scholarly journals Audit of pre-operative antibiotic prophylaxis usage in elective surgical procedures in two teaching hospitals, Islamabad, Pakistan: An observational cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231188 ◽  
Author(s):  
Zakir Khan ◽  
Naveed Ahmed ◽  
Asim.ur. Rehman ◽  
Faiz Ullah Khan ◽  
Muhammad Saqlain ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Surgical Procedures ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elective Surgical Procedures

scholarly journals Prevalence and Predictors of Cancellation of Elective Surgical Procedures at a Tertiary Hospital in Uganda: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Alfred Ogwal ◽  
Felix Oyania ◽  
Emmanuel Nkonge ◽  
Timothy Makumbi ◽  
Moses Galukande
Keyword(s):  
Surgical Procedures ◽  
Orthopedic Surgery ◽  
Elective Surgery ◽  
Cross Sectional Study ◽  
Mulago Hospital ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Elective Surgical Procedures ◽  
Cancellation Rate

Introduction. The cancellation of elective procedures has been shown to waste resources and to have the potential to increase morbidity and mortality among patients. This study aimed to determine the prevalence of the cancellation of elective surgical procedures and to identify the factors associated with these cancellations at Mulago Hospital, a large public hospital in Kampala, Uganda. Methods. A cross-sectional study was conducted from January 10, 2018, to February 20, 2018. We recruited patients of all ages who were admitted to surgical wards and scheduled for elective surgery. Data on patients’ demographic characteristics and diagnosis, as well as the specialty of the surgery, the planned procedure, the specific operating theatre, cancellation, and the reasons for cancellation were extracted and analyzed using logistic regression. Results. Of a total of 400 cases, 115 procedures were canceled—a cancellation prevalence of 28.8%. Orthopedic surgery had the highest cancellation rate, at 40.9% (n = 47). Facility-related factors were responsible for 67.8% of all cancellations. The most common reason for cancellation was insufficient time in the theatre to complete the procedure on the scheduled day. No procedures were canceled because of a lack of intensive care unit beds. There was a significant association between surgical specialty and cancellation (P<0.05) at multivariate analysis. Conclusion. The prevalence of cancellation of elective surgical procedures at Mulago Hospital was 28.8%, with orthopedic surgery having the highest cancellation rate. Two-thirds of the factors causing cancellations were facility-related, and more than 50% of all cancellations were potentially preventable. Quality-improvement strategies are necessary in the specialties that are susceptible to procedure cancellation because of facility factors.

scholarly journals Prevalence and factors associated with cancellation of elective procedures on surgical wards at Mulago hospital, Uganda

2019 ◽  
Author(s):  
alfred ogwal ◽  
felix oyania ◽  
emmanuel nkonge ◽  
timothy kabanda makumbi ◽  
fred moses galukande
Keyword(s):  
Surgical Procedures ◽  
Elective Surgery ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Mulago Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Elective Surgical Procedures ◽  
Cancellation Rate

Abstract Background: Cancellation of elective surgical procedures has been noted to waste resources and with potential to increase morbidity and mortality among patients. This study set out to determine the prevalence and factors associated with cancellation of elective surgical procedures at Mulago Hospital. Methods: A prospective cross-sectional study was conducted from 10 th January 2018 to 20 th February 2018. We recruited patients of all ages admitted on surgical wards and scheduled for elective surgery. Demographic data, diagnosis, specialty of surgery, proposed surgery, theatre and reasons for cancellation were extracted and analyzed using logistic regression. Results: There were 115 procedures canceled out of 400 cases, giving us a prevalence of cancellation of 28.8%. Neurosurgery had the highest cancellation rate at 46.8% (n=29), OR = 2.23, 95% CI (1.22, 4.06). UCI theatre was about two times more likely to have a procedure canceled (OR = 2.12, 95% CI, 0.91-4.96). Facility factors contributed 67.8% to overall cancellations. Commonest reason for case cancellations was theatre time run out. There was no procedure canceled due to lack of ICU bed. There was a significant association between specialty and surgical cancellation rate (p < 0.05). Conclusions: The prevalence of cancellation of elective surgical procedures in Mulago Hospital is 28.8% with Neurosurgery having the highest cancellation rate. Two thirds of the factors responsible for procedure cancellations were facility related with more than fifty percent of them being potentially preventable. Quality improvement strategies are necessary in those sub specialties susceptible to procedure cancellations due to facility factors. Keywords: cancellation; elective procedures; factors; prevalence

scholarly journals Management of Obstetric Perineal Tears: Do Obstetrics and Gynaecology Residents Receive Adequate Training? Results of an Anonymous Survey

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
A. Cornet ◽  
O. Porta ◽  
L. Piñeiro ◽  
E. Ferriols ◽  
I. Gich ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Specific Area ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perineal Tears ◽  
Obstetrics And Gynaecology ◽  
Training And Supervision

Background/Aim. To evaluate the obstetrics and gynaecology residents' perspective of their training and experience in the management of perineal tears that occur during assisted vaginal delivery. We hypothesised that residents would perceive room for improvement in their knowledge of pelvic floor anatomy and the training received in tears repair.Design. Descriptive cross-sectional study.Population/Setting. Seventy-two major residents from all teaching hospitals in Catalonia.Methods. A questionnaire was designed to evaluate experience, perception of the training and supervision provided.Results. The questionnaire was sent to all residents (), receiving 46 responses (64%). The participants represented 15 out of the 16 teaching hospitals included in the study (94% of the hospitals represented). Approximately, 52% of residents were in their third year while 48% were in their fourth. The majority of them thought that their knowledge of pelvic floor anatomy was poor (62%), although 98% felt confident that they would know when an episiotomy was correctly indicated. The survey found that they lacked experience in the repair of major degree tears (70% had repaired fewer than ten), and most did not carry out followup procedures.Conclusion. The majority of them indicated that more training in this specific area is necessary (98%).

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

BACKGROUND Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. OBJECTIVE This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. METHODS A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. RESULTS A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. CONCLUSIONS The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study

10.2196/14238 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e14238 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

Background Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. Objective This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. Methods A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. Results A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. Conclusions The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

scholarly journals Determining Model for Maximum Blood Request (MSBOS) for Surgery: An Elective Surgery in Imam Ali Hospital, Zahedan, Iran

2019 ◽  
Author(s):  
Seyed Mehdi Hashemi ◽  
Seyed Hossein Soleimanzadeh Mousavi ◽  
Zeinab Tavakolikia
Keyword(s):  
Surgical Procedures ◽  
Blood Donation ◽  
Elective Surgery ◽  
Cross Sectional Study ◽  
Blood Transfusions ◽  
Hernia Surgery ◽  
Cross Sectional ◽  
Elective Surgical Procedures ◽  
The Mean ◽  
Common Problems

Background: Nowadays, excessive blood intake is one of the most common problems in educational hospitals, causing issues such as the lack of proper distribution of blood products among centres, increases in costs and blood bank workloads. So, programs such as a Maximum Surgical Blood Ordering Schedule (MSBOS) were introduced to design a blood ordering schedule, which is a guide to normal transfusion needs for common surgical procedures.  Materials and Methods: This study was a descriptive cross-sectional study. The sampling method was designed and distributed among all sectors of the hospital. Each sector according to the demand for blood and cross-matched transfused units entered the rate of wasted and unused blood bags on the related forms. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. Results: The aim of this study was to determine the pattern for the maximum surgical blood order schedule (MSBOS) for elective surgical procedures/in elective surgery cases in Imam Ali Hospital, Zahedan. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. The mean C/T ratio was 1.61 ± 0.99, the mean TI was 0.61 ± 0.38, and the mean T index was 36.4 ± 30.16%. Conclusion: In general, only 55% of the blood units were used. Hernia surgery, thyroidectomy, and patients with renal problems had the greatest number of wasted units. Therefore, according to the results, indications of blood donation should be made correctly by health care personnel in all patients requiring a blood transfusion, and if there is an increased number of indications, packed cells are requested.  

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