Patient Safety in Internal Medicine

AbstractHospital Internal Medicine (IM) is the branch of medicine that deals with the diagnosis and non-surgical treatment of diseases, providing the comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. IM is a key ward for Health National Services. In Italy, for example, about 17.3% of acute patients are discharged from the IM departments. After the epidemiological transition to chronic/degenerative diseases, patients admitted to hospital are often poly-pathological and so requiring a global approach as in IM. As such transition was not associated—with rare exceptions—to hospital re-organization of beds and workforce, IM wards are often overcrowded, burdened by off-wards patients and subjected to high turnover and discharge pressure. All these factors contribute to amplify some traditional clinical risks for patients and health operators. The aim of our review is to describe several potential errors and their prevention strategies, which should be implemented by physicians, nurses, and other healthcare professionals working in IM wards

Characteristics of fog and fogwater fluxes in a Puerto Rican elfin cloud

The Luquillo Mountains of northeastern Puerto Rico harbours important fractions of tropical montane cloud forests. Although it is well known that the frequent occurrence of dense fog is a common climatic characteristic of cloud forests around the world, it is poorly understood how fog processes shape and influence these ecosystems. Our study focuses on the physical characteristics of fog and quantifies the fogwater input to elfin cloud forest using direct eddy covariance net flux measurements during a 43-day period in 2002. We used an ultrasonic anemometer-thermometer in combination with a size-resolving cloud droplet spectrometer capable of providing number counts in 40 droplet size classes at a rate of 12.5 times per second. Fog occurred during 85% of the time, and dense fog with a visibility <200 m persisted during 74% of the period. Fog droplet size depended linearly on liquid water content (