scholarly journals Robustness of Supersaturated Design to Study the Causes of Medical Errors

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Alanazi Talal Abdulrahman ◽  
Abdalwahab Omar Alshammari ◽  
Anas Alhur ◽  
Afrah Ali Alhur
Keyword(s):  
Medical Errors ◽  
Quantitative Information ◽  
Care Process ◽  
Standards Of Care ◽  
Negative Events ◽  
Healthcare Facilities ◽  
Regression Methods ◽  
Use Of Technology ◽  
Determining Factors ◽  
Patient Health

Background. In the modern contemporary, there are obvious demands for accurate interpretations of the worldwide problem, which is medication errors (MEs) due to various serious negative events that effect patient health. Most parts of the world considered health as significant issue for centuries. Recently, investigators have examined the effects of writing physician orders from the nurse’s viewpoint and represent that 100% of ambiguous writing of doctor orders related directly to MEs. Objective. The aim of our work is to investigate the major causes of (MEs) in the Saudi Arabia population from multiple aspects. Methods. An online review gave quantitative information from 450 members. Respondents were heedlessly parceled into two conditions (Yes+, No−) and mentioned to respond to one of two plans of the explanations behind the medical errors. Fourteen determining factors in the predesign have been chosen. Entire data were collected relevant to the study purpose and the content of the questionnaire written suitably to the participants with no ambiguous terms to analyze obtained data accurately using supersaturated plans and regression methods utilizing the SPSS program to decide the real causes of the medical errors. Results. The findings indicated that often failures in the care process can be traced back to poor documentation and a lack or inadequacy of procedures; the limitations of integrated health systems between the doctor and pharmacists, human problems when standards of care, policies, processes, or procedures are not properly or effectively followed, inadequate use of technology in healthcare facilities, and unclear line of prescription from the doctor are factors that contributed to the medical errors. Conclusion. The Saudi Arabian government needs to foster a functional arrangement to examine these reasons for medical errors and make a move. Future investigations could break down the information utilizing edge plans technique.

Prevalence and Determining Factors Of Refractive Errors Among Medical Students In FMU, Faisalabad

2021 ◽  
Vol 15 (11) ◽  
pp. 2934-2935
Author(s):  
Nadia Tufail ◽  
Huda Abbas ◽  
Ali Sarfraz ◽  
Sumaira Ashraf ◽  
M. Ashraf Majrooh
Keyword(s):  
Medical Students ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Refractive Error ◽  
Contact Lenses ◽  
Electronic Devices ◽  
Quantitative Information ◽  
Refractive Errors ◽  
Cross Sectional ◽  
Determining Factors

Aim: Prevalence and determining factors of refractive errors among the medical students in FMU, Faisalabad. Methodology: Cross-sectional quantitative study conducted in Faisalabad Medical University from 01-03-2020 to 15-12-2020 after approval from institutional review committee. All students of MBBS in FMU were included in this study. A structured questionnaire was used to collect the required quantitative information. SPSS version 26 was used for analysis. Results: Prevalence of refractive error is 49%. Females were 59% and males were 41%. More students i.e. 85.2% were suffering from myopia. In our study, usage of electronic devices i.e. mobile phones especially was one of the risk factors in developing refractive errors. 20.6% students having refractive error said that they use mobile phone for 4 hours, 30.2% having refractive error said that they watch TV for one hour, 23.3% having refractive error said that they play video games for one hour. For the correction of the refractive error, 184 students i.e. 97.4% used spectacles whereas only 5 (2.6%) students used contact lenses. It is observed in this study that contact lenses were only used by those students having refractive error <1.5. Conclusion: Refractive errors were a significant cause of visual impairment among medical students. The prolonged use of electronic devices especially mobile phones should be discouraged. Keywords: Refractive errors, myopia, electronic devices, mobile phone

The Value of Measuring Patient Engagement in Healthcare

2016 ◽  
pp. 192-214 ◽  
Author(s):  
Guendalina Graffigna ◽  
Serena Barello
Keyword(s):  
Patient Engagement ◽  
Psychological Adaptation ◽  
Active Role ◽  
Care Quality ◽  
Healthcare Management ◽  
Assessment Tools ◽  
Care Process ◽  
Level Of Involvement ◽  
Patient Health ◽  
Wide Debate

The concept of patient engagement offers a unique opportunity to inform our understanding of patients' ability to be active in managing their care. However, unless promoting the active role of patients is today identified as a priority to promote care quality, a wide debate still exists on how to translate this principle into practice and how to assess initiatives aimed at increasing the level of patient participation in their care. Measuring patient engagement along the care course might ensure that the medical care truly serves patients' needs, priorities, and preferences. Unless the measurement of patient engagement is today a big issue for policy makers and healthcare practitioners, only few scientifically validated assessment tools currently exist to identify patients' level of involvement in their healthcare. In this chapter authors review the main validated tools currently available in the scientific community devoted to assess the patients' ability and availability to be actively engaged in their care, with a particular focus on the recently developed Patient Health Engagement Scale, specifically designed to assess the emotional and psychological adaptation of patients along their care process and their level of engagement in the healthcare management.

scholarly journals An online mobile/desktop application for supporting sustainable chronic disease self-management and lifestyle change

2020 ◽  
Vol 26 (4) ◽  
pp. 2860-2876
Author(s):  
Reza Aria ◽  
Norman Archer
Keyword(s):  
Arterial Disease ◽  
Healthcare Management ◽  
Cost Of Care ◽  
Self Management ◽  
Use Of Technology ◽  
Patient Health ◽  
Group A ◽  
Health Quality ◽  
Peripheral Arterial ◽  
The Cost

Health self-management has become a new trend in healthcare management due to its effectiveness in improving patient health, quality of life, and life satisfaction and simultaneously reducing the cost of care. To evaluate the potential of mobile health, we developed an online health self-management system for mobile or desktop environment to help patients self-manage their health in home settings. Certain elements (e.g. education, entertainment, and rewards) were built into the system to encourage patients to both adopt and continue using it. The system was shown to two groups of patients: an Internet-panel group of 198 patients with one or more serious chronic illnesses and 83 peripheral arterial disease patients in an in-person study group. A statistical model based on Unified Theory of Acceptance and use of Technology in a consumer context was used to analyze the results. The results from both groups confirmed that such systems, from the perspectives of patients (in a “pre-use” stage), are useful, beneficial, and rewarding to use.

scholarly journals Infectious Diseases Society of America Guidelines on Infection Prevention for Healthcare Personnel Caring for Patients With Suspected or Known Coronavirus Disease 2019

2020 ◽  
Author(s):  
John B Lynch ◽  
Perica Davitkov ◽  
Deverick J Anderson ◽  
Adarsh Bhimraj ◽  
Vincent Chi-Chung Cheng ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Infection Prevention ◽  
Indirect Evidence ◽  
Standards Of Care ◽  
Healthcare Personnel ◽  
Evidence Based ◽  
Healthcare Facilities ◽  
Guideline Panel ◽  
Evaluation Approach ◽  
Specific Care

Abstract Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly transmissible virus that can infect healthcare personnel (HCP) and patients in healthcare settings. Specific care activities, in particular, aerosol-generating procedures, may have a higher risk of transmission. The rapid emergence and global spread of SARS-CoV-2 has created significant challenges in healthcare facilities, particularly with severe shortages of personal protective equipment (PPE) used to protect HCP. Evidence-based recommendations for what PPE to use in conventional, contingency, and crisis standards of care are needed. Where evidence is lacking, the development of specific research questions can help direct funders and investigators. Objective Our objective was to develop evidence-based rapid guidelines intended to support HCP in their decisions about infection prevention when caring for patients with suspected or known coronavirus disease 2019 (COVID-19). Methods The Infectious Diseases Society of America (IDSA) formed a multidisciplinary guideline panel that included front-line clinicians, infectious diseases specialists, experts in infection control, and guideline methodologists with representation from the disciplines of preventive care, public health, medical microbiology, pediatrics, critical care medicine, and gastroenterology. The process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then, a systematic review of the peer-reviewed and gray literature was conducted. The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess the certainty of evidence and make recommendations. Results The IDSA guideline panel agreed on 8 recommendations and provided narrative summaries of other interventions undergoing evaluations. Conclusions Using a combination of direct and indirect evidence, the panel was able to provide recommendations for 8 specific questions on the use of PPE for HCP who provide care for patients with suspected or known COVID-19. Where evidence was lacking, attempts were made to provide potential avenues for investigation. Significant gaps in the understanding of the transmission dynamics of SARS-CoV-2 remain, and PPE recommendations may need to be modified in response to new evidence.

scholarly journals An Organizational-Level Program of Intervention for AKI: A Pragmatic Stepped Wedge Cluster Randomized Trial

2019 ◽  
Vol 30 (3) ◽  
pp. 505-515 ◽  
Author(s):  
Nicholas M. Selby ◽  
Anna Casula ◽  
Laura Lamming ◽  
John Stoves ◽  
Yohan Samarasinghe ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Organizational Level ◽  
Care Process ◽  
Standards Of Care ◽  
Stepped Wedge ◽  
Cluster Randomized

BackgroundVariable standards of care may contribute to poor outcomes associated with AKI. We evaluated whether a multifaceted intervention (AKI e-alerts, an AKI care bundle, and an education program) would improve delivery of care and patient outcomes at an organizational level.MethodsA multicenter, pragmatic, stepped-wedge cluster randomized trial was performed in five UK hospitals, involving patients with AKI aged ≥18 years. The intervention was introduced sequentially across fixed three-month periods according to a randomly determined schedule until all hospitals were exposed. The primary outcome was 30-day mortality, with pre-specified secondary endpoints and a nested evaluation of care process delivery. The nature of the intervention precluded blinding, but data collection and analysis were independent of project delivery teams.ResultsWe studied 24,059 AKI episodes, finding an overall 30-day mortality of 24.5%, with no difference between control and intervention periods. Hospital length of stay was reduced with the intervention (decreases of 0.7, 1.1, and 1.3 days at the 0.5, 0.6, and 0.7 quantiles, respectively). AKI incidence increased and was mirrored by an increase in the proportion of patients with a coded diagnosis of AKI. Our assessment of process measures in 1048 patients showed improvements in several metrics including AKI recognition, medication optimization, and fluid assessment.ConclusionsA complex, hospital-wide intervention to reduce harm associated with AKI did not reduce 30-day AKI mortality but did result in reductions in hospital length of stay, accompanied by improvements in in quality of care. An increase in AKI incidence likely reflected improved recognition.

scholarly journals A Counseling Application as an Alternative Tool in Increasing Coping Self-Efficacy Among University Students With Academic Distress During Coronavirus Disease 2019 Pandemic in Indonesia: A Study Protocol for a Randomized Controlled Non-Inferiority Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Zahrotur Rusyda Hinduan ◽  
Miryam Wedyaswari ◽  
Ilham Phalosa Reswara ◽  
Hari Setyowibowo
Keyword(s):  
University Students ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Well Being ◽  
Clinical Trial Registration ◽  
Treatment As Usual ◽  
Intention To Treat ◽  
Use Of Technology ◽  
Resilience Scale ◽  
Patient Health

The coronavirus disease 2019 (COVID-19) pandemic increased education-related distress among University students globally, including in Indonesia. Psychological factors, such as academic demands, limited opportunity to meet their peers, problematic use of technology, and domestic problems, influenced the well-being of the students, leading to poor academic performance. A mobile-based counseling application was developed to address the distress among University students. The application was meant to reach students living remotely to enable them to access psychological assistance. Therefore, the purpose of this study was to describe a protocol aimed to evaluate the equivalence of the application when compared to the Treatment-As-Usual (TAU) in increasing the coping self-efficacy (CSE) and resilience of students as well as in decreasing their level of depression. A two-armed parallel randomized control non-inferiority trial will be conducted among approximately 430 students with selected academic problems. The participants will be randomly allocated into the TAU and the intervention groups. The primary and secondary outcomes will be measured by the Indonesian versions of the Coping Self-Efficacy (CSE) Scale, the Resilience Scale (RS-14), and the Patient Health Questionnaire (PHQ-9). The data will be collected at baseline, at the end of each session, and after 3 months. The outcomes will be analyzed using repeated-measures ANOVAs, intention-to-treat, and per-protocol analysis. If proven, the application will be used as an alternative media in helping the students.Clinical Trial Registration: Thailand Clinical Trials Registry (TCTR20200530001); Date of registration: May 28, 2020.

scholarly journals Are pregnant women satisfied with perinatal standards of care during COVID-19 pandemic?

2020 ◽  
Author(s):  
Claudia Ravaldi ◽  
Laura Mosconi ◽  
Giada Crescioli ◽  
Valdo Ricca ◽  
Alfredo Vannacci
Keyword(s):  
Pregnant Women ◽  
Phase 1 ◽  
Perinatal Care ◽  
Standards Of Care ◽  
Phase 2 ◽  
Maternity Services ◽  
Use Of Technology ◽  
Perception Of Quality ◽  
Report Data ◽  
Restrictive Measures

AbstractCOVID-19 restrictive measures severely impacted maternity services worldwide, but little is known about the differences in women’s concerns, perception of the modifications of maternity services and childbirth programs at different times during the pandemic. Here we report data from the first COVID-19 wave in Italy, during the 2020 national lockdown (March-April) and soon after lockdown release (May).1307 pregnant women answered the survey during national lockdown (phase 1) or after restrictive measures were released (phase 2). Women reported a significantly higher COVID-19 concern during phase 1 than during phase 2 (2.34 SD 0.5 vs 2.12 SD 0.5 on a Likert scale 0-3; p<0.001). Several domains of perinatal care were affected during COVID-19 lockdown: while antenatal visits, the use of technology to keep in touch with healthcare professionals, and closeness of caregivers were generally more appreciated (especially during phase 2), women reported the greatest difficulties in receiving clear information on hospitalization, birth plan and partner’s presence at birth.Italian pregnant women’s worries about the effects of the pandemic on health and their perception of quality in the organization of maternity services improved during lockdown, but they continued to represent a challenge in May, especially regarding organizational aspects of hospitalization and childbirth.

scholarly journals The Determinants for Food Safety Push Notifications on Continuance Intention in an E-Appointment System for Public Health Medical Services: The Perspectives of UTAUT and Information System Quality

2020 ◽  
Vol 17 (21) ◽  
pp. 8287
Author(s):  
Yu-Ping Lee ◽  
Hsin-Yeh Tsai ◽  
Athapol Ruangkanjanases
Keyword(s):  
Information System ◽  
Food Safety ◽  
Information Quality ◽  
Public Hospitals ◽  
System Quality ◽  
Use Of Technology ◽  
Determining Factors ◽  
Appointment System ◽  
Facilitating Conditions ◽  
Academic Implications

Compared to other appointment methods in public hospitals, registering through the Internet or utilizing e-appointments, or registering online as an outpatient, can provide more information to the user. This research investigated the integration of unified theory of the acceptance and use of technology and information system quality in determining factors that influence the adoption of e-appointments by patients, based on the requirements of food safety consultation in Taiwan. Empirical data from 369 valid samples were assessed using Partial Least Squares (PLS). The key findings of this study indicated that patients’ acceptance of e-appointments was influenced by users’ perceptions (i.e., performance expectancy and facilitating conditions), along with information quality and service quality. The practical and academic implications are provided for future practitioners and scholars, and to enhance patients’ usage of e-appointments in their healthcare activities.

Internet of things-assisted intelligent monitoring model to analyse the physical health condition

2021 ◽  
pp. 1-14
Author(s):  
Liang Zhuang ◽  
Awais Khan Jumani ◽  
Asma Sbeih
Keyword(s):  
Internet Of Things ◽  
Early Stage ◽  
Healthcare Services ◽  
Health Condition ◽  
Specific Aspect ◽  
Intelligent Monitoring ◽  
Healthcare Facilities ◽  
Monitoring Model ◽  
Smart Healthcare ◽  
Patient Health

BACKGROUND: Nowadays, smart healthcare minimizes medical facilities costs, ease staff burden, achieve unified control of materials and records, and enhance patients’ medical experience. Smart healthcare treatments have critical barriers to improving patient outcomes, reducing the regulatory burden, and promoting the transition from volume to benefit. OBJECTIVE: In this paper, the Internet of Things-assisted Intelligent Monitoring Model (IoT-IMM) has been proposed to improve patient health and maintain health records. METHOD: The advanced IoT sensors can monitor patient health and insert into the patients’ bodies. Information collected can be analyzed, aggregated, and mined to predict diseases at an early stage. For that, an enhanced deep learning network using Bayes theorem (EDLN-BT) benefits to obtain and verify various patient health data in a specific aspect, making it easy to supervise the patient’s activities. RESULTS: The IoT-IMM-based EDLN-BT results show the smart health care monitoring has undergone substantial growth, improving patient satisfaction for the quality of the healthcare services offered in hospitals and many other healthcare facilities. It helps predict health diseases with increased accuracy, prediction rate with minimal residual error delay, and energy consumption.

Sign in / Sign up

Export Citation Format

Share Document