Evaluation of the Quality of Reprocessing of Gastrointestinal Endoscopes

2015 ◽  
Vol 36 (9) ◽  
pp. 1017-1023 ◽  
Author(s):  
Philippe Saviuc ◽  
Romain Picot-Guéraud ◽  
Jacqueline Shum Cheong Sing ◽  
Pierre Batailler ◽  
Isabelle Pelloux ◽  
...  
Keyword(s):  
Stenotrophomonas Maltophilia ◽  
Gastrointestinal Endoscopy ◽  
Compliance Rate ◽  
Quality Assurance Program ◽  
Good Practices ◽  
Indicator Microorganisms ◽  
Technical Maintenance ◽  
Gastrointestinal Endoscope ◽  
Microbiological Surveillance

OBJECTIVESTo evaluate the quality of gastrointestinal endoscope reprocessing and discuss the advantages of microbiological surveillance testing of these endoscopes.METHODSRetrospective analysis of the results of endoscope sampling performed from October 1, 2006, through December 31, 2014, in a gastrointestinal endoscopy unit of a teaching hospital equipped with 89 endoscopes and 3 automated endoscope reprocessors, with an endoscopy quality assurance program in place. The compliance rate was defined as the proportion of the results classified at target or alert levels according to the French guidelines. A multivariate analysis (logistic regression) was used to identify the parameters influencing compliance.RESULTSA total of 846 samples were taken. The overall compliance rate was 86% and differed significantly depending on the sampling context (scheduled or not scheduled), the type of endoscope, and the season. No other parameter was associated with compliance. A total of 118 samples carried indicator microorganisms such as Pseudomonas aeruginosa, Stenotrophomonas maltophilia, Enterobacteriaceae, and Candida sp.CONCLUSIONThe systematic use of an automated endoscope reprocessor does not provide totally satisfactory compliance. Microbiological surveillance is indispensable to monitor reprocessing, reinforce good practices (endoscopes, reprocessing units), and detect endoscopes requiring early technical maintenance.Infect. Control Hosp. Epidemiol. 2015;36(9):1017–1023

Water Quality of Swimming Pools in Jerusalem

1993 ◽  
Vol 27 (7-8) ◽  
pp. 287-294 ◽  
Author(s):  
S. Lerman ◽  
O. Lev ◽  
A. Adin ◽  
E. Katzenelson
Keyword(s):  
Water Quality ◽  
Fecal Coliforms ◽  
Pathogenic Microorganisms ◽  
Swimming Pools ◽  
Indicator Organisms ◽  
Indicator Microorganisms ◽  
E Coli ◽  
Safe Water ◽  
Indirect Information

The Israel Ministry of Health is now revising its regulations for the assurance of safe water quality in public swimming pools. Since it is not possible to monitor each of the pathogenic microorganisms, it is often recommended to monitor indicator bacteria which provide indirect information on the water quality in the swimming pool. Three indicator microorganisms are often recommended: coliform counts (total coliforms, fecal coliforms or E. Coli), staphylococcus aureus and pseudomonas aeruginosa. A four year survey of the water quality of swimming pools in the Jerusalem District was conducted in order to determine whether the monitoring of all three indicators is necessary to assure safe water quality or is it sufficient to monitor only a single microorganism. A statistical analysis, conducted by using several different statistical techniques, reveals that the populations of the three indicator organisms are significantly interdependent but the correlations between each pair of these indicators are not sufficient to base a prediction of any of the organisms based on the measurements of the others. Therefore, it is concluded that monitoring of all three indicators should be recommended in order to provide an adequate picture of the water quality in swimming pools.

scholarly journals 964 Telemedicine: Speedy Triage Tool or Clinical Record?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Ghareib ◽  
Z Vinnicombe ◽  
G Visser ◽  
A Ra ◽  
M Mantella ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Compliance Rate ◽  
Clinical Record ◽  
Portal System ◽  
Clinical Documentation ◽  
University Hospitals ◽  
Record Keeping ◽  
Clinical Document ◽  
National Guidance

Abstract Introduction St. George’s University Hospitals NHS Foundation Trust is a tertiary plastic surgery centre serving a population of 3.5 million in and around South West London. Telemedicine Referral Image Portal System (TRIPS) is integral to our service, allowing triage of patients in remote locations. During Covid, TRIPS helped in reducing footfall and streamlining out of hospital referrals to reduce unnecessary transfer. The aim of this project was to assess the quality of clinical documentation for emergency referrals to plastic surgery via TRIPS. Method We performed a retrospective review of all patients referred to plastic surgery via TRIPS during April 2020. Documentation standards were determined from national guidance. After introduction of a condensed guide, a second review was performed four months later. Results In April, 131 referrals were recorded on TRIPS. Only 22.9% of records met the standard. The most common omission was treatment advice. Following introduction of guidance, 215 TRIPS records were reviewed. The quality of clinical documentation improved in all aspects with a compliance rate of 89%. Conclusions Although TRIPS remains a useful tool for triage, it is a clinical document and must meet the standards of clinical record keeping. Introduction of clear guidelines improves overall compliance.

scholarly journals Microbiological quality of non-sterile pharmaceuticals in Egypt

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Nourhan Mahrous Ahmed Salem ◽  
Mohamed Abbas Elbarrawy ◽  
Nashwa Fawzy Abd El Moez Azzam
Keyword(s):  
Bacterial Growth ◽  
Stenotrophomonas Maltophilia ◽  
Microbiological Quality ◽  
Pseudomonas Stutzeri ◽  
Dosage Forms ◽  
Aeromonas Salmonicida ◽  
Acceptable Limit ◽  
Organoleptic Characteristics

Abstract Background The context and purpose of the study are as follows: Drug-borne infections may arise from non-adherence to strict microbiological quality of pharmaceuticals products. Moreover, presence of exceeding levels of microorganisms in non-sterile pharmaceuticals may lead to change of their organoleptic characteristics and loss of effectiveness. The aim of the study is to evaluate the microbiological quality of commonly used non-sterile pharmaceuticals in Alexandria, Egypt. Results Average microbiological quality of the studied products, where 17.03% and 19.23 % of samples had exceeded the maximum acceptable limit of TAMC and TYMC, respectively. No E. coli was isolated from oral products. None of S. aureus nor P. aeruginosa were isolated from topical products. Bacterial growth was recovered from 19 (10.44%) of the studied 182 samples, four Bacillus spp. had been recovered from topical products, two P. aeruginosa isolates were recovered from tablets and other two were isolated from syrups dosage forms. Other isolates were Pseudomonas stutzeri, Stenotrophomonas maltophilia, Acinetobacter Achromobacter denitrificans, Ochrobactrum anthropic and Aeromonas salmonicida. Conclusion Average microbiological quality of the tested pharmaceuticals used in Alexandria.

scholarly journals Assessment of Building Coverage and Environmental Quality of Residential Area in Nkpor Uno Idemili North Local Government Area, Anambra State, Nigeria

2021 ◽  
Vol 3 (1) ◽  
pp. 019-024
Author(s):  
Aronu Cecilia Nkechi ◽  
Ede Alison Okorie ◽  
Ilo Clementine Ifeyinwa ◽  
Okeke Monique Ugochinyere ◽  
Nwankwo Chidiebere Joy ◽  
...  
Keyword(s):  
Environmental Quality ◽  
Survey Design ◽  
Compliance Rate ◽  
Drainage System ◽  
Residential Area ◽  
Residential Areas ◽  
Free Air ◽  
Inadequate Ventilation ◽  
Air Space

This study was conducted to assess the building coverage and environmental quality of residential area in Nkpor Uno Idemili North L.G, Nigeria. The study employed a descriptive survey design to find out level of compliance of buildings to planning regulations. One hundred and eighty (180) were interviewed using a modified instrument (questionnaire). The data collected were coded into SPSS and analyzed with descriptive statistics. The results showed that 72(40%) reported inadequate setback as a major effect of over built buildings, 55(30.6%) reported inadequate free air space, 37(20.6%) said inadequate ventilation and lighting. Also, the nature of drainage system provided in residential areas; 76(42.2%) has no drainage system, 70(38.9%) has close drainage system. The building coverage of residential houses in the study area; 60(33.3%) has their building falls under 51-75% for over built, 48(26.7%) has their building falls under 76-100% for overbuilt. For the factors influencing the percentage of area built upon, 57(31.7%) has greed and no money to acquire a large plot of land, 47(26.0%) has no land space to built their desirable house. Then, non adherence to provision of adequate ventilation and lighting in the residential houses in the study area affects the dwellers’ health and such factors can promote communicable diseases. In conclusion, it was observed that the compliance rate was not encouraging because the planning regulations recorded very low compliance as include set–back from property boundaries; inadequate free air space; lost of aesthetic values, and inadequate ventilation and lighting. Therefore, government should embark on enforcement of land use plan, and strategic plans for various towns and villages to accommodate its utilities and facilities.

scholarly journals Pengaruh Akreditasi Rumah Sakit dalam Perubahan Tingkat Kepatuhan Pengisian Surgical Safety Checklist di RS Nur Hidayah

2020 ◽  
Vol 20 (1) ◽  
pp. 258
Author(s):  
Annisa Firdausi ◽  
Arlina Dewi ◽  
Susanto Susanto
Keyword(s):  
Compliance Rate ◽  
Hospital Accreditation ◽  
Sample Number ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Before And After ◽  
Study Population ◽  
Descriptive Approach ◽  
Quantitative Descriptive

Death and complication due to surgeries or surgical actions is a global health problem. The WHO estimates that at least half a million deaths that are caused by surgeries can be prevented. On 2008, the WHO released a campaign about safe surgery and the surgical safety checklist to improve the quality of our surgery cases and decrease the number of complication and deaths caused by surgeries. Hospital accreditation is used to improve the quality of hospital management, including in reducing numbers of death and complication due to surgeries.  This is a quantitative descriptive approach study. The study population used were all surgical safety checklist. Sample number of 75 surgical safety checklist, 15 surgical safety checklist each from June 2017, August 2017, January 2018, June 2018, and January 2019. Data analysis shown by statistic table and percentage. There was a change of number in completing compliance of the surgical safety checklist before and after hospital accreditation. It showed that nearing hospital accreditation, the compliance rate was almost 100% on all the items. This continued a month after, but some of the items had a lower rate of compliance further after the hospital accreditation. The number of completing compliance of the surgical safety checklist nearing hospital accreditation is higher than after hospital accreditation. The sign in item have the highest rate of completing compliance whereas the sign out item had the lowest number of compliance.

scholarly journals Nutrição parenteral: panorama das amostras analisadas no Instituto Nacional de Controle de Qualidade em Saúde

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Mariana Bruno Rodrigues Benitez ◽  
Verônica Viana Vieira ◽  
Célia Maria Carvalho Pereira Araujo Romão
Keyword(s):  
Parenteral Nutrition ◽  
Cross Section ◽  
Scientific Literature ◽  
Clinical Importance ◽  
Safe Medication ◽  
Good Practices ◽  
Sterility Testing ◽  
Treatment And Prevention ◽  
Qualitative Descriptive

Background and objectives: Total parenteral nutrition (TPN) has great clinical importance in malnutrition treatment and prevention in patients with digestive problems. Although good practices for handling TPN are well established, contamination of these products still occurs, and this product remains listed as a higher risk drug by the Institute for Safe Medication Practices. The present study aimed to obtain an overview of the documentary data of the parenteral nutrition samples sent to the National Institute for Quality Control in Health (INCQS) of Fundação Oswaldo Cruz. Methods: This is a qualitative descriptive and quantitative study carried out based on a cross-section of TPN samples analyzed from 2000 to 2016. Results: A total of TPN 134 samples were sent during the study period. 11.20% of the samples were sent in 2001, 0.80% in 2005, 8.20% in 2006, 16.40% in 2007, 63.40% in 2013. Six samples (4.5%) were canceled and 113 submitted to sterility testing, resulting in 13.3% unsatisfactory samples. Conclusion: During the study period, four suspected events of enterobacterial contamination in TPNs administered to patients were reported, three of which have not yet been described in the scientific literature. For the safety of patients using TPN to be guaranteed, it is suggested that the norms that regulate TPN therapy be reviewed and updated, and programs to monitor the quality of these preparations should be established.

scholarly journals Guanabara Bay: Proposals for a Territory of Exclusion Born from Paradise — Part I, The Present-Day Mess

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Nilo Serpa ◽  
Richard Brook Cathcart
Keyword(s):  
Quality Of Life ◽  
Waste Management ◽  
Key Words ◽  
Guanabara Bay ◽  
Good Practices ◽  
Management Quality ◽  
Frequent Episodes ◽  
Class 1 ◽  
Breeding Grounds

<p><strong>Abstract: </strong>Exclusion Territories are geographical areas under the action of degenerative environmental phenomena of anthropogenic origin, which compromise quality of life in general. One of the greatest examples of such areas is the Guanabara Bay and its surroundings, the scene of some of the worst disastrous incidents and locale of frequent episodes of human misery. This article presents a brief description of the main characteristics of the region, providing some technological suggestions of biogeographic recovery to be adopted by public policies that intend to align themselves with the good practices of ecological economy, sustainability and quality of life. The work falls within the context of macro-engineering <em>cum</em> eco-innovation applied to the preservation and management of water sources and water bodies that serve productive purposes as natural niches and breeding grounds.</p><p><strong>Key words: </strong>Exclusion Territories, Guanabara Bay, waste management, quality of life.</p><p class="-1">===========================================================================</p><p class="-1"><strong>Resumo: </strong>Territórios de Exclusão são áreas geográficas sob ação de fenômenos ambientais degenerativos de origem antropogênica, os quais comprometem a qualidade de vida em geral. Um dos maiores exemplos de zonas desse tipo é a Baía de Guanabara e seu entorno, palco de alguns dos piores incidentes desastrosos e de frequentes episódios da miséria humana. O presente artigo descreve sumariamente as principais características da região, fornecendo algumas sugestões tecnológicas de recuperação biogeográfica a serem adotadas por políticas públicas que pretendam alinhar-se às boas práticas de economia ecológica, sustentabilidade e qualidade de vida. O trabalho se insere no contexto da macroengenharia <em>cum</em> eco-inovação aplicada à preservação e à gestão das fontes hídricas e dos corpos de água que servem a propósitos produtivos como nichos naturais e criadouros.</p><p class="-1"><strong>Palavras-chave: </strong>Territórios de Exclusão, Baía de Guanabara, gestão de resíduos, qualidade de vida.</p>

perception of the economic agents on the quality and the control in the certification of wines in Geographical Indications (GIs)

2017 ◽  
Vol 5 (10) ◽  
pp. 85-98
Author(s):  
Fátima Regina Zan ◽  
Manuel Luis Tibério ◽  
Suzana Leitão Russo
Keyword(s):  
European Community ◽  
Geographical Indications ◽  
Geographical Indication ◽  
Port Wine ◽  
Food Sector ◽  
Certification Process ◽  
Good Practices ◽  
Economic Agents ◽  
And Control

Since 1992 geographical indications have become a reference for product quality, especially in the food sector in the European Community. The identification of the products with the place of production was a strategy used in antiquity, mainly to identify the origin of the wines, being this the pioneer product. The research was developed in the demarcated wine regions of Portugal. This country is considered the birthplace and the pioneer in the regulation of Geographical Indication (GI). The first demarcated region was that of the Douro, where Port wine is produced. Seals identifying the products of the region demarcated for distribution to producers undergo a certification process, described in the Specification Manuals, formulated according to the rules established in the GI, which each producer must follow. Therefore, the research, sought to identify the process of certification of products originated from Portuguese GIs in Portugal, and the perception of economic agents on the control, good practices and quality, in relation to the distribution and control of certification stamps. The methodology used was field, documentary and bibliographic research by the use of questionnaires. For the economic agents, the quality of the products is satisfactory, not requiring changes taking into account the way in which it is being distributed and controlled.

EORTC External Quality Assurance Program for ER and PgR Measurements: Trial 1998/1999

2000 ◽  
Vol 15 (1) ◽  
pp. 62-69 ◽  
Author(s):  
C.G.J. Sweep ◽  
J. Geurts-Moespot
Keyword(s):  
Binding Assay ◽  
Steroid Receptor ◽  
Quality Assurance Program ◽  
External Quality ◽  
Essential Requirement ◽  
The Mean ◽  
Immuno Assay ◽  
Receptor Assays ◽  
Enzyme Immuno Assay

Steroid receptor assays have clinical relevance in selecting women who would benefit from endocrine intervention. As the degree of benefit from endocrine therapy is directly related to the quantity of receptor present in the tumour, the quality of the steroid receptor assays is important. Moreover, since patients entered in multi-centre trials often include stratification based on the receptor status, receptor assays should be comparable between different institutes. ER- and PgR-assays have been evaluated in quality assessment studies for almost 20 years by the EORTC Receptor and Biomarker Study Group. During the QA trial 1998/1999 results were reported by 42 participants performing the Ligand Binding Assay (LBA) and by 39 participants using the Enzyme Immuno-Assay (EIA) kit. Each participant received a set of 12 QA vials to be analysed two at a time at two-monthly intervals. The between-laboratory CVs of ER LBA and EIA amounted to 40–50%. For PgR the between-lab CVs for the EIA method are lower as compared with LBA but still are approx. 30%. Notwithstanding the high deviation in reported values and the high between-lab CVs, the consistency of the participants over the year is acceptable, which pave the way for calibration. Indeed, after normalization of assay results the mean between-lab CVs dropped to 11% for ER LBA, 14% for ER EIA, 9% for PgR LBA and 11% for PgR EIA. Such a reduction of between-laboratory CVs is an essential requirement for the use of steroid receptor data in multicentre clinical studies.

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