Utilization Pattern of Antibiotics and Patient Care Indicators in the Teaching Hospitals, Islamabad, Pakistan

2019 ◽  
Vol 1 (10) ◽  
pp. 812-816 ◽  
Author(s):  
Zakir Khan ◽  
Naveed Ahmed ◽  
Asim. ur. Rehman ◽  
Faiz Ullah Khan ◽  
Yusuf Karataş
2021 ◽  
Vol 17 (1) ◽  
pp. 81-88
Author(s):  
P.T. Osahon ◽  
M. Sama ◽  
D.T. Thomas

Background: An important goal of National Medicines Policy is to ensure that sufficient quantities of essential medicines are available to health care providers and affordable to patients.Objectives: To investigate and compare the prescribing indicators, patient care indicators and facility indicators in three central referral Hospitals in Sierra Leone.Methods: This was a simple randomized retrospective and prospective study. Three groups were obtained to assess prescribing, patient care and facility indicators in the study sites. About 10% of the prescriptions encountered from January to June 2019, were observed retrospectively. Direct observation of 30 randomly selected patients in each hospital was used to assess patient care. Data collected were organized using Microsoft Excel and analyzed using SPSS version 21. Ethical considerations were observed.Results: The average number of medicines prescribed in the three teaching hospitals (Connaught, PCMH and ODCH) were 4.07, 4.3and 3.3 respectively. Percentage encounter with injections were within standard in PCMT and ODCH. Antibiotics prescribing was slightly higher that WHO recommendation of 30% in all 3 hospitals. Percentage of medicines prescribed by generics were 75.4%, 53% and 77% respectively. The average consultation time was 5.47 minutes while the average dispensing time was 79.7 seconds. Patients that receive their medications at Connaught Hospitals had very little knowledge on how they should take their medicine(s), compared to PCMH and ODCH.Conclusion: This study has shown that irrational use of medicines is a major problem in the three referral hospitals occurring majorly during the prescribing and dispensing processes.


Author(s):  
Jeffrey Van Blarcom ◽  
Andrew Chevalier ◽  
Benjamin Drum ◽  
Sarah Eyberg ◽  
Elizabeth Vukin ◽  
...  

Author(s):  
Janet M De Groot ◽  
Aliya Kassam ◽  
Dana Swystun ◽  
Maureen Topps

Purpose: Postgraduate trainees (‘residents”) are required to convey professional behaviours as they navigate complex clinical environments. However, little is known about experiential learning for professionalism. Thus, we asked residents about professionalism challenges within the clinical learning environment: 1) how challenges were identified, 2) what supported successfully addressing challenges and 3) the impact of addressing challenges to further inform resident education. Method: From 2015-2016, twenty-five residents across specialties and multiple university affiliated teaching hospitals participated in appreciative inquiry informed audio-taped semi-structured interviews. Transcripts were categorized deductively for the 2015 CanMEDS Professional Role element addressed (commitment to patients, society, the profession, and physician health).  A pragmatic research paradigm focussed descriptive data analysis on actions and outcomes.  Results: Residents actively identify opportunities for experiential learning of professionalism within the clinical workplace– addressing conflicting priorities with interprofessional clinicians to ensure excellent patient care, providing informal feedback regarding peers’ and other healthcare clinicians’ professionalism lapses and by gaining self-awareness and maintaining wellness. There were no descriptions of commitment to society. Values, relationships, and reflection supported professional behaviours. Many described transformative personal and professional growth as an outcome of addressing professionalism challenges. Conclusions: Residents self-regulated experiential learning for professionalism often results in transformational changes personally and professionally. Elucidation of how residents successfully navigate power dynamics and conflict to provide excellent patient care and feedback for professional regulatory behaviour will support professionalism education. An interprofessional research lens will be valuable to explore how best to incorporate commitment to society within clinical environments. 


2014 ◽  
Vol 4 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Munmun Koley ◽  
Subhranil Saha ◽  
Shubhamoy Ghosh ◽  
Goutam Nag ◽  
Monojit Kundu ◽  
...  

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 462
Author(s):  
Yichao Huang ◽  
Lichen Yu

(1) Background: The COVID-19 epidemic had caused more than 100 million confirmed cases worldwide by the end of January 2021. The focus of this study was to explore which stress was felt the most by nursing staff in isolation wards in the face of dangerous infectious diseases. (2) Methods: Nursing staff in negative pressure isolation wards were taken as the research objects. The sources of stress were divided into 14 items in three categories, namely, patient care, infection protection, and support system, and the questionnaire results were ranked by a Gaussian curve. (3) Results: Even during the COVID-19 epidemic, nurses in isolation wards still consider that the clinical symptoms of patients in isolation wards cannot be closely tracked as the primary consideration. (4) Conclusions: During the epidemic period, the ability and confidence of nursing staff were strengthened through education and training, and their chances of infection were reduced through comprehensive vaccination and the improvement of protective equipment. In the face of the unstable mood of patients and their families due to isolation, more protective measures should be prepared for nursing staff. In order to relieve the stress, supervisors can adjust the nursing manpower timely according to the difficulty and risk of patient care to reduce the care stress.


Author(s):  
Eunice Olubunmi Omidoyin ◽  
Rosaline Oluremi Opeke ◽  
Gordon Kayode Osagbemi

Research is a fundamental activity in teaching hospitals, and medical doctors use information contained in health records for research. In this process, researchers are often confronted with privacy issues. It is however not clear the extent to which doctors paid attention to this privacy issues in their research. The purpose of this study was to establish the extent to which privacy principles were followed by medical doctors in federal teaching hospitals in Nigeria when using health records for research. Survey research design was adopted for this study with two-stage random sampling technique to select 60% of the federal teaching hospitals; and 60% of the medical doctors in the selected hospitals. Attention was paid to securing patients unused data; health records was used mostly to generate data to support application for grant. There was a joint positive significant relationship between the predictor variables (privacy and health records) and the criterion variable in research practice.


Sign in / Sign up

Export Citation Format

Share Document