[Reporting of laboratory test results].
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The Federation of Swedish County Councils and six medical specialties are working together in a project aiming to support and stimulate the development of patient based case registers as a tool to follow up, evaluate, develop and manage medical units. The project is based on participation on the part of the medical professions in a process-oriented way. Each case register shall be based on the individual patient, and will integrate inpatient and outpatient care, all medical professions and important procedures. In hematology the project also seeks to merge case costing data with the patient based case registers in order to facilitate more comprehensive cost analysis and comparison. This episodic perspective is useful for providers per se as well as in discussions between purchasers and providers as a method for understanding and analyzing medical services. The six specialties are hematology, obstetrics and gynecology, ophthalmology, otorhinolaryngology, dermatology and sexually transmitted diseases, and lastly psychiatry.
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A 6.8-magnitude earthquake that struck the Seattle/Olympia area about an hour before lunchtime on Wednesday, February 28, caused an estimated $2 billion in damage but resulted in only one death. The quake was centered near Washington's state capital, Olympia, about 50 miles from Seattle. Scientists attribute the relatively small amount of damage to the fact that the quake was a deep one centered about 30 miles below the earth's surface. Experts also credit modern building codes, which require new buildings to be quake-resistant, and the retrofitting of older buildings to resist quakes for the lack of damage and casualties (less than 400 injuries). Hospitals in the region escaped serious damage and emergency rooms received relatively few casualties. However, in carrying out disaster plans, security and safety officials uncovered a number of problems that could have had serious impact in another emergency situation.
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Women's College Hospital (WCH), Toronto, Canada, embarked on a review of 5 years of Web-based e-mail communications to address broad issues of managerial policy and procedure as related to the institution's expanding role in Web-based communication. The hospital looked at who was sending messages, why they were communicating, and how the institution should respond to the new demands placed on them by virtual communicators. The article provides a brief discussion of the results of the review and points out that attention must be given to a broad range of organizational challenges and opportunities posed by such communications. Suggestions related to how health care organizations may respond better to and serve their virtual audiences are offered.
The building complex which has been erected for training in the area of medicine is described in relation to the thinking which forms the background for these physical facilities. Provision is made for training of students in medicine, nursing and the paramedical services of physiotherapy and occupational therapy. The Faculty of Dentistry of the University of Stellenbosch is also on the site. Facilities exist for the training of a wide spectrum of medical technologists and technicians, and nursing colleges have been established for the training of both White and Coloured nurses. There are supporting services such as workshops, a laundry and animal facilities. A crèche for the children of working mothers, both White and Coloured, has been established, and a bank and a post office have also been built on the site. The Tygerberg Hospital provides a comprehensive service to patients and is planned to accommodate all ethnic groups under one roof with particular provision of facilities for the most specialised services. The emphasis is on the training of students in medicine, both undergraduate and postgraduate.
To reduce the frequency and extent hospital infection, the infection prevention team is required to work properly. Infection control nurses play various roles in the infection prevention team, including surveillance of the occurrence of infection and checking the actual conditions of infection prevention activities, as well as the communication and coordination with other sections. Thus, they take part in almost all the activities of the infection prevention team, except the diagnosis and the medical treatment of infectious diseases; that is to say, they make reports, communicate, consult and cooperate with the staff members of other sections. As for surveillance, the results of microbiological tests by a laboratory are most important. By feedback regarding the results of surveillance measures against infection, infection prevention activities become more effective. The staff members of the microbiological laboratory and the infection control nurses can obtain information about the outbreak of infection at an early stage, which is critical in infection prevention activities. Therefore, good cooperation between nurses and the laboratory staff facilitates prompt and appropriate actions to prevent further spread of infection. The test section, especially the microbiological laboratory, is the most important section with which the infection control nurses should work in close cooperation.
Clinical laboratory division plays an important roll for the management of nosocomial infection. Staff from clinical laboratory division including technologist and/or medical doctor can work as a part of infection control team. Since the bacterial surveillance data from clinically isolated strains accumulates in the clinical laboratory division, these staff have a chance to notice outbreak in hospital at first time. While handling information from each strain, we need to feedback these data with additional information for physicians. From June, 2000, a national project started. That was a surveillance program for drag-resistant bacteria. We can compare information from local isolates and nation-wide isolates by this project. Genotypic methods especially pulsed-field gel electrophoresis(PFGE) is suitable for the identification of infection route in the hospital environment. And PFGE analysis for pathogenic strains works effective in our hospital.
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