Malpractice claims regarding calls to Swedish telephone advice nursing: what went wrong and why?

2012 ◽  
Vol 18 (7) ◽  
pp. 379-383 ◽  
Author(s):  
Annica Ernesäter ◽  
Ulrika Winblad ◽  
Maria Engström ◽  
Inger K Holmström
Keyword(s):  
Interaction Analysis ◽  
Work Group ◽  
Qualitative Content Analysis ◽  
Group Discussion ◽  
Healthcare Providers ◽  
Third Party ◽  
National Board ◽  
Malpractice Claims ◽  
Telephone Calls ◽  
Analysis System

We analysed the characteristics of all malpractice claims arising out of telephone calls to Swedish Healthcare Direct (SHD) during 2003–2010 ( n = 33). The National Board of Health and Welfare's (NBHW) investigations describing the causes of the malpractice claims and the healthcare providers' reported measures were analysed using Qualitative Content Analysis. The original telephone calls themselves, which had been recorded, were analysed using the Roter Interaction Analysis System (RIAS). Among the 33 cases, 13 patients died and 12 were admitted to intensive care. Failure to listen to the caller ( n = 12) was the most common reason for malpractice claims, and work-group discussion ( n = 13) was the most common measure taken to prevent future re-occurrence. Male patients ( n = 19) were in the majority, and females ( n = 24) were the most common callers. The most common symptoms were abdominal ( n = 11) and chest pain ( n = 6). Telenurses followed up on caller understanding in six calls, and mainly used closed-ended questions. Despite the severity of these malpractice claims, the measures taken mainly addressed active failure, rather than the latent conditions. Third-party communication should be regarded as a risk. When callers make repeated contacts, telenurses need to re-evaluate their need for care.

scholarly journals Exploring the experiences related to postpartum changes: perspectives of mothers and healthcare providers in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahboobeh Asadi ◽  
Mahnaz Noroozi ◽  
Mousa Alavi
Keyword(s):  
Postpartum Period ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Psychological State ◽  
Structured Interviews ◽  
Childbearing Age ◽  
New Period ◽  
Women's Lives ◽  
Field Notes

Abstract Background Numerous changes occur in different aspects of women’s lives in the postpartum period. Women’s adjusting with problems and taking advantage of this opportunity can develop their personality. In this regard, accurate knowledge of their experiences and feelings is necessary to help them to benefit from this period. Therefore, the present study aimed to explore the experiences related to postpartum changes in women. Methods In the present qualitative study, 23 participants, including women of childbearing age who gave birth and healthcare providers (midwives and obstetricians) in Isfahan, Iran were selected using purposive sampling with a maximum variation strategy. Data were collected through in-depth semi structured interviews, field notes, and daily notes, and simultaneously analyzed using the conventional qualitative content analysis. Results The data analysis results led to the extraction of three main categories including “feeling of decreased female attractiveness” (with two sub-categories of “ feeling of decreased beauty” and “feeling of decreased sexual function”), “feeling of insolvency and helplessness” (with two sub-categories of “physical burnout”, and “mental preoccupations”) and “beginning a new period in life” (with three sub-categories of “changing the meaning of life”, “feeling of maturity” and “deepening the communication”). Conclusions Findings of this study can provide a good context for designing interventions to improve the women’s quality of life by explaining and highlighting their experiences in the postpartum period. In this regard, providing sufficient empathy, social and psychological support from family members (especially husband), performing appropriate educational interventions and also regular assessment of women’s psychological state by healthcare providers in postpartum period can reduce their concerns and help to improve their health.

Enhancing graduates’ employability through polytechnic–industry collaboration

2021 ◽  
pp. 095042222110631
Author(s):  
Innocent Otache
Keyword(s):  
Focus Group ◽  
Group Discussion ◽  
Policy Framework ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
National Board ◽  
Job Requirements ◽  
Industry Collaboration ◽  
Regulatory Bodies ◽  
Practical Implications

The unemployability of many Nigerian graduates is somewhat attributable to the existing wide collaboration gap between Nigerian higher education institutions and industry. Against this backdrop, this study explores how Nigerian polytechnics and industry can collaborate to enhance graduates’ employability. Adopting a focus group discussion approach, three focus groups involving 20 people (eight polytechnic lecturers, six National Board for Technical Education officials and six industry executives) participated in the study. Content analysis of the focus group discussions revealed the need to involve industry experts in curriculum development and review to meet today’s job requirements in industry. The need to involve industry experts in teaching certain aspects of the curriculum was also highlighted. The findings further revealed the desirability of exposing students and lecturers to industrial work situations to equip them with workplace skills and experience. Additionally, the study found that a comprehensive collaboration policy framework, funding, commitment, mutual benefits and trust are required to achieve successful polytechnic–industry collaboration. This research demonstrates that effective collaboration between polytechnics and industry will help to improve the employability of graduates. The findings provide policy and practical implications for polytechnics, regulatory bodies, industry and government.

Action cameras and the Roter interaction analysis system to assess veterinarian-producer interactions in a dairy setting

2017 ◽  
Vol 182 (8) ◽  
pp. 227-227 ◽  
Author(s):  
Caroline Ritter ◽  
Herman W Barkema ◽  
Cindy L Adams
Keyword(s):  
Production Management ◽  
Interaction Analysis ◽  
Relationship Building ◽  
Herd Health ◽  
Veterinary Education ◽  
Clinical Communication ◽  
Roter Interaction Analysis System ◽  
Farmer Education ◽  
Analysis System ◽  
On Farm

Herd health and production management (HH&PM) are critical aspects of production animal veterinary practice; therefore, dairy veterinarians need to effectively deliver these services. However, limited research that can inform veterinary education has been conducted to characterise these farm visits. The aim of the present study was to assess the applicability of action cameras (eg, GoPro cameras) worn by veterinarians to provide on-farm recordings, and the suitability of these recordings for comprehensive communication analyses. Seven veterinarians each recorded three dairy HH&PM visits. Recordings were analysed using the Roter interaction analysis system (RIAS), which has been used to evaluate medical conversations in human and companion animal contexts, and provided insights regarding the importance of effective clinical communication. However, the RIAS has never been used in a production animal environment. Results of this pilot study indicate that on-farm recordings were suitable for RIAS coding. Dairy practitioners use a substantial amount of talk allocated to relationship-building and farmer education but that communication patterns of the same veterinarian vary considerably between farm visits. Consecutive studies using this method will provide observational data for research purposes and promise to aid in the improvement of veterinary education through identification of communication priorities and gaps in dairy advisory discussions.

scholarly journals Multilevel Privacy Assurance Evaluation of Healthcare Metadata

2021 ◽  
Vol 11 (22) ◽  
pp. 10686
Author(s):  
Syeda Amna Sohail ◽  
Faiza Allah Bukhsh ◽  
Maurice van Keulen
Keyword(s):  
Privacy Preservation ◽  
Process Mining ◽  
Research Work ◽  
Healthcare Providers ◽  
Conceptual Modeling ◽  
Empirical Evaluation ◽  
Healthcare Services ◽  
Privacy Preserving ◽  
Third Party ◽  
Conformance Checking

Healthcare providers are legally bound to ensure the privacy preservation of healthcare metadata. Usually, privacy concerning research focuses on providing technical and inter-/intra-organizational solutions in a fragmented manner. In this wake, an overarching evaluation of the fundamental (technical, organizational, and third-party) privacy-preserving measures in healthcare metadata handling is missing. Thus, this research work provides a multilevel privacy assurance evaluation of privacy-preserving measures of the Dutch healthcare metadata landscape. The normative and empirical evaluation comprises the content analysis and process mining discovery and conformance checking techniques using real-world healthcare datasets. For clarity, we illustrate our evaluation findings using conceptual modeling frameworks, namely e3-value modeling and REA ontology. The conceptual modeling frameworks highlight the financial aspect of metadata share with a clear description of vital stakeholders, their mutual interactions, and respective exchange of information resources. The frameworks are further verified using experts’ opinions. Based on our empirical and normative evaluations, we provide the multilevel privacy assurance evaluation with a level of privacy increase and decrease. Furthermore, we verify that the privacy utility trade-off is crucial in shaping privacy increase/decrease because data utility in healthcare is vital for efficient, effective healthcare services and the financial facilitation of healthcare enterprises.

scholarly journals Managing everyday life with chronic pain and interaction with healthcare: a qualitative study

2021 ◽  
Author(s):  
Ebba Ranås ◽  
Amanda Dahlrot ◽  
Anna Grimby-Ekman ◽  
Linda Ahlstrom
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Everyday Life ◽  
Qualitative Content Analysis ◽  
Group Discussion ◽  
Healthcare Personnel ◽  
Written Narratives ◽  
Care Plans ◽  
Everyday Lives ◽  
The People

Abstract Background: Chronic pain is a costly, widespread condition that often reduces the quality of life of individuals who suffer from it, for whom healthcare interaction is seldom efficient or free of problems. Outcomes of coping with chronic pain can depend upon patients’ approaches towards their pain, their defensive or offensive behaviours and their choices based upon their self-efficacy. Thus, even when their symptoms and diseases seem homogeneous, patients should be regarded as multidimensional individuals and their care plans should be individually tailored. The aim of our study was to examine how individuals with chronic pain manage their everyday lives and, from their perspectives, how primary care organisations should support them. Method: We conducted qualitative content analysis on the written narratives of 21 patients with chronic pain and held a focus group discussion with 15 of them. Results: The overarching theme in the patients’ narratives was that individuals with chronic pain develop adaptability in managing their everyday lives. Therein, the first sub-theme captures how such individuals use their bodies and souls to condition themselves and adapt to the people around them, take control of their everyday lives and find empowerment, whereas the second sub-theme captures how they interact with primary care organisations, their experiences with such interaction and the need to be treated with respect. Conclusions: For patients living with chronic pain, managing everyday life, the accompanying challenges and ongoing interactions with healthcare organisations requires developing adaptability. Although the individuals indeed bear great responsibility for their own health and wellbeing, healthcare personnel can ease that burden by adopting person-centred approaches in their care. However, to that end, healthcare personnel need more knowledge about supporting individuals living with chronic pain in order to ease their suffering.

scholarly journals What impact does postgraduate clinical training have on empathy among Japanese trainee dentists?

2020 ◽  
Author(s):  
Toshiko Yoshida ◽  
Sho Watanabe ◽  
Takayuki Kono ◽  
Hiroaki Taketa ◽  
Noriko Shiotsu ◽  
...  
Keyword(s):  
Clinical Training ◽  
Interaction Analysis ◽  
Healthcare Providers ◽  
Japanese Version ◽  
University Hospital ◽  
Simulated Patients ◽  
Patient Anxiety ◽  
Significant Difference ◽  
Education Support ◽  
The Impact

Abstract Background: Enhancing empathy in healthcare education is a critical component in the development of a relationship between healthcare providers and patients that would ensure better patient care; improved patient satisfaction, adherence to treatment, patients’ medication self-efficacy, improved treatment outcomes, and reduced patient anxiety. Unfortunately, however, the decline of empathy among students has been frequently reported. It is especially common when the curriculum transitions to a clinical setting. However, some studies have questioned the significance and frequency of this decline. Thus, the purpose of this study was to determine the impact of postgraduate clinical training on dental trainees’ empathy from cognitive, behavioral, and patients’ perspective.Methods: This study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists carried out initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The trainees completed the Japanese version of the Jefferson Scale of Empathy for health professionals just before each interview. The SPs evaluated the trainees’ communication using an assessment questionnaire immediately after the interviews. All interviews were videotaped and analyzed using the Roter Interaction Analysis System. The hypothesis was that empathy in the trainees would have reduced at the end of their clinical training. The results were compared between the beginning and the end. The data were analyzed utilizing paired t-test and the Wilcoxon signed-ranks test.Results: No significant difference was found in the self-reported empathy of trainees at the beginning and the end of the clinical training (107.73 vs. 108.34, p=0.643). Similarly, there was no difference in the SPs’ evaluation of trainees’ communication (10.73 vs. 10.38, p=0.434). Communication behavior in the emotional responsiveness category for trainees in the beginning was significantly higher than that at the end (2.47 vs. 1.14, p=0.000).Conclusions: Overall, a one-year postgraduate dental training program neither reduced nor increased trainee dentists’ empathy levels. Providing regular education support in this area may help trainees foster their empathy.

scholarly journals MULTI-FACTOR AUTHENTICATION AT JAGGED PEAK

10.28945/3557 ◽  
2016 ◽  
Vol 1 ◽  
pp. 001-016
Author(s):  
Grandon Gill ◽  
Joni Jones
Keyword(s):  
Healthcare Providers ◽  
Cost Effective ◽  
Third Party ◽  
Security Measures ◽  
Web Based ◽  
User Training ◽  
Gift Cards ◽  
Security Challenge ◽  
Security Questions ◽  
Risk Managers

Jeffrey Stiles pondered these seemingly straightforward questions. As IT Director of Jagged Peak, Inc., a developer of e-commerce solutions located in the Tampa Bay region of Florida, it would be his responsibility to oversee the implementation of security measures that went beyond the existing user name and password currently required for each user. Recent events suggested that a move towards increased security might be inevitable. In just the past year, highly publicized security failures at the U.S. Department of Defense, major healthcare providers and large companies, such as Sony and JP Morgan Chase, had made executives acutely aware of the adverse consequences of IT system vulnerabilities. In fact, a study of business risk managers conducted in 2014 found that 69% of all businesses had experienced some level of hacking in the previous year. The nature of Jagged Peak’s business made the security of its systems a particular concern. The company, which had grown rapidly over the years, reporting over $61 million in revenue in 2014, provided its customers with software that supported web-based ordering, fulfillment and logistics activities, built around a philosophy of “buy anywhere, fulfill anywhere, return anywhere”. To support these activities, the company’s Edge platform needed to handle a variety of payment types, including gift cards (a recent target of hackers), as well as sensitive personal identifying information (PII). Compounding the security challenge: each customer ran its own instance of the Edge platform, and managed its own users. When only a single customer was being considered, the addition of further layers of security to authenticate uses was an eminently solvable problem. A variety of alternative approaches existed, including the use of various biometrics, key fobs that provided codes the user could enter, personalized security questions, and many others. The problem was that where multiple customers were involved, it was much more difficult to form a consensus. One customer might object to biometrics because it users lacked the necessary hardware. Another might object to security keys as being too costly, easily stolen or lost. Personalized questions might be considered too failure-prone by some customers. Furthermore, it was not clear that adding additional layers of authentication would necessarily be the most cost-effective way to reduce vulnerability. Other approaches, such as user training might provide greater value. Even if Stiles decided to proceed with additional authentication, questions remained. Mandatory or a free/added-cost option? Developed in house or by a third party? Used for internal systems only, customer platforms only, or both? Implementation could not begin until these broad questions were answered.

scholarly journals Teacher-Students Verbal Interaction At The Secondary Level

2008 ◽  
Vol 5 (9) ◽  
Author(s):  
Hafiz Muhammad Inamullah ◽  
Ishtiaq Hussain ◽  
M. Naseer Ud Din
Keyword(s):  
Interaction Analysis ◽  
Secondary Level ◽  
Verbal Interaction ◽  
Teacher Student ◽  
Teaching Behaviour ◽  
Teacher Students ◽  
Analysis System

The main purpose of this study was to explore teacher-student verbal interaction in the secondary level classes using the Flanders Interaction Analysis system (FIA).  Its findings and conclusions may stimulate teachers at the secondary level to improve their teaching behaviour in order to maximize students’ learning.

A NEW ORBITAL INTERACTION ANALYSIS SYSTEM "LUMMOX" AND IT'S APPLICATION OF PHOSPHINE-PALLADIUM COMPLEXES

2005 ◽  
Vol 04 (01) ◽  
pp. 345-355 ◽  
Author(s):  
MASAHIRO YAMANAKA ◽  
AKINOBU SHIGA
Keyword(s):  
Interaction Analysis ◽  
Palladium Complexes ◽  
Orbital Interaction ◽  
Frontier Orbital ◽  
System A ◽  
Analysis System

A new orbital interaction analysis system, "LUMMOX", is based on two theories of "Paired Interacting Orbital (PIO)" and "Localized Frontier Orbital (LFO)", which have been developed by Fujimoto et al. LUMMOX can readily estimate the reactivity of an interacting system A–B of various sizes with the same A by comparing with the same number of the interacting orbitals. By applying LUMMOX, we report herein the primary orbital interaction on the phosphine-palladium complexes ( PF 3 Pd , PH 3 Pd , PMe 3 Pd , PPh 3 Pd ) continuously changes from the donative to back-donative interaction.

CYBERSECURITY ARCHITECTURE FOR THE INTERNET OF MEDICAL THINGS AND CONNECTED DEVICES USING BLOCKCHAIN

2021 ◽  
pp. 2150013
Author(s):  
Muhammad Elsayeh ◽  
Kadry Ali Ezzat ◽  
Hany El-Nashar ◽  
Lamia Nabil Omran
Keyword(s):  
Healthcare Providers ◽  
Vital Signs ◽  
Third Party ◽  
Security And Privacy ◽  
The Internet ◽  
Security Architecture ◽  
Healthcare Organizations ◽  
Blockchain Technology ◽  
Huge Data ◽  
Internet Of Medical Things

The internet of medical things (IoMT) has a great role in improving the health around the world. IoMT is having a great impact in our life in which the clinical data of the patient is observed and checked and then can be transferred to the third party for using in the future such as the cloud. IoMT is a huge data system with a continuous developing rate, which implies that we should keep a lot of data secure. We propose a combined security architecture that fuses the standard architecture and new blockchain technology. Blockchain is a temper digital ledger which gives peer-to-peer communication and provides communication between non-trust individuals. Using standard in-depth strategy and blockchain, we are able to develop a method to collect vital signs data from IoMT and connected devices and use blockchain to store and retrieve the collected data in a secure and decentralized fashion within a closed system, suitable for healthcare providers such as private clinics, hospitals, and healthcare organizations were sharing data with each other is required. Right now initially examine the innovation behind Blockchain then propose IoMT-based security architecture utilizing Blockchain to guarantee the security of information transmission between associated nodes. Experimental analysis shows that the proposed scheme presents a non-significant overhead; yet it brings major advantages to meet the standard security and privacy requirements in IoMT.

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