A Change Laboratory in the Central Surgical Unit of Oulu University Hospital

Background: Color code was described for the first time in 2003 was described for the first time in 2003 by since and al. The objective of this study was to accomplish urgent caesarian sections according to color code over delays indications-births (DIN) in Motherhood Befelatanana, Antananarivo, Madagascar.Methods: It was about a longitudinal prospective, analytical study of caesarian sections performed in emergency in CHUGOB going from June 1st till December 31st, 2017.Results: Authors took a census 193 caesarian sections of emergency. Among these patients 28 (14.50%) had a caesarian section encode red, 42 (21.76%) an orange code and 123 (63.73%) a green code. The medium age of the patients was of 26.4 years and that of the gestation was of 37SA and 6 days. The delay indication-birth (DIN) medium was of 102.9 minutes for red code, 99.7 minutes for orange code and 75 minutes for green code.Conclusions: Authors could not attain DIN of 30 minutes shape in international recommendations. Authors must improve the delay indication entered in the surgical unit by reinforcing knowledge of the agents of support on the management of emergency obstetrical. The possibility of leading to a very quick birth is an indisputable progress in obstetrics but she should not make forget risks inherent in such procedure.

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Prevalence of pressure ulcers in patients hospitalized in a surgical unit of a university hospital

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0507201116 ◽

2011 ◽

Vol 5 (7) ◽

pp. 1684

Author(s):

Miguir Terezinha Vieccelli Donoso ◽

Eline Lima Borges ◽

Camila Patrícia Rennó Carazzato

Keyword(s):

Nursing Care ◽

Pressure Ulcers ◽

Ethics Committee ◽

Minas Gerais ◽

Descriptive Statistics ◽

University Hospital ◽

Surgical Patients ◽

Not At Risk ◽

Transversal Study ◽

Surgical Unit

ABSTRACTObjective: to identify the prevalence, staging, and risk for developing pressure ulcers (PU) of patients hospitalized in a surgical unit. Method: this is a transversal study, carried out with 20 surgical patients hospitalized in a university hospital in Minas Gerais, from both sexes, and older than 18 years. For the analysis the descriptive statistics – with distribution of frequency, minimum and maximum values, mean, standard deviation, and prevalence of PU – was used. The project was approved by the Universidade Federal de Minas Gerais Research Ethics Committee (process ETIC 150/05), Results: the prevalence of PU was 10%, 90% are not at risk for developing PU, two patients with PU presented 2 and 3 ulcers, respectively, classified as belonging to the stages I and II. Conclusion: considering the prevalence of PU, the need of an appropriate and individualized nursing care planning emerges, having as a reference each patient’s risk for developing this kind of ulcer. The need of adopting appropriate nursing practices has been realized, according to each patient’s risk score for developing PU. Descriptors: pressure ulcer; nursing; prevalence. RESUMOObjetivo: identificar a prevalência, o estadiamento e o risco de desenvolvimento de úlceras por pressão (UP) em pacientes internados em uma unidade cirúrgica, Método: estudo transversal, realizado com 20 pacientes cirúrgicos, internados em um hospital universitário de Minas Gerais, de ambos os sexos e com idade superior a 18 anos. Para análise utilizou-se estatística descritiva com a distribuição de freqüência, valores mínimos e máximos, mediana, desvio-padrão e prevalência de UP. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Minas Gerais com parecer ETIC 150/05, Resultados: a prevalência de UP foi de 10%, 90% eram sem risco para formação de UP, dois pacientes com UP apresentaram duas e três úlceras, respectivamente, classificadas em estágio I e II, Conclusão: diante da prevalência de UP, surge a necessidade de uma planificação de cuidados adequados e individualizada, tendo como referência o risco que cada paciente apresenta para o desenvolvimento dessa úlcera. Percebeu-se a necessidade de implementação de cuidados adequados, de acordo com o escore que cada paciente apresente para o desenvolvimento da UP. Descritores: úlcera por pressão; enfermagem; prevalência.RESUMENObjetivo: identificar la prevalencia, estadiamiento y el riesgo de desarrollo de úlceras por presión (UP) en pacientes internados en una unidad quirúrgica. Método: estudio transversal, realizado con 20 pacientes quirúrgicos, internados en un hospital universitario de Minas Gerais, de ambos sexos y con edad superior a 18 años. Para el análisis se utilizó la estadística descriptiva mediante la distribución de frecuencia, valores mínimos y máximos, mediana, desvío-estándar y prevalencia de UP. El proyecto se aprobó por el Comité de Ética en Pesquisa de la Universidad Federal de Minas Gerais con parecer/laudo ETIC 150/05. Resultados: la prevalencia de UP fue de 10%, 90% lo eran sin riesgo para formación de UP, dos pacientes con UP presentaron dos o tres úlceras, respectivamente, clasificadas en estadio I y II. Conclusión: cara a la prevalencia de UP, surge la necesidad de una planificación de cuidados y de forma individualizada, teniendo como referencia el riesgo que cada paciente presenta al desarrollo de esta úlcera. Se detectó la necesidad de implementación de cuidados adecuados, según el marcador que cada paciente presente al desarrollo de la UP. Descriptores: úlcera por presión; enfermería; prevalencia.

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Quality assessment of the wound dressing procedure in patients at a university hospital

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692008000100010 ◽

2008 ◽

Vol 16 (1) ◽

pp. 57-63 ◽

Cited By ~ 6

Author(s):

Eleine Aparecida Penha Martins Nonino ◽

Maria Luiza Anselmi ◽

José Carlos Dalmas

Keyword(s):

Wound Dressing ◽

Time Frame ◽

University Hospital ◽

Wound Dressings ◽

Sectional Study ◽

Logical Sequence ◽

Activity Performance ◽

Unit Organization ◽

Surgical Unit

This observational and sectional study analyzed the quality of the wound dressing procedure performed on hospitalized patients at a medical surgical unit of a University Hospital, based on their classification according to the degree of care dependency and activity performance phases. Using a check list, 168 wound dressings were observed between October and December 2005. Procedure quality was analyzed based on the Positivity Index (IP) and values >70% were considered satisfactory.For the preparation, the IP was 68%, 63%, 73% and 75% for patients with degrees I, II, III and IV, respectively; for execution, 70%, 69%, 71% and 75% and, for unit organization, it was >70% for all degrees. However, the items: validity time frame checking, respect for aseptic principles and maintenance of logical sequence of procedures were compromised. Rigorous execution of procedures allows for risk decrease and assures benefic results for patients, conferring quality to nursing actions.

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MULTINODULAR GOITER;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.06.1784 ◽

2013 ◽

Vol 20 (06) ◽

pp. 1035-1041

Author(s):

ZULFIQAR ALI BHATTI, ◽

JAVED AHMED PHULPOTO, ◽

NOOR AHMED SHAIKH,

Keyword(s):

Multinodular Goiter ◽

Prospective Observational Study ◽

Thyroid Nodules ◽

Significant Risk ◽

Nodular Goiter ◽

University Hospital ◽

Risk Of Malignancy ◽

The Common ◽

Thyroid Profile ◽

Surgical Unit

Objective: The object of this study was to determine the frequency and type of thyroid carcinoma in Multi nodular goiter(MNG) after surgical resection on histopathological basis. Introduction: Multi nodular goiter (MNG) is one of the common presentationsof various thyroid diseases. Thyroid nodules have been reported to be found in 4% to 7% of the population on neck palpation. Although incomparison to solitary nodule, the risk of malignancy in MNG is low but certain studies are showing significant risk. Material andmethods: This prospective, observational study was carried out in the surgical unit I of Ghulam Mohammad Mahar Medical collegehospital sukkur from 2007 to 2012. 94 cases with clinical diagnosis of MNG were analyzed during this period. All the patients wereadmitted through opd with routine investigations plus investigations specific to thyroid including thyroid profile, thyroid scan, FNAC ofdominant nodule before being subjected to surgery. All FNACs were carried out at agha khan university hospital Karachi. Histopathologyof operated specimen was the main criteria for malignancy. Results: Among the 94 cases which were included in this study, 9 (9.5%)cases containing foci of malignancy. Incidence of malignancy commonly occurs in females, papillary carcinoma is being the commonestentity. Conclusions: The incidence of malignancy in MNG in this study is 9.5% that is quite high. So people should be educated andencouraged to attend the thyroid clinics for proper evaluation and early diagnosis of Malignancy.

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Establishment of a pediatric surgical unit at a university hospital in Eastern Africa

10.21203/rs.3.rs-52623/v1 ◽

2020 ◽

Author(s):

Jochen Hubertus ◽

Gersam Abera ◽

Abraham Haileamlak ◽

Matthias Siebeck ◽

Dietrich von Schweinitz ◽

...

Keyword(s):

Pediatric Surgery ◽

Addis Ababa ◽

University Hospital ◽

Eastern Africa ◽

Existing Structures ◽

External Monitoring ◽

Program Flow ◽

Close Cooperation ◽

Set Up ◽

Surgical Unit

Abstract Background Ethiopia is a rapidly developing country in Eastern Africa. 43.2% of the population is younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of surgical ill children. JimmaChild was established to set up a pediatric surgery in Jimma. Methods JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons. Results A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part. Conclusions Best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independent of external funding and trains its own fellows.

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Perioperative communication from the perspective of patients undergoing bariatric surgery

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072014003150012 ◽

2014 ◽

Vol 23 (2) ◽

pp. 347-355 ◽

Cited By ~ 3

Author(s):

Caroline Lemes Pozza Morales ◽

Jenefer Garcez Alexandre ◽

Suzana Prim ◽

Lúcia Nazareth Amante

Keyword(s):

Bariatric Surgery ◽

Multidisciplinary Team ◽

Surgical Care ◽

Perioperative Period ◽

Communication Process ◽

University Hospital ◽

Southern Brazil ◽

Individual Interviews ◽

Surgical Unit

This was a qualitative and descriptive study that aimed to determine how patients understand instructions provided by a multidisciplinary team during perioperative periods of bariatric surgery. Data were collected through three individual interviews. Six patients admitted to a surgical unit of a university hospital in southern Brazil, in April and May 2012, participated in the study. Thematic analysis revealed three categories: communication in the perioperative period of bariatric surgery; quality of life and post- surgical care following bariatric surgery; and communication in the work process of the multidisciplinary team. The results showed satisfaction with the information received, but problems in the communication process and apprehension about life after surgery were highlighted. Furthermore, the absence of outpatient nursing care was demonstrated.

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56 ‘A Closed-Loop Audit on The Appropriateness of Urine Testing Carried Out on Surgical Patients in The Acute Surgical Unit in University Hospital Limerick as Compared with Hospital Guidelines’

British Journal of Surgery ◽

10.1093/bjs/znab259.002 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

B Murphy ◽

K Amin ◽

N Ali

Keyword(s):

Nursing Staff ◽

Urine Culture ◽

Antimicrobial Treatment ◽

University Hospital ◽

Education Session ◽

High Turnover ◽

Laboratory Staff ◽

Urine Testing ◽

Surgical Unit

Abstract Aim The acute surgical unit (ASU) in University Hospital Limerick (UHL) has a high turnover of patients of all surgical specialties, many of whom are sent home without the need for admission or follow-up. Urinalysis is very accessible, and is carried out on many patients, prior to them being seen by a doctor. Inappropriate urinalysis sets off a cascade of inappropriate urine culture, antimicrobial treatment and a waste of resources and time of nursing, medical and laboratory staff. We aim to identify and reduce inappropriate testing. Method The notes of all ASU patients during a one-week period were analysed using the ‘Therefore Navigator’ application, where all patient notes are scanned on leaving the ASU. Data relating to presenting complaint, presence or absence of urinary symptoms and abdominal pain, and urine dipstick and culture results (if performed) was collected for each patient. The results were compared with UHL guidelines on testing, an information sheet was designed and placed in ASU, and an education session for nursing staff was carried out. The second cycle was performed one month later. Results In the first cycle, 68% of the 99 ASU patients had urinalysis, and 48% had urine culture performed. Of cultures performed, only 23 of 47 (49%) were deemed indicated according to the guidelines. In the second cycle, 39% had urinalysis. 28% had urine cultured, 79% of these were deemed to have been indicated. Conclusions Inappropriate urine testing in the ASU decreased following teaching for nursing staff, together with an information leaflet being placed in the ASU.

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85 Day surgery abscess pathway: Evaluation of efficiency and utilization in a university hospital day surgical unit

Ambulatory Surgery ◽

10.1016/s0966-6532(05)80086-1 ◽

2005 ◽

Vol 12 ◽

pp. S29-S29

Author(s):

R CORREA ◽

V PYDA ◽

N WILLIAMS ◽

S WEST ◽

J GINN

Keyword(s):

Day Surgery ◽

University Hospital ◽

Surgical Unit

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Evaluating pharmaceutical waste disposal in pediatric units

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000700007 ◽

2016 ◽

Vol 50 (6) ◽

pp. 922-928

Author(s):

Maria Angélica Randoli de Almeida ◽

◽

Ana Maria Miranda Martins Wilson ◽

Maria Angélica Sorgini Peterlini

Keyword(s):

Intensive Care Unit ◽

Team Performance ◽

University Hospital ◽

Convenience Sample ◽

Healthcare Waste ◽

Pharmaceutical Waste ◽

Infectious Waste ◽

Validated Instrument ◽

Surgical Unit ◽

Proper Disposal

Abstract OBJECTIVE To verify the disposal of pharmaceutical waste performed in pediatric units. METHOD A descriptive and observational study conducted in a university hospital. The convenience sample consisted of pharmaceuticals discarded during the study period. Handling and disposal during preparation and administration were observed. Data collection took place at pre-established times and was performed using a pre-validated instrument. RESULTS 356 drugs disposals were identified (35.1% in the clinic, 31.8% in the intensive care unit, 23.8% in the surgical unit and 9.3% in the infectious diseases unit). The most discarded pharmacological classes were: 22.7% antimicrobials, 14.8% electrolytes, 14.6% analgesics/pain killers, 9.5% diuretics and 6.7% antiulcer agents. The most used means for disposal were: sharps’ disposable box with a yellow bag (30.8%), sink drain (28.9%), sharps’ box with orange bag (14.3%), and infectious waste/bin with a white bag (10.1%). No disposal was identified after drug administration. CONCLUSION A discussion of measures that can contribute to reducing (healthcare) waste volume with the intention of engaging reflective team performance and proper disposal is necessary.

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Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan

Patient Safety in Surgery ◽

10.1186/s13037-020-00272-4 ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Rawan Sharaf Eldein Elamein Hassan ◽

Sarah Osman Sayed Osman ◽

Mohamed Abdulmonem Salih Aabdeen ◽

Walid Elhaj Abdelrahim Mohamed ◽

Razan Sharaf Eldein Elamein Hassan ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Associated Factors ◽

Financial Burden ◽

Gastrointestinal Surgery ◽

Operation Time ◽

Surgical Site Infections ◽

University Hospital ◽

Categorical Variables ◽

E Coli ◽

Surgical Unit

Abstract Background Surgical site infections (SSIs) are common healthcare-associated infections and associated with prolonged hospital stays, additional financial burden, and significantly hamper the potential benefits of surgical interventions. Causes of SSIs are multi-factorials and patients undergoing gastrointestinal tract procedures carry a high risk of bacterial contamination. This study aimed to determine the prevalence, associated factors, and causing microorganisms of SSIs among patients undergoing gastrointestinal tract surgeries. Methods A hospital based, cross-sectional study conducted at Soba University Hospital in Khartoum, Sudan. We included all patients from all age groups attending the gastrointestinal tract surgical unit between 1st September and 31st December 2017. We collected data about the socio-demographic characteristics, risk factors of SSI, and isolated microorganisms from patients with SSIs. A Chi-square test was conducted to determine the relationship between the independent categorical variables and the occurrence of SSI. The significance level for all analyses was set at p < .05. Results A total of 80 participants were included in the study. The mean age was 51 +/- 16 years and most of the patients (67.5%) did not have any chronic illness prior to the surgical operation. Most of them (46.3%) of them underwent large bowel surgery. Twenty-two patients (27.5%) developed SSI post operatively and superficial SSI was the most common type of SSIs (81.8%). Occurrence of SSI was found to be associated with long operation time (p > .001), malignant nature of the disease (p > .001), intra-operative blood loss (p > .001), and intra-operative hypotension (p = .013). The most prevalent microorganism isolated from SSI patients was E coli (47.8%), followed by Enterococcus fecalis (13.0%) and combined Pseudomonas aeruginosa + E coli infection (13.0%). Conclusions The results showed a high prevalence of SSIs among patients attending the gastrointestinal tract surgical unit and the most prevalent microorganism isolated from them was E coli. Measures should be taken to reduce the magnitude of SSI by mitigating the identified associated factors.

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