scholarly journals Infection-associated hospitalizations of women in labour

2020 ◽  
Vol 30 (4) ◽  
pp. 739-743 ◽  
Author(s):  
Katarzyna Kopeć-Godlewska ◽  
Agnieszka Pac ◽  
Anna Różańska ◽  
Paweł Żbikowski ◽  
Jerzy Rosiński ◽  
...  
Keyword(s):  
Infection Control ◽  
Postpartum Period ◽  
Quality Of Healthcare ◽  
Population Based ◽  
Healthcare Provision ◽  
Referral Hospitals ◽  
Using Data ◽  
The One ◽  
And Control

Abstract Background The article analyzes hospitalizations of women in the postpartum period in the Małopolska Province. Re-hospitalization of women as a result of puerperal complications may be used as an infection control quality measure in this patient population. Methods It was a population-based, retrospective analysis using data obtained from the Polish National Health Fund (paying for medical services, financed by all Polish employees contributing 9% of their salaries), collected routinely in 2013–14. The analysis encompassed 29 hospitals and 68 894 childbirths. Results In total, 1.7% of women were re-hospitalized and 563 of these re-hospitalizations (0.8%) were due to infection. Re-hospitalizations due to infections were significantly more often recorded among women who lived in villages compared with inhabitants of towns (OR 1.6, 95% CI 1.23–1.98; P < 0.001) and in women giving birth in primary referral hospitals in comparison with the second referral or clinical hospitals (OR 2.8, 95% CI 1.69–4.65; P < 0.001). On the one hand, the results of the study indicate that, in patients giving birth, the infection control system is not sensitive enough, and on the other hand, more detailed studies need to cover primary referral hospitals, specifically. Conclusions The problem of the infection-associated hospitalizations in the postpartum period is not reliably assessed by infection control professionals and constitutes a challenge for surveillance, including prevention and control. Complications associated with childbirth should be an indication of the quality of healthcare provision and knowledge of the scale of the problem should be the basis for its evaluation and prevention. This is especially true for infections in puerperas.

Assessing the quality of care for paediatric depression and anxiety in Australia: A population-based sample survey

2019 ◽  
Vol 53 (10) ◽  
pp. 1013-1025
Author(s):  
Louise A Ellis ◽  
Louise K Wiles ◽  
Ruth Selig ◽  
Kate Churruca ◽  
Raghu Lingam ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Medical Records ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Population Based ◽  
Sample Survey ◽  
Additional Information ◽  
Stratified Sample ◽  
Using Data

Objective: We examine the prevalence of quality care (as measured by adherence to recommendations in clinical practice guidelines) for Australian paediatric patients (⩽15 years) with depression and/or anxiety, using data from the CareTrack Kids study; a population-based study of the quality of healthcare practice in inpatient and ambulatory healthcare settings. Methods: A multistage stratified sample identified records of 6689 children. Of these, 156 records were identified for depression and 356 for anxiety. These were assessed for adherence to 15 depression and 13 anxiety indicators, respectively, using a review of medical records. Results: Adherence to assessment and management guidelines was low for both conditions: assessment bundle (depression = 33%, 95% confidence interval = [20, 48]; anxiety = 54%, 95% confidence interval = [43, 64] and depression management bundle = 35%, 95% confidence interval = [15, 60]). Across both conditions, the highest adherence was recorded for indicators that addressed prescription of medications (e.g. venlafaxine, 100%; benzodiazepines, 100%; selective serotonin reuptake inhibitor, 94% and antidepressants, 91%), while compliance was the lowest for ensuring children with depression had an emergency safety plan (44%), informing parents of the risks and benefits of prescribed anxiety medication (51%) and assessment for other causes (59% for depression; 68% for anxiety). Conclusion: These findings suggest that strategies are needed to improve guideline adherence for mental health disorders in children and adolescents, particularly among general practitioners. Learning from these indicators could inform clinical prompts in electronic medical records, as well as links to additional information, to assist in decision-making and streamline work practices.

scholarly journals Approach to Evaluation of Quality of Medical Services

2019 ◽  
pp. 41-45
Author(s):  
M. Burichenko ◽  
O. Ivanets
Keyword(s):  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Medical Institution ◽  
Medical Services ◽  
Regression Equations ◽  
Healthcare Provision ◽  
Quality Of Health Services ◽  
Model Equations ◽  
Fisher’S Criterion

The method of estimation of quality of medical services on the basis of qualimetry depending on subjects of estimation is offered. Subjects evaluated are divided into three groups. For each group, quality indicators are defined that characterize the needs of each group. The evaluators comprise the needs of patients, the management of the medical institution and the state authorities. For each subject, a mathematical equation based on multiparametric regression is developed. The peculiarity of each equation is to take into account the factors influencing the quality of medical services of this particular group. Qualimetric method is used for quantitative assessment of the quality of medical services. The method is based on a set of multiparameter linear regression equations that allow to take into account and analyze the influence of various factors on the quality of medical services, depending on the subjects of evaluation. On the basis of processed statistics, the coefficients for each group were determined. We have checked each regression model for Fisher’s criterion adequacy. Proposed and tested model equations have become the basis for developing a methodology for assessing the quality of medical services. The proposed approach to the assessment of the quality of health services provides an opportunity to quantify the quality of the provision of medical services to consumers in a specific medical institution for different groups of subjects. But it can serve as a means of regulating the quality of healthcare provision by healthcare providers. The proposed approach allows identifying the risks that affect the quality of services. In the case of unsatisfactory quality of these services, based on the proposed approach, identify a group that does not meet the quality requirements and develop measures to address identified deficiencies as required by the international standard.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN PAJAK REKLAME PADA DINAS PELAYANAN PAJAK DAERAH PROVINSI DKI JAKARTA

2019 ◽  
Vol 12 (2) ◽  
pp. 83
Author(s):  
Dwi Ratnaningsih ◽  
Waluyo Waluyo
Keyword(s):  
Tax Compliance ◽  
Sampling Technique ◽  
Survey Method ◽  
Tax Base ◽  
Negative Effect ◽  
The One ◽  
And Control ◽  
The Relationship ◽  
Tax Fairness

<p class="Style1">Tax compliance is an important aspect to achieve maximum tax revenue target. This study aims to determine the relationship among variables Knowledge Taxpayer, Rates &amp; Tax Base, Complexity of The Rules, Tax Fairness, Administration and Advertisement Tax Procedures , Quality of Tax Officer, Penalties, Inspection And Control of The Billboard with the compliance of advertisement tax to the Local Tax Department of DKI Jakarta. This research was conducted by questionnaire survey method. The population in this study is advertisement tax payer, the one who serving advertisement in Jakarta. The sampling technique is purposive sampling random sampling, which in this case is limited to a specific subject that can provide the desired information. A total of 100 samples was selected based on the selection of this sample. The data was processed by multiple regression method. The results of this study show that the variable Taxpayers Knowledge, Tax fairness, Sanctions and Investigation and Control Billboard positive effect on advertisement tax compliance on the Local Tax Department of DKI Jakarta. Rates and Tax Base, as well as the complexity of the Regulation have a negative effect on the advertisement tax compliance. While the service factors that Administration and Procedures and Officer quality does not affect the advertisement tax.</p>

Treating Tongue-Tie: Assessing the Relationship Between Frenotomy and Breastfeeding Symptoms

2014 ◽  
Vol 5 (1) ◽  
pp. 20-27 ◽  
Author(s):  
James W. Ochi
Keyword(s):  
Support Group ◽  
Preliminary Evidence ◽  
Control Group ◽  
Breastfeeding Support ◽  
The One ◽  
Post Hoc ◽  
And Control ◽  
The Relationship ◽  
Question Survey

Objective: Ankyloglossia (or “tongue-tie”) may increase the risk for newborn breastfeeding symptoms. Lingual frenotomy is the standard treatment for ankyloglossia, but its efficacy at improving the quality of infant breastfeeding has received little formal study. We developed an original 10-question survey of mother and newborn breastfeeding symptoms that are typically observed with ankyloglossia. Possible survey scores ranged from 10 (minimal breastfeeding symptoms) to a maximum of 50 (extreme symptoms). We predicted that survey scores should decrease after lingual frenotomy.Method: The survey was administered to mothers of 20 newborns with ankyloglossia, before lingual frenotomy, and about 2 weeks after. The control group consisted of 15 breastfeeding dyads recruited from a breastfeeding support group who filled out the survey twice at 2-week intervals. A 2 × 2 mixed-methods ANOVA was conducted to test for an interaction between group and time.Results: Post hoc analysis of simple effects provided evidence that (a) the frenotomy group had higher survey scores than the control group before intervention and (b) the frenotomy-group survey scores decreased after the intervention. No significant score differences were observed between the frenotomy and control groups after the intervention, and the control group scores did not show a statistically significant decrease over time.Conclusions: The study provides preliminary evidence for the effectiveness of lingual frenotomy for reducing breastfeeding symptoms associated with ankyloglossia. Furthermore, the study suggests that the use of surveys, such as the one in this study, may help with assessment for ankyloglossia.

scholarly journals Iron-Rich Salt and Antioxidants from Sea Sponge with Added Moringa Leaves as Potential Food Ingredients in Efforts to Alleviate Anemia

2021 ◽  
Vol 1 (1) ◽  
pp. 1-11
Author(s):  
Fahrul Nurkolis ◽  
Dian Aruni Kumalawati ◽  
Reza Sukma Dewi ◽  
Maizer Said Nahdi ◽  
Defny Silvia Wewengkang ◽  
...  
Keyword(s):  
Antioxidant Activity ◽  
Moisture Content ◽  
Deficiency Anemia ◽  
Food Ingredients ◽  
Three Samples ◽  
High Prevalence ◽  
Using Data ◽  
The One ◽  
Theoretical Science ◽  
And Control

Based on the high prevalence of anemia of more than 24% population affected, the natural potential of Indonesia such as Sponge and Moringa leaves to be a salt product high in iron, and interconnection between this theoretical science and Islamic studies related to the utilization of natural materials, we want to explore how potential be a product that can be one of the efforts to alleviate anemia. Initial data collection to explore sponge types and types of plants rich in iron was done using data search portal NCBI (National Center for Biotechnology Information, USA) in the last five years starting from 2016/03/30 to 2021/03/28. Samples were formulated based on the comparison of seawater, sponge (Spongia sp), and moringa leaves in a composition as follows: Sample A (1:1:0.05),  sample B (1:1:0.25), sample C (1:1:0.5) and control that did not use the addition of Moringa leaves (1:1). The analysis included testing antioxidant activity using DPPH, moisture content, NaCl, impurities sulfate, magnesium, calcium, and iron levels which were all done in three repetitions of each sample or triplicates and using analytical methods from the Association of Official Analytical Chemists (AOAC).Sponge sp is a type of sea sponge that is easy to find in the Indonesian country and can be combined with moringa leaves whose availability is also abundant in Indonesia, as a potential salt high in iron. This study obtained salt granules as much as 0.92 ± 0.22 kg. There was no difference in the results of salt granules from each sample, and there was no difference in the level of fineness of salt granules, namely 20-35 mesh or equivalent to crude salt. However, there were differences in the level of chemical it contains. Samples B, C, and control correspond to SNI 3556:2016 based on percentage of  moisture content, Fe, calcium impurities, sulfate impurities, and magnesium impurities in all three samples. However, it is known that sample C is the one that has the highest iron levels compared to B and control samples, which means that sample C is the best sample and has antioxidant activity that is in line with the purpose of this study, which is an effort to alleviate iron deficiency anemia. This salt is also a salt that is Halal Tayyiban, which means not only halal but also good and healthy if consumed.

scholarly journals Quality of the hospital infection control programs: an integrative review

2020 ◽  
Vol 41 ◽  
Author(s):  
André Luiz Silva Alvim ◽  
Bráulio Roberto Gonçalves Marinho Couto ◽  
Andrea Gazzinelli
Keyword(s):  
Infection Control ◽  
Web Of Science ◽  
Hospital Infection ◽  
Structural Elements ◽  
Control Programs ◽  
Final Sample ◽  
Hospital Infection Control ◽  
Process And Outcome ◽  
And Control

ABSTRACT Objective: To analyze the quality of health in relation to the components of structure, process, and outcome in actions for the prevention and control of infections. Method: An integrative literature review in the LILACS, Web of Science, Scopus, and SciELO databases. The time delimitation covered articles published between January 2009 and May 2019. Results: The final sample consisted of 10 articles published, mainly in Scopus (60%), and in Web of Science (30%). The structural elements varied among the study countries, suggesting opportunities for improvement of organizational characteristics and human resources. Regarding the process of the implemented routines, inconsistencies were found to comply with the guidelines. The result component was not emphasized among the studies included in the review. Conclusion: The quality of hospital infection control programs has yet to be improved among the health services, highlighting the need for investment in the structure, process, and outcome components.

Determinants of Homonym and Synonym Rates of Record Linkage in Disease Registration

1996 ◽  
Vol 35 (01) ◽  
pp. 19-24 ◽  
Author(s):  
I. Schmidtmann ◽  
H. Brenner
Keyword(s):  
Quality Assessment ◽  
Record Linkage ◽  
Population Based ◽  
The Other ◽  
Linkage Studies ◽  
Discriminating Power ◽  
Number Of Patients ◽  
Disease Registries ◽  
The One

AbstractReliable record linkage is an essential component of the quality of population-based disease registration. Quality assessment of disease registries should, therefore, include quantitative approaches to describe the extent of record-linkage errors. The homonym and synonym rates have been proposed for this purpose. The homonym rate quantifies the proportion of distinct patients excluded from registration due to erroneous linkage with other patients. The synonym rate quantifies the proportion of unrecognized duplicate notifications on patients already registered in the registry. This paper provides an algebraic assessment of the determinants of both rates. It is shown how the homonym and the synonym rate are determined by the discriminating power provided by the personal identifiers and the record linkage procedure on the one hand and the specific circumstances of disease registration on the other hand, such as the number of patients in the registry or the number of notifications per case. All these factors should be taken into account when reporting and interpreting results of record-linkage studies, particularly if comparisons are made between the performance of record-linkage procedures in different environments.

scholarly journals Outcome of multifaceted interventions for improving the quality of antenatal care in Nigerian referral hospitals

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Friday Ebhodaghe Okonofua ◽  
Lorretta Favour Chizomam Ntoimo ◽  
Bola Ekezue ◽  
Victor Ohenhen ◽  
Kingsley Agholor ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Antenatal Care ◽  
Trial Registration ◽  
Central Hospital ◽  
Referral Hospitals ◽  
Registration Number ◽  
Multifaceted Interventions ◽  
Clinical Trials Registry ◽  
And Control

Abstract Background The study was designed as quasi-experimental research to investigate the effectiveness of multifaceted interventions for improving the quality of antenatal care in referral hospitals in Nigeria. Two referral hospitals (the Central Hospital in Benin City, South-South Nigeria, and the General Hospital in Minna) served as intervention sites, while two hospitals in comparable locations, (the Central Hospital Warri and the Suleja Hospital Abuja) were the control hospitals. Methods Intervention activities consisted of the introduction of a strategic plan with the shared vision of reducing maternal mortality by 50% in 1 year in the hospitals; staff training and re-training; the establishment of an automated appointment system; composite health education involving couples and providers; advocacy with policymakers; and the implementation of maternal death reviews and surveillance. These activities were implemented in the intervention hospitals over 21 months (October 2017 to June 2019). Exit interviews of pregnant women at intervention and control sites by trained interviewers were used to assess the quality of antenatal care after their visit, A total of 777 women were interviewed (427 in the intervention sites and 350 in the control sites). Data were analyzed with univariate and multivariate Poisson and logistic regression to determine the extent to which health providers in the clinics completed the 18 signal functions identified in the WHO assessment tool. Results The regression analyses showed the interventions were effective in improving six quality indicators (QIs) for counseling and information sharing. The difference between intervention and control sites on these QIs was significant at < 0.05. On the contrary, the interventions were less effective for maternal and fetal measurements; and disease testing and management QIs. Conclusion The positive effects of the interventions are likely due to the effectiveness of the training and health education components. The lack of intervention impact observed for maternal and fetal measurements may be due to the high workload of care staff and inadequate clinic supplies, which we did not address. We conclude that interventions that address the quality of antenatal care in low-resource settings should focus on improving all elements of care, including adequate staffing and mobilization of material resources. Trial registration This study was registered in the ISRCTN on August 14th, 2020. Trial Registration Number. SRCTN17985403. Retrospective registration. The reason for the retrospective registration is the current non-recognition of the Nigeria Clinical Trials Registry (NCTR); which is currently not an ICMJE or WHO ICTRP approved registry. (This study was registered in the Nigeria Clinical Trials Registry on April 14th, 2016. Trial Registration Number NCTR No: 91540209).

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