PubMed · 10542492
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R Sander. Lifting.. https://pubmed.ncbi.nlm.nih.gov/10542492/
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BACKGROUND: A survey of organisational and managerial aspects in Norwegian intensive care units (ICU) was made six months after Standards for Intensive Care, a document setting out guidelines for the organisation and management of intensive care units, had been issued by the Norwegian Medical Association to Norwegian hospitals. MATERIAL AND METHODS: 298 questionnaires were sent to hospital managers and heads of clinical departments in 58 Norwegian hospitals. RESULTS: The overall response rate was 77%. 60% of the respondents had heard about Standards, 44% had read them, 15% used them. The majority of ICUs were run by the Department of Anaesthesia. 75% answered that the admitting department had the overall responsibility for the individual patient; 23% of respondents claimed that the ICU doctor was responsible. More than half of these worked in secondary and tertiary care hospitals. INTERPRETATION: Standards of Intensive Care is poorly known and read by less than half of the respondents. Only a few have started to implement them. Some uncertainty about patient responsibility may exist particularly in secondary and tertiary care hospitals. There seems to be a need for better role clarification and definitions of responsibility for all participants in intensive care, with more focus on organisational and managerial aspects.
In the early 1990s, human immunodeficiency virus (HIV) infection associated with possible reuse of syringes and needles was reported among children in Romanian orphanages. These findings led health-care workers to use new disposable syringes and needles for administering injections. Bythe late 1990s, reports suggested that new disposable syringes and needles had become standard for all injections. However, surveillance data collected by the Romanian Ministry of Health (MoH) during 1997-1998 indicated that acute hepatitis B virus (HBV) infection was associated with receiving injections among children aged <5 years. In Romania, injection frequently is used to administer medication, and nurses administer most injections. To identify the practices that might have resulted in injection-associated HBV transmission, selected clinic and hospital nurses were surveyed. This report summarizes the findings of the survey, which indicated that although nurses used new disposable syringes and needles, other inadequate infection-control practices might explain injection-associated HBV transmission. Results of the survey were used by the Romanian Coalition to Prevent Nosocomial Infections to prepare standards for injection safety to protect patients and health-care workers from HBV infection.