Proficiency Testing Performance for Point of Care Glucose Users in a Tertiary Hospital in Kenya

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S32-S33
Author(s):  
F M Mukunya ◽  
A A Amayo ◽  
A Ongeso ◽  
A Gitau
Keyword(s):  
Blood Glucose ◽  
Proficiency Testing ◽  
High Glucose ◽  
Point Of Care ◽  
Tertiary Hospital ◽  
Test Results ◽  
Consensus Values ◽  
Testing Performance

Abstract Introduction/Objective Introduction: Point of Care (POC) blood glucose measurements are widely used for monitoring diabetes in hospitals. Ensuring quality of POC glucose is important for patient safety. Proficiency testing (PT) where POC users are provided with samples to analyze in the same way as they would patient samples, and the test results are compared with those of peers, is especially important for hospitals with multiple glucose meters where multiple operators with varying levels of education and experience are performing POC glucose analysis. Objective To evaluate the performance of POC glucose users at a tertiary hospital in Nairobi, Kenya. Methods/Case Report Methodology: The study was conducted at the Kenyatta National Hospital (KNH), an 1800 bed public teaching and referral hospital located in Nairobi, Kenya.Nurses in 46 wards and clinics who use blood glucose machines (BGM) were given low and high glucose quality control (QC) materials to analyze using BGMs like patient samples. The results of each ward were analyzed. Comparison of each participant was made with the group (consensus values) and the central laboratory (assigned values), and graded as acceptable or unacceptable. Results (if a Case Study enter NA) Results:Most participants obtained acceptable glucose results but 7.6% and 13% results were unacceptable when consensus values and assigned values were used respectively. Two participants (4.3%) obtained unacceptable with both low and high glucose controls. Conclusion The unacceptable results indicate need for improvement, and two BGM users who should be trained and their competency assessed to ensure quality of glucose tests.

Point-of-care testing, medical error, and patient safety: a 2007 assessment

2007 ◽  
Vol 45 (6) ◽  
Author(s):  
Sharon S. Ehrmeyer ◽  
Ronald H. Laessig
Keyword(s):  
Patient Safety ◽  
Full Advantage ◽  
Medical Error ◽  
Point Of Care ◽  
Data Interpretation ◽  
Medical Data ◽  
Test Results ◽  
Point Of Care Testing ◽  
Proper Design

AbstractPoint-of-care testing (POCT) is the fastest growing segment of a US$30 billion worldwide market. “Errors” in the testing process, as well as medical data interpretation and treatment associated with POCT, are recognized as leading to major compromises of patient safety. In today's environment, most testing errors (pre-analytical, analytical and post-analytical) can be virtually eliminated by proper design of testing systems. We cite examples of two systems that have made exceptional progress in this respect. It has been recently suggested that the basic errors associated with the testing process are amplified in the POC setting. Two of the amplifiers – incoherent regulations and failure of clinician/caregivers to respond appropriately to POCT results – lead us to recognize additional changes in today's POCT environment. The first is a willingness of manufacturers, not laboratories, to take responsibility for the quality of test results – an outgrowth of an industrial philosophy called autonomation. The second is a need to substantially modify the clinician/caregiver test utilization paradigm to take full advantage of POCT results, available on site in real time. Both have already begun to take place.Clin Chem Lab Med 2007;45:766–73.

scholarly journals Monitoring system of student performance using data warehouse (Case study: INSTITUT TEKNOLOGI SUMATERA)

2018 ◽  
Vol 4 ◽  
Author(s):  
Ahmad Luky Ramdani ◽  
Raidah Hanifah ◽  
Okta Pilopa
Keyword(s):  
Student Performance ◽  
Data Warehouse ◽  
Monitoring And Evaluation ◽  
Test Results ◽  
Test Scenario ◽  
Monitoring Process ◽  
Using Data ◽  
Academic Year

Improving the quality of learning is one of the things that must be achieved in the college academic process. To achieve this, monitoring and evaluation of the results of the learning process is needed, namely by looking at student performance. Based on this, the research aims to develop a university data warehouse with student performance objects that will be used by the board application for the monitoring process. The application was successfully developed with several main features, namely: a) displaying the number of students based on year, region and the entrance to college, b) displaying a comparison of the number of students in each academic year based on student status , d) display student performance every academic year and e) KPI values based on needs analysis. These features have been tested using the blackbox approach and the test results show that the features work properly and produce outputs in corresponding to the test scenario.

scholarly journals PENINGKATAN KUALITAS PELAYANAN KEPERAWATAN MELALUI RONDE DAN PENDOKUMENTASIAN

2017 ◽  
Vol 5 (1) ◽  
pp. 50
Author(s):  
Tita Rohita ◽  
Krisna Yetti
Keyword(s):  
Nursing Care ◽  
Human Resources Management ◽  
Work Culture ◽  
Test Results ◽  
Commitment To Change ◽  
Study Approach ◽  
Good Improvement ◽  
Periodic Evaluation

ABSTRAKRonde keperawatan dan kelengkapan pendokumentasian asuhan keperawatan merupakan bagian dari kualitas pelayanan keperawatan di rumah sakit. Tujuan optimalisasi pelaksanaan ronde keperawatan & dokumentasi asuhan keperawatan yaitu refresing dan menyiapkan perangkat yang dibutuhkan. Sehingga pengetahuan dan komitmen untuk melakukan perubahan menjadi lebih baik.Metode yang dilakukan yaitu studi kasus dengan menggunakan pendekatan Plan, Do, Check and Action (PDCA).Hasil program tersebut, pengetahuan perawat meningkat dengan hasil pre test 68% menjadi 85% ini menunjukan peningkatan yang baik yang dapat menunjukkan bahwa impelementasi yang dilakukan dinilai efektif untuk meningkatkan pengetahuan perawat. Peningkatan pelatihan, meningkat-kan strategi pengelolaan sumber daya manusia keperawatan, evaluasi beban kerja secara berkala, menciptakan lingkungan yang mendukung budaya kerja kondusif juga sangat berperan penting dalam pengoptimalisasian program. Kata-kata kunci : kualitas pelayanan, pendokumentasian, ronde. ABSTRACTRonde nursing and completeness of documentation of nursing care is part of the quality of nursing care in the hospital. Interest-round optimization of the implementation of nursing and nursing care documentation that is refreshing and prepare the necessary tools. So that the knowledge and commitment to change for the better. The method to do that is by using a case study approach of PDC). Result the program , the nurse's knowledge increases with pre-test results of 68% to 85% shows good improvement that could indicate that the implementation is carried out is considered effective to increase the knowledge of nurses.. Increased training, increased technology strategy nursing human resources management, periodic evaluation workload, create an enabling environment conducive work culture is also very important role in optimizing the program. Keywords: documenting, ronde, quality ofcare.

scholarly journals Pengaruh Kualitas Pelayanan Dan Keputusan Terhadap Loyalitas Pelanggan

2021 ◽  
Vol 9 (1) ◽  
pp. 9-17
Author(s):  
Muhammad Mashudi Azrullah
Keyword(s):  
Service Quality ◽  
Customer Loyalty ◽  
Sampling Technique ◽  
Coefficient Of Determination ◽  
Test Results ◽  
Regression Test ◽  
Result Show ◽  
The Subject

The focus of this research is the influence of service quality and satisfaction on customer loyalty with a case study in “Café : Kofi” Bangil. This research method is quantitative, the subject of this study are customers of “Café : Kofi” Bangil. The sampling technique used was purposive sampling. With a total of 60 respondents. The result show multiple liniear regression test Y + 0,180 + 0,041 + 0,941 + e. shows that the influence of service quality variables is 0,041 an the effect of satisfaction variables is 0,941. Thus the more dominant variable influencing customer loyalty is the satisfaction variable. T-test results indicate that the service quality variable (X1) has no partial effect and is not significant. While the satisfaction variable is partially significant. Test the coefficient of determination R2 obtained 0,899 or 89,9% this means that customer loyalty is influenced by satisfaction variables.  Keywords : Quality Of Service, Satisfaction

scholarly journals The Effectiveness of Patient Safety Cultural Training with Mirror Method and Case Study on Nurse Understanding About Application of Patient Safety at Hospital Pekanbaru

2019 ◽  
Vol 1 (1) ◽  
pp. 11-17
Author(s):  
Awaliyah Ulfah Ayudytha Ezdha ◽  
Silvia Nora Anggreini ◽  
Dwi Elka Fitri
Keyword(s):  
Patient Safety ◽  
Standard Deviation ◽  
Mean Value ◽  
P Value ◽  
Test Results ◽  
Cultural Training ◽  
Lecture Method ◽  
The Mean

Quality development in hospitals has led to efforts to improve quality oriented towards patient safety. The purpose of this study was to compare what methods were most effective between lectures and case studies to improve nurses' understanding of the application of patient safety. The design of the research used is a mix method that is qualitative and quantitative. This research was carried out at Hospital in Pekanbaru with a sample of the study were all nurses who served at the hospital as many as 60 people. The results obtained from the study showed that the mean value of nurses 'understanding of patient safety habit after the lecture method training was 67.47 with a standard deviation of 8.320 while the mean value of nurses' understanding of the HABIT of patient safety after training in the case study method was 73.97 with a standard deviation of 6.835. The independent t test results obtained p value = 0.002. The results of this study are expected in addition to improving the understanding of nurses as well as the hospital can apply the most appropriate method so that the goals of the patient's safety goals are the quality of service can be achieved.

KINERJA KEUANGAN BANK PERKREDITAN RAKYAT DAN BANK PEMBIAYAAN RAKYAT SYARIAH: STUDI KASUS DI DAERAH ISTIMEWA YOGYAKARTA

2017 ◽  
Vol 11 (1) ◽  
pp. 31
Author(s):  
Mona Iswandari ◽  
Edy Anan
Keyword(s):  
Financial Performance ◽  
T Test ◽  
Test Results ◽  
Significant Difference ◽  
Asset Quality ◽  
Better Than ◽  
Special Region

This study aimed to compare the financial performance of The Conventional Rural Bank (BPR) andIslamic Rural Bank (BPRS) in special region Yogyakarta region. The sample is gotten use purposivesampling method is choosing sample that has been fulfill inclusi citeria. Study sample is gotten 70with the case study in special region Yogyakarta region in period 2012-2014. Methods of dataanalysis using Independent Samples T-Test. Test results show that there is no significant differencewhen viewed from the ratio LDR/FDR between BPR and BPRS. Second, there is significant differencewhen viewed from the ratio ROA between BPR and BPRS. Third, there is significant difference whenviewed from the ratio ROE between BPR and BPRS. Fourth, there is significant difference whenviewed from the ratio NPL/NPF between BPR and BPRS. Generally, on the aspec of likuidity,rentibilty, capital ratio and the asset quality of the Conventional Rural Bank (BPR) showed thatfinancial performance is better than the IslamicRural Bank (BPRS).Keywords: Comparison financial performance, the Conventional Rural Bank (BPR), the IslamicRural Bank, Likuidity, Rentibility, Capital Ratio, Asset quality

scholarly journals WEATHERING OF ROCK AS ARMOURSTONE: A CASE STUDY ON BAHRAIN LIMESTONE

2011 ◽  
Vol 1 (32) ◽  
pp. 32
Author(s):  
Andrea Caricato ◽  
Leo Woods ◽  
Chandra Mohan
Keyword(s):  
High Sensitivity ◽  
Great Accuracy ◽  
Test Results ◽  
Degradation Models ◽  
Loss Of Mass ◽  
Different Levels ◽  
Over Time ◽  
Variable Quality

Locally-sourced armourstone is used extensively in the construction of new sea defence structures throughout Bahrain, with hundreds of thousands of tonnes being placed on single reclamation projects. This armourstone is won almost exclusively from the local quarry, which outputs limestone of variable quality. An evaluation has been made into the quality of local rock for usage as armourstone, using observations on sites and at the quarry, as well as compliance test results from various projects undertaken in recent years. Attempts are made to quantify potential losses in-service, by using the two degradation models described in the CIRIA Rock Manual, which give markedly different estimates. The envisaged loss of mass is difficult to predict with great accuracy due to the high sensitivity of the models to material and site parameters. Plots of estimated mass loss over time are presented for different rock sizes and different levels of rock armour mobility.

Proficiency testing performance: a case study with modeling

2002 ◽  
Vol 35 (6) ◽  
pp. 447-453
Author(s):  
Jennifer M Waugh ◽  
Christine P Collier ◽  
Andrew G Day ◽  
Mary Waugh ◽  
Michael J Raymond
Keyword(s):  
Proficiency Testing ◽  
Testing Performance

scholarly journals What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 238
Author(s):  
Sooin Choi ◽  
Soo Jeong Choi ◽  
Byung Ryul Jeon ◽  
Yong-Wha Lee ◽  
Jongwon Oh ◽  
...  
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Blood Glucose ◽  
Quality Management ◽  
Point Of Care ◽  
Test Results ◽  
Single Institution ◽  
Laboratory Staff ◽  
Blood Glucose Test ◽  
Glucose Test

Background and Objectives: Point of care test (POCT) is generally performed by non-laboratory staff who often lack an understanding on the quality control and quality assurance programs. The purpose of this study was to understand the current status of quality management of point of care (POC) blood glucose testing in a single institution where non-laboratory staff perform the tests. Materials and Methods: From July to August 2020, management status of glucometer, test strips, quality control (QC) materials, quality assurance program, and operators’ response to processing of displayed results was monitored in all Soonchunhyang University Bucheon hospital departments that performed POC blood glucose test. Results of the POC blood glucose test conducted from January 2019 to May 2020 were analyzed retrospectively. Results: A total 124 glucometers were monitored in 47 departments. Insufficient management of approximately 50% of blood sugar, test strips, and QC materials was observed. Although daily QC was conducted by 95.7% of the departments, the QC records were inaccurate. The method of recording test results varied with departments and operators. Various judgments and troubleshooting were performed on the unexpected or out of measurable range results, including some inappropriate processes. In POC blood glucose test results review, 4568 atypical results were identified from a total of 572,207 results. Conclusions: Sufficient training of the non-laboratory staff and ongoing assessment of competency through recertification is needed to maintain acceptable levels of POCT quality. In this study, various problems were identified in glucometer and reagent management, QC and post-analytic phase. We believe that these results provide meaningful basal information for planning effective operators’ training and competency evaluation, and the development of an efficient POCT quality management system.

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