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Reducing Blood Culture Contamination Rate in King Abdullah Hospital, Bisha, Saudi Arabia
2024
One major issue in care settings is blood culture contamination. When a blood sample is contaminated with microorganisms that aren't in the patient's blood, hospital stays get longer, antibiotic usage gets excessive, and healthcare costs go upMethodologyThis nursing blood culture sample process quality improvement project was carried out in all of King Abdullah Hospital's inpatient wards, Bisha, Saudi Arabia. This design is commonly used to assess and examine current conditions or practices in an effort to make them better. Two tools are employed in the risk analysis process: the Ishikawa diagram and the FMEA then blood contamination rate was evaluated after corrective actionsResultsFailures with the highest RPN included improper site preparation, failing to wash hands before the procedure, and failing to sanitize the top surface of the culture bottle with alcohol before transferring blood, following the implementation of corrective actions, such as improved awareness-raising about blood culture collection and site preparation, lectures and training workshops for precautions, strictly adhering to policies and procedures, monitoring, and evaluation, The post-intervention Risk Priority Number (RPN) results showed a considerable decrease, and the frequency of contaminated blood culture samples was also decreased.ConclusionIncreased awareness of blood culture collection and site preparation, alcohol wiping of culture bottle tops, proper supply setup prior to procedure commencement, training seminars and lectures on precautions, rigorous adherence to policies and procedures, monitoring, and evaluation are recommended to decrease the rate of blood culture contamination.
Journal Article
The gentleman's mistress : illegitimate relationships and children, 1450-1640
This study explores pre- and extra-marital relationships among the gentry and nobility of the north of England from 1450 to 1640: the keeping of mistresses, the taking of lovers, the birth of illegitimate children and the fate of those children. It challenges assumptions about the extent to which such activities declined in the period, and hence about the impact of Protestantism and other changes to the culture of the elite. A major contribution to the literature on marriage and sexual relationships, family, kinship and gender, it is aimed at an academic readership in the fields of social and political history.
Drama and the Succession to the Crown, 1561-1633
2011,2016,2013
Hopkins argues the succession to the throne was a burning topic not only in the final years of Elizabeth but well into the 1630s, and drama, with its disguised identities and oblique relationship to reality, was a safe way to air it. Hopkins analyzes some of the ways in which plays-from Marlowe's and Shakespeare's to Webster's and Ford's-reflect, negotiate and dream the issue of the succession.
With blood upon the sand
\"Çeda, now a Blade Maiden in service to the kings of Sharakhai, trains as one of their elite warriors, gleaning secrets even as they send her on covert missions to further their rule. She knows the dark history of the asirim--that hundreds of years ago they were enslaved to the kings against their will--but when she bonds with them as a Maiden, chaining them to her, she feels their pain as if her own. They hunger for release, they demand it, but with the power of the gods compelling them, they find their chains unbreakable. Çeda could become the champion they've been waiting for, but the need to tread carefully has never been greater. After their recent defeat at the hands of the rebel Moonless Host, the kings are hungry for blood, scouring the city in their ruthless quest for revenge. Çeda's friend Emre and his new allies in the Moonless Host hope to take advantage of the unrest in Sharakhai, despite the danger of opposing the kings and their god-given powers, and the Maidens and their deadly ebon blades. When Çeda and Emre are drawn into a plot of the blood mage Hamzakiir, they learn a devastating secret that may very well shatter the power of the hated kings. But it may all be undone if Çeda cannot learn to navigate the shifting tides of power in Sharakhai and control the growing anger of the asirim that threatens to overwhelm her...\" -- provided by publisher.
Biden: ‘These ISIS terrorists will not win’
in
Kings
2021
President Biden said he had asked for plans to strike ISIS-K assets in light of the Aug. 26 attacks in Kabul that killed civilians and 13 U.S. service members.
Streaming Video
Banished potentates
2018,2017
Though the overthrow and exile of Napoleon in 1815 is a familiar episode in modern history, it is not well known that just a few months later, British colonisers toppled and banished the last king in Ceylon. Beginning with that case, this volume examines the deposition and exile of indigenous monarchs by the British and French - with examples in India, Burma, Malaysia, Vietnam, Madagascar, Tunisia and Morocco - from the early nineteenth century down to the eve of decolonisation. It argues that removal of native sovereigns, and sometimes abolition of dynasties, provided a powerful strategy used by colonisers, though European overlords were seldom capable of quelling resistance in the conquered countries, or of effacing the memory of local monarchies and the legacies they left behind