site infections, which were classified as clean were established at the Orthopedic Surgery Ward, in regard to the level of microbial contamination, whereas the greatest frequency of surface infections in clean surgical sites (p=0.000) were established at the Traumatologic Surgery Ward. Surgical site infections were more frequent in patients undergoing multiple surgeries at the Orthopedic Surgery Ward than in those treated at the Traumatologic Surgery Ward (p=0.037). Conclusion It is of utmost importance to estimate the frequency of surgical site infections and identify associated risk factors in order to undertake adequate measures for their prevention and control. .

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Force, Jade, Ian Thomas, and Frances Buckley. "Reviving post-take surgical ward round teaching." Clinical Teacher 11, no. 2 (March 14, 2014): 109–15. http://dx.doi.org/10.1111/tct.12071.

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Hassen, Yasmin A. M., Maximilian J. Johnston, Pritam Singh, Philip H. Pucher, and Ara Darzi. "Key Components of the Safe Surgical Ward." Annals of Surgery 269, no. 6 (June 2019): 1064–72. http://dx.doi.org/10.1097/sla.0000000000002718.

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Eijsvoogel, C. F. H., R. W. Peters, A. J. Budding, D. T. Ubbink, H. Vermeulen, and N. W. L. Schep. "Implementation of an acute surgical admission ward." British Journal of Surgery 101, no. 11 (August 13, 2014): 1434–38. http://dx.doi.org/10.1002/bjs.9605.

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Fox, Nicholas J. "Discourse, organisation and the surgical ward round." Sociology of Health and Illness 15, no. 1 (January 1993): 16–42. http://dx.doi.org/10.1111/1467-9566.ep11343783.

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Doherty, M., I. Garstin, R. J. McClelland, B. J. Rowlands, and B. J. Collins. "A Steroid Stupor in a Surgical Ward." British Journal of Psychiatry 158, no. 1 (January 1991): 125–27. http://dx.doi.org/10.1192/bjp.158.1.125.

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In the development and management of a steroid-induced stupor, in a 17–year-old man, the dose and route of administration of steroid medication were felt to be important aetioiogical factors. A co-ordinated plan of management involving the physician, surgeon and psychiatrist is needed in such cases.British Journal of Psychiatry (1991), 158, 125–127

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Pucher, Philip H., and Rajesh Aggarwal. "Reply to “Improving Surgical Ward Round Quality." Annals of Surgery 266, no. 6 (December 2017): e72-e73. http://dx.doi.org/10.1097/sla.0000000000001637.

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Rashid, ST, M. Salman, G. Hamilton, and F. Myint. "Audit of post-midnight surgical ward calls." Bulletin of The Royal College of Surgeons of England 87, no. 2 (February 1, 2005): 45–47. http://dx.doi.org/10.1308/147363505x1375.

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Morle, K. M. F. "Learning to care on the surgical ward." Nurse Education Today 8, no. 1 (February 1988): 54. http://dx.doi.org/10.1016/0260-6917(88)90111-6.

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Pucher, Philip H., Ara Darzi, and Rajesh Aggarwal. "Simulation for ward processes of surgical care." American Journal of Surgery 206, no. 1 (July 2013): 96–102. http://dx.doi.org/10.1016/j.amjsurg.2012.08.013.

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RPD, Cooke, Goddard SV, and Golland J. "Costing a major hospital outbreak of gastroenteritis due to Norovirus (Norwalk-like virus)." British Journal of Infection Control 4, no. 2 (April 2003): 18–21. http://dx.doi.org/10.1177/175717740300400207.

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O utbreaks of Norovirus infection in hospitals are common, but the financial impact is often poorly defined. Following a major outbreak, we propose a simple costing system. The key cost drivers identified were: 1. Lost bed days (LBDs) and cancelled elective surgical operations. The cost of an occupied or closed bed was £204 per day; 2. The period of staff sickness, estimated at an average of four days. Staff costs were estimated at £79.45 per day; 3. The employment of additional nurses; 4. Environmental cleaning (£200 per ward); 5. Additional microbiology costs (£8.27 per sample); 6. Ward consumable costs, estimated at £5 per ward per day. The outbreak involved 16 wards, affecting 139 patients and 124 staff (mainly nurses) over a two week period. LBDs due to inpatient sickness amounted to £85,068. Lost days due to staff sickness cost £39,407. 150 cancelled surgical operations equates with 525 LBDs, costing £107,100. The cost of employing additional nursing staff was £41,465. Further costs included £3,200 for 16 ‘deep cleans', £560 for ward consumables, £1,150 for microbiology specimens and £1,165 for additional infection control hours. The total cost of the outbreak was estimated at £279,115. The costing model described quickly identified key financial pressures and could be applicable to other Norovirus outbreaks.

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Gethins, Sharon. "Access to secondary care services for patients with established inflammatory bowel disease." Gastrointestinal Nursing 18, no. 10 (December 2, 2020): 20–25. http://dx.doi.org/10.12968/gasn.2020.18.10.20.

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Background: Standards of care for inflammatory bowel disease (IBD) recommend the introduction of pathways for rapid assessment or direct admission of patients with Crohn's disease or ulcerative colitis to specialist gastroenterology services. In 2017, services provided at University Hospitals of Leicester consisted of traditional outpatient services, a dedicated gastroenterology ward and access to specialist advice via a telephone helpline, which was available Monday to Friday at 09:00–13:00. The trust did not have a dedicated service for rapid-access clinics or direct admission. Aim: A study was conducted to explore how patients with an established diagnosis of IBD accessed secondary care services, when having an acute exacerbation. Methods: A questionnaire was provided to patients over 12 months, just before their discharge from the gastroenterology ward to identify what took place during their admission. Findings: The study recruited 50 participants. The majority of these patients had been admitted to secondary care via emergency or urgent care (60%), with 22% admitted from medical admissions units, 14% directly to gastroenterology ward and 2% via other departments. For 58% of patients, the pathway to the gastroenterology ward involved being transferred to a total of three different wards. Most patients waited for many hours before entering the gastroenterology ward, and around a quarter waited for 2 days or more. Conclusions: It was found that 16% of patients had been admitted to hospital unnecessarily. Following patient feedback, a rapid-access hot clinic should be piloted to improve access pathways for patients with acute exacerbations of IBD.

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Pucher, Philip H., Rajesh Aggarwal, Tharanny Srisatkunam, and Ara Darzi. "Validation of the Simulated Ward Environment for Assessment of Ward-Based Surgical Care." Annals of Surgery 259, no. 2 (February 2014): 215–21. http://dx.doi.org/10.1097/sla.0b013e318288e1d4.

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Di Leo, Alberto, Silvano Piffer, Francesco Ricci, Alberto Manzi, Elena Poggi, Vincenzo Porretto, Paolo Fambri, et al. "Surgical Site Infections in an Italian Surgical Ward: A Prospective Study." Surgical Infections 10, no. 6 (December 2009): 533–38. http://dx.doi.org/10.1089/sur.2009.008.

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Chow, Vincent S., Martin L. Puterman, Neda Salehirad, Wenhai Huang, and Derek Atkins. "Reducing Surgical Ward Congestion Through Improved Surgical Scheduling and Uncapacitated Simulation." Production and Operations Management 20, no. 3 (February 17, 2011): 418–30. http://dx.doi.org/10.1111/j.1937-5956.2011.01226.x.

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Brown, Oliver S., Teri HH Toi, Pedro R. Barbosa, Patra Pookarnjanamorakot, and Alex Trompeter. "A patient-centred check sheet improves communication on the trauma ward round." British Journal of Hospital Medicine 80, no. 8 (August 2, 2019): 472–75. http://dx.doi.org/10.12968/hmed.2019.80.8.472.

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Background: Effective communication on surgical ward rounds should clarify for patients their management plan and answer questions adequately. Pressures on time conspire against this interchange of information. A patient-centred surgical communication check sheet was devised to enable rapid two-way transfer of information between surgeon and patient. Methods: A quality improvement project involved three cycles. Through the use of a patient survey, distributed following the daily ward round, areas for improvement in communication were highlighted in cycle one. The surgical communication check sheet was introduced in cycle two, and modified before cycle three following discussion with the orthopaedic department. The surgical communication check sheet was handed out to patients before the ward round, and its efficacy was measured by evaluating ward round communication using the survey as in cycle one. Results: Initial results showed a variable standard of communication, which improved following the introduction of the surgical communication check sheet in cycle two. In cycle three, 84.7% patients felt that the check sheet aided communication on the ward round. Measures of communication improved between cycles one and three: the percentage of patients with unanswered questions fell from 21.8% to 16.7%, the number of patients unsure why a test was done fell from 25.9% to 12.7%, and average understanding of the management plan rose from 64.7% to 83.3%. Conclusions: The introduction of the surgical communication check sheet improved ward round communication, and was welcomed by almost 85% of patients. Accounts from patients indicate two benefits of the check sheet: the surgeon is immediately aware of a patient with questions or concerns, allowing these to be adequately addressed, and patients can formulate questions before the ward round which bolsters their confidence to ask them.

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Winsor, Kerry, Sandy Blake, Lindsay Pyne, and Alison Juers. "The Innovative Ward Project:promoting innovation in healthservice delivery." Australian Health Review 23, no. 4 (2000): 151. http://dx.doi.org/10.1071/ah000151.

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An Innovative Ward Project was undertaken as part of the planning for redevelopment of the Princess AlexandraHospital. Two inpatient units (one medical and one surgical) became pilot areas for developing, implementing andevaluating innovative approaches to service delivery. The project focused on the key areas related to structuralenvironment, information technology and redesign of work practices. This paper provides an overview which includesthe key elements utilised to foster innovation. The challenges of disseminating and adopting successful innovationsbeyond the Innovative Wards are discussed.

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Alotaibi, Badr S., and Stephen Lo. "Thermal Environment Perceptions from a Longitudinal Study of Indoor Temperature Profiles in Inpatient Wards." Buildings 10, no. 8 (July 25, 2020): 136. http://dx.doi.org/10.3390/buildings10080136.

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Inpatient wards in general have cooling systems with a “one-size-fits-all” approach, driven by a fixed set-point temperature (21–24 °C) that is flexible to lower limits down to 18 °C or less. This approach does not consider patients’ temperature demands, which vary due to thermo-physiology caused by medical conditions, and mixed demographics. It also causes additional cooling demands in hot climates that are infrequently utilized by patients, who tend to adopt warmer internal set temperatures. Thus, this research examined the indoor temperature profiles (distribution of shape) in patient rooms in fully air-conditioned inpatient wards over an extended period of time. During four months of summer, longitudinal monitoring of internal temperature and relative humidity was carried out in 18 patient rooms in the surgical, medical, cardiology, and oncology wards of two hospitals in Saudi Arabia. In parallel, 522 patients were surveyed to capture common subjective thermal indices. The findings revealed that the most frequently preferred temperature (peaks) varied significantly between wards; peaks (modes) were 20.1–21.8 °C in cardiology; 22.2–23.9 °C in the surgical ward; warmer 24.8–25.3 °C in medical ward; and 25.3–26.8 °C in oncology. Surveys also showed that patients were not satisfied with the indoor environment in both hospitals. Given the significant variance in temperature profiles between wards and patient dissatisfaction with the indoor environment, these results suggest that more appropriately designed zoned cooling strategies are needed in hospitals as per the nature of each ward. Besides its implications for benchmarking the HVAC system, this approach will substantially reduce energy loads and operational costs in hot-climate hospitals if patients desire warmer conditions than the set conditions provided by system.

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Ramadhan, Gilang, Mahfud Mahfud, and Zulpahiyana Zulpahiyana. "The Relationship of Nurse’s Workload and Caring in Internal Disease Ward and Surgery Ward in Regional Public Hospital." Jurnal Ners dan Kebidanan Indonesia 6, no. 1 (March 29, 2019): 65. http://dx.doi.org/10.21927/jnki.2018.6(1).65-71.

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Background: Caring is the efforts conducted by nurses to be close with the client to provide appropriate interventions in accordance with the problems experienced. One that causes bad nurses' caring behaviors is their workload that is not balanced. Workload is all activities undertaken by nurses during their duties in a nursing unit. Research Objective: To find out the correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo. Research Method: This research was a quantitative research using cross sectional design. The population in this study were all nurses working in Internal Disease Ward and Surgical Ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo. The total sample was 65 using total sampling technique. The research instruments for workload was using NASA-TLX questionnaire and for nurses' caring behaviors was using a questionnaire. The data processing was using Kendall's tau statistical test. Research Results: The results showed that the majority of respondents with a high workload implemented caring behaviors in the category of enough by 19 respondents (29.2%), while the respondents with very high workload implemented caring behaviors in the category of less by 9 respondents (13.8%). The Kendall's tau analysis showed the results of p = 0.000 (p < 0.05) and r = -0.618, meaning that there was a correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo with strong correlation and negative correlation, meaning that the higher the workload, then the lower the caring behaviors. Conclusion: There was a correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo

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Miah, Mohammad, Ramprasad Rajebhosale, Cindy Cleto, Daniel Centea, Rabia Yusuf, Prabhu Ravi, Rajesh Paul, Najam Husain, and Pradeep Thomas. "Evaluation of Drain Output Monitoring in Surgical Ward." OALib 07, no. 07 (2020): 1–5. http://dx.doi.org/10.4236/oalib.1106497.

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Marshall, B., R. A. Sen, P. R. Chadwick, and M. G. L. Keaney. "Environmental contamination of a new general surgical ward." Journal of Hospital Infection 39, no. 3 (July 1998): 242–43. http://dx.doi.org/10.1016/s0195-6701(98)90265-1.

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Gee, Christopher, Natasha Morrissey, and Samantha Hook. "Departmental induction and the simulated surgical ward round." Clinical Teacher 12, no. 1 (January 20, 2015): 22–26. http://dx.doi.org/10.1111/tct.12247.

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Croghan, Stefanie M., Paul Carroll, Paul F. Ridgway, Amy E. Gillis, and Sarah Reade. "Robot-assisted surgical ward rounds: virtually always there." BMJ Health & Care Informatics 25, no. 1 (January 2018): 41–56. http://dx.doi.org/10.14236/jhi.v25i1.982.

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BackgroundWhile an explosion in technological sophistication has revolutionised surgery within the operating theatre, delivery of surgical ward-based care has seen little innovation. Use of telepresence allowing offsite clinicians communicate with patients has been largely restricted to outpatient settings or use of complex, expensive and static devices. We designed a prospective study ascertaining feasibility and face validity of a remotely controlled mobile audiovisual drone (LUCY) to access inpatients. This device is, uniquely, lightweight, freely mobile and emulates ‘human’ interaction by swiveling and adjusting height to patients’ eye-level.MethodsRobot-assisted ward rounds (RASWRs) were conducted over 3 months. A remotely located consultant surgeon communicated with patients/bedside teams via encrypted audiovisual telepresence robot (DoubleRobotics, Burlingame, CA). Likert-scale satisfaction questionnaires, incorporating free-text sections for mixed-methods data collection, were disseminated to patient and staff volunteers following RASWRs. The same cohort completed a linked questionnaire following conventional (gold-standard) rounds, acting as a control group. Data were paired and non-parametric analysis was performed.ResultsRASWRs are feasible (>90% completed without technical difficulty). The RASWR (n = 52 observations) demonstrated face validity with strong correlations (r > 0.7; Spearman, p-value < 0.05) between robotic and conventional ward rounds among patients and staff on core themes, including dignity/confidentiality/communication/satisfaction with management plan. Patients (96.08%, n = 25) agreed RASWR were a satisfactory alternative when consultant physical presence was not possible. There was acceptance of nursing/non-consultant hospital doctor cohort [100% (n = 11) willing to regularly partake in RASWR].ConclusionRASWRs receive high levels of patient and staff acceptance, and offer a valid alternative to conventional ward rounds when a consultant cannot be physically present.

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Pugliese, Gina, and Maktin S. Favero. "Suspected Airborne Transmission of MRSA on Surgical Ward." Infection Control & Hospital Epidemiology 22, no. 08 (August 2001): 529. http://dx.doi.org/10.1017/s0195941700062044.

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Kreckler, Simon, Ken R. Catchpole, Stephen J. New, Ashok Handa, and Peter G. McCulloch. "Quality and Safety on an Acute Surgical Ward." Annals of Surgery 250, no. 6 (December 2009): 1035–40. http://dx.doi.org/10.1097/sla.0b013e3181bd54c2.

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Whiteman, Abigail, and Robert CM Stephens. "Epidurals and their care on a surgical ward." British Journal of Hospital Medicine 71, Sup3 (March 2010): M41—M43. http://dx.doi.org/10.12968/hmed.2010.71.sup3.46993.

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Blucher, Kristopher M., Samuel E. Dal Pra, James Hogan, and Arkadiusz Peter Wysocki. "Ward safety checklist in the acute surgical unit." ANZ Journal of Surgery 84, no. 10 (December 16, 2013): 745–47. http://dx.doi.org/10.1111/ans.12496.

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Al-Mahrouqi, Haitham, Ramadan Oumer, Richard Tapper, and Ross Roberts. "Post-acute surgical ward round proforma improves documentation." BMJ Quality Improvement Reports 2, no. 1 (2013): u201042.w688. http://dx.doi.org/10.1136/bmjquality.u201042.w688.

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