scholarly journals We Call Them Miracle Babies': How Health Care Providers Understand Neonatal Near-Misses at Three Teaching Hospitals in Ghana

2017 ◽  
Vol 83 (1) ◽  
pp. 152
Author(s):  
L.V. Wynn ◽  
M.A. Bell ◽  
D.A. Bakari ◽  
D.P.S. Oppong ◽  
M.J. Youngblood ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Near Misses

scholarly journals "We call them miracle babies": How health care providers understand neonatal near-misses at three teaching hospitals in Ghana

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0198169
Author(s):  
April J. Bell ◽  
Lynette V. Wynn ◽  
Ashura Bakari ◽  
Samuel A. Oppong ◽  
Jessica Youngblood ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Near Misses

scholarly journals Identification by families of pediatric adverse events and near misses overlooked by health care providers

2011 ◽  
Vol 184 (1) ◽  
pp. 29-34 ◽  
Author(s):  
J. P. Daniels ◽  
K. Hunc ◽  
D. D. Cochrane ◽  
R. Carr ◽  
N. T. Shaw ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care Providers ◽  
Care Providers ◽  
Near Misses

scholarly journals Assessment of knowledge of intern doctors of a medical college hospital in Karnataka on revised national TB control programme

2017 ◽  
Vol 4 (4) ◽  
pp. 1123
Author(s):  
Raghavendra L. ◽  
Subhas Babu P. ◽  
Shivakumar K. M.
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Treatment Guidelines ◽  
Control Programme ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Tb Control ◽  
Medical College ◽  
Medical Interns ◽  
First Contact

Background: The medical interns usually are the first contact health care providers for patients in teaching hospitals and need to be sensitized towards newer diagnostic and treatment guidelines of various national health programmes. Revised National TB Control Programme is one such health programme which aims to reduce TB burden in our country. The present study was undertaken with an objective to assess knowledge level of medical interns, about recent guidelines of RNTCP pertaining to diagnosis and management of TB, including MDR and XDR-TB.Methods: A cross sectional study was conducted at one of the Government Medical College in southern Karnataka in the year 2017 with the objectives to assess the knowledge of intern doctors on diagnosis of Tuberculosis as per RNTCP guidelines and to assess the knowledge of intern doctors on treatment of Tuberculosis as per RNTCP guidelines. A pre-tested structured questionnaire was distributed to 83 medical interns to assess their awareness on TB disease, RNTCP and DOTS guidelines. The data was entered in Microsoft office excel sheet and analysed. Analysis was done using descriptive statistics like percentages and frequencies.Results: A total of 83 out of 96 interns answered the questionnaire of which 50 were females and 33 were males. With regard to TB diagnosis, 79.51% of the respondents correctly identified the case definition of smear positive TB. Only 9.63% of the respondents could correctly mention all the objectives of the RNTCP programme.Conclusions: Awareness regarding updates on RNTCP is inadequate and needs to be constantly updated with a focus on interns who are first contact health care providers in medical college settings.

scholarly journals Dental health care providers’ concerns, perceived impact, and preparedness during the COVID-19 pandemic in Saudi Arabia

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11584
Author(s):  
Muhammad Qasim Javed ◽  
Farooq Ahmad Chaudhary ◽  
Syed Fareed Mohsin ◽  
Mustafa Hussein AlAttas ◽  
Hadeel Yaseen Edrees ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Providers ◽  
Dental Health ◽  
Clinical Staff ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Cross Sectional ◽  
Dental Health Care ◽  
Perceived Impact

Background Dental health care providers (DHCPs)are at high risk of cross-infection during clinical practice therefore, the aim of the study was to evaluate the DHCPs Covid-19 related concerns, its perceived impact, and their preparedness in Saudi Arabia. Methods This cross-sectional study on DHCPs was carried out at five dental teaching hospitals/colleges in four provinces of Saudi Arabia from October to December 2020. A 35-item valid and reliable questionnaire was used to assess the concerns, perceived impact, and preparedness of DHCPs in the COVID-19 pandemic. Chi-square tests and logistic regression were used to compare parameters between the clinical and non-clinical staff. Results A total of 320 DHCPs participated in this study with proportion of clinical staff (57.5%) surpassing the non-clinical staff (42.5%). The clinical DHCPs felt greater odds of falling ill with COVID-19 than non-clinical workers (OR, 2.61) and willing to look for another job (OR, 3.50). The higher proportion in both groups was worried that people close to them would be at higher exposure risk (96.3%) however, slightly more clinical DHCPs were concerned for their children than a non-clinical worker (OR, 3.57). The clinical DHCPs have greater odds of worrying that people would avoid them and their family members because of their job (OR, 2.75). A higher proportion in both groups (75.0%, 63.2%) felt that they would feel stress at work. More non-clinical DHCPs (94.1%) had received training for infection control than clinical (94.1% vs 63.0%: OR 0.10). Similarly, more DHCPs in the nonclinical group received adequate personal protective equipment training (88.2%; OR, 0.48). Most participants practiced self-preparation such as buying masks and disinfection (94.4%, 96.9%). Conclusion The majority of DHCPs felt concerned about their risk of exposure and falling ill from infection and infecting friends/family. These concerns could potentially affect the working of DHCPs during this pandemic. Measures to improve protection for DHCPs, minimize psychological implications, and potential social stigmatization should be identified at the planning phase before any pandemic.

scholarly journals Sources of Occupational Stress and their Relationship with Personal and Occupational Factors in Nurses of Rasht Teaching Hospitals in 2016

2020 ◽  
Author(s):  
Khadijeh Mobasher –Amini ◽  
Behrooz Rezaei ◽  
Mohammad Esmaeilpour- Bandboni
Keyword(s):  
Health Care ◽  
Occupational Stress ◽  
Job Stress ◽  
Health Care Providers ◽  
Health Care Quality ◽  
Pearson Correlation ◽  
Care Quality ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Occupational Factors

Introduction: Nurses experience more stress than other health care providers due to the nature of their job. Job stress has significant effects on the performance of nurses and health care organizations; it also endangers the health care quality and patients' safety. The purpose of this study was to identify the sources of occupational stress and their relationship with personal and occupational factors among nurses in teaching hospitals of Rasht, a city in north of Iran in 2016. Methods: This cross-sectional and analytical study was conducted among nurses in the teaching hospitals in Rasht City in 2016. The sample size was estimated based on the Cochran formula. The study population included 250 nurses selected via stratified randomly from the clinical wards in seven hospitals.  Data were collected by demographic questionnaire and Toft - Anderson nurses' stress scale including 34 questions in seven domains of nurses' stressors. Data were analysed with independent t, ANOVA, and Pearson correlation coefficient tests using SPSS   V21.0 software (Significance level <0.05). Results: The mean score of job stress (72.46 ± 12.47) was evaluated at the sever level. Based on the findings, 77.8% of the nurses reported that their stress was at the sever level and 21.7% reported a moderate level of stress. The most frequently mentioned sources of stress were related to "uncertainty in treatment", "suffering and death of patients", and "high workload". However, the least source of stress was related to "lack of support resources". Job stress had no significant correlation with personal and occupational characteristics (p> 0.05). Conclusion: Given the high levels of nurses' job stress, continuous interventions are needed to decrease the nurses' stress at the individual and organizational levels, especially in the highest sources of stress including "uncertainty about treatment" and "workload". In this regard, we recommend the following interventions at primary (related to reducing stressors), secondary (aimed at reducing nurses' response to stressors), and tertiary (focusing on specific assistance to nurses with high levels of stress) levels.

scholarly journals LO23: Reducing time to disposition for treat & release patients in the emergency department

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S14-S14
Author(s):  
V. Woolner ◽  
S. Ensafi ◽  
J. De Leon ◽  
L. George ◽  
L. Chartier
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Providers ◽  
Initial Assessment ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Patient Disposition ◽  
Forcing Function

Introduction: Treat and Release (T&R) patients are seen and discharged home from the emergency department (ED), and asked to return within 12-72 hours for follow-up care (e.g., ultrasound, repeat blood work). Our two academic teaching hospitals see approximately 2,000 T&R patients per year. Handover of care for T&R patientsdone through charting only and therefore dependent on the charts adequacy and completenessis crucial to the safety and quality of care they receive. An 18-month retrospective chart audit at our sites identified quality gaps, including suboptimal documentation that ultimately impedes patient disposition. Our projects aim was to reduce the time-to-disposition (TTD; time spent by patients between provider initial assessment and discharge from the ED) by a third (from 70min) in 6-months time (March 2017), a target felt to be both meaningful and realistic by our stakeholder team. Methods: Our primary outcome measure was the TTD (in minutes). Our process measure was the quality of documentation, using a modified version of QNOTE, a validated tool used to assess the quality of health-care documentation. PDSA cycles included: 1) Involvement of stakeholders for the creation and refinement of an improved T&R handover tool to cue more specific documentation; 2) Education of health-care providers (HCPs) about T&R patients; 3) Replacement of the previous T&R handover tool with a newly designed and mandatory tool (i.e. a forcing function); 4) Refinement of the process for T&R patients and chart hold-over. Results: Run charts for both the median TTD and median modified QNOTE scores over time demonstrate a shift (i.e., run chart rule) associated with the second and third clustered PDSA cycles. After the first three clusters of PDSA cycles (i.e., before-and-after), mean TTD was reduced by 40% (70min to 42min, p=0.005). The quality of documentation (mean modified QNOTE scores) was also significantly improved (all results p<0.0001): patient assessment from 81% to 92%, plan of care from 58% to 85% and follow-up plan from 67% to 90%. Conclusion: We reduced the time-to-disposition for T&R patients by identifying gaps in the quality of documentation of their chart. Using iterative PDSA cycles, we improved their time-to-disposition through improved communication between health-care providers and a new T&R handover tool working as a forcing function. Other centers could use similar assessment methods and interventions to improve the care of T&R patients.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Sign in / Sign up

Export Citation Format

Share Document