Educational Hospitals Research Articles

The Relationship Of Therapy Frequency, Food Intake, And Nutritional Status With Quality Of Life In Breast Cancer Patients At The Andalas University Educational Hospital

The Relationship Of Therapy Frequency, Food Intake, And Nutritional Status With Quality Of Life In Breast Cancer Patients At The Andalas University Educational Hospital

Experiences of Patients Undergoing Robot-assisted Cardiac Surgery: A Qualitative Study

PurposeOver the last two decades, the use of robotic surgery in cardiac procedures has become increasingly prevalent. Typically, assessments of patient outcomes for robot-assisted surgery concentrate on patient morbidity and mortality, surgical complications, and length of hospital stay. However, there is limited research on patients' perceptions of robot-assisted surgery. Therefore, this study aims to determine the experiences of patients undergoing robot-assisted cardiac surgery. DesignThe study used a qualitative design. MethodsThe study was conducted with 12 patients who underwent robot-assisted heart surgery at an educational and research hospital. Ethical approval and written informed consent were obtained before the study. Findings66.7% of the participants were male with an average age of 38.25 ± 16.06 years. The analysis of qualitative data identified three themes: Robotic surgery, Post-Surgical Experience, and Homecoming. ConclusionsPatients expressed satisfaction with robotic surgery and recommended it to others undergoing surgery. Based on the findings, we may suggest that nurses may conduct personalized education programs about robotic surgery and develop programs to follow up with patients at home.

Knowledge of Crimean-Congo Hemorrhagic Fever among Nurses at Al-Nasiriyah City Hospitals in Iraq

Background: CCHF caused by a tick-borne virus from the Bunyaviridae family, is a severe viral hemorrhagic fever with a mortality rate of 10–40%. Specific Background: Despite their critical role in treating and preventing CCHF, comprehensive research on CCHF transmission and knowledge among healthcare workers, especially nurses in Al-Nasiriyah, Iraq, is lacking. Knowledge Gap: Current literature lacks detailed studies on the awareness and preparedness of nurses regarding CCHF in high-risk areas. Aims: Aims to assess the knowledge of nurses concerning CCHF in Al-Nasiriyah’s educational hospitals and identify gaps in their understanding to improve disease management and prevention strategies. Results: Utilizing a descriptive cross-sectional design, the study surveyed 500 nurses across five teaching hospitals. The average age of participants was 28.83 years, with a predominant proportion holding diplomas and obtaining information primarily from social media. The results revealed that nurses' knowledge about CCHF was suboptimal, with 69.4% of correct answers and a predominance of moderate knowledge levels. Novelty: This research provides novel insights into the knowledge deficits among nurses in an endemic region, highlighting the critical need for targeted educational interventions. Implications: The findings underscore the necessity for comprehensive educational courses on occupational safety and disease prevention tailored to healthcare workers in endemic areas, aiming to enhance their knowledge and preparedness against CCHF. Highlights: Knowledge Gaps: Nurses’ CCHF understanding is inadequate. Educational Need: Targeted training can improve disease management. Information Sources: Social media use highlights need for reliable sources. Keywords: Crimean-Congo hemorrhagic fever, nurses' knowledge, endemic regions, healthcare education, CCHF prevention

Modeling and simulation to improve patient admission process: a case study in an educational and treatment hospital

Modeling and simulation to improve patient admission process: a case study in an educational and treatment hospital

To teach is to learn twice, revisited: a qualitative study of how residents learn through teaching in clinical environments

BackgroundTeaching helps the teacher’s own learning as a professional—as the saying goes, ‘to teach is to learn twice’. Near-peer teaching in clinical practice has been shown to contribute to the development of both teaching skills and necessary competencies for doctors. Research on how near-peer teachers learn through their teaching roles has mainly focused on classroom learning. However, understanding how the phenomenon of ‘teaching is learning twice’ occurs in clinical settings and its influencing factors is important for the development of a quality workplace learning environment. Therefore, this study investigated how residents learn through teaching in clinical practice and the factors influencing this process.MethodsThis study’s methodology is based on the constructivist grounded theory from a social constructivist perspective. Several teaching hospitals in Japan were included, and the study participants were post-graduate year 2 residents (PGY2s) from these hospitals. The interviews were recorded, transcribed into text, and analysed by the first author.ResultsFrom January 2016 to July 2022, 13 interviews were conducted with 11 PGY2s from nine educational hospitals. The PGY2s played diverse educational roles in clinical settings and learned competencies as physicians in almost all areas through such roles. We found that knowledge transfer and serving as role models stimulated PGY2s’ intrinsic motivation, encouraged reflection on their own experiences, and promoted self-regulated learning. Further, educating about procedural skills and clinical reasoning prompted reflection on their own procedural skills and thought processes. Supporting post-graduate year 1 residents’ reflections led to the refinement of PGY2s’ knowledge and thought processes through the verbal expression of their learning experiences. Such processes required the formation of a community of practice. Thus, education promoted learning through reflection and clarified the expert images of themselves that PGY2s envisaged.ConclusionsThe study found that residents acquire various physician competencies through multiple processes by teaching as near-peer teachers in clinical settings, that a community of practice must be formed for near-peer teaching to occur in a clinical setting, and that teaching brings learning to those who teach by promoting reflection and helping them envision the professionals they aim to be.

Histological Findings in Antigen E Positive and Negative in Chronic Hepatitis B.

To determine the histopathological findings in patients with HBeAg-positive chronic HBV infection (immunotolerant phase in old terminology) and HBeAg-negative chronic HBV infection (inactive carrier phase in old terminology). Observational study. Place and Duration of the Study: Department of Gastroenterology, University of Health Sciences, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkiye and Diyarbakir and Mersin University School of Medicine, Diyarbakir, Turkiye, from May 2014 to August 2022. The difference between fibrosis and histological activity indices of 289 patients in the immunotolerant and inactive carrier phase who had liver biopsy was examined statistically. Additionally, the relationship of these data with age and gender was investigated. While 236 (81.7%) of the patients were in the inactive carrier phase, 53 (18.3%) patients were in the immunotolerant phase. The mean fibrosis score of patients in the immunotolerant stage was 2.0 ± 1.2, while it was 2.0 ± 1.0 in inactive carriers (p = 0.753). The number of patients with a fibrosis score of two and above was 21 (39.6%) in immunotolerant patients and 52 (22.0%) in inactive carrier patients (p = 0.004). In patients under 30 years of age, the mean fibrosis score was 1.7 ± 1.0. It was 2.0 ± 1.1 in those over 30 years of age (p = 0.016). Biochemical parameters or viral load cannot clearly reflect cellular damage in the liver. In the future, HBV DNA positivity alone may be the only criterion for the treatment. Chronic viral hepatitis B, Fibrosis, Immune tolerance phase, Inactive carrier phase.

Environmental assessment of hospital waste management practices: A study of hospitals in Kermanshah, Iran

This research aims to identify current procedures of hospital waste management in educational hospitals, in western Iran. This study examined upon to be current procedures of medical waste management focusing on the management of hazardous medical waste, under a circular economy. Three criteria environmental situation, environmental management, and environmental performance. The environmental assessment was done by pair matrixes between criteria and sub-criteria, and between scale levels of the indicators were done. The questionnaire structure adopted in the Romero and Carnero study. The Analytic Hierarchy Process method indicates that aspect of the hazardous waste improvement program is essential. The results demonstrated that 56 % of the total environmental criteria score was VERY DEFICIENT in the scale factors classification. The lowest values indicated in the environmental management aspect and 63 % of the total score was VERY DEFICIENT. The results indicated a deficient value in environmental criteria based on the values received for the commitment to environmental policy standards and waste management procedures. The results of environmental performance criteria have shown; that no data was on atmospheric emission. The lack of rules in green purchasing and renewable energy was indicated. In waste management criteria, the total value was reasonable, but there weren't comprehensive rules for redefining waste types and staff training obligations. However, the redefinition of rules, public and staff training, using new technologies, and determination of specific budgets and green teams by proper supervising cycle can be essential to improve hazardous waste management.

The Role of ACE2 Receptor and Its Polymorphisms in COVID-19 Infection and Severity and Its Association with Lipid Profile, Thrombin, and D-Dimer Levels in Iraqi Patients: A Cross-Sectional Study.

COVID-19 patients experience a complex interplay involving ACE2, thrombin, D-dimer, and lipid profile, yet its full understanding remains elusive. ACE2, a pivotal regulator of the renin-angiotensin system and the primary receptor for SARS-CoV-2 undergoes downregulation upon viral binding, potentially leading to severe cases with acute respiratory distress syndrome (ARDS). A specific ACE2 gene polymorphism (rs2285666) may be associated with COVID-19 susceptibility, with the A allele potentially increasing infection risk. COVID-19 disease progression is linked to coagulation abnormalities, but the exact connection with thrombin and D-dimer remains uncertain. A study examining coagulation parameters in COVID-19 patients admitted to Al-Diwania Educational Hospital from February to May 2022 found that thrombin and D-dimer levels were directly related to disease severity. Severe cases exhibited significantly altered coagulation function compared to mild and recovered cases, with notably higher D-dimer levels and elevated thrombin serum concentrations. Moreover, dyslipidemia, particularly low HDL cholesterol, is a prevalent comorbidity in COVID-19 patients and may be linked to worse outcomes. In conclusion, COVID-19 is associated with a prothrombotic state and dysregulation of the renin-angiotensin system due to ACE2 downregulation following viral binding. The intricate interplay between ACE2, thrombin, D-dimer, and lipid profile necessitates further investigation. The multifaceted nature of the disease demands continued research to unravel its pathogenesis and identify potential therapeutic targets.

Positive correlation between Bax and Bcl-2 gene polymorphisms with the risk of endometriosis: A case-control study.

Endometriosis is a chronic, gynecological disorder, and the disease's pathogenesis is still debatable. Genes related to apoptosis have been revealed to be deregulated in endometriosis. This study investigates the relationship between polymorphic variants of Bax -248G A and Bcl-2 -938C A promoter regions with endometriosis risk in an Iranian population. In this case-control study, the polymorphisms of Bax -248G A and Bcl-2 -938C A promoter regions were analyzed in 127 Iranian cases and 125 controls who were referred to Ali-ibn-Abi Taleb Educational hospital, Zahedan, Iran between May 2022 and February 2023. The genotypic analysis was performed for all the subjects using the polymerase chain reaction-restriction fragment length polymorphism method. The frequencies of mutant allele A carriers and the A allele of Bax -248G A polymorphism showed about 2-fold significant increase of endometriosis risk (p = 0.04; p = 0.01, respectively). The frequencies of the mutant genotype AA and A allele carriers of Bcl-2 -938C A polymorphism were approximately 4 and 2.5-fold higher in endometriosis compared to the control women, which were highly significant (p 0.001). Moreover, the allele A frequency of Bcl-2 -938C A was associated with a 2-fold higher risk of endometriosis (p 0.001). Furthermore, the combination effects of these 2 single nucleotide polymorphisms showed that women with Bax -248G A GGand Bcl-2 -938C A AA variant alleles were associated with about 5 times higher risk of endometriosis (p 0.001). Notably, a significant difference was observed in mutant allele distribution between minimal/mild (stage I and II) and moderate/severe (stage III and IV) women with endometriosis disease. The results of our study provide evidence that Bcl-2 -938C A and Bax -248G A single nucleotide polymorphisms might be associated with the risk of endometriosis.

Dilemmatics of the Program for Equating Specialist Doctors with the Readiness of Educational Hospitals through Reconstruction of Regulations on the Role of Private Hospitals

Dilemmatics of the Program for Equating Specialist Doctors with the Readiness of Educational Hospitals through Reconstruction of Regulations on the Role of Private Hospitals

Evaluation of Pediatric Patients Admitted to the Hospital for Drug Intoxication

Abstract Objective: Drug poisoning is the most common form of poisoning in children, and it is a situation that can lead to fatal consequences, but can be prevented if appropriate precautions are taken. Children are the future of a society, so drug poisoning poses an important public health problem. Factors such as high-dose drug combinations, misuse, poor storage conditions, and children's access to drugs can all contribute to drug intoxication. The aim of this study is to understand the effects of drug poisoning on children, to identify the characteristics of these children and to raise awareness about the measures that can be taken to prevent this problem. Material and Methods: This study was conducted retrospectively on 100 patients who applied to the pediatric emergency department of Karabuk University Faculty of Medicine Education and Research Hospital with the complaints of drug use and drug exposure. Results: It was observed that the mean age of the patients was 7.65±6.51 years, 58% of them were girls and 71% of them accidentally drank drugs. When the drugs consumed by the patients were examined, it was determined that the analgesic-anti-inflammatory (Paracetemol) group was the highest with 18%. When the hospitalization status of the patients was examined, it was seen that 22% of them were not hospitalized. It was observed that 56% of the patients experienced symptoms, and the most common symptom was nausea and vomiting with 33%. No mortality was observed in any of the patients. Conclusion: Study results show that children often take drugs accidentally. The fact that analgesic-antipyretic group drugs are mostly encountered suggests that it is a predictable result of their widespread use in the community. In addition, the high hospitalization rate with 78% unfortunately leads to an extra expenditure of our limited resources for a condition that could have been prevented. For this reason, establishing an effective public health policy and taking preventive measures for commonly used drugs can reduce the frequency of poisonings. We think that our findings will guide clinicians. Keywords: Drug poisoning, intoxication, drugs, pediatric patients

Investigating the relationship between individualized care, patient satisfaction and trust in nurses through structural equation modelling.

The aim of this study was to demonstrate the impact of individualized nursing care on patient satisfaction and trust in nurses through structural equation modelling in patients receiving treatment in internal clinics. The study is a descriptive, exploratory and cross-sectional research conducted with patients receiving treatment in the internal admission services of an educational research hospital between January and April 2023. According to sample calculations, it was determined that a minimum of 238 patients needed to be included in the study, and 286 patients who met the inclusion criteria and agreed to participate in the research formed the study sample. Data were collected using the 'Patient Identification Form', 'Individualized Care Scale-Patient Version', 'Newcastle Nursing Care Satisfaction Scale' and the 'Trust in Nurses Scale'. The level of awareness of nursing actions supporting individuality was found to be 2.71 ±0.99, the level of perceiving individuality was 2.88 ±0.99, the average level of nursing care satisfaction measured 77.17 ± 12.67 and the average level of trust in nurses was 21.92 ±3.04. It was determined that as patients' awareness of nursing actions supporting individuality and their perception of individuality in care increased, they remained more satisfied with their care and had greater trust in nurses. Patients who perceived receiving individualized care were found to have higher levels of patient satisfaction and trust in nurses. Additionally, it was observed that as participants' satisfaction with their care increased, their trust in nurses also increased.

Safety and efficacy of motor imagery-based physical activity in high-risk pregnancy: A randomized controlled study.

This study aimed to investigate the acute effects of motor imagery-based physical activity on maternal well-being, maternal blood pressure, heart rate, oxygen saturation, fetal heart rate, and uterine contractions in women with high-risk pregnancies. This randomized controlled trial was conducted in Izmir Tepecik Education and Research Hospital from August 2023 to January 2024. Seventy-six women with high-risk pregnancies were randomized into two groups: a motor imagery group (n = 38, diaphragmatic-breathing exercise and motor imagery-based physical activity) and a control group (n = 38, diaphragmatic-breathing exercise). Maternal well-being was determined using the Numerical Rating Scale-11. Digital sphygmomanometry was used to measure maternal heart rate and blood pressure, pulse oximetry for oxygen saturation, and cardiotocography for fetal heart rate and uterine contractions. Assessments were performed pre-intervention, mid-intervention, and post-intervention. There were no significant differences in baseline characteristics between groups (P > 0.05). There was a significant main effect of time in terms of maternal well-being and maternal heart rate (P = 0.001 and P = 0.015). In addition, there was a significant main effect of the group on oxygen saturation (P = 0.025). The overall group-by-time interaction was significant for maternal well-beingm with an effect size of 0.05 (P = 0.041). The combination of diaphragmatic-breathing exercises and a motor imagery-based physical activity program in women with high-risk pregnancies was determined to have no adverse effects on the fetus, did not induce uterine contractions, and resulted in a significant improvement in maternal well-being and oxygen saturation. Thus, imagery-based physical activity can be used in high-risk pregnancies where physical activity and exercise are not recommended.

Evaluation of ophthalmic vascular and neuroretinal alterations in fibromyalgia syndrome: a cross-sectional comparative study

IntroductionFibromyalgia syndrome (FMS) is a prevalent rheumatic disorder, and its pathogenesis includes genetic, neuroendocrine, and autonomic abnormalities, which may impact ocular structures. The aim was to conduct a comparative analysis of the ophthalmic vasculature and the retinal nerve fiber layer (RNFL) thickness between FMS and control groups using optical coherence tomography (OCT) and OCT angiography (OCTA).MethodsThis cross-sectional comparative study included 43 FMS patients and 40 healthy controls recruited from a tertiary education and research hospital between January 2024 and May 2024. All patients satisfied the 2016 American College of Rheumatology criteria for FMS and consented. OCT and OCTA were used to assess the RNFL thickness and the retinal microvasculature structure. The Fibromyalgia Impact Questionnaire (FIQ) was performed to evaluate disease severity.ResultsThe study found significantly higher total retinal parafoveal thickness and foveal density in FMS patients (p = 0.017 and p = 0.044, respectively). Nevertheless, there were no significant differences among the groups concerning total retinal foveal thickness, foveal avascular zone characteristics, superficial and deep capillary plexus densities, choriocapillaris flow area, and outer retinal flow area values (p > 0.05). The RNFL thickness in all quadrants did not reveal significant differences between the groups (p > 0.05). Furthermore, there was no significant correlation between FIQ scores and OCTA parameters or RNFL thickness values (p > 0.05).ConclusionThe study revealed slight differences in retinal parafoveal thickness and foveal density in FMS patients, but no substantial vascular or neurodegenerative alterations were observed compared to healthy controls. These data indicate that FMS may not substantially affect ocular structures, contrary to earlier hypotheses.

Radiation to Chemicals Unpacking Occupational Safety Hazards in Educational Hospital through the HOSHRA Lens

Objective: The current study evaluates occupational safety and health risks in educational hospitals using the Hoshra index by concentrating on the detection and control of frequent hazards.Methods: Using a structured approach, the HOSHRA index classifies risks in to physical, chemical, biological, ergonomic and psychological domains. The framework supports targeted risk scoring, improving the efficiency with which hospitals can allocate resourcesFindings: The analysis uncovers important types of healthcare worker hazards. Biological and psychological risks appear to be particularly suboptimal, emphasizing the importance of effective infection control interventions, as well as psychological care. The study underscores the need to have a culture of safety that supports hazard reporting and management.Novelty: This is one of the first to use the HOSHRA index in many educational hospital, introducing new methods for risk analysis and assessment beyond traditional classic styles.Research Implications: The results highlight the need for adapted and risk based strategies in healthcare settings. Healthcare organizations can improve the well-being of staff and, by extension, patient care outcomes, by aligning safety protocols with the unique features of wards.

Prediction of COVID-19 patients’ participation in financing informal care using machine learning methods: willingness to pay and willingness to accept approaches

BackgroundInformal care plays an essential role in managing the COVID-19 pandemic. Expanding health insurance packages that reimburse caregivers' services through cost-sharing policies could increase financial resources. Predicting payers' willingness to contribute financially accurately is essential for implementing such a policy. This study aimed to identify the key variables related to WTP/WTA of COVID-19 patients for informal care in Sanandaj city, Iran.MethodsThis cross-sectional study involved 425 COVID-19 patients in Sanandaj city, Iran, and 23 potential risk factors. We compared the performance of three classifiers based on total accuracy, specificity, sensitivity, negative likelihood ratio, and positive likelihood ratio.ResultsFindings showed that the average total accuracy of all models was over 70%. Random trees had the most incredible total accuracy for both patient WTA and patient WTP(0.95 and 0.92). Also, the most significant specificity (0.93 and 0.94), sensitivity (0.91 and 0.87), and the lowest negative likelihood ratio (0.193 and 0.19) belonged to this model. According to the random tree model, the most critical factor in patient WTA were patient difficulty in personal activities, dependency on the caregiver, number of caregivers, patient employment, and education, caregiver employment and patient hospitalization history. Also, for WTP were history of COVID-19 death of patient's relatives, and patient employment status.ConclusionImplementing of a more flexible work schedule, encouraging employer to support employee to provide informal care, implementing educational programs to increase patients' efficacy, and providing accurate information could lead to increased patients' willingness to contribute and finally promote health outcomes in the population.

Behavioral and physiological pain structures of PIPP-R and parental stress: structural equation modeling approach.

Although most non-acute pain assessment tools are multi-dimensional (behavioral and physiological measures) in their approach, the outputs of such tools are considered unidimensional. This study aimed to explore and determine the behavioral and physiological pain structures of Premature Infant Pain Profile-Revised (PIPP-R) for neonates and its association with parental stress. This cross-sectional study was conducted in 2022-2023 in Isfahan, Iran. We recruited 400 pre-term infants, i.e. with gestational age (GA) of less than 37weeks who were admitted to the NICU of educational hospitals. PIPP-R and Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU) were used for data gathering. The latent structures of pain and its association with parental stress were explored using latent variable modeling approach. A two-factor model, i.e. behavioral and physiological pain factors, was extracted, explaining 65% of the total variance. The results of confirmatory factor analysis showed that the identified structures in the exploratory factor analysis could be nearly replicated (CFI = 0.99، TLI = 0.98, RMSEA = 0.001). Behavioral pain structure, independent from gestational age had a significant direct association with parental stress score (β = 0.005, SE = 0.002, p = 0.026). The PIPP-R assesses both behavioral and physiological pain factors. We also found that behavioral pain factor was associated with parental stress. These results may provide a potential clue for physicians, nurses, and parents to manage the pain in preterm infant. The PIPP-R scores in preterm infants consist of "Behavioral and Physiological" pain factors. Single dependence on behavioral indicators (such as facial expression) has some limitations. Multidimensional tools may be the optimal method in detecting pain in preterm infants. Parental stress can affect behavioral pain structure in preterm infants. Intensive care nurses play an effective role in reducing the parental stress and pain severity of these preterm infants by including the help of mothers in procedures and providing them with psychological support.

Investigation of Factors Affecting the Prevalence of Sinusitis in Children Referred to Abu Ali Sina Balkhi Educational Hospital

Sinusitis is one of the most common medical problems in children, caused by inflammation and infection in the nasal sinuses. This disease can have a significant impact on the growth and health of children. Investigating the factors affecting the prevalence of sinusitis in children is necessary in order to take appropriate preventive and therapeutic measures. In this regard, the present study aimed to investigate the factors affecting the prevalence of sinusitis among children referred to Abu Ali Sina Educational Hospital in Balkhi. Materials and Methods: This study includes the design of a prospective descriptive study, data were collected using patients' files, then by analyzing the data, the causes of the prevalence of sinusitis in children referred to Abu Ali Sina Balkhi Educational Hospital will be identified and the results will be presented in the form of a scientific article. The findings showed that the prevalence of sinusitis was higher among children admitted to Abu Ali Sina Educational Hospital in Balkhi and viral infections (influenza 20%, adenovirus 24% and Ronovirus 40%) were reported. The majority of patients had symptoms such as nasal congestion and discharge, a feeling of congestion in the ears, headache, and fever. In the majority of patients, their growth and development disorders have also been observed.

Evaluating the Effectiveness of Two Disinfection Processes on Bacteria Causing Nosocomial Infections in the Intensive Care Units of an Educational, Research, and Treatment Hospital in Semnan, Iran

Background: Disinfection is the process of killing pathogenic microorganisms on non-living surfaces. Selecting and using appropriate and standard disinfection methods can significantly reduce nosocomial infections. Objectives: This study aimed to determine the effectiveness of the disinfection process on bacteria causing nosocomial infections in an educational, research, and treatment hospital located in Semnan, Iran in 2021. Methods: In 2021, 156 samples were collected and analyzed for microorganism growth in a suitable culture medium from the surgical ICU, CCU, and internal wards of men at Kosar Hospital in Semnan. Samples were taken during three work shifts (morning, evening, and night) from breakfast tables, suction devices, ventilators or biopsy equipment, and rods at the patient's bed. Results: Before the disinfection process, 81.8% (27 cases) of the samples tested positive for various microorganisms. The most commonly grown microorganisms were Klebsiella (33.3%) and Staphylococcus (18.2%). The highest percentage of microorganisms developed after disinfection with Sayasept and sodium hypochlorite were seen at two and a half hours (26.3%) and two hours (26.7%), respectively. Disinfection with sodium hypochlorite significantly reduced the number of microorganisms grown in the post-disinfection period compared to before (P-value = 0.042), whereas disinfection with Sayasept did not show a statistically significant effect (P-value = 0.132). Conclusions: Using sodium hypochlorite greatly decreased the number of microorganisms in the post-disinfection period, despite the high number of microorganisms present before disinfection in the analyzed wards. It is vital to implement hygienic policies that ensure proper disinfection of hospital surfaces and provide adequate training, particularly emphasizing the use of sodium hypochlorite.

Does the Chief Executive Officer (CEO)'s Educational Background Have an Impact on the Academic Hospital Leapfrog Safety Grades?

Background This study aims to investigate the potential association of the Chief Executive Officer (CEO)'s educational backgroundon hospital safety metrics, specifically the Leapfrog safety grades. Methods A total of 172 academic and university-affiliated hospitals across the United States were included in the study. Information regarding a CEO's background was obtained through hospital websites, while the Leapfrog safety scores were found through the Leapfrog safety grade website. Hospital sizes were also noted. Results A total of 67 hospitals were led by Doctors of Medicine(MDs), 16 were led by Masters in Business Administration (MBAs), 14 were led by Masters in Healthcare Administration (MHAs), and 62 were led by CEOs with various other degree types. Of the 42 A-rated hospitals included, 17 were led by physicians and 25 by nonphysicians. The average Leapfrog grade point average was similar regardless of the CEO's background, ranging from 2.6 to 3.1. Conclusion The findings suggest that a CEO's educational background has less of an impact on theoverall hospital safety performance than what may have previously been hypothesized.