scholarly journals Establishment of a quality control circle to reduce biofilm formation in flexible endoscopes by improvement of qualified cleaning rate

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095298
Author(s):  
Yingxia Luo ◽  
Qixuan Yang ◽  
Bingkun Li ◽  
Yao Yao
Keyword(s):  
Quality Control ◽  
Adenosine Triphosphate ◽  
Emergency Care ◽  
Biofilm Formation ◽  
Guangdong Province ◽  
Pass Rate ◽  
Care Research ◽  
Biofilm Removal ◽  
Surgical Suite ◽  
Atp Detection

Objective In recent years, the Emergency Care Research Institute has advised that endoscope cleaning is of considerable importance. In the present study, a quality control circle (QCC) was used to reduce the formation of biofilms in flexible endoscopes within one hospital in Guangdong Province, China. Methods During reprocessing of 235 flexible endoscopes in the urology surgical suite, adenosine triphosphate (ATP) detection was used to monitor the efficacy of biofilm removal. The internal and external parts of flexible endoscopes were used as sampling sites by means of the flushing and smudge methods, respectively. When the two results reached the standard of less than 500 relative light units/piece at the same time, endoscopic biofilm clearance was considered to be qualified. A QCC was established to implement a 10-step plan-do-check-act model. Results The baseline qualified rate (i.e., ATP monitoring pass rate) during reprocessing of 235 flexible endoscopes was 50%. During the study, the qualified rate increased to 85.29% after establishment of the QCC. During reprocessing of 150 flexible endoscopes in the following 6 months, the qualified rate remained at 90%. Conclusion Establishment of the QCC improved the removal of biofilm from flexible endoscopes in the urology surgical suite.

scholarly journals An emergency care research course for healthcare career preparation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen F. Miller ◽  
Rishub K. Das ◽  
Ciera D. Majors ◽  
Hadassah H. Paz ◽  
Ayana N. Robinson ◽  
...  
Keyword(s):  
University Students ◽  
Clinical Research ◽  
Emergency Care ◽  
Tertiary Care ◽  
Unmet Need ◽  
Independent Study ◽  
Course Evaluations ◽  
Biomedical Science ◽  
Research Experience ◽  
Care Research

Abstract Background University students have limited opportunities to gain healthcare clinical exposure within an academic curriculum. Furthermore, traditional pre-medical clinical experiences like shadowing lack active learning components. This may make it difficult for students to make an informed decision about pursuing biomedical professions. An academic university level research course with bedside experience provides students direct clinical participation in the healthcare setting. Methods Described is a research immersion course for senior university students (3rd to 5th year) interested in healthcare and reported study enrollment with final course evaluations. The setting was an adult, academic, urban, level 1 trauma center emergency department (ED) within a tertiary-care, 1000-bed, medical center. Our course, “Immersion in Emergency Care Research”, was offered as a university senior level class delivered consecutively over 16-weeks for students interested in healthcare careers. Faculty and staff from the Department of Emergency Medicine provided a classroom lecture program and extensive bedside, hands-on clinical research experience. Students enrolled patients in a survey study requiring informed consent, interviews, data abstraction and data entry. Additionally, they were required to write and present a mock emergency care research proposal inspired by their clinical experience. The course evaluations from students’ ordinal rankings and blinded text responses report possible career impact. Results Thirty-two students, completed the 16-week, 6–9 h per week, course from August to December in 1 of 4 years (2016 to 2019). Collectively, students enrolled 759 ED patients in the 4 survey studies and reported increased confidence in the clinical research process as each week progressed. Ranked evaluations were extremely positive, with many students describing how the course significantly impacted their career pathways and addressed an unmet need in biomedical education. Six students continued the research experience from the course through independent study using the survey data to develop 3 manuscripts for submission to peer-reviewed journals. Conclusions A bedside emergency care research course for students with pre-healthcare career aspirations can successfully provide early exposure to patients and emergency care, allow direct experience with clinical bedside research, research data collection, and may impact biomedical science career choices.

scholarly journals Facilitating Emergency Care Research Networks: Integration into the Clinical Translational and Science Award (CTSA) Infrastructure

2009 ◽  
Vol 16 (10) ◽  
pp. 1005-1009 ◽  
Author(s):  
Judd E. Hollander ◽  
Glen N. Gaulton ◽  
D. Mark Courtney ◽  
Roger J. Lewis ◽  
Robert A. Lowe ◽  
...  
Keyword(s):  
Emergency Care ◽  
Research Networks ◽  
Care Research ◽  
Networks Integration

EXISTING EMERGENCY MANAGEMENT USED FOR VISARPA DISEASE

2020 ◽  
Vol 8 (9) ◽  
pp. 4478-4486
Author(s):  
Kendre Manchak ◽  
Jaybhaye Sulakshana
Keyword(s):  
Intensive Care ◽  
Emergency Management ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Emergency Treatment ◽  
Review Article ◽  
Care Research

Emergency management in Visarpa is most challenging. The aim of this study is to review the existing Crit-ical care for Visarpa from basic Ayurveda classics as well as online. In this review article, after evaluation of emergency care from brihatrayai as well as laghutrai and available relevant 21 articles regarding Visarpa chikitsa, we discussed the need of development of Ayurveda diagnostic as well as intensive care units in present era. It is found that emergency treatment is not available to the satisfaction in Ayurveda literature. Therefore, possible strategy regarding emergency care research for this critical disease is provid-ed which is useful for Ayurveda researchers.

Mixed methods research: a design for emergency care research?

2010 ◽  
Vol 28 (8) ◽  
pp. 682-685 ◽  
Author(s):  
S. Cooper ◽  
J. Porter ◽  
R. Endacott
Keyword(s):  
Mixed Methods ◽  
Emergency Care ◽  
Mixed Methods Research ◽  
Care Research

Amine-Functionalized Carbon-Fiber Microelectrodes for Enhanced ATP Detection with Fast-Scan Cyclic Voltammetry

2021 ◽  
Author(s):  
Yuxin Li ◽  
Moriah E. Weese ◽  
Michael T. Cryan ◽  
Ashley E. Ross
Keyword(s):  
Cyclic Voltammetry ◽  
Carbon Fiber ◽  
Adenosine Triphosphate ◽  
Fiber Surface ◽  
Fast Scan Cyclic Voltammetry ◽  
Extracellular Signaling ◽  
Amine Functionalized ◽  
Carbon Fiber Surface ◽  
Carbon Fiber Microelectrodes ◽  
Atp Detection

Here, we provide evidence that functionalizing the carbon-fiber surface with amines significantly improves direct electrochemical adenosine triphosphate (ATP) detection with fast-scan cyclic voltammetry (FSCV). ATP is an important extracellular signaling...

scholarly journals Advancing research on emergency care systems in low-income and middle-income countries: ensuring high-quality care delivery systems

2019 ◽  
Vol 4 (Suppl 6) ◽  
pp. e001265 ◽  
Author(s):  
Rachel T Moresky ◽  
Junaid Razzak ◽  
Teri Reynolds ◽  
Lee A Wallis ◽  
Benjamin W Wachira ◽  
...  
Keyword(s):  
Health Systems ◽  
Emergency Care ◽  
Low Income ◽  
Communicable Diseases ◽  
Middle Income ◽  
Care Research ◽  
Middle Income Countries ◽  
Emergency Care Systems ◽  
Care Systems ◽  
Research Questions

Emergency care systems (ECS) address a wide range of acute conditions, including emergent conditions from communicable diseases, non-communicable diseases, pregnancy and injury. Together, ECS represent an area of great potential for reducing morbidity and mortality in low-income and middle-income countries (LMICs). It is estimated that up to 54% of annual deaths in LMICs could be addressed by improved prehospital and facility-based emergency care. Research is needed to identify strategies for enhancing ECS to optimise prevention and treatment of conditions presenting in this context, yet significant gaps persist in defining critical research questions for ECS studies in LMICs. The Collaborative on Enhancing Emergency Care Research in LMICs seeks to promote research that improves immediate and long-term outcomes for clients and populations with emergent conditions. The objective of this paper is to describe systems approaches and research strategies for ECS in LMICs, elucidate priority research questions and methodology, and present a selection of studies addressing the operational, implementation, policy and health systems domains of health systems research as an approach to studying ECS. Finally, we briefly discuss limitations and the next steps in developing ECS-oriented interventions and research.

Sign in / Sign up

Export Citation Format

Share Document