By Mary Gottwald, Gail Lansdown
This can be an available and functional consultant to medical governance in healthcare, designed to assist practitioners and scholars carry greater care to patients.
Read or Download Clinical Governance: Improving The Quality Of Healthcare For Patients And Service Users PDF
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Extra resources for Clinical Governance: Improving The Quality Of Healthcare For Patients And Service Users
Combined (type of violence was not indicated). 7%. Physical violence was most prevalent in emergency departments, geriatric, and psychiatric facilities. Physical violence and sexual harassment were most prevalent in Anglo countries, and non-physical violence and bullying were most prevalent in the Middle East. Patients were the perpetrators of most physical violence in Anglo countries and Europe, and patients’ families and friends accounted for the most in the Middle East. 32 Clinical Governance Hutchinson et al.
However, PUs can also occur in children, and in particular those related to medical device-related (MDR) hospital acquired pressure ulcers (HAPUs). Paediatric MDR HAPUs are increasing, and their management and emotional suffering have a great impact on the health status of infants and children (Murray et al. 2013). This is supported by Boesch et al. (2012), whose work Quality: the key issues 33 centred on the reduction of tracheostomy-related pressure ulcers (TRPUs). They found that the introduction of a quality improvement programme using a rapid-cycle Plan-Do-Study-Act (PDSA) framework resulting in the implementation of a clinical bundle significantly reduced the incidence of TRPUs in their ventilator unit.
VAP is defined as pneumonia that occurs in mechanically ventilated patients more than 48 to 72 hours after endotracheal intubation (Gu et al. 2012). Early-onset VAP occurs 48 to 96 hours after intubation, and late-onset VAP is usually seen 96 hours after intubation (Augustyn 2007). VAP is the most common infection seen in ICUs and accounts for onefourth of the infections occurring in critically ill patients and half the antibiotic prescriptions in mechanically ventilated patients. In addition to being a financial burden in ICUs due to increased length of stay and associated costs, it continues to contribute significantly to the morbidity and mortality of ICU patients, with an estimated attributable mortality rate of 8%–15% (Ashraf and Ostrosky-Zeichner 2012).