scholarly journals Impact of COVID-19 on Lung Transplant Activity in Germany—A Cross-Sectional Survey

2020 ◽  
Author(s):  
Sebastian Michel ◽  
Christian Witt ◽  
Jens Gottlieb ◽  
Clemens Aigner
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Severe Acute Respiratory Syndrome ◽  
Lung Transplant ◽  
Health Care Systems ◽  
Time Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Variable Extent ◽  
Care Systems

AbstractThe current COVID-19 pandemia affects health care systems worldwide, however, to a variable extent depending on the caseload in each country. We aimed to provide a cross-sectional overview of current limitations or adaptions in lung transplant programs in Germany in from January to May 2020 due to the COVID-19 pandemia caused by severe acute respiratory syndrome coronavirus 2. A cross-sectional survey assessing various aspects of lung transplant activity was sent to all active lung transplant programs (n = 12) in Germany. Eight centers (66%) responded to the survey within the requested time frame. Four centers (50%) reported their activity is not restricted at all and four centers (50%) reported on moderate general limitations. The overall lung transplant activity in Germany from January to May 2020 contains 128 bilateral and 11 single lung transplantations, which is similar to the same period in the year 2019 (126 bilateral transplantations and 12 single lung transplantations). The results suggest that the influence of the COVID-19 pandemia on lung transplantation activity in Germany has been moderate so far. Nevertheless, adaptions such as extensive testing of donors and recipients were introduced to reduce the likelihood of infections and increase patient safety. Alertness to changes in COVID-19 reproduction rates might be required until effective antiviral therapy or vaccination is available.

Attitudes of Medical Students Toward Volunteering in Emergency Situations

2019 ◽  
Vol 14 (3) ◽  
pp. 308-311 ◽  
Author(s):  
Pishoy Gouda ◽  
Aoife Kirk ◽  
Anne-Marie Sweeney ◽  
Diarmuid O’Donovan
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Systems ◽  
Emergency Setting ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Emergency Situations ◽  
National University ◽  
Care Systems ◽  
Rising Incidence

ABSTRACTObjective:With the rising incidence of health care emergencies, there has been a considerable burden placed on health care systems worldwide. We aimed to determine the willingness and capacity of medical students in Ireland to volunteer during health care emergencies.Methods:An online, cross-sectional survey of medical students at the National University of Ireland was conducted in 2015.Results:Respondents totaling 274 completed the survey (response rate – 30.1%). Of participants, 69.0% were willing to volunteer in the event of a natural disaster and 59.1% in an event of an infectious epidemic, with altruism being the strongest motivational factor. Only a minority of students (23.7%) felt their current skill level would be useful in an emergency setting.Conclusions:Medical students express a strong interest in actively participating during health care emergencies.

Understanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey

2018 ◽  
Vol 24 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Dahai Zhao ◽  
Hongyu Zhao ◽  
Paul D Cleary
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Systems ◽  
Public Trust ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Research Attention ◽  
Positive Attitudes ◽  
Care Systems ◽  
Care System

Objectives Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China. Methods We used data from a survey conducted with a sample of 5347 adults in all Chinese provincial areas between January and February 2016. Trust in the health care system was assessed with a question used by the 2011–2013 International Social Survey Programme (ISSP) to assess public trust in the health care systems of 29 industrialized countries and regions (‘In general, how much confidence do you have in the health care system in your country?’). Results Only 28% of respondents reported that they had a great deal or complete trust in China’s health care system. Respondents who reported to have more trust in other people in society, more trust in the local government and who were more satisfied with their most recent health care system experience and their health insurance were significantly more likely to trust the country’s health care system. Furthermore, respondents who reported a higher level of happiness, better health status and positive attitudes towards social equity were more likely to trust the health care system in China. Conclusions Our findings suggest that low public trust in China’s health care system is a potential problem. Improving health care experiences may be the most practical and effective way of improving trust in the health care system in China.

scholarly journals Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

2020 ◽  
Vol 8 (E) ◽  
pp. 509-515
Author(s):  
Asmaa Abdelnaby ◽  
Laila Mahmoud Kamel ◽  
Jylan Elguindy ◽  
Reham Yousri Elamir ◽  
Eman Elfar
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Infection Control ◽  
Dental Health ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Practices ◽  
Preparedness Plan ◽  
Dental Schools

BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.

scholarly journals Nurses’ Perception of Factors Contributing to Medication Administration Errors

2020 ◽  
Vol 11 (1) ◽  
pp. 44-56
Author(s):  
Gehan Abd Elfattah Elasrag ◽  
Hana Mohammad Abu-Snieneh
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Quality Care ◽  
Medication Administration ◽  
Physician Communication ◽  
Cross Sectional ◽  
Medication Administration Errors ◽  
Care Systems ◽  
Cross Sectional Design ◽  
Key Aspects

Safety and quality care of patients are key aspects and the mean goals of effective health care systems. The reality that medical treatment can harm patients is one that has had to be addressed by the healthcare community in recent years. This study aimed to explore nurses' perception of factors contributing to medication administration errors and reasons for which medication administration errors are not reporting. Descriptive exploratory cross-sectional design carried out to achieve the study aim. The study was conducted in two regional hospitals in Egypt. They had a total bed capacity of 512 beds distributed over three units (emergency, intensive care, and surgical units). A convenient sample of 146 nurses distributed in the morning and afternoon shifts in the units mentioned above was recruited in this study. Medication Administration Errors (MAEs) Reporting Scale used to collect data regarding the nurses' perception of factors contributing to the MAEs. The participants were ranked the most important factor for MAEs occur system reasons (24.73±1.46), followed by nurses staffing as the second reason of MAEs (24.11± 2.25). Third, fourth, and fifth-ranked reasons were physician communication (13.37± 2.7), medication packaging (12.84±1.87), transcription-related (8±0.1), respectively. Finally, pharmacy processes (6.9±2.93) viewed as the least factor for the frequency of MAE. The findings of the present study concluded seven perceived reasons for MAE, namely system reason, nurses' staffing, physician communication, medication packaging, transcription, and pharmacy process. The study recommended the development of active quality assurance systems in all health care environments concerning medications and drug administration.

scholarly journals The Attitudes and Professional Approaches of Dental Practitioners during the COVID-19 Outbreak in Poland: A Cross-Sectional Survey

2020 ◽  
Vol 17 (13) ◽  
pp. 4703 ◽  
Author(s):  
Monika Tysiąc-Miśta ◽  
Arkadiusz Dziedzic
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Systems ◽  
Recent Experience ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Number Of Patients ◽  
Dental Practitioners ◽  
Sudden Decrease

The coronavirus infectious disease 2019 (COVID-19) pandemic has put enormous pressure on health care systems around the world. Dentistry has had to adjust to the new epidemic situation to not only bring relief to suffering patients but also to avoid becoming a source of SARS-CoV-2 transmission. Methods: A comprehensive, cross-sectional survey was conducted between April 6 and 16, 2020 among 875 Polish dental practitioners. The aim of the research was to assess dentists’ attitudes and professional approaches resulting from the COVID-19 pandemic. Results: 71.2% of dentists who responded to the questionnaire decided to suspend their clinical practice during that particular time. The main factors for this fact were the shortage of personal protective equipment (PPE), the respondents’ subjective perceptions of the risk of COVID-19 contraction and a general feeling of anxiety and uncertainty regarding the COVID-19 situation. The authors observed a significant decrease in the number of patients admitted weekly in April 2020 (12.06; SD, 11.55) in comparison to that in the time before the state of pandemic was declared on March 11, 2020 (49.21; SD, 24.97). Conclusions: Due to the unpreparedness of the dental sector, both in national health and private settings, most of the Polish dentists decided to voluntarily suspend their clinical practice in order to mitigate the spread of the disease. The COVID-19 outbreak has revealed numerous shortcomings in the dental care system, especially regarding the insufficient coordination of health services related to the pandemic and lack of advanced PPE. This has led to an overwhelming feeling of fear, confusion and anxiety among dental professionals in Poland and a sudden decrease in the number of performed dental procedures. Hopefully enriched with the recent experience and due to the implementation of proper strategic and long-term measures, dental practitioners will be better prepared and adapted to global health care disruptions in the future.

Partisan Differences in Twitter Language Among US Legislators During the COVID-19 Pandemic: Cross-sectional Study (Preprint)

2021 ◽  
Author(s):  
Sharath Chandra Guntuku ◽  
Jonathan Purtle ◽  
Zachary F Meisel ◽  
Raina M Merchant ◽  
Anish Agarwal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Vaccine Development ◽  
Health Care Systems ◽  
Cross Sectional Study ◽  
Party Affiliation ◽  
Cross Sectional ◽  
Health Crisis ◽  
Care Systems ◽  
Town Halls

BACKGROUND As policy makers continue to shape the national and local responses to the COVID-19 pandemic, the information they choose to share and how they frame their content provide key insights into the public and health care systems. OBJECTIVE We examined the language used by the members of the US House and Senate during the first 10 months of the COVID-19 pandemic and measured content and sentiment based on the tweets that they shared. METHODS We used Quorum (Quorum Analytics Inc) to access more than 300,000 tweets posted by US legislators from January 1 to October 10, 2020. We used differential language analyses to compare the content and sentiment of tweets posted by legislators based on their party affiliation. RESULTS We found that health care–related themes in Democratic legislators’ tweets focused on racial disparities in care (odds ratio [OR] 2.24, 95% CI 2.22-2.27; <i>P</i>&lt;.001), health care and insurance (OR 1.74, 95% CI 1.7-1.77; <i>P</i>&lt;.001), COVID-19 testing (OR 1.15, 95% CI 1.12-1.19; <i>P</i>&lt;.001), and public health guidelines (OR 1.25, 95% CI 1.22-1.29; <i>P</i>&lt;.001). The dominant themes in the Republican legislators’ discourse included vaccine development (OR 1.51, 95% CI 1.47-1.55; <i>P</i>&lt;.001) and hospital resources and equipment (OR 1.22, 95% CI 1.18-1.25). Nonhealth care–related topics associated with a Democratic affiliation included protections for essential workers (OR 1.55, 95% CI 1.52-1.59), the 2020 election and voting (OR 1.31, 95% CI 1.27-1.35), unemployment and housing (OR 1.27, 95% CI 1.24-1.31), crime and racism (OR 1.22, 95% CI 1.18-1.26), public town halls (OR 1.2, 95% CI 1.16-1.23), the Trump Administration (OR 1.22, 95% CI 1.19-1.26), immigration (OR 1.16, 95% CI 1.12-1.19), and the loss of life (OR 1.38, 95% CI 1.35-1.42). The themes associated with the Republican affiliation included China (OR 1.89, 95% CI 1.85-1.92), small business assistance (OR 1.27, 95% CI 1.23-1.3), congressional relief bills (OR 1.23, 95% CI 1.2-1.27), press briefings (OR 1.22, 95% CI 1.19-1.26), and economic recovery (OR 1.2, 95% CI 1.16-1.23). CONCLUSIONS Divergent language use on social media corresponds to the partisan divide in the first several months of the course of the COVID-19 public health crisis.

scholarly journals Comparison of patient safety culture among psychiatric, general, and specialized hospitals of Tehran

2015 ◽  
Vol 5 (1) ◽  
pp. 52 ◽  
Author(s):  
Pouran Raeissi ◽  
Erfan Shakibaei
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Middle East ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Health Care Facilities ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Middle East Countries ◽  
Care Systems

<p>Patient safety culture (PSC) has been considered less than its significance within high risk health care facilities so far. The aim of this study was to firstly compare PSC among psychiatric, general, and critical/intensive care systems then, focus on common weaknesses between Middle East countries. The study design was cross-sectional which was executed by using of a two stage sampling frame. Researchers had 298 questionnaire completed (RR=62%) among three groups comprising nurses, nurse’s aides, and laboratory personnel. The Farsi version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was employed in this study. Descriptive statistics, and One Way ANOVA were used aiming to analyze collected data by using of SPSS 20. The highest percent of composite mean scores in Specialized, Psychiatric, and Generals were 61.49%, 56.67%, and 55.69% respectively. Common weakest dimensions of PSC among the three groups of hospitals included: Non-punitive response to error (24.3%), Staffing (32.18%), and Communication openness (42.44%). There were no significant differences among means and variences of the three groups of hospitals. It can be concluded that health care systems may have no differences in PSC correspond to disparities in amount of risk and job pressure. An implication of this study is the possibility that PSC is mostly local, although some weaknesses between our study and Middle East seemed to be symmetrical.</p>

Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings

2017 ◽  
Vol 57 (1) ◽  
pp. 62-75 ◽  
Author(s):  
Antonia Stang ◽  
Denise Thomson ◽  
Lisa Hartling ◽  
Jocelyn Shulhan ◽  
Megan Nuspl ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Scoping Review ◽  
Health Care Systems ◽  
Health Care Settings ◽  
Safety Concerns ◽  
Safety Research ◽  
Safety Interventions ◽  
Care Systems ◽  
Analytic Models

Children are particularly vulnerable to patient safety concerns due to pediatric-specific and general health care challenges. This scoping review identifies and describes the vulnerabilities of those aged 0 to 18 years to iatrogenic harm in various health care settings. Six databases were searched from 1991 to 2012. Primary studies were categorized using predetermined groupings. Categories were tallied and descriptive statistics were employed. A total of 388 primary studies exploring interventions that improved patient safety, deficiencies, or errors leading to safety concerns were included. The most common issues were medication (189 studies, 48.7%) and general medical (81 studies, 20.9%) errors. Sixty studies (15.5%) evaluated or described patient safety interventions, 206 studies (53.1%) addressed health care systems and technologies, 17 studies (4.4%) addressed caregiver perspectives and 20 studies (5.2%) discussed analytic models for patient safety. Further work is needed to ensure consistency of definitions in patient safety research to facilitate comparison and collation of results.

scholarly journals Pregnancy management in coronavirus disease – Challenges in developing countries

2021 ◽  
Vol 2 ◽  
pp. 18
Author(s):  
Narendra Malhotra ◽  
Ruchika Garg ◽  
Saroj Singh ◽  
Prabhat Agrawal ◽  
Jaideep Malhotra ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Severe Acute Respiratory Syndrome ◽  
Health Care Systems ◽  
Hubei Province ◽  
The World ◽  
Care Systems ◽  
The Usa

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus (SARS-CoV) infection, first identified in December 2019 in Wuhan, a city in the Hubei Province of China. The infection has spread in more than 150 countries and is a pandemic. Governments across the world have adopted rigorous measures to reduce both the spread by lockdown and cancelling most visas. It has detrimental effects on health-care systems and on the whole economy of world including the USA.

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