1. The hospital should maintain a service whereby at least one resident physician is on duty at all times. 2. There should be an organized medical staff composed of men competent in their respective fields of medicine and actively meeting their responsibilities for the direction of the professional policies, for the medical work of the institution and also for the professional care of the patients in the hospital. 3. Provision for examination and treatment by dentists and specialists in eye, ear, nose and throat and genitourinary work. 4. Resident trained nurses—not less than 1 for each 10 or any part of 10 bed patients. 5. There should be facilities and personnel for the proper administration of dietetics.
1. Errors of diagnosis. 2. Unsatisfactory results of operative or medical treatment. 3. Autopsy results.
ADDITIONAL REQUIREMENTS FOR TUBERCULOSIS HOSPITALS
1. Resident physicians skilled in tuberculosis—if not living actually on the premises, to be available in five minutes or less. (Not less than 1 for 50 patients.) 2. Outdoor sleeping facilities, or in lieu thereof, provisions for unlimited ventilation of rooms. 3. Suitable rules prescribed for conduct and published rules providing for a satisfactory regimen of treatment in tuberculosis hospitals. 4. Satisfactory treatment conditions, including measures for enforcing suitable discipline and to prevent absence without leave and to prevent excessive exercise, whether from amusement or otherwise.
ADDITIONAL REQUIREMENTS FOR NEURO-PSYCHIATRIC HOSPITALS
1. Direction of the administration of the hospital and leadership in its medical work by physicians trained in the diagnosis and treatment of mental diseases. 2. An adequate medical staff organized so that duties are divided in accordance with the training of its different members and with the requirements of the clinical work. 3. Regular and frequent conferences of the medical staff at which the diagnosis, treatment and prognosis of each new case admitted are considered and at which cases about to be discharged are presented, training in psychiatry for new members of the staff being considered as a special object.
If, after written notice has been given, any institution furnishing medical care and treatment to patients of the United States Veterans’ Bureau fails or refuses to make reasonable effort to meet the foregoing requirements, such institution will be deemed to be rendering unsatisfactory service, and if under contract with the United States Veterans’ Bureau, such contract may be cancelled, and the Director will refuse to make contracts when the care and treatment offered do not substantially meet the requirements specified herein.
LEON FRASER
Acting Director,
U. S. Veterans’ Bureau.
SENIOR SURGEON B. J. LLOYD, (U.S.P.H.S.,(R)): presented the second paper, entitled “Admissions to, Transfers and Discharges from Hospitals of Beneficiaries of the U. S. Veterans’ Bureau,” which is given below: