scholarly journals 1643 Quality Assessment of Intra-Oral Radiography Within Two Hospitals in South Wales, UK: A Two-Cycle Audit and Introduction to The Updated 2020 Public Health England Quality Grading System

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Aruede ◽  
S Jenkins
Keyword(s):  
Hospital Setting ◽  
Skills Training ◽  
Grading System ◽  
Performance Targets ◽  
South Wales ◽  
Hands On ◽  
National Performance ◽  
Quality Grading ◽  
The Impact

Abstract Aim To evaluate the quality of intra-oral radiographs taken within two hospitals in South Wales, United Kingdom, and assess the impact of radiographer training, with the aim of reducing the percentage of undiagnostic radiographs to 10% or less in accordance with national performance targets. Method Details of intra-oral periapical and occlusal radiographs taken in the two hospitals between the 1st July 2015 and the 30th June 2016 were retrieved. 100 radiographs were randomly selected and assessed. Change was then implemented in the delivery of radiographer training workshops, which involved two hours of both didactic teaching and hands-on skills training. There were 10 workshops and 52 attendees. A second audit cycle was completed, with a further 100 radiographs randomly selected from the 1st December 2018 and 30th April 2019. Results There was a 33.2% reduction of undiagnostic radiographs, bringing the total down to 6.3%, meeting the standards of the audit. Feedback from the workshops were also extremely positive; 50% of radiographers grading the quality of the workshops at 10/10. Conclusions The workshops were successful in improving the quality of intra-oral radiographs, therefore improving the quality of this service. This blueprint can be shared amongst other hospitals, to sustainably improve the overall quality of dental radiography in the hospital setting. Recent updated guidance in 2020 introduced a new two-point scale radiograph grading system: ‘Acceptable’ and, ‘not acceptable’. Radiographs graded as, ‘not acceptable’, should account for no more than 5% of radiographs. Future audit cycles will follow this new grading system and standard.

scholarly journals ASSESSMENT OF DERMATOLOGICAL LIFE QUALITY INDEX AND CARDIFF ACNE DISABILITY INDEX IN PATIENTS ATTENDING OUR COLLEGE OPD

2020 ◽  
pp. 1-2
Author(s):  
Arshi Farista* ◽  
Sowmya Manangi
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Older Patients ◽  
Quality Index ◽  
Acne Vulgaris ◽  
Life Quality ◽  
Grading System ◽  
Psychosocial Sequelae ◽  
The Impact

Background:Acne vulgaris is known to impair many aspects of quality of life. Acne is a common problem in adolescent children and adults. Aims: Astudy was undertaken to measure the impairment of quality of life of patients of acne vulgaris and correlate it with the severity of lesions. This study was aimed to assess the impact of acne and its sequelae on the DQLI and CADI Materials and methods: This was a hospital based prospective study done between September 2018 to march 2019 on 170 patients coming to our college opd. Acne vulgaris and its sequelae were graded using global acne grading system. The DLQI and CADI score were recorded by giving the patients a set of questionnaire. General use of cosmetics and other history related to diet and habits were noted. Results: the over all CADI SCORE were low indicating a mild impairement. Out of 170 patients 110 were girls and 60 were boys. Almost 95% patients had applied fair and lovely. The severity of acne progressively lessened in older patients. Mean DLQI score was 5.3. DQLI score were statistically inuenced by the age of the patient , duration of andgrade of acne , acne scars and post hyperpigmentation. Conclusion: the study showed CADI SCORE AND DLQI were low indicating mild imapirement. Assurance and counseling along with early treatment of acne vulgaris are important to reduce disease-related psychosocial sequelae and increase the efcacy of treatment.

'Hands on, Hands off': a model of clinical supervision that recognises trainees' need for support and independence

2010 ◽  
Vol 34 (3) ◽  
pp. 286 ◽  
Author(s):  
Rick Iedema ◽  
Suzanne Brownhill ◽  
Mary Haines ◽  
Bill Lancashire ◽  
Tim Shaw ◽  
...  
Keyword(s):  
Clinical Supervision ◽  
Hospital Setting ◽  
Rural Hospital ◽  
Depth Information ◽  
Junior Doctors ◽  
Supervisory Support ◽  
Medical Supervision ◽  
Hands On ◽  
Being There

Rationale.This article presents a study of junior doctor supervision at a rural hospital. The objective of the present study was to gain insight into the types of supervision events experienced, the quality of supervisory relationships, the frequencies of supervision contact in a rural hospital setting, and the implications of these factors for supervision practice. Methods.A cohort of junior doctors was asked to provide in-depth information about their interactions with their supervisors and other relevant clinical colleagues. The information was filled in on diary sheets to capture the nature, focus and quality of the cohort’s supervision experiences over 2 weeks. The information also covered frequency and types of supervisory contacts. Results.The quantitative data reveals that supervisory events occur predominantly as part of ongoing patient care and rarely off-line as part of targeted supervisory practice. The qualitative data analysis reveals that junior doctors value supervisory support of two kinds: assistance from more senior clinicians who are expert in areas where trainees need help, and trust to act independently, without being abandoned. Conclusion.Supervision must be both structured and dynamic. Besides providing a regular forum for discussion and reflection, supervision must accommodate the variable needs of individual junior doctors and navigate between being hands-on and hands-off. Such dynamic approach is necessary to reassure junior doctors they are in a ‘zone of safe learning’ where they can act with adequate and flexible support and negotiate changes in supervisory attention. What is known about the topic?Research is recognising the challenges of treatment complexity and unexpected outcomes faced by junior doctors. These factors mean that supervision needs to include dealing with the experiential and interpersonal aspects of junior doctors’ clinical work. It is also recognised that the supervisory relationship remains to be investigated in depth. Further, because supervision guidelines in Australia are still under development, they do not as yet specify senior doctors’ or registrar’s supervisory accountabilities. Relying on conventional approaches to managing medical supervision, hospitals and associated medical schools are struggling to ensure that supervising doctors’ perceptions of and approaches to supervision are aligned with emerging definitions of effective supervision. What does this paper add?The ‘hands on, hands off’ model developed here enriches post-graduate medical curricula on two fronts. First, it advises supervisors that they need to be hands-on, practising ‘active supervision’. This involves regular and structured contact with junior doctors to enhance the safety and quality of the care provided by them. Second, it advises supervisors to be hands-off, practising ‘passive supervision’. This involves ‘trustful’ monitoring junior doctors’ everyday work and negotiating with them their unique and changing learning trajectories. What are the implications for practitioners?The model proposed here has three implications for practitioners. First, the model posits that medical supervision is about ‘being there’. Junior doctors set great store by being granted ready access to advice and help if and when that is needed. Second, the model emphasises that junior doctors expect to gain supervisors’ trust to act independently albeit with supervisory access and guidance being readily available. Third, junior doctors’ needs change, not necessarily in a linear, uni-directional way. For supervisors, this means that they need to devise regular feedback opportunities for their trainees to articulate their developments, concerns and changing needs.

scholarly journals The impact of hospital accreditation on the quality of healthcare: a systematic literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed Hussein ◽  
Milena Pavlova ◽  
Mostafa Ghalwash ◽  
Wim Groot
Keyword(s):  
Empirical Studies ◽  
Hospital Setting ◽  
Quality Of Healthcare ◽  
Hospital Accreditation ◽  
Hospital Readmission Rate ◽  
Reasonable Evidence ◽  
Registration Number ◽  
Meta Analyses ◽  
The Impact

Abstract Background Accreditation is viewed as a reputable tool to evaluate and enhance the quality of health care. However, its effect on performance and outcomes remains unclear. This review aimed to identify and analyze the evidence on the impact of hospital accreditation. Methods We systematically searched electronic databases (PubMed, CINAHL, PsycINFO, EMBASE, MEDLINE (OvidSP), CDSR, CENTRAL, ScienceDirect, SSCI, RSCI, SciELO, and KCI) and other sources using relevant subject headings. We included peer-reviewed quantitative studies published over the last two decades, irrespective of its design or language. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, two reviewers independently screened initially identified articles, reviewed the full-text of potentially relevant studies, extracted necessary data, and assessed the methodological quality of the included studies using a validated tool. The accreditation effects were synthesized and categorized thematically into six impact themes. Results We screened a total of 17,830 studies, of which 76 empirical studies that examined the impact of accreditation met our inclusion criteria. These studies were methodologically heterogeneous. Apart from the effect of accreditation on healthcare workers and particularly on job stress, our results indicate a consistent positive effect of hospital accreditation on safety culture, process-related performance measures, efficiency, and the patient length of stay, whereas employee satisfaction, patient satisfaction and experience, and 30-day hospital readmission rate were found to be unrelated to accreditation. Paradoxical results regarding the impact of accreditation on mortality rate and healthcare-associated infections hampered drawing firm conclusions on these outcome measures. Conclusion There is reasonable evidence to support the notion that compliance with accreditation standards has multiple plausible benefits in improving the performance in the hospital setting. Despite inconclusive evidence on causality, introducing hospital accreditation schemes stimulates performance improvement and patient safety. Efforts to incentivize and modernize accreditation are recommended to move towards institutionalization and sustaining the performance gains. PROSPERO registration number CRD42020167863.

scholarly journals Compassion Training: The Missing Link in Healthcare Education?

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Kirsten Deleo ◽  
Angela Anderson ◽  
Crystal Cullerton-Sen
Keyword(s):  
Professional Education ◽  
Skills Training ◽  
City Hospital ◽  
Missing Link ◽  
Training Models ◽  
Self Compassion ◽  
Care Workers ◽  
Hands On ◽  
Whole Person

Compassion is an essential skill in whole person care. But, can it be cultivated through training?Current research in neuroscience elucidates the mechanisms of empathy and compassion and provides a new framework for professional education. It suggests that clinical detachment is neither effective for ensuring good care, nor a realistic strategy to prevent burnout. Cultivating compassion on the other hand, increases non-judgmental awareness, builds resilience, and enables us to respond more effectively to others’ needs with greater empathy (Frickson, 2008, Klimecki, 2102, Lutz, 2004). Moreover, it is a skill we can learn (Wasner et al, 2005, Lutz 2009). Despite these findings, however, training in compassion is largely absent in current professional curricula.Presenters will review current findings on compassion and its benefits, and demonstrate how we can train in it using examples from two unique compassion skills-training curricula: (1) a training for pediatric residents working in an inner-city hospital and (2) a certificate program in contemplative end-of-life care for hospice/palliative care workers. These models are inspired by the contemplative tradition of Tibetan Buddhism, with its long-standing and effective methodologies for deepening the human capacity for compassion. This approach has formed the basis of many scientific studies on compassion and the emerging field of contemplative-based, secular training models (Lutz, 2009). Participants engage in contemplations on compassion as well as mindfulness and meditation. The aim is to support clinicians to generate self-compassion - the foundation for building resilience and extending compassionate care – thereby improving communication and the overall quality of care.The workshop will introduce key principles, feature hands-on experience of selected methods, and include a discussion of the potential impact on the greater healthcare system.A wider implementation of compassion training promises to be the missing link for building a fulfilling clinical practice and strengthening our capacity to provide effective whole-person care.

Technology-Based Marketing in the Healthcare Industry

2011 ◽  
pp. 37-56
Author(s):  
Grace Johnson ◽  
Anand Kumar ◽  
Arkalgud Ramaprasad ◽  
Madhusudhan Reddy
Keyword(s):  
Hospital Setting ◽  
Web Technology ◽  
Insurance Companies ◽  
Healthcare Industry ◽  
Web Based ◽  
Quality Of Patient Care ◽  
The Impact ◽  
The Relationship ◽  
Clinic Hospital

In this chapter, we focus on the impact of Web-based technology on marketing practices within the healthcare industry and its impact on the relationships between the major players in the industry. In particular, we focus on the relationship between the patient and his/her physician. The first part of the chapter examines the dynamics of this relationship in the context of exchanges and interactions that patients and physicians have with the pharmaceutical and insurance companies, i.e., players outside the clinic/hospital setting. We present a simple conceptual model that shows how relationships in the industry have evolved as a result of technologically driven marketing practices. In the second part of the chapter, we examine how Web technology affects the way in which players and processes inside the clinic/hospital setting influence the patient-physician relationship. Specifically, we explore how Web technology streamlines administration within a clinic/hospital, increases patient education about their illness, enhances communication between patients and physicians and leads to an overall improvement in the quality of patient care. We balance our discussion of the virtues of Web technology by briefly discussing thorny legal and public policy issues that have been raised by the use of this technology in the healthcare industry.

The Impact of Education Groups for People with Schizophrenia on Social Functioning and Quality of Life

1996 ◽  
Vol 168 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Denise A. Coia ◽  
W. Harper Gilmour ◽  
Janice P. Harper
Keyword(s):  
Quality Of Life ◽  
Social Functioning ◽  
Skills Training ◽  
Control Group ◽  
Community Based ◽  
Education Group ◽  
Set Up ◽  
Education Groups ◽  
The Impact

BackgroundEducation groups for people with schizophrenia have tended to concentrate on compliance with medication. This study examines impact on social behaviour and quality of life.MethodA catchment-wide service was set up for community-based patients. Patients who indicated an interest in education groups were randomly allocated to either an education group or a waiting list control group. Those who attended groups were compared with the control group.ResultsAbout one-quarter of community-based patients showed interest in attending education groups. Those who attended showed no change in mental state or compliance with medication (already high) but significant gains in quality of life, social functioning and social networks.ConclusionsFor patients who choose to attend education groups significant gains in social functioning and quality of life are possible without specific skills training.

scholarly journals Comparative Study of Traditional, Simulated and Real Online Remote Laboratory: Student's Perceptions in Technical Training of Electronics

2021 ◽  
Vol 17 (05) ◽  
pp. 33
Author(s):  
Amine Moulay Taj ◽  
Ernesto Fabregas ◽  
Abdelmoula Abouhilal ◽  
Naima Taifi ◽  
Abdessamad Malaoui
Keyword(s):  
Communication Networks ◽  
Practical Method ◽  
Levels Of Abstraction ◽  
Hands On ◽  
Remote Labs ◽  
Students Attitudes ◽  
Technology And Communication ◽  
The Impact ◽  
Student's Perceptions

The developments in technology and communication networks have enabled the possibility of establishing virtual and remote labs, providing new opportunities for students on campus and at a distance overcoming some of the limitations of hands-on labs. The impact of innovations on students' performance can be analyzed statistically by looking at specific skills or indicators, respectively. This paper addresses the lack of empirical evidence supporting electronics education innovations in three practical teaching methods, namely, hands-on, simulation, and online remote real labs. The paper reports on the application of a methodology that takes into account the interaction between students and teachers at different levels of abstraction to evaluate a DC motor laboratory practice, on 150 students at the Polydisciplinary Faculty of Beni Mellal in Morocco. In this work the students' attitudes towards a specific practical method depend on its usefulness, usability, motivation and quality of understanding; these parameters were measured using a questionnaire that considers the relationship between the student, the teacher and the practical work environment. The data collected in each type of experiment environment were was tabulated and analyzed by statistical methods. The results validate the students' satisfaction towards the environments of practical works and identify some aspects that need to be improved in future works.

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