scholarly journals 555 The Unintended Consequences Of COVID-19 on the Quality of Documentation of Operation-Notes

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Camilleri-Brennan ◽  
M Lim
Keyword(s):  
Private Hospital ◽  
Unintended Consequences ◽  
Direct Impact ◽  
Surgical Practice ◽  
Main Site ◽  
Main Hospital ◽  
Key Variables ◽  
Operation Note ◽  
Technology Resources

Abstract Introduction Operation-notes are crucial as they impact on the care of patients post-operatively. During COVID-19, a sizeable proportion of General Surgical procedures were performed at a local “cold” site private hospital. This study aims to determine the direct impact of COVID-19 on the standard of operation-note documentation at a non-routine site compared to our routine site. Method The Royal College of Surgeons Good Surgical Practice guidance highlights 19 key-variables to record within operation-notes. 300 consecutive operations were identified between May and August 2020 and details of electronic operation-notes collected. Throughout this study period, educational emails and posters were introduced at both sites secondary to ongoing audit. Results 228/300 (76%) operations took place at our main hospital. The remainder were commissioned to the other. Operating surgeons and anaesthetists were similar at both sites. Quality of documentation was poorer for many key variables at the cold site when compared with the main site (operating-surgeons (22% vs 91%), urgency of operation (62% vs 99%), antibiotic prophylaxis (72% vs 99%) and DVT prophylaxis (21% vs 98%)). Conclusions COVID-19 has resulted in many unintended consequences including a reduction in the quality of operation-notes. Moving forward, this may be reduced by improving information technology resources and increasing awareness and education.

scholarly journals Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting

2021 ◽  
Vol 18 (22) ◽  
pp. 12217
Author(s):  
Nicola Wolfe ◽  
Seán Paul Teeling ◽  
Marie Ward ◽  
Martin McNamara ◽  
Liby Koshy
Keyword(s):  
Six Sigma ◽  
Private Hospital ◽  
Hospital Setting ◽  
Lean Six Sigma ◽  
Transitions Of Care ◽  
Operative Care ◽  
Project Site ◽  
Operation Note ◽  
Operating Surgeon

Clinical documentation is a key safety and quality risk, particularly at transitions of care where there is a higher risk of information being miscommunicated or lost. A surgical operation note (ON) is an essential medicolegal document to ensure continuity of patient care between the surgical operating team and other colleagues, which should be completed immediately following surgery. Incomplete operating surgeon documentation of the ON, in a legible and timely manner, impacts the quality of information available to nurses to deliver post-operative care. In the project site, a private hospital in Dublin, Ireland, the accuracy of completion of the ON across all surgical specialties was 20%. This project sought to improve the accuracy, legibility, and completeness of the ON in the Operating Room. A multidisciplinary team of staff utilised the Lean Six Sigma (LSS) methodology, specifically the Define/Measure/Analyse/Design/Verify (DMADV) framework, to design a new digital process application for documenting the ON. Post-introduction of the new design, 100% of the ONs were completed digitally with a corresponding cost saving of EUR 10,000 annually. The time to complete the ON was reduced by 30% due to the designed digital platform and mandatory fields, ensuring 100% of the document is legible. As a result, this project significantly improved the quality and timely production of the ON within a digital solution. The success of the newly designed ON process demonstrates the effectiveness of the DMADV in establishing a co-designed, value-adding process for post-operative surgical notes.

scholarly journals Examining the Determinants of Healthcare Workers’ Performance: A Configurational Analysis during COVID-19 Times

2021 ◽  
Vol 18 (11) ◽  
pp. 5671
Author(s):  
Benito Yáñez-Araque ◽  
Sagrario Gómez-Cantarino ◽  
Santiago Gutiérrez-Broncano ◽  
Víctor-Raúl López-Ruiz
Keyword(s):  
Job Performance ◽  
Work Environment ◽  
Health Professionals ◽  
Work Performance ◽  
Qualitative Comparative Analysis ◽  
Good Level ◽  
Configurational Analysis ◽  
Key Variables ◽  
The Times

The evaluation of the work performance of health professionals has focused the interest of scientific research in recent decades as a basis for improving the quality of health services. The global COVID-19 pandemic has pushed countries’ health systems to the limit and had previously unknown consequences on the job performance of health professionals. In this context, what are the determinants of performance? There are numerous studies that link job performance with other variables that directly affect it, such as leadership, job satisfaction, organizational commitment, and work environment. However, there are no studies that jointly relate all these variables, and even less in the field of health. The main objective of this work is to analyse how these variables are configured together to generate a good level of performance of health professionals during the times of COVID-19. To do this, a fuzzy set qualitative comparative analysis (fsQCA) is carried out, an appropriate method that will allow finding the joint causal effects of key variables in human resources to ensure a good level of job performance in health organizations. The study reveals that leadership and commitment are the two key drivers of performance. The data confirm that the “recipe” to achieve a good level of performance consists of the combination of leadership, commitment, and a good work environment. Additionally, in the case of less satisfied workers, linking leadership and commitment is a sufficient condition.

scholarly journals Effects of Field Processing of Sorghum Grain on Popping Traits

Agronomy ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 839
Author(s):  
Mitchell Kent ◽  
William Rooney
Keyword(s):  
Impact Force ◽  
Grain Sorghum ◽  
Expansion Ratio ◽  
Direct Impact ◽  
Order Of Magnitude ◽  
Rubber Belt ◽  
Sorghum Grain ◽  
Harvest Moisture ◽  
Quality Measurements

Interest in the use of popped sorghum in food products has resulted in a niche market for sorghum hybrids with high popping quality but little work has been done to assess the relative effects of field processing methods of grain on popping quality. This study evaluated the relative effects of harvest moisture and threshing methods on the popping quality of sorghum grain. A grain sorghum hybrid with good popping quality was produced during two different years in Texas wherein it was harvested at two moisture levels (low and high) and grain was removed from panicles using five different threshing methods (hand, rubber belt, metal brushes and two metal concave bar systems). Years, harvest moisture content and threshing method influenced all three popping quality measurements (popping efficacy, expansion ratio and flake size), but threshing method had an order of magnitude larger effect than either moisture level or year. While many of the interactions were significant, they did not influence the general trends observed. As such, the threshing methods with less direct impact force on the grain (hand and rubber belt) had higher popping quality than those samples threshed with greater impact force on the grain (metal-based systems). The popping quality differences between threshing system are likely due to a reduction in kernel integrity caused by the impacts to the kernel that occurred while threshing the grain. The results herein indicate that field processing of the grain, notably threshing method has significant impacts on the popping quality and should be taken into consideration when grain sorghum is harvested for popping purposes.

The Relationship Between Government Popularity and Approval for the Government's Record in the United Kingdom

1985 ◽  
Vol 15 (2) ◽  
pp. 165-186 ◽  
Author(s):  
John Hudson
Keyword(s):  
The Public ◽  
The Past ◽  
The United Kingdom ◽  
State Of The Economy ◽  
Degree Of Stability ◽  
Key Variables ◽  
The Government ◽  
The Relationship ◽  
Opinion Polls

The past decade has seen the growth of a considerable literature on the link between government popularity, as reflected by the proportion of the public indicating their intention to vote for the government in opinion polls, and the state of the economy, as represented by certain key variables. The work began in the early 1970s with articles by Goodhart and Bhansali, Mueller, and Kramer. It continued through the decade; some of the more recent contributions can be found in a set of readings edited by Hibbs and Fassbender. However, despite the amount and quality of this work, problems remain. Principal amongst these, as Chrystal and Alt have pointed out, is the inability to estimate a relationship which exhibits any degree of stability either over time or between researchers. Nearly all the studies have been successful in finding a significant relationship for specific time periods, but when these are extended, or when the function is used to forecast outside the original estimation period, the relationship appears to break down.

Implementation of Digital Technologies Into the Educational Process

2021 ◽  
Vol 15 ◽  
pp. 385-391
Author(s):  
Eva Panulinova ◽  
Slavka Harabinova ◽  
Renata Baskova
Keyword(s):  
Quality Of Life ◽  
Construction Industry ◽  
Social Life ◽  
Civil Engineering ◽  
Digital Technologies ◽  
Educational Process ◽  
Skills Development ◽  
Direct Impact ◽  
Planning Implementation

Revolutionary changes in society are linked to digital technologies and affect all areas of social life, not excluding construction industry. This requires not only knowledge reform, but above all skills reform. The current demand of practice is to increase the knowledge and competences of graduates of civil engineering faculties in the field of introduction and use of digital technologies in the process of planning, implementation, and maintenance of buildings, as well as to support the skills development of civil engineers in teamwork while using BIM technologies. The presented, currently implemented project contributes to meeting the above-described Practice Needs. The expected direct impact of the project is to increase the competitiveness, employability, and quality of life of graduates entering practice.

Quality of Surgical Practice

1987 ◽  
Vol 44 (1) ◽  
pp. 1
Author(s):  
C. Rollins Hanlon
Keyword(s):  
Surgical Practice

scholarly journals Auditorship in nursing records at an Intensive Care Unit

2011 ◽  
Vol 5 (5) ◽  
pp. 1187
Author(s):  
Francislene Fátima Cordeiro ◽  
Ana Maria Dyniewicz ◽  
Luísa Canestraro Kalinowski
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Audit Quality ◽  
Care Delivery ◽  
Recording Process ◽  
Data Collection Instrument ◽  
Terapia Intensiva ◽  
Identification Tags

ABSTRACT Objectives: to analyze nursing reports at the Intensive Care Unit (ICU) of a private hospital and indentify nursing report features at the ICU. Method: descriptive study held between October/2009 and January/2010, applying a data-collection instrument to 100 nursing reports in patients’ records of an adult ICU of a private hospital in the municipality of Curitiba, Paraná State/Brazil. The criteria for record inclusion in the study were adult patients of both sexes, regardless the pathology and/or complications and health insurance plans, longer than three-day admission in the ICU. This research followed the procedures recommended by Resolution nº 196/96, and was approved by the Research Ethics Committee from Universidade Tuiuti do Paraná (Opinion 000124/2009). Results: among the results, it can be pointed out: missing patients’ identification tags; reports presenting blanks, scratches or correction fluid erasures; missing signing; incorrect checking and incomplete records from Systematization of Nursing Care. Conclusion: as nursing reports mean safety to patients and institutions and reflect the quality of care delivery, it was perceived the need to steady improvement in this recording process. Descriptors: nursing audit; quality of health care; nursing. RESUMOObjetivos: analisar as anotações de enfermagem em Unidade de Terapia Intensiva – UTI de um hospital privado e identificar as características dos registros de enfermagem na UTI. Método: estudo descritivo realizado de outubro de 2009 a janeiro de 2010, aplicando um instrumento de coleta de dados a 100 anotações de enfermagem em prontuários de pacientes de uma UTI geral adulto de um hospital privado do município de Curitiba-PR. Os critérios de inclusão de prontuários no estudo foram: pacientes adultos, de ambos os sexos, independente da patologia e/ou complicações e plano de saúde, com mais de três dias de internação na UTI. Esta pesquisa seguiu os procedimentos recomendados pela Resolução nº 196/96 e foi aprovada pelo Comitê de Ética em Pesquisa em Humanos da Universidade Tuiuti do Paraná, sob o número 000124/2009. Resultados: dentre os resultados destacam-se: falta de etiquetas de identificação de pacientes; anotações com espaços em branco, rasuras e utilização de corretor ortográfico; falta de assinatura; checagem incorreta e registros da Sistematização da Assistência de Enfermagem incompletos. Conclusão: como as anotações de enfermagem representam segurança ao paciente e à instituição e refletem a qualidade da assistência prestada, percebeu-se a necessidade de melhoria contínua desse processo de registros. Descritores: auditoria de enfermagem; qualidade da assistência à saúde; enfermagem.RESUMEN Objetivos: analizar los apuntes de enfermería en Unidad de Terapia Intensiva – UTI de un hospital particular e identificar las características de los registros de enfermería en UTI. Método: estudio descriptivo hecho de octubre de 2009 a enero de 2010, con instrumento de 100 apuntes de enfermería en prontuarios de pacientes de una UTI general para adultos de un hospital de Curitiba-PR. Los criterios de inclusión de registros solicitaban que fuesen pacientes adultos de ambos sexos, independientemente de la patología y/o complicaciones y el plan de la salud, con más de tres días en la UTI. Este estudio dio seguimiento a los procedimientos recomendados por la Resolución 196/96 y aprobado por la Ética en la Investigación Humana de la Universidad Tuiuti con el número 000124/2009. Resultados: entre los resultados, se destacan: ausencia de etiquetas de identificación de pacientes; apuntes con espacios en blanco, tachones y utilización de corrector ortográfico; falta de firma; chequeo incorrecto y registros de la Sistematización da Asistencia de Enfermería incompletos. Conclusión: como los apuntes de enfermería representan seguridad para el paciente y para la institución y reflejan la cualidad de la asistencia prestada, se ha percibido la necesidad de mejoría continua de ese proceso de registros. Descriptores: auditoria de enfermería; calidad de la atención de salud; enfermería.

scholarly journals THE INFLUENCE OF SUPPLIER FAIRNESS PERCEPTION AND TRUST ON THE RELATIONSHIP QUALITY OF AGRICULTURAL PRODUCT SUPPLY CHAIN

2021 ◽  
Author(s):  
YU-LING SUN ◽  
ZE-YU ZHU ◽  
HUI YANG
Keyword(s):  
Supply Chain ◽  
Relationship Quality ◽  
Positive Impact ◽  
Agricultural Product ◽  
Direct Impact ◽  
Fairness Perception ◽  
Supply Chain Relationships ◽  
The Relationship ◽  
Agricultural Supply

Suppliers are important members of the agricultural product supply chain, and their behavior decisions may have a certain impact on the sustainable development of the agricultural product supply chain. From the perspective of agricultural product supplier trust, this paper studies the direct impact of agricultural product supplier trust on relationship quality and the indirect impact of supplier fairness perception on relationship quality. Based on the survey data of agricultural product suppliers, this paper uses the structural equation model method for empirical analysis. The analysis results show that fairness perception and trust perception have a significant positive impact on the quality of agricultural supply chain relationships, among which trust perception has a positive direct impact on the quality of agricultural supply chain relationships, while fairness perception has indirect influence on the quality of agricultural supply chain relationships through trust. In addition, information sharing, price satisfaction, income level and environmental certainty have a significant positive impact on suppliers’ fairness perception. Therefore, sellers comprehensively consider the fairness perception and trust perception of suppliers, which will help improve the relationship quality of the supply chain.

scholarly journals The Art of Surgery: Balancing Compassionate With Virtual Care (Preprint)

2020 ◽  
Author(s):  
Elisheva Tamar Anne Nemetz ◽  
David Robert Urbach ◽  
Karen Michelle Devon
Keyword(s):  
Health Care ◽  
Physical Examination ◽  
Health Care Team ◽  
Body Language ◽  
Surgical Practice ◽  
Good Communication ◽  
Academic Literature ◽  
Virtual Care ◽  
Patient Groups

UNSTRUCTURED The recent drive to include virtual care in surgical practice has been accelerated due to the COVID-19 pandemic. Many physicians feel that communicating via telehealth is unlike traditional methods of providing health care, and thus guidance on maintaining excellence in communication is necessary, especially as academic literature on virtual care in surgery is nonexistent. Challenges faced in transitioning to virtual care include the inability to utilize body language, barriers to traditional physical examination, exacerbation of existing vulnerabilities and inequities in patient groups, the declining quality of medical education, and the fragmentation of the multidisciplinary health care team. This paper seeks to resolve these challenges by focusing on the pillars of good communication, including preparation, professionalism, empathy, respect, and the virtual physical examination.

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