scholarly journals Multicentre cross-sectional study on adverse events and good practices in maternity wards in Brazil and Mexico: same problems, different magnitude

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e030944
Author(s):  
Kelienny de Meneses Sousa ◽  
Isac Davidson Santiago Fernandes Pimenta ◽  
María Fernández Elorriaga ◽  
Pedro Jesus Saturno-Hernandez ◽  
Tatyana Maria Silva de Souza Rosendo ◽  
...  
Keyword(s):  
Adverse Events ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Process Measures ◽  
Good Practices ◽  
Tertiary Hospitals ◽  
Quality Of Delivery

ObjectiveTo evaluate the quality of delivery care in maternity wards in Brazil and Mexico based on good practices (GP) and adverse events (AE), in order to identify priorities for improvement.DesignA multicentre cross-sectional study with data collection from medical records between 2015 and 2016 to compare indicators of maternal and neonatal GP and EA based on the Safe Childbirth Checklist and standardised obstetric quality indicators. Two Brazilian and five Mexican maternity wards participated in the study. Descriptive statistics and χ2tests were performed to assess performance and significant differences between the hospitals investigated.SamplingWe analysed 720 births in Brazil and 2707 in Mexico, which were selected using a systematic random sampling of 30 medical records every fortnight for 12 2-week periods in Brazil and 18 2-week periods in Mexico. We included women and their newborns, excluding those with congenital malformations.ResultsThe Mexican hospitals showed greater adherence to GP (58.2%) and a lower incidence of AE (12.9%) than the participating institutions in Brazil (26.8% compliance with GP and 16.0% AE). In spite of these differences, the relative importance of particular quality problems and type of AE are similar in both countries. Tertiary hospitals, caring for women at higher risk, have significantly (p<0.001) higher rates of AE (27.2% in Brazil and 29.6% in Mexico) than institutions attending women at lower risk, where the frequency of AE ranges from 4.7% to 11.2%. Differences were significant (p<0.001) for most indicators of GP and AE.ConclusionData from outcome and process measures revealed similar types of failures in the quality of childbirth care in both countries and indicate the need of rationalising the use of antibiotics for the mother and episiotomy, encouraging greater adherence to partograph and to the use of magnesium sulfate for the treatment of severe preeclampsia/eclampsia.

Tertiary hospital nurses’ ethical sensitivity and its influencing factors: A cross-sectional study

2021 ◽  
pp. 096973302110051
Author(s):  
Xue Lei Chen ◽  
Fei Fei Huang ◽  
Jie Zhang ◽  
Juan Li ◽  
Bi Yun Ye ◽  
...  
Keyword(s):  
Data Storage ◽  
Family Communication ◽  
Cross Sectional Study ◽  
Ethical Sensitivity ◽  
Sectional Study ◽  
Moral Sensitivity ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Tertiary Hospitals

Background: High ethical sensitivity positively affects the quality of nursing care; nevertheless, Chinese nurses’ ethical sensitivity and the factors influencing it have not been described. Research objectives: The purpose of this study was to describe ethical sensitivity and to explore factors influencing it among Chinese-registered nurses, to help nursing administrators improve nurses’ ethical sensitivity, build harmony between nurses and patients, and promote the patients’ health. Research design: This was a descriptive, cross-sectional study. Participants and research context: We recruited 500 nurses from several departments in three tertiary hospitals. The Chinese Moral Sensitivity Questionnaire–Revised version and the Jefferson Scale of Empathy-Health Professionals were used to assess the nurses’ ethical sensitivity and empathy ability, respectively. Fifteen sociodemographic variables were included in the questionnaires. Ethical considerations: Informed consent was obtained from the participants regarding participation and data storage and handling. This program has been examined and supported by the research center of medical ethics and professional ethics of Guilin Medical University. The Approval No. was 2016RWYB04. The whole research process is conducted strictly according to ethical requirements. Results: The valid response rate was 84.40% ( n = 422). The total score of Chinese Moral Sensitivity Questionnaire–Revised was 35.82 ± 8.17. The subscale scores of moral responsibility and strength and sense of moral burden were 21.50 ± 4.91 and 14.33 ± 3.98, respectively. Significant differences were found among age groups, gender, years of working, category of profession, and quality of family communication regarding nurses’ ethical sensitivity ( p < 0.05). Regression analysis showed that the main factors influencing nurses’ ethical sensitivity were gender, years of working, quality of family communication, career satisfaction, and empathic ability. Discussion: Our findings suggest that Chinese nurses’ ethical sensitivity in tertiary hospitals in Guilin is at a medium level. Conclusion: The director of nursing schools and hospitals in China should pay attention to nurses’ ethical sensitivity and should intensify education and training to improve nurses’ ethical sensitivity. Further studies should focus on interventions aimed at improving Chinese nurses’ ethical sensitivity.

scholarly journals Oral Health Among Children with Haematological Malignancies in Syria

2021 ◽  
Author(s):  
MHD Bahaa Aldin Alhaffar ◽  
Khattab Mustafa ◽  
Samira Alsabbagh ◽  
Ola Alhaffar ◽  
Ameer Kakaje
Keyword(s):  
Oral Health ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Cancer Type ◽  
Haematological Malignancies ◽  
Sectional Study ◽  
Paediatric Cancer ◽  
Cross Sectional ◽  
Paediatric Hospital

Abstract Background:Since 2011, Syria has been facing a conflict that impacted all aspects of life. Haematological malignancies are mainly treated with chemotherapy which can further harm oral health. This study evaluates oral health of children with haematological malignancies and on chemotherapy in Syria.Methods: This is a cross-sectional study of (40) patients from the major paediatric hospital in Damascus. Decayed, Missing, Filled Teeth (DMFT) and Oral Assessment Guide (OAG) indices were used to evaluate oral health. Data about cancer was collected from medical records. Results: Patients aged between 3-14 years. Three types of paediatric cancer were included; acute lymphoblastic leukaemia (ALL) 52.2%, Hodgkin’s Lymphoma (HL) 27.5%, and Burkitt Lymphoma (BL) 20%. Average DMFT was (6.7 ± 3.2) and average OAG index was (10.8 ± 1.7). DMFT was significantly correlated with OAG (r=0.021). In patients undergoing chemotherapy, better DMFT and OAG indices were reported in males who had cancer for shorter periods, had higher frequency of toothbrushing, or/and were helped while toothbrushing. However, age and cancer type did not significantly affect DMFT and OAG.Conclusion: Children undergoing chemotherapy in Syria had worse oral health and pain compared to other children from the same age in similar studies. More attention should be given to these patients in order to improve their overall health and their quality of life especially during the ongoing conflict.

Nurse Staffing, Missed care, Quality of Care and Adverse Events: A Cross Sectional Study

2021 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Lusine Poghosyan ◽  
Orn‐Anong Wichaikhum ◽  
Wipada Kunaviktikul ◽  
Yaxuan Fang ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
Nurse Staffing ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Missed Care

Quality Of Life in Epilepsy Patients: A cross sectional study

2020 ◽  
Vol 9 (1) ◽  
pp. 59-63
Author(s):  
S Aryal ◽  
A Jha
Keyword(s):  
Quality Of Life ◽  
Medical Records ◽  
Age Of Onset ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Negative Effects ◽  
Cross Sectional ◽  
Neurological Illnesses ◽  
Patients With Epilepsy

   Introduction: The quality of life of people with epilepsy is hampered both by the nature of the disorder and its associated effects. This study was carried out to assess the quality of life in patients with epilepsy and determine the influence of various factors in quality of life in these patients. Material And Method: A cross sectional descriptive study was conducted in Mental Hospital, Lagankhel enrolling clinically diagnosed patients with epilepsy aged more than 18 years and on antiepileptic drugs for at least 6 months. Patients diagnosed with epilepsy but having mental retardation, overt cognitive impairment, psychiatric disorders or other co-morbid chronic systemic or neurological illnesses which could affect QOL were excluded from the study by detailed history, clinical examinations, previous medical records and relevant investigations. Results: Statistically significant differences in the quality of life scores were seen in terms of educational and marital status, and frequency of seizures within the last 6 months before evaluation. Statistically insignificant positive correlation was observed between the age of onset of seizures and the QOL scores. Similarly, statistically insignificant negative correlation observed between the number of drugs used and the QOL scores. Conclusion: Duration of epilepsy had a consistent negative effects on QOL. Evaluation of quality of life in epilepsy relatively measures the outcome for treatment for epilepsy.

scholarly journals The influence of knowledge and perceptions of doctors on the quality of medical records

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Nining Dwi Suti Ismawati ◽  
Stefanus Supriyanto ◽  
Setya Haksama ◽  
Cholicul Hadi
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Inpatient Service ◽  
Sectional Study ◽  
Academic Hospital ◽  
Cross Sectional ◽  
Quality Of Health Services ◽  
Ethical Clearance

Background: Medical record reflects the quality of health services provided, which is influenced by existing resources, such as the doctors in charge. This study aims to determine whether doctors' knowledge and perceptions affect the quality of the medical record.Design and Methods: This is a quantitative and cross-sectional study carried out at Dr. Soetomo's general and academic hospital Surabaya, Indonesia, in September and October 2020. Data were purposively obtained from a total of 45 doctors working at the hospital's inpatient service surgery ward using the questionnaire and checklist medical record quality. Furthermore, ethical clearance and doctors’ informed consent were obtained, with the data statistically processed and analyzed by multiple linear regressions.Results: The results and conclusion showed that doctors' knowledge and perceptions of the quality of medical records were influence to medical record quality (p<0.05).Conclusions: Hospital management needs to regularly increase doctors' knowledge and perceptions by socializing and monitoring medical records.

scholarly journals Children and adolescents on hemodialysis: attributes associated with quality of life

2014 ◽  
Vol 48 (4) ◽  
pp. 602-609 ◽  
Author(s):  
Isabella Schroeder Abreu ◽  
Maria Fernanda Cabral Kourrouski ◽  
Danielle Maria de Souza Serio dos Santos ◽  
Monika Bullinger ◽  
Lucila Castanheira Nascimento ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Surgical Clinic ◽  
Length Of Hospitalization


The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.


scholarly journals Cutaneous adverse events and quality of life in outpatients receiving anticancer agents: results from an observational, cross-sectional study

2020 ◽  
Vol 9 ◽  
pp. 1-10
Author(s):  
Hae-Jin Suh Oh ◽  
Ángeles Flórez Menéndez ◽  
Víctor Sacristán Santos ◽  
Francisca Fernández Ribeiro ◽  
Lucía Vilanova-Trillo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Adverse Events ◽  
Anticancer Agents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Correlations among measures of quality in HIV care in the United States: cross sectional study

BMJ ◽  
2007 ◽  
Vol 335 (7629) ◽  
pp. 1085 ◽  
Author(s):  
Ira B Wilson ◽  
Bruce E Landon ◽  
Peter V Marsden ◽  
Lisa R Hirschhorn ◽  
Keith McInnes ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Records ◽  
The United States ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Sectional Study ◽  
Performance Score ◽  
Cross Sectional ◽  
A Site

Objective To determine whether a selected set of indicators can represent a single overall quality construct. Design Cross sectional study of data abstracted during an evaluation of an initiative to improve quality of care for people with HIV. Setting 69 sites in 30 states. Data sources Medical records of 9020 patients. Main outcome measures Adjusted performance rates at site level for eight measures of quality of care specific to HIV and a site level summary performance score (the number of measures for which the site was in the top quarter of the distribution). Results Of 28 site level correlations between measures, two were greater than 0.40, two were between 0.30 and 0.39, four were between 0.20 and 0.29, and the 20 remaining were all less than 0.20. One site was in the top quarter for seven measures, but no sites were in the top quarter for six or eight of the measures. Across the eight quality measures, sites were in the top quarter no more often than predicted by a chance (binomial) distribution. Conclusions The quality suggested by one measured indicator cannot necessarily be generalised to unmeasured indicators, even if this might be expected for clinical or other reasons.

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