Suchergebnisse

Background: The aim of our study is to quantify the occurrence of suspension of scheduled surgeries in a Brazilian university hospital, trying to identify the causes of suspension of these operations and meet the medical specialties that most contributed to the cancellation. Methods: This study takes the form of an exploratory, descriptive, and quantitative enquiry carried out by analyzing the database from 2008 to 2011 of the operating theater. Results: Of the 29,518 scheduled surgeries, 16.1% were cancelled. The patient was the main reason, accounting for more than 40% of all suspensions. When calculating the rate of surgery suspended from a specialty, dividing the number of cancelled surgeries in a specialty by the number of scheduled surgeries in the same, we found that otolaryngology is the specialty with the highest rate of 21.3%. Conclusions: One of the main reasons in our sample why surgeries were cancelled is nonappearance of the patient. Improving communication between patient and hospital facilitates the client program and also contributes to avoid cancellations.

"Separate Beds is the shocking story of Canada's system of segregated health care. Operated by the same bureaucracy that was expanding health care opportunities for most Canadians, the "Indian Hospitals" were underfunded, understaffed, overcrowded, and rife with coercion and medical experimentation. Established to keep the Aboriginal tuberculosis population isolated, they became a means of ensuring that other Canadians need not share access to modern hospitals with Aboriginal patients. Tracing the history of the system from its fragmentary origins to its gradual collapse, Maureen K. Lux describes the arbitrary and contradictory policies that governed the "Indian Hospitals," the experiences of patients and staff, and the vital grassroots activism that pressed the federal government to acknowledge its treaty obligations. A disturbing look at the dark side of the liberal welfare state, Separate Beds reveals a history of racism and negligence in health care for Canada's First Nations that should never be forgotten."--

Frontmatter --Contents --Plates --Preface --Acknowledgments --Introduction --PART ONE Getting Going --Chapter One Gordon Murray --Chapter Two Uncle Bill --Chapter Three "Bigelow's Boys" --Chapter Four Hypothermia Discovered --Chapter Five The First Operations --Chapter Six Homes --Chapter Seven The Pacemaker --PART TWO Full Speed Ahead --Chapter Eight Bypass --Chapter Nine Moving On --Chapter Ten The Pacemaker Clinic --Chapter Eleven Ron Baird --Chapter Twelve The Damaged Heart --Chapter Thirteen Valves --Chapter Fourteen Training --Chapter Fifteen Research --PART THREE The Team --Chapter Sixteen Cardiologists --Chapter Seventeen Nurses --Chapter Eighteen Perfusionists --Chapter Nineteen Anesthetists --PART FOUR Today --Chapter Twenty Tirone David --Chapter Twenty-One Vivek Rao --Chapter Twenty-Two The Peter Munk Cardiac Centre --Chapter Twenty-Three The Next Gen --Chapter Twenty-Four Conclusion --Appendix I: The Local, Regional, National, and International Impact of Residents and Fellows Who Trained and Studied at the Toronto General Hospital --Appendix II: TGH Cardiac Surgeons Who Have Been Honoured by Awards and Elective Leadership Positions for Their Outstanding Contributions to Heart and Healthcare --Appendix III: Leadership Other than Awards --Notes --Index

"The National Hospital for the Relief and Cure of Paralysis and Epilepsy, as it was first named, was founded in November 1959, and opened its doors for business in 1860 as the first specialist neurological hospital in the world. It quickly gained a reputation as the 'mecca of neurology' and soon became a place of pilgrimage for neurologists from many countries. This book celebrates the fluctuating fortunes, and fascinating history from foundation to eventual amalgamation of the National Hospital with University College Hospital in 1996, and its Institute of Neurology with University College London in 1997"--