scholarly journals Contribution to the Assessment of the Quality of the Pre-Analytical Phase of Medical Biology Tests at the Ibn Sina University Hospital in Rabat

2021 ◽  
Vol 8 ◽  
Author(s):  
Abdelhak Jnah

The study of the nonconformities (NC) literatures in medical biology report that between 60-85% of laboratory errors are produced during the pre-analytical phase, which are often external and escapes the biologist's control. The objective of our study was to identify the factors at the origin of non-conformities during this phase at the University Hospital of Rabat. A mixed analytical descriptive study realized between August 2019 and August 2020 based on a non-compliance form, a self-questionnaire, an observation grid, focus groups and semi-structured interviews. We also set up the Deming wheel PDCA as well as the work tools (BRAINSTORMIN, 5M, ISHIKAWA). Our results show that 22 % of the prescriptions of biologic tests are drafted by nurses and not doctors this in the absence of an updated list of biological exams. The samples are taken at 88,1% by unqualified personnel and 95 % without any guide or manual.  For the traceability aspect, the name of the sampler is never placed on the sheet of examination, age, sex of the patient; time and nature of the sample are often not mentioned in the label vials of samples.  Transportation is made by pneumatic cylinder system and sometimes by unqualified staff in absence of procedures for packaging and transportation equipment without traceability. The reception of samples is carried out by untrained staff on the error management of the pre-analytical phase. They result at first from a major defect of coordination between the laboratory and the services, then by the lack of continuing education and the weak competence of the staff involved in this process and finally compounded by the lack of manual sampling, procedures for packaging, transport, reception and triage.

2021 ◽  
Vol 319 ◽  
pp. 01069
Author(s):  
Fatna EL Mehdaoui ◽  
Abdelmajid Soulaymani ◽  
Malika EL Khiari ◽  
Soukaina Benissa Laghawati ◽  
Raouf Alami

Objective: To evaluate the knowledge of transfusion and transfusion safety among health professionals. Materials and method: 47 volunteers, working at the University Hospital Ibn Sina in Rabat of Morocco, answered a survey on knowledge, skills in transfusion and transfusion safety. Results: 68% of the participants were female against 32% male, 85.11% were aged 20-30 years. 77% had a seniority of less than 5 years. 57% were nurses and 42% doctors. According to these participants, allergic reactions and hyperthermia occur with 85.11% after a transfusion, 57.45% mentioned lung edema. 80.85% of the participants stated that immunological and infectious risks are the main risks occurring after transfusion. 25.53% did not know that there were preventive measures for transfusion risks, 8.51% stated that there were none. 72.34% of the staff stated that hemovigilance is based on transfusion surveillance. For 68.09% reporting transfusion events, informing recipients and monitoring them after transfusion are the main tools of hemovigilance. 27.66% of the participants were aware of the transfusion regulations and 53.19% were not. Only 41% had received training in blood transfusion. 91.49% of the participants wanted to develop their transfusion knowledge and competence. Conclusion: Heterogeneity of knowledge and skills in transfusion is raised among these professionals, as well as a great motivation to improve their knowledge and the development of their skills in the field of transfusion. Thus, the development of training programs remains an urgent need for health professionals to further improve their knowledge and ensure the safety and quality of blood transfusions.


1985 ◽  
Vol 1 (3) ◽  
pp. 284-285
Author(s):  
E. Tresalti ◽  
G. Rossi ◽  
P. Contegiacomo

In the last few years various departments of the University Hospital “A. Gemelli” have been engaged in dealing with disasters of different kinds: the earthquakes of Belice, Friuli and Irpinia, the fire of the Todi antique exhibition, and various terrorist attacks. In these events the organization of the care of the survivors took the following four aspects into account: 1) Type and kind of lesions related to the nature of the event. 2) Criteria and collection areas of the injured, casualty clearing and treatments. 3) Distance of the disaster from the treatment center. 4) New structures to be set up for improving efficiency in the future.1) The most frequent clinical problems encountered burns and crushing injuries, and those affecting the musculoskeletal, cardiorespiratory and neuro-muscular systems. In a second phase, together with the possible lack of water, food, clothing, shelter and toilet facilities, infectious diseases of the respiratory and gastro-intestinal tract appear, particularly in old people and children. The treatment of the injured in the emergency phase requires a series of interventions at a very high technological level. In the subsequent phase, which may last for months, the treatment needed comes under normal preventive and clinical care.2) In the emergency period, which in our experience does not generally last longer than ten days, the medical and surgical departments of our hospital mostly concerned were the intensive care units (18 beds), the orthopedics and traumatology sections (122 beds), the surgical wards (309 beds), the transfusion center and the hemodialysis service.


2003 ◽  
Vol 183 (06) ◽  
pp. 559-560 ◽  
Author(s):  
Jim van Os ◽  
Philippe Delespaul

The academic department of psychiatry at Maastricht University is situated not only in the university hospital, but crucially also in nearly all the affiliated mental health institutions in a region with a source population of 650 000. This set-up is funded by a central government grant, allowing academic personnel to work in affiliated mental health institutions. Research projects are carried out on the basis of 4-year PhD contracts, or, in the case of doctors with specialist training, through research psychiatrist appointments in the regional academic psychiatric network. Strong links exist with the Institute of Psychiatry in London.


2021 ◽  
Vol 1 (2) ◽  
pp. 63-68
Author(s):  
Princewill I. Egwuasi ◽  
◽  
Emem E. Umoren ◽  
Husseina K. Wakili ◽  
Rebecca J. Akpabio ◽  
...  

The constant outcry of misuse and mismanagement of funds in governmental organisations have given concern to several researches, debates and blame games. Our focus in this qualitative study is to interpretively examine the extent of internal security and management measures that are explorable in curtailing the inability to recover dues and third party loans in an IPPIS challenge-prone era among unions and cooperative societies in tertiary institutions in Nigeria, the University of Uyo, Uyo being our focus point. The study is an interpretive research that employed semi-structured interviews for the chairpersons of ASUU, SSANU, NASU and NAAT and the presidents of cooperative societies run by the unions in a federal university such as ours. These chairpersons and presidents were purposively selected for the study. Three research questions were raised to guide the study: What internal security measures are put in place by the unions to ensure recovery of dues and third party loans from debtors? How do the cooperative societies manage their funds and recover dues and third party loans during the IPPIS era? What relationship exists between the unions, cooperative societies and IPPIS office for dues and third party loans recovery? The findings of the study showed that there is no full proof of internal security measures put in place to recover dues and third party loans; that committees are set up in the cooperative societies to manage their funds through several management strategies; there is no clear relationship between the Unions, cooperative societies and IPPIS Office to aid in the recovery of dues and third party loans in the university. The study recommended among others that the IPPIS should be transparent enough to abide by the laws of its establishment in order not to under mind its primary functions of deduction and remittance of dues and third party loans to beneficiaries.


1997 ◽  
Vol 11 (3) ◽  
pp. 137-144
Author(s):  
Carol Dempster ◽  
Homer Goldberg

The Long Island Research Institute was set up in 1992 to create and nurture enterprises based on technologies derived from its sponsoring institutions: the University at Stony Brook, Brookhaven and Cold Spring Harbor Laboratories, and North Shore University Hospital. An account of the organization's conception is followed by descriptions of its comprehensive approach to technology commercialization in three projects: a gene-finding methodology, an organ preservation device, and a wastewater treatment system. These experiences suggest that success for such an organization requires managers combining technical and business expertise, extensive contacts with local business and research communities, variable and ongoing company assistance, access to venture capital, knowledge of company needs, an entrepreneurial champion for each project, and, fundamentally, public and institutional funding.


2014 ◽  
Vol 142 (suppl_1) ◽  
pp. A164-A164
Author(s):  
Mariam Meddeb ◽  
Frédéric Schramm ◽  
Benoit Jaulhac ◽  
Christelle Koebel

2003 ◽  
Vol 183 (6) ◽  
pp. 559-560
Author(s):  
Jim van Os ◽  
Philippe Delespaul

The academic department of psychiatry at Maastricht University is situated not only in the university hospital, but crucially also in nearly all the affiliated mental health institutions in a region with a source population of 650 000. This set-up is funded by a central government grant, allowing academic personnel to work in affiliated mental health institutions. Research projects are carried out on the basis of 4-year PhD contracts, or, in the case of doctors with specialist training, through research psychiatrist appointments in the regional academic psychiatric network. Strong links exist with the Institute of Psychiatry in London.


2002 ◽  
Vol 36 (2) ◽  
pp. 222-229 ◽  
Author(s):  
Paola BA Andreoli ◽  
Jair de J Mari

OBJECTIVE: To investigate the relevance of subjective criteria adopted by a psychiatry and psychology consultation-liaison service, and their suitability in the evaluation of case registries and objective results. METHODS: Semi-structured interviews were conducted and all supervisors of the university hospital service were interviewed. Routinely collected case registries were also reviewed. Standardized assessment with content analysis for each category was carried out. RESULTS: The results showed distortions in the adopted service focus (doctor-patient relationship) and consultant requests. This focus is more on consulting physician-oriented interventions than on patients. DISCUSSION: Evaluation of the relevance of service criteria could help promoting quality assessment of the services provided, mainly when objective criteria have not yet been established to assure their suitability.


Author(s):  
Princewill I. Egwuasi ◽  
◽  
Emem E. Umoren ◽  
Husseina K. Wakili ◽  
Rebecca J. Akpabio ◽  
...  

The constant outcry of misuse and mismanagement of funds in governmental organisations have given concern to several researches, debates and blame games. Our focus in this qualitative study is to interpretively examine the extent of internal security and management measures that are explorable in curtailing the inability to recover dues and third party loans in an IPPIS challenge-prone era among unions and cooperative societies in tertiary institutions in Nigeria, the University of Uyo, Uyo being our focus point. The study is an interpretive research that employed semi-structured interviews for the chairpersons of ASUU, SSANU, NASU and NAAT and the presidents of cooperative societies run by the unions in a federal university such as ours. These chairpersons and presidents were purposively selected for the study. Three research questions were raised to guide the study: What internal security measures are put in place by the unions to ensure recovery of dues and third party loans from debtors? How do the cooperative societies manage their funds and recover dues and third party loans during the IPPIS era? What relationship exists between the unions, cooperative societies and IPPIS office for dues and third party loans recovery? The findings of the study showed that there is no full proof of internal security measures put in place to recover dues and third party loans; that committees are set up in the cooperative societies to manage their funds through several management strategies; there is no clear relationship between the Unions, cooperative societies and IPPIS Office to aid in the recovery of dues and third party loans in the university. The study recommended among others that the IPPIS should be transparent enough to abide by the laws of its establishment in order not to under mind its primary functions of deduction and remittance of dues and third party loans to beneficiaries.


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