scholarly journals Assessment of the Quality of Chest Compressions Performed by Health-Care Workers Under Simulated Conditions

2021 ◽  
Vol 17 (4) ◽  
pp. 37-47
Author(s):  
E. A. Boeva ◽  
D. O. Starostin ◽  
M. A. Milovanova ◽  
V. V. Antonova ◽  
D. Ch. Kargin ◽  
...  
Keyword(s):  
Quality Control ◽  
Hospital Staff ◽  
City Hospital ◽  
Chest Compressions ◽  
Compression Performance ◽  
Staff Members ◽  
Sensor Device ◽  
Care Workers ◽  
Icu Physicians

Aim of the study: to investigate chest compression parameters by city hospital staff under simulated conditions with and without the use of a sensor device for quality control of chest compressions.Materials and Methods. The study was conducted in Moscow's multidisciplinary hospitals. The study included 359 medical staff members. The participants were divided into 4 groups: physicians (n=97) and nurses (n=82) from intensive care units (ICU) and physicians (n=92) and nurses (n=88) from specialized departments. Participants performed 2 minutes of chest compressions without a chest compressions quality control (CCQC) sensor, followed by 2 minutes of chest compressions using a defibrillator sensor with audiovisual prompts from the device turned on. The percentage of target compressions, rate and depth of compressions were analyzed.Results. Compression parameters in the group of ICU doctors were outside the reference range (% target compression — 0.5 (0.0; 14.5)%, rate 124.1±17.8 per minute, depth 5.6±1.1 cm), in the group of ICU nurses, the percentage of target compressions was 0.0 (0.0; 3.5)%, rate — 123.6±23.7 per minute, depth — 5.3±1.2 cm, in the group of specialist doctors the percentage of target compressions was 0.0 (0.0; 1.2) %, rate — 123.8±23.2 per minute, depth — 5.8±1.2 cm, in specialized nurses group the percentage of target compressions was 0.0 (0.0; 6.1)%, rate — 119.7±29.5 per minute, depth — 5.6±1.2 cm. There was a significant improvement in compression performance in all groups when the sensor device was used: in ICU physicians the percentage of target compressions was 81.6 (64.80; 87.90)%, rate — 124.1±17.8 per minute, depth — 5.5±0.2 cm; in ICU nurses the percentage of target compressions was 69.1 (47.4; 80.6), rate — 123.6±23.7 per minute, depth — 5.3±0.3 cm, in specialist doctors the percentage of target compressions was 69.30 (50.50; 78.70), rate — 123.8±23.2 per minute, depth — 5.4±0.3 cm, in specialized nurses the percentage of target compressions reached 63.70 (42.90; 75.80), rate — 119.7±29.5 per minute, depth — 5.4±0.3 cm. There were no differences in analysed compression parameters between staff in different departments or positions.Conclusion. Compression parameters (percentage of target compressions, rate, depth) were not influenced by the department where the staff member worked and the position held (doctor or nurse). The use of a compression quality sensor device has improved compression parameters by reducing rate and normalizing depth. The use of the sensor does not increase the percentage of target compressions to the maximum values, indicating the need for training by an instructor.

Hospital Experience with Varicella-Zoster Virus

1986 ◽  
Vol 7 (6) ◽  
pp. 312-316 ◽  
Author(s):  
Keith Krasinski ◽  
Robert S. Holzman ◽  
Rita LaCouture ◽  
Alfred Florman
Keyword(s):  
Infection Control ◽  
Varicella Zoster Virus ◽  
Hospital Staff ◽  
Control Measures ◽  
Varicella Zoster ◽  
Staff Members ◽  
Infection Control Measures ◽  
Serologic Testing ◽  
Care Workers ◽  
History Of

AbstractVaricella-zoster virus (VZV), one of the most common highly communicable agents of disease, stimulates aggressive infection control measures. In a 1-year period, at one hospital, at least 93 inpatients (82 adult patients, 11 pediatric patients) and 2 hospital staff with active varicella-zoster infections served as potential sources of nosocomial infection. Six incidents of exposure to the virus that occurred without the protection of standard infection control precautions were investigated by the infection control surveillance team. One hundred fifty-six patients and 353 hospital staff were exposed. Fifty-one patients had no history of varicella-zoster infection, but only five were susceptible by serologic testing. One hundred one staff members had no history of varicella-zoster, but only 11 were susceptible by serologic testing. These exposures resulted in three secondary varicella-zoster infections, six courses of varicella-zoster immune globulin prophylaxis and furlough of 13 staff members. Epidemiologic investigation consumed approximately 356 hours of staff time, and management of exposed persons cost approximately $41,500. Prospective knowledge of the immune status of health care workers would vastly decrease the time and effort required to control hospital VZV exposures.

scholarly journals Transmission of Pneumocystis carinii DNA from a Patient with P. carinii Pneumonia to Immunocompetent Contact Health Care Workers

2000 ◽  
Vol 38 (4) ◽  
pp. 1536-1538 ◽  
Author(s):  
Sergio L. Vargas ◽  
Carolina A. Ponce ◽  
Francis Gigliotti ◽  
Ana V. Ulloa ◽  
Susana Prieto ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Large Subunit ◽  
Pneumocystis Carinii ◽  
Dna Amplification ◽  
Hospital Staff ◽  
Immunocompromised Patients ◽  
Staff Members ◽  
Care Workers ◽  
Patients At Risk

The transmission of Pneumocystis carinii from person to person was studied by detecting P. carinii-specific DNA in prospectively obtained noninvasive deep-nasal-swab samples from a child with a documented P. carinii pneumonia (PCP), his mother, two contact health care workers, and 30 hospital staff members who did not enter the patient's room (controls). Nested-DNA amplification was done by using oligonucleotide primers designed for the gene encoding the mitochondrial large subunit rRNA of rat P. carinii(P. carinii f. sp. carinii) that amplifies all forms of P. carinii and internal primers specific for humanP. carinii (f. sp. hominis). P. carinii f. sp. hominis DNA was detected in samples from the patient and all of his contacts versus none of the 30 hospital staff members. The results, as previously shown in murine models ofP. carinii pneumonia, document that person-to-person transmission of P. carinii is possible. This observation suggests that immunocompromised patients not on PCP prophylaxis should not enter the room of a patient with PCP, and it also raises the question as to whether healthy contacts can transmit the disease to immunocompromised patients at risk.

scholarly journals Compassion Training: The Missing Link in Healthcare Education?

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Kirsten Deleo ◽  
Angela Anderson ◽  
Crystal Cullerton-Sen
Keyword(s):  
Professional Education ◽  
Skills Training ◽  
City Hospital ◽  
Missing Link ◽  
Training Models ◽  
Self Compassion ◽  
Care Workers ◽  
Hands On ◽  
Whole Person

Compassion is an essential skill in whole person care. But, can it be cultivated through training?Current research in neuroscience elucidates the mechanisms of empathy and compassion and provides a new framework for professional education. It suggests that clinical detachment is neither effective for ensuring good care, nor a realistic strategy to prevent burnout. Cultivating compassion on the other hand, increases non-judgmental awareness, builds resilience, and enables us to respond more effectively to others’ needs with greater empathy (Frickson, 2008, Klimecki, 2102, Lutz, 2004). Moreover, it is a skill we can learn (Wasner et al, 2005, Lutz 2009). Despite these findings, however, training in compassion is largely absent in current professional curricula.Presenters will review current findings on compassion and its benefits, and demonstrate how we can train in it using examples from two unique compassion skills-training curricula: (1) a training for pediatric residents working in an inner-city hospital and (2) a certificate program in contemplative end-of-life care for hospice/palliative care workers. These models are inspired by the contemplative tradition of Tibetan Buddhism, with its long-standing and effective methodologies for deepening the human capacity for compassion. This approach has formed the basis of many scientific studies on compassion and the emerging field of contemplative-based, secular training models (Lutz, 2009). Participants engage in contemplations on compassion as well as mindfulness and meditation. The aim is to support clinicians to generate self-compassion - the foundation for building resilience and extending compassionate care – thereby improving communication and the overall quality of care.The workshop will introduce key principles, feature hands-on experience of selected methods, and include a discussion of the potential impact on the greater healthcare system.A wider implementation of compassion training promises to be the missing link for building a fulfilling clinical practice and strengthening our capacity to provide effective whole-person care.

scholarly journals IMPROVING THE QUALITY OF THE ORGANIZATION OF TEMPORARY DISABILITY EXAMINATION IN A CITY HOSPITAL

2017 ◽  
Vol 2 (4) ◽  
pp. 36-40
Author(s):  
SA A Suslin ◽  
VV V Pavlov
Keyword(s):  
Quality Control ◽  
General Hospital ◽  
Information Support ◽  
Expert Assessment ◽  
City Hospital ◽  
Organizational Model ◽  
Methodological Approaches ◽  
Methodological Aspects ◽  
The City

Aim - improving the quality of the organization of temporary disability examination (TDE) in a city hospital. Materials and methods. The research focuses on the organization of temporary disability examination in Samara City Hospital No. 10 providing services to the population of Kuibyshevsky district of Samara, which amounts to more than 87 thousand people. The study involved the following research methods: statistical, analytical, expert assessment, organizational modeling. Results. We implemented an organizational model of TDE improvement, which is based on organizational and methodological aspects of TDE development, methodological approaches to the quality control of TDE, indices of efficiency of TDE organization system. Conclusion. Development of an organizational model for the improvement of TDE based at the City general hospital contributes to the timely acceptance of instructive and methodological documents, raising the level of personnel qualification, developing information support for TDE, and providing quality control of TDE. The following results of the implementation of the organizational model for improving the organization of TDE from 2010 to 2015 were obtained: an increase in the quality of TDE; a reduction in the number of all defects per 100 cases of temporary disability - from 257.2 to 111.1; a reduction in the proportion of unreasonably issued sick-leaves from 4.8% to 1.9%; an increase in the integrated assessment of the quality of care in the model of the final results of the TDE service performance in the City general hospital from 0.75 in 2010 to 0.85 in 2015.

scholarly journals Which factors are related to Finnish home care workers’ job satisfaction, stress, psychological distress and perceived quality of care? - a mixed method study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Salla Ruotsalainen ◽  
Sami Jantunen ◽  
Timo Sinervo
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Home Care ◽  
Working Conditions ◽  
Time Pressure ◽  
Well Being ◽  
Staff Members ◽  
Care Workers ◽  
Home Care Workers

Abstract Background The desire to increase the role of home care in Finland has created problems in home care work. Working conditions have deteriorated, the quality of care experienced is low, and staff members suffer from time pressure and stress, amongst other things. The aim of this article is to explore the challenges, stressors, teamwork and management factors that are associated with home care staff members’ well-being, job satisfaction and experienced care quality, and further, how staff members experience their work. Methods A survey was sent to home care workers in two case organizations that participated in the study. In addition, semi-structured theme interviews with home care workers were conducted. The data from the survey was analysed using analysis of covariance, and interview data was analysed using the Grounded Theory-based method from Gioia et al. Results Respondents of the survey and the interview participants were mainly female practical nurses. The results from the survey showed, for example, that time pressure was associated with higher stress and psychological distress, and interruptions were associated with lower job satisfaction and higher stress. In addition, variables related to teamwork, such as participative safety, were shown to explain the variation in quality of care. The analysis of the interview data further brought up dissatisfaction with management practices, which seems to have led to a decrease in job satisfaction. Exhaustion and strain were present among staff members, which originated from an insufficient number of carers. Conclusions Current working conditions and work practices in Finnish home care are experienced stressful. The results from this study indicate that having more autonomy at work was associated with job satisfaction, according to both analyses. Team climate and idea implementation were related to quality of care. Therefore, increasing self-organizing team practices might be a possible development method for improving working conditions and staff members’ well-being. Implementing self-organizing team practices could possibly also attract employees to work in home care and prevent turnover.

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

Kepuasan Masyarakat Terhadap Pelayanan Kelurahan Setelah Pemekaran Di Tangerang Selatan

Liquidity ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 151-159
Author(s):  
Pitri Yandri
Keyword(s):  
Public Perception ◽  
Service Personnel ◽  
Urban Services ◽  
Hospitality Workers ◽  
Care Workers ◽  
Before And After ◽  
Cartesian Diagram ◽  
Better Than

The purpose of this study is (1) to analyze public perception on urban services before and after the expansion of the region, (2) analyze the level of people's satisfaction with urban services, and (3) analyze the determinants of the variables that determine what level of people's satisfaction urban services. This study concluded that first, after the expansion, the quality of urban services in South Tangerang City is better than before. Secondly, however, public satisfaction with the services only reached 48.53% (poor scale). Third, by using a Cartesian Diagram, the second priority that must be addressed are: (1) clarity of service personnel, (2) the discipline of service personnel, (3) responsibility for care workers; (4) the speed of service, (5) the ability of officers services, (6) obtain justice services, and (7) the courtesy and hospitality workers.

Development and Application of Quality Control System for Highway Subgrade Construction

2019 ◽  
Vol 2 (5) ◽  
Author(s):  
Tong Wang
Keyword(s):  
Quality Control ◽  
Real Time ◽  
Detection Method ◽  
System Development ◽  
Effective Control ◽  
Construction Process ◽  
Development Mode ◽  
The Road ◽  
Whole Process

The compaction quality of the subgrade is directly related to the service life of the road. Effective control of the subgrade construction process is the key to ensuring the compaction quality of the subgrade. Therefore, real-time, comprehensive, rapid and accurate prediction of construction compaction quality through informatization detection method is an important guarantee for speeding up construction progress and ensuring subgrade compaction quality. Based on the function of the system, this paper puts forward the principle of system development and the development mode used in system development, and displays the development system in real-time to achieve the whole process control of subgrade construction quality.

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