Pattern of Work Risk Assessment among Physicians in Tertiary Care Hospitals , Taif , Saudi Arabia

2014 ◽  
Vol 32 (3) ◽  
pp. 1-12
Author(s):  
Faisal Alkhudadi ◽  
Fayssal Farahat ◽  
Ali Alqarni
Keyword(s):  
Risk Assessment ◽  
Saudi Arabia ◽  
Tertiary Care ◽  
Tertiary Care Hospitals

Methicillin-Resistant Staphylococcus aureus in Two Tertiary-Care Centers in Jeddah, Saudi Arabia

2001 ◽  
Vol 22 (4) ◽  
pp. 211-216 ◽  
Author(s):  
Tariq A. Madani ◽  
Nabeela A. Al-Abdullah ◽  
Ali A. Al-Sanousi ◽  
Tawfik M. Ghabrah ◽  
Shadia Z. Afandi ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Saudi Arabia ◽  
Tertiary Care ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Total Mortality ◽  
Control Measures ◽  
Methicillin Resistant ◽  
Mrsa Infection ◽  
Tertiary Care Hospitals

AbstractObjective:To review clinical experience with methicillin-resistant Staphylococcus aureus (MRSA) in tertiary-care hospitals in Jeddah, Saudi Arabia.Design:Retrospective review for the year 1998.Setting:Two tertiary-care hospitals.Methods:Results of MRSA-positive cultures of clinical specimens obtained as part of investigations for suspected infections were retrieved from the microbiology laboratories' records. Charts of patients were reviewed, with standardized data collection.Results:Of 673 S aureus isolates identified, 222 (33%, or 6.8 isolates/1,000 admissions) were MRSA Overall MRSA prevalence was 2% in 1988. Nosocomial acquisition occurred in 84.2% of cases. All age groups were affected, and 52% of patients had at least one comorbidity. MRSA prevalence was highest in the intensive care units (26.6% of all isolates), the medical wards (24.8%), and the surgical wards (19.8%). Seventy-three percent of isolates caused infection; the rest represented colonization. Surgical wounds (35.2%), the chest (29%), and central venous catheters (13%) were the most common sites of infection. Bacteremia occurred in 15.4% of patients. Local signs (84%) and fever (75.9%) were the most common clinical manifestations. Respiratory distress and septic shock occurred in 30.2% and 13.6% of cases, respectively. Of 162 patients with MRSA infection and 60 patients with MRSA colonization, 95.7% and 70% received antibiotics in the preceding 6 weeks, respectively (P<.0001). The total mortality of patients with MRSA infection was 53.7%: 36.4% as a result of MRSA infection and 17.3% as a result of other causes.Conclusions:The prevalence of MRSA is high and rapidly increasing in the two hospitals, as it is worldwide. Control measures to prevent die spread of MRSA in hospitals should continue, with reinforcement of hygienic precautions and development of policies to restrict the use of antibiotics.

scholarly journals Investigation of Medication Errors in a Tertiary Care Hospitals in the Qassim Region, Saudi Arabia

2020 ◽  
Vol 8 (E) ◽  
pp. 209-212
Author(s):  
Amjad Al-Harkan ◽  
Njood Al-Harkan ◽  
Amal Al-Najjar ◽  
Alaa Al-Hunti ◽  
Ahmed Al-Rashidi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medication Errors ◽  
Incomplete Data ◽  
Inappropriate Medication ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Near Miss ◽  
Prescription Errors ◽  
Tertiary Care Hospitals ◽  
Error Types

BACKGROUND: Medication errors (MEs) have been defined as “any preventable event that may cause or lead to inappropriate medication or patient harm when the medication is in the control of the health care professional, patient, or consumer.” AIM: The aim of this study is to identify, analyze, and compare the common types of errors encountered in prescriptions, as well as the factors associated with the root causes of these errors, in a large tertiary hospital in the Qassim region of Saudi Arabia. METHODS: The design used is a retrospective cross-sectional analysis conducted in tertiary care hospitals in the Al-Qassim region of the Kingdom of Saudi Arabia. MEs were reported by nurses, pharmacist, and physicians through “hospital-based incident medication error reports” collected from January 2016 to December 2016. RESULTS: During the study period, 2123 MEs were reported for 213,489 prescriptions, of which 1282 (60.38%) were errors by a physician followed by nurses and then pharmacists. Analysis of the outcome of error types revealed that error types B and C were the most common, with only few type A errors identified (0.14%). The most common type of error was incomplete data (34.27%) followed by prescription in illegible handwriting (14.88%). The least common ME was prescription of the wrong strength (0.17%). CONCLUSION: This study revealed multiple prescription errors across 213,489 prescriptions, most commonly originating with physicians. The incidence of serious errors was low at 0.14%, and the major outcome of prescription errors was “Near miss.” “Incomplete data” and “Illegible handwriting” were the most common types of MEs detected. Despite the low number of MEs recorded during the study period, some of the errors were indeed serious. Based on the findings of this study, policy-makers should consider strategies for increasing efficiency in the hospital setting.

scholarly journals Post-vaccination SARS-CoV-2 infection among healthcare workers in tertiary care hospitals in Saudi Arabia: A case series

2021 ◽  
Author(s):  
Majid M. Alshamrani ◽  
Fayssal M Farahat ◽  
Aiman El-Saed ◽  
Mohammed Alzunitan ◽  
Asim Alsaedi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Case Series ◽  
Post Vaccination ◽  
Tertiary Care Hospitals

scholarly journals The nature and severity of stab wounds at tertiary care hospitals in Kingdom of Saudi Arabia

2019 ◽  
Vol 34 ◽  
Author(s):  
Abdulmohsen Khlaif Alenazi ◽  
Nasser Awadh Almutairi ◽  
Yousef Khalid Alhuzaimi ◽  
Saif Sulaiman Altamimi ◽  
Yasser Sulaiman Alayed ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care ◽  
Kingdom Of Saudi Arabia ◽  
Stab Wounds ◽  
Tertiary Care Hospitals

Burden of healthcare-associated infections at six tertiary-care hospitals in Saudi Arabia: A point prevalence survey

2019 ◽  
Vol 40 (3) ◽  
pp. 355-357 ◽  
Author(s):  
Majid M. Alshamrani ◽  
Aiman El-Saed ◽  
Asim Alsaedi ◽  
Ayman El Gammal ◽  
Wafa Al Nasser ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Point Prevalence ◽  
Healthcare Associated Infections ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Tract Infections ◽  
Healthcare Associated ◽  
Tertiary Care Hospitals

AbstractA point prevalence survey was conducted on May 11, 2017, among inpatients at 6 hospitals in Saudi Arabia. The overall point prevalence was 6.8% (114 of 1,666). The most common types of infections were pneumonia (27.2%), urinary tract infections (20.2%), and bloodstream infections (10.5%). Approximately 19.2% of healthcare-associated infections were device associated.

scholarly journals Molecular characterization of carbapenem-resistant Enterobacterales in thirteen tertiary care hospitals in Saudi Arabia

2021 ◽  
Vol 41 (2) ◽  
pp. 63-70
Author(s):  
Hail Al-Abdely ◽  
Raed AlHababi ◽  
Hebah Mahmoud Dada ◽  
Hala Roushdy ◽  
Mishaal Mohammed Alanazi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Molecular Characterization ◽  
Bacterial Infections ◽  
Tertiary Care ◽  
Infection Prevention And Control ◽  
Multicenter Studies ◽  
Cross Sectional ◽  
Carbapenem Resistant ◽  
Tertiary Care Hospitals

BACKGROUND: Carbapenems are the antibiotics of last-resort for the treatment of bacterial infections caused by multidrug-resistant organisms. The emergence of resistance is a critical and worrisome problem for clinicians and patients. Carbapenem-resistant Enterobacterales (CRE) are spreading globally, are associated with an increased frequency of reported outbreaks in many regions, and are becoming endemic in many others. OBJECTIVES: Determine the molecular epidemiology of CRE isolates from various regions of Saudi Arabia to identify the genes encoding resistance and their clones for a better understanding of the epidemio-logical origin and national spread. DESIGN: Multicenter, cross-sectional, laboratory-based study. SETTING: Samples were collected from 13 Ministry of Health tertiary-care hospitals from five different regions of Saudi Arabia. METHODS: Isolates were tested using the GeneXpert molecular platform to classify CRE. MAIN OUTCOME MEASURES: Prevalence of various types of CRE in Saudi Arabia. SAMPLE SIZE: 519 carbapenem-resistant isolates. RESULT: Of 519 isolates, 440 (84.7%) were positive for CRE, with Klebsiella pneumoniae (410/456, 90%) being the most commonly isolated pathogen. The distribution of the CRE-positive K pneumoniae resistance genes was as follows: OXA-48 (n=292, 71.2%), NDM-1 (n=85, 20.7%), and NDM+OXA-48 (n=33, 8%). The highest percentage of a single blaOXA-48 gene was detected in the central and eastern regions (77%), while the bla NDM -gene was the predominant type in the northern region (27%). The southern regions showed the lowest percentages for harboring both blaOXA-48 and bla NDM genes (4%), while the western region isolates showed the highest percentage of harboring both genes (14%). CONCLUSION: The results illustrate the importance of molecular characterization of CRE isolates for patient care and infection prevention and control. Larger multicenter studies are needed to critically evaluate the risk factors and trends over time to understand the dynamics of spread and effective methods of control. LIMITATIONS: Lack of phenotypic susceptibility and clinical data. CONFLICT OF INTEREST: None.

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