scholarly journals 481 Improving the Quality of Pelvic Radiographs - Making A Difference One Picture at A Time

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Saleem ◽  
S Parikh ◽  
T Parratt
Keyword(s):  
Patient Safety ◽  
Retrospective Analysis ◽  
General Hospital ◽  
Clinical Outcomes ◽  
International Guidelines ◽  
Pelvic Radiographs ◽  
Making A Difference ◽  
Compromise Patient Safety ◽  
Repeat Imaging

Abstract Inadequate pelvic radiographs can lead to missed pathology, necessitate repeat imaging, and subsequently compromise patient safety. The audit conducted aimed to assess and improve the quality of pelvic radiographs at our Trust against local and international guidelines. Retrospective analysis of pelvic radiographs over a one-month period using PACS at Colchester General Hospital was conducted. All pelvic radiographs were assessed according to International Guidelines (EUR 16250EN). Postoperative radiographs were measured against local guidelines. The results were then presented in the departmental meeting and a re-audit was performed in June 2020. A total of 190 pelvic radiographs were collected in September 2019. From the 23 postoperative radiographs, 9 did not include distal end of prosthesis. During the re-audit in June 2020 the same number of pelvic images were collected. Data showed that only 2 out of 29 postoperative images did not include the distal end of the prosthesis. The audit demonstrated need for improvement at our Trust. This was carried out through a presentation in the departmental meeting, highlighting areas that needed improvement. The re-audited results from June 2020 have shown an improvement in the quality of pelvic radiographs and have had direct implications in clinical outcomes.

Healthcare Epidemiology is the Paradigm for Patient Safety

2002 ◽  
Vol 23 (1) ◽  
pp. 47-51 ◽  
Author(s):  
William E. Scheckler
Keyword(s):  
Patient Safety ◽  
The United States ◽  
Lessons Learned ◽  
Institute Of Medicine ◽  
Hospital Epidemiology ◽  
Making A Difference ◽  
Control And Prevention ◽  
Quality Of Medical Care ◽  
Healthcare Epidemiology

I was honored to receive the 2001 Lectureship Award from the Society for Healthcare Epidemiology of America (SHEA). It was my intent during the talk to review our field and implications that some of the new initiatives called “patient safety” have for our expertise. This article is based on the SHEA Lectureship that was given April 1, 2001, at the SHEA Annual Meeting in Toronto, Ontario, Canada.This article consists of four sections. First, I review lessons learned from colleagues during the 33 years that I have been associated with the field of hospital epidemiology and infection control, since my first days at the Centers for Disease Control and Prevention (CDC). Second, I explore issues raised by the Institute of Medicine (IOM) report on patient safety, adverse events, and medical errors, evaluating research that went into the extrapolation of the numbers of preventable deaths that this report highlighted. Those deaths gained everyone's attention. Third, I review the field of healthcare epidemiology, highlighting the three decades of success in our field in enhancing the safety of patients, improving their outcomes, and making a difference in the quality of medical care received in the United States. Finally, I discuss the challenges that hospital epidemiology currently faces and the opportunities that come with the expertise we have developed during more than 30 years.

scholarly journals OASIS 1: Retrospective analysis of four different microprocessor knee types

2020 ◽  
Vol 7 ◽  
pp. 205566832096847
Author(s):  
James H Campbell ◽  
Phillip M Stevens ◽  
Shane R Wurdeman
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Retrospective Analysis ◽  
Clinical Outcomes ◽  
Functional Mobility ◽  
Current Analysis ◽  
Injurious Falls ◽  
Life Values

Introduction Microprocessor knee analyses to date have been primarily limited to microprocessor knees as a category rather than comparisons across different models. The purpose of the current analysis was to compare outcomes from four common knee models. Methods A retrospective analysis of clinical outcomes was performed. Outcomes for functional mobility, quality of life, satisfaction with amputee status, and injurious falls were compared. Specific knee types represented were C-Leg (Ottobock), Orion (Blatchford), Plié (Freedom Innovations), and Rheo (Össur). Results Outcomes from 602 individuals were included. No significant differences were noted for functional mobility (H = 2.91, p = 0.406) or satisfaction (H = 4.43, p = 0.219). For quality of life, differences existed for C-Leg versus Plié (p = 0.010). For injurious falls, C-Leg (χ2(1,137) = 10.99, p < 0.001) and Orion (χ2(1,119) = 4.34, p = 0.037) resulted in significantly reduced injurious falls compared to non-microprocessor knee users. C-Leg (H = 19.63, p < 0.001) and Plié (H = 14.04, p = 0.003) users saw declines with advanced aging. Conclusions Our data indicate relative parity among the 4 microprocessor knees with regard to functional mobility and satisfaction. In contrast to mobility, neither satisfaction nor quality of life values reflected declines with aging. Finally, when compared to non-microprocessor knees, significant differences were observed across the microprocessor knee types in relation to the reduction of injurious falls. Keywords: MPK, mobility, quality of life, falls, amputee, outcomes

scholarly journals Strategy to increase the quality of service and safety patients in the hospital Imelda Medan 2020

2021 ◽  
Author(s):  
Monica Putri ◽  
Ermi Girsang ◽  
Linda Chiuman ◽  
Ulina Karo Karo
Keyword(s):  
Quality Of Service ◽  
Patient Safety ◽  
Health Services ◽  
General Hospital ◽  
Urban Areas ◽  
Swot Analysis ◽  
International Standards ◽  
Sample Method ◽  
Depth Interviews

Background: Currently, health services have very important demands, including services in hospitals that must be professional with international standards. Health services no longer only focus on patient satisfaction but also focus more on patient safety (patient safety). The aim of the study was to determine the strategy for improving the quality of service and patient safety at the Imelda General Hospital in 2020.  Methods: This research used descriptive qualitative research with an inductive approach. The data used in this study came from in-depth interviews with respondents. The population was drawn from organizational staff at the Imelda Hospital Medan, namely the medical committee, nursing committee, PMKP committee, PPI committee and materials. The sample method used is exhaustive sampling.Results: Based on the research results obtained, the Imelda Hospital Medan is included in a hospital that is able to compete in a competitive market, especially in urban areas. Based on the SWOT analysis, the Imelda Medan General Hospital is able to take advantage of the existing strengths and opportunities with the results of IFE= 2.52 and EFE= 2.50 and are in cell V in the IE matrix.Conclusions: So, the strategy used in determining the strategy for improving quality and patient safety at the Imelda Hospital, Medan in 2020 is hold and maintain, which means maintaining and maintaining existing policies but does not rule out the possibility to improve for the better.

scholarly journals Inadequate pelvic radiographs: implications of not getting it right the first time

2017 ◽  
Vol 99 (7) ◽  
pp. 534-539 ◽  
Author(s):  
S Parker ◽  
NS Nagra ◽  
K Kulkarni ◽  
J Pegrum ◽  
S Barry ◽  
...  
Keyword(s):  
Patient Safety ◽  
Working Hours ◽  
Economic Implications ◽  
Out Of Hours ◽  
European Guidelines ◽  
Pelvic Radiographs ◽  
Pelvic Radiograph ◽  
Significant Difference ◽  
Picture Archiving And Communication ◽  
Repeat Imaging

Introduction Pelvic radiography is a frequent investigation. European guidelines aim to ensure appropriate use and adequate quality. When initial images are inadequate, repeat radiographs are often required, which may have significant patient safety and economic implications. Objectives The study aimed to assess the adequacy of pelvic imaging across three orthopaedic centres, to identify causes for inadequate imaging and to establish the cost of inadequate imaging from financial and patient safety perspectives. Methods Pelvic radiographs were identified on Picture Archiving and Communication System software at three UK hospitals. Radiographs were assessed against European guidelines and indications for repeat imaging were analysed. Results A total of 1,531 sequential pelvic radiographs were reviewed. The mean age of patients was 60 years (range 5 months to 101 years). Of this total, 51.9% of images were suboptimal, with no significant difference across the three hospitals (P > 0.05). Hospital 3 repeated radiographs in 6.3% of cases, compare with 18.1% and 19.7% at hospitals 1 and 2, respectively (P > 0.05). Hospital 3 identified pathology missed on the initial radiograph in 1% of cases, compared with 5.4% and 5.5% at hospitals 1 and 2, respectively (P > 0.05). Out-of-hours imaging is associated with a higher rate of suboptimal quality (69.1%) compared with normal working hours (51.3%; P = 0.006). Adequacy rates vary with age (χ 2 = 43.62, P < 0.001). Risk of having a suboptimal radiograph increases above the age of 60-years (χ 2 = 4.45, P < 0.05). The annual cost of repeat radiographs was £56,200 per hospital. Discussion and conclusion High rates of pelvic radiograph inadequacy can lead to missed pathology and the requirement for repeat imaging, which has significant patient safety and financial implications. Risk factors for inadequate radiographs include older patients and those having out-of-hours imaging.

Comorbid PTSD in Bipolar Patients: Clinical Outcomes and Quality of Life

2009 ◽  
Author(s):  
Lucas Quarantini ◽  
Angela Miranda-Scippa ◽  
Monica Nascimento ◽  
Flavio Kapczinski ◽  
Karestan Koenen
Keyword(s):  
Quality Of Life ◽  
Clinical Outcomes ◽  
Bipolar Patients

393-P: Association of Hypoglycemia Prevention Measures with Quality of Life: A Retrospective Analysis of Electronically-Reported Patient Data

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 393-P
Author(s):  
KHAWLA F. ALI ◽  
LIMA LAWRENCE ◽  
LAUREN A. BUEHLER ◽  
RONALD R. GAMBINO ◽  
MARWAN HAMATY
Keyword(s):  
Quality Of Life ◽  
Retrospective Analysis ◽  
Patient Data ◽  
Prevention Measures

ДИАГНОСТИКА ХРОНИЧЕСКИХ ИНДУЦИРОВАННЫХ КРАПИВНИЦ

2019 ◽  
pp. 5-13
Author(s):  
E.Yu. Borzova
Keyword(s):  
Quality Of Life ◽  
Biological Therapy ◽  
Treatment Algorithm ◽  
The Novel ◽  
International Guidelines ◽  
Systemic Reactions ◽  
Significant Impairment ◽  
Challenge Tests

Хронические индуцированные крапивницы имеют важное социальноэкономическое значение вследствие риска развития системных реакций и значительного снижения качества жизни пациентов. Диагностика хронических индуцированных крапивниц основывается на анамнестических данных и проведении провокационных тестов. Современный протокол ведения больных хронической крапивницей включает применение неседативных антигистаминных препаратов. Международные согласительные документы по лечению крапивницы рекомендуют 4кратное увеличение суточной дозы неседативных антигистаминных препаратов при их неэффективности в стандартных дозах. Данные метаанализа указывают на эффективность омализумаба при хронических индуцированных крапивницах. В перспективе ожидается расширение арсенала генноинженерной биологической терапии хронических индуцированных крапивниц.Chronic inducible urticarias are characterized by the risks of systemic reactions and a significant impairment of patients quality of life. The diagnosis of chronic inducible urticarias relies on the patients history and the challenge tests. A treatment algorithm for the management of chronic inducible urticarias includes nonsedating antihistamines as a firstline treatment. The international guidelines for the management of chronic inducible urticarias recommend updosing of nonsedating antihistamines up to four fold if standard doses are not effective. The metaanalysis suggests the efficacy of omalizumab in chronic inducible urticarias. In the prospect, the novel options of biological therapy for chronic inducible urticarias are expected.

Sign in / Sign up

Export Citation Format

Share Document