scholarly journals Tracheostomy Management during the COVID-19 Pandemic

2020 ◽  
Vol 163 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Richard A. Goldman ◽  
Brian Swendseid ◽  
Jason Y. K. Chan ◽  
Michelle Lewandowski ◽  
Jacqueline Adams ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Facilities ◽  
Preliminary Information ◽  
Contagious Nature ◽  
Modern Health Care ◽  
Care Workers ◽  
Care Facilities ◽  
Practical Guidance ◽  
Asymptomatic Individuals

The ongoing coronavirus disease 2019 pandemic has led to unprecedented demands on the modern health care system, and the highly contagious nature of the virus has led to particular concerns of infection among health care workers and transmission within health care facilities. While strong data regarding the transmissibility of the infection are not yet widely available, preliminary information suggests risk of transmission among asymptomatic individuals, including those within health care facilities. We believe that the presence of a tracheostomy or laryngectomy stoma poses a unique risk of droplet and aerosol spread particularly among patients with unsuspected infection. At our institution, guidelines for the care of open airways were developed by a multidisciplinary open airway working group, and here we review those recommendations to provide practical guidance to other institutions.

scholarly journals Causes of Staff Abuse in Health Care Facilities

AAOHN Journal ◽  
1998 ◽  
Vol 46 (10) ◽  
pp. 484-491 ◽  
Author(s):  
Annalee Yassi ◽  
Robert Tate ◽  
Juliette Cooper ◽  
Joan Jenkins ◽  
June Trottier
Keyword(s):  
Health Care ◽  
Inner City ◽  
Physical Abuse ◽  
Health Care Workers ◽  
Verbal Abuse ◽  
Health Care Facilities ◽  
City Hospital ◽  
Care Workers ◽  
Care Facilities ◽  
Abuse In Health Care

Verbal and physical abuse of health care workers (HCWs) is prevalent and costly. A 3 month prospective study was conducted to characterize precipitating conditions and the perpetrators of abusive incidents reported by HCWs at a large inner city hospital. Sixty-six HCWs reporting 102 incidents were interviewed by a research nurse within 48 hours of the incident. Abusive incidents resulted from 55 different patients and 11 visitors. Verbal abuse accounted for 42 incidents (41%) and 60 (59%) involved physical abuse. Two thirds of the abuse occurred on psychiatric wards, 20% on inpatient wards, and 13% in other settings. Overall, twice as many abusive incidents were inflicted by males as females. Cognitive impairment accounted for 19% of the incidents and one abuser was intoxicated at the time. Rule enforcement precipitated abuse in 70% of incidents. Researchers concluded that reviewing rules that apply to patients, how HCWs are trained to enforce rules, how to respond when service requested cannot be provided promptly, and how HCWs can protect themselves when performing a service were important elements in the prevention of staff abuse.

scholarly journals Prevalence of methicillin‐resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador

2014 ◽  
Vol 8 (01) ◽  
pp. 116-119 ◽  
Author(s):  
Alejandra Ruiz ◽  
Marcelo Mora ◽  
Camilo Zurita ◽  
Danny Larco ◽  
Yadira Toapanta ◽  
...  
Keyword(s):  
Health Care ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Health Care Workers ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Health Care Facilities ◽  
Methicillin Resistant ◽  
Care Workers ◽  
Care Facilities ◽  
Mrsa Colonization

Introduction: Colonization of health care workers with methicillin-resistant Staphylococcus aureus (MRSA) has been an important route of dispersion and infection of MRSA and has been implicated in epidemic outbreaks. The objective of the present study was to assess prevalence of MRSA colonization in the anterior nares of health care personnel at the intensive care unit (ICUs) of three hospital facilities in Quito, Ecuador. Methodology: The prevalence of MRSA in specimens from all ICU health care workers of three hospitals was measured by using a real-time PCR assay and CHROMagar MRSA. Results: The prevalence of MRSA among the three health care facilities was 2.4%. Conclusion: The prevalence of MRSA colonization was relatively low compared to other studies and showed no differences between hospital facilities.

scholarly journals Guidelines for the orthopedic surgeon in the era of COVID-19

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Monther A. Gharaibeh ◽  
Badera Al Mohammad ◽  
Besher Gharaibeh ◽  
Laith Khasawneh ◽  
Saeed Al Naser
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Orthopaedic Surgery ◽  
Quality Care ◽  
Health Care Facilities ◽  
The Other ◽  
Work Flow ◽  
Care Workers ◽  
Care Facilities ◽  
Current Outbreak

Amid the current pandemic of coronavirus disease 2019 (COVID-19), orthopaedic surgery was one of the fewer specialties that remained active managing emergent and urgent orthopaedic and trauma cases. On the other hand, with the continued spread of this pandemic and its associated socioeconomic confinement and unpredictability of the pandemic curve; many health care facilities were forced into halting all elective and non-urgent activities including orthopaedic specialties. This in part was to help in reallocation of required resources and focusing on the proper management of COVID-19 patients, and to prevent the transmission of infection among health care workers and patients. In this article we analyzed developments and recommendations of international reports about the current outbreak and its impact on the practice of orthopaedic surgery. Our aim was to provide comprehensive and easy guidelines for the management of urgent and emergent cases in hot zones and for the process of returning to usual orthopaedic work flow in a balanced strategy to assure safe practice and providing quality care without the risk of exhausting institutional resources or the risk of COVID- 19 transmission among health care workers or patients

Investigation of the Relationship between Workers' Perceptions and Compliance with Standard Safety Precautions in a Rural Hospital

2002 ◽  
Vol 46 (16) ◽  
pp. 1467-1471
Author(s):  
Paul Hable ◽  
Alvaro D. Taveira ◽  
Ben-Tzion Karsh
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Venous Access ◽  
Health Care Facilities ◽  
Stepwise Logistic Regression ◽  
Arterial Access ◽  
Care Workers ◽  
Care Facilities ◽  
Worker Perceptions ◽  
Job Category

The practice of standard safety precautions in health care facilities is essential for the protection of health care workers from exposure to blood borne pathogens. Understanding the relationships between worker perceptions and behaviors can be central to the success of safety programs in health care facilities. A survey questionnaire was distributed to 174 health care workers who perform injections, venous access or arterial access procedures in a 110-bed facility located in a rural Midwest community. One hundred thirty-one were returned (response rate 75%). A stepwise logistic regression procedure was conducted having job category, gender, job tenure, and previous experience in a metropolitan location as covariates. Findings indicated that three of 15 examined risk factors predicted less than perfect compliance with standard safety precautions. Individuals reporting that they tear off glove fingers, that compliance is difficult, and stating that gloves make finding veins difficult all had significant odds of imperfect compliance.

Medical Malpractice in the People's Republic of China: The 2002 Regulation on the Handling of Medical Accidents

2005 ◽  
Vol 33 (3) ◽  
pp. 456-477 ◽  
Author(s):  
Dean M. Harris ◽  
Chien-Chang Wu
Keyword(s):  
Health Care ◽  
Legal System ◽  
Health Care Workers ◽  
Medical Malpractice ◽  
Health Care Facilities ◽  
Republic Of China ◽  
Medical Disputes ◽  
Care Workers ◽  
Care Facilities ◽  
The City

In China, there have been numerous reports that doctors or other health care workers have been attacked by patients or members of patient’s families. From 2000 to 2003, there were 502 reports of violence against health care workers in the city of Beijing, in which 90 health care workers were wounded or disabled. From January 1991 to July 2001, in Hubei Province, 568 attacks on health care facilities and workers were reported, and some health care workers were even killed. In Jiangsu Province, from 2000 to 2002, violent events against health care facilities and workers increased by 35% every year, with an average of 177 such events occurring each year. Those acts of violence have been attributed, in part, to the inadequacy of the legal system for handling medical disputes that was in effect prior to 2002.

scholarly journals Ecological Study on Factors Related to the Mortality of Rabies in North Sulawesi Province at the Year of 2015 to 2017

2019 ◽  
Vol 15 (1) ◽  
pp. 124-130
Author(s):  
Noer Syafiiah Tiarma ◽  
Putri Bungsu Machmud
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Ecological Study ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
North Sulawesi ◽  
Care Workers ◽  
New Findings ◽  
Care Facilities

Indonesia, which is part of the region, contributes 25 provinces including areas that have not been free from the endemic of rabies. One of the provinces that ranked top in the cases of rabies was North Sulawesi. Therefore, this study aims to find correlations between factors related to the prevalence of rabies deaths in North Sulawesi Province in 2015 - 2017. This study used a mixed ecological study design by applying the principle of total sampling to 15 districts/citiesin North Sulawesi. The results of the study found that there was a negative and weak strength correlation on the anti rabiesvaccine coverage factor (r = 0.279), moderate strength correlation on the ratio of health care workers (r = 0.345), and the ratio of health care facilities (r = 0.320) to the mortality of rabies. While the sex ratio factor is positive and has moderate strength (r = 0.365) against the mortality of rabies. The new findings of health care facility and health care workers that have a moderate strength correlation need to be included in the prevention of rabies approach because it can help to facilitate washing wounds treatment. 

scholarly journals Health Care Workers’ Perspectives of the Influences of Disrespectful Maternity Care in Rural Kenya

2020 ◽  
Vol 17 (21) ◽  
pp. 8218
Author(s):  
Adelaide Lusambili ◽  
Stefania Wisofschi ◽  
Constance Shumba ◽  
Jerim Obure ◽  
Kennedy Mulama ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Workers ◽  
Maternity Care ◽  
Large Body ◽  
Health Care Facilities ◽  
Service Users ◽  
Care Workers ◽  
Holistic Understanding ◽  
Care Facilities

While disrespectful treatment of pregnant women attending health care facilities occurs globally, it is more prevalent in low-resource countries. In Kenya, a large body of research studied disrespectful maternity care (DMC) from the perspective of the service users. This paper examines the perspective of health care workers (HCWs) on factors that influence DMC experienced by pregnant women at health care facilities in rural Kisii and Kilifi counties in Kenya. We conducted 24 in-depth interviews with health care workers (HCWs) in these two sites. Data were analyzed deductively and inductively using NVIVO 12. Findings from HCWs reflective narratives identified four areas connected to the delivery of disrespectful care, including poor infrastructure, understaffing, service users’ sociocultural beliefs, and health care workers’ attitudes toward marginalized women. Investments are needed to address health system influences on DMC, including poor health infrastructure and understaffing. Additionally, it is important to reduce cultural barriers through training on HCWs’ interpersonal communication skills. Further, strategies are needed to affect positive behavior changes among HCWs directed at addressing the stigma and discrimination of pregnant women due to socioeconomic standing. To develop evidence-informed strategies to address DMC, a holistic understanding of the factors associated with pregnant women’s poor experiences of facility-based maternity care is needed. This may best be achieved through an intersectional approach to address DMC by identifying systemic, cultural, and socioeconomic inequities, as well as the structural and policy features that contribute and determine peoples’ behaviors and choices.

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