scholarly journals Analysis of records by nursing technicians and nurses in medical records

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Larissa de Lima Ferreira ◽  
Flávia Barreto Tavares Chiavone ◽  
Manacés dos Santos Bezerril ◽  
Kisna Yasmin Andrade Alves ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
...  
Keyword(s):  
Medical Records ◽  
Relative Frequency ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Quantitative Approach ◽  
Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Professional Category ◽  
Nursing Professionals

ABSTRACT Objectives: to analyze the main non-conformities of the nursing records of a public hospital in Natal, Brazil. Methods: this is a descriptive, cross-sectional study, with a quantitative approach. This study was conducted in nursing departments of medical and surgical wards. The sample was composed of 120 medical records of inpatients between October and December 2016. The obtained data were tabulated and analyzed by simple statistics in absolute and relative frequency using the 2013 Microsoft Excel software. The Pareto Diagram was used to evaluate the non-conformities of the records. Results: the main problems in the nursing records were the absence of the professional category and the nursing council number, responsible for 41.8% of the non-conformities in the records of nursing technicians; for nurses’ records, the main non-conformities were the absence of time and the illegible handwriting, with 61.2%. Conclusions: the study showed that nursing professionals perform their records incompletely and often do not document the care provided.

scholarly journals Seasonal Variation in an Outpatient Antibiotic Prescription Rates in Alkharj

2020 ◽  
pp. 1-7
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Medical Records ◽  
Public Hospital ◽  
Antibiotic Prescription ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prescription Rates ◽  
Outpatient Prescriptions

Aim: The aim of this study was to describe the seasonal variations in dispensing antibiotic prescriptions in the outpatient setting of a public hospital in Alkharj. Methodology: A retrospective cross-sectional study was conducted. The outpatient prescriptions in 2017 and 2018 were collected from medical records in a public hospital in Alkharj. The data include the number of prescribed antibiotics in general, the number of prescribed antibiotics in different months and seasons in the outpatient setting. Results: In the outpatient setting in 2017 and 2018, antibiotics were prescribed excessively in most of the months. About 27.84 %of the prescriptions in 2017 were in spring season and about 26.64% of the prescriptions in 2018 were in autumn. Total number of antibiotics prescriptions in 2017 and 2018 were 5348 in spring followed by 5097 in autumn. Conclusion: The results of the present study showed the widespread use of antibiotics by practitioners that was associated with season of prescribing. In general, there are excess use of antibiotics in all months. It is important to understand how the prescribing of antibiotic varies throughout the year to design an appropriate intervention to decrease incorrect antibiotic use.

scholarly journals Prescribing of Xylometazoline in the Outpatient Department of a Public Hospital

2021 ◽  
pp. 1-4
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy
Keyword(s):  
Emergency Department ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Prescription Data ◽  
Sectional Study ◽  
Prescribing Pattern ◽  
Cross Sectional

Objective: The aim of this study is to analyze the prescribing pattern of Xylometazoline in the outpatient department in a public hospital. Methods: This is a retrospective cross-sectional study that was conducted in a public hospital in alkharj. Prescription data was collected from electronic medical records in the outpatient department. Results: A total of 600 patients received xylometazoline during the study time. 55% of them were males and more than 57% of them aged less than 10 years. More than 86% of the prescriptions were prescribe by the emergency department followed by E.N.T department (13%). Most of the patients received xylometazoline for 3 days and 15.17% of them received it for 5 days. Conclusion: Xylometazoline was prescribed commonly in the outpatients department and could cause several adverse events so its prescribing should be assessed continuously to prevent its adverse effects and to decrease its interactions with drugs.

Perfil epidemiológico de puérperas e recém-nascidos atendidos em uma unidade de referência

2019 ◽  
Vol 9 ◽  
pp. 159
Author(s):  
Silas Santos Carvalho ◽  
Bruno Rodrigues de Oliveira
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Epidemiological Profile ◽  
Service Strategies ◽  
Effective Service

Este estudo objetivou conhecer o perfil epidemiológico de puérperas e neonatos atendidos em um hospital de referência. Trata-se de um estudo transversal quantitativo realizado em um hospital público, onde foram analisados o cartão de gestante e os prontuários das puérperas e do recém-nascido. Participaram 457 puérperas, destas, 51,4% tinham idade entre 17 e 26 anos, 85,4% eram casadas/ união estável, 39,6% eram primigestas e 64,6% tiveram parto normal; e 461 neonatos, destes, 84,2% eram a termo e tiveram Índice de Apgar maior que 7 e 8 no 1º (92,2%) e no 5º (94,8%) minuto de vida. Baixo peso ao nascer e prematuridade foram constatados em 11,3% e 9,1% dos neonatos, respectivamente. A pesquisa permitiu traçar o perfil epidemiológico de puérperas e de seus neonatos, possibilitando a compreensão da interação dos fatores de risco e a reorganização de estratégias de serviços mais efetiva.AbstractThis study had the objective of to trace the epidemiological profile of puerperae and neonates treated in a referral hospital. A quantitative cross-sectional study was carried out in a public hospital, where the pregnant woman’s card, the medical records of the puerperae and the newborn were analyzed. 457 postpartum women participated, 51.4% were between 17 and 26 years of age, 85.4% were married / stable, 39,6% were primigravidae and 64.6% had normal births; and 461 neonates, of whom 84.2% were at term and had an Apgar score greater than 7 and 8 in the 1st (92.2%) and in the 5th (94.8%) minute of life. Low birth weight and prematurity were found in 11.3% and 9.1% of neonates, respectively. The research allowed us to trace the epidemiological profile of puerperal women and their newborns, enabling the understanding of the interaction of risk factors and the reorganization of more effective service strategies.

scholarly journals Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS)

2020 ◽  
Vol 20 (2) ◽  
pp. 479-484
Author(s):  
Maria Luíza Lemos Pires ◽  
Ariani Impieri Souza ◽  
Maria Luisa Borges Roriz Dantas ◽  
Gabriela Delgado Soriano ◽  
Cláudia Viana Henriques ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Contraceptive Method ◽  
Medical Records ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Therapeutic Applications

Abstract Objectives: to identify the main indications and reasons for discontinuing the use of the Levonorgestrel-Releasing Intrauterine System (LNG-IUS). Methods: a cross-sectional study was carried out from medical records of 327 women who used the LNG-IUS 52mg between January 2011 and December 2016 at a public hospital in the Northeast of Brazil. Results: the main indications for the use of the LNG-IUS were: contraception (32.7%), myoma/metrorrhagia (28.7%) and endometriosis/pelvic pain (22.3%). Of the 327 women, 68 (20.8%) had discontinued using the device. The most frequent reasons for discontinuation were: expulsion (9.2%), LNG-IUS expiration (3.7%), bleeding (2.4%) and pain (1.5%). Most patients had no difficulty in the insertion and did not require anesthesia/sedation. Among the 30 women who expelled the device, 17 (56.7%) had used it for metrorrhagia and myoma, 8 (26.7%) for contraception, and 5 (16.6%) for endometriosis/pelvic pain. Conclusions: the LNG-IUS is a well-accepted contraceptive method, with therapeutic applications for some gynecological conditions and a low expulsion rate.

scholarly journals Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants

2021 ◽  
Vol 18 (3) ◽  
pp. 1068
Author(s):  
Muliana Edi ◽  
Yit Chin ◽  
Fui Woon ◽  
Geeta Appannah ◽  
Poh Lim ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Second Hand Smoke ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shs Exposure ◽  
At Home

Despite the advancement of the healthcare system, low birth weight (LBW) remains as one of the leading causes of under-five mortality. This cross-sectional study aimed to determine the prevalence of LBW and its associated factors among 483 third trimester pregnant women recruited from six selected public health clinics in the Federal Territory of Kuala Lumpur and the state of Selangor, Malaysia. Pregnant women were interviewed for information on socio-demographic characteristics, smoking behaviour, and second-hand smoke (SHS) exposure at home and in the workplace. Information on the obstetrical history and prenatal care visits history were retrieved from the maternal medical records, while infant’s birth outcomes were retrieved from infant medical records. The prevalence of LBW (<2.5 kg) in infants was 10.4%, with a mean birth weight of 3.0 [standard deviation (SD) 0.4] kg. Results from the multivariable logistic regression model showed that inadequate weight gained during pregnancy [odds ratio (OR) = 2.41, 95% confidence interval (CI) = 1.18–4.90] and exposure to SHS at home (OR = 1.92, 95% CI = 1.03–3.55) were significantly associated with LBW. In conclusion, pregnant women should monitor their rate of weight gain throughout pregnancy and avoid SHS exposure at home to reduce the risk of delivering LBW infants.

Ophthalmologists and WhatsApp: Teleophthalmology is already here

2021 ◽  
pp. 112067212110026
Author(s):  
Edward Barayev ◽  
Ofri Vorobichik Berar ◽  
Gad Dotan ◽  
Alon Skaat ◽  
Orly Gal-Or ◽  
...  
Keyword(s):  
Medical Records ◽  
Cross Sectional Study ◽  
Work Hours ◽  
Clinical Settings ◽  
Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Media Messages ◽  
Rapid Responses ◽  
Wide Availability

Purpose: To estimate the extent of WhatsApp utilization using text and media messages for inter-physician consultations among ophthalmologists (residents and specialists) at various clinical settings and its perceived benefits for ophthalmologists and their patients. We also aimed to detect obstacles that concern ophthalmologists when using WhatsApp as a consultation platform. Methods: This was a cross-sectional study using a self-administered survey through Google Forms, which was sent to 660 practicing ophthalmologists during April to May 2020. Results: One hundred and ninety-two ophthalmologists completed the questionnaire, 151 of which (78.6%) were specialists and 41 (21.4%) were residents. Most ophthalmologists reported using WhatsApp at least once a day for both personal and professional use. Residents reported lower rates of contacting patients using WhatsApp than specialists (1.51 ± 0.98 vs 2.72 ± 1.32, p < 0.001). Respondents reported WhatsApp consultations frequently replaced referrals of patients to other physicians, with a median of once a week. 97.8% of residents and 91.4% of specialists reported the ability to share media is a major advantage of WhatsApp over other medias, followed by rapid responses for consultations. Conclusion: Many ophthalmologists already use WhatsApp as a tool for professional consultations with other providers, mainly thanks to its simplicity and wide availability. Residents use it more frequently than specialists, and ranked it higher when asked how much WhatsApp has improved the clinical setting. Policy makers should address concerns brought up by physicians, such as documentation in medical records and proper compensation for consulting ophthalmologists during and after work hours.

CHILDREN'S AWARENESS OF MEDICINES, DRUG COMPLIANCE AND HEALTH PROTECTION DURING COVID 19 PANDEMIC: A DETAILED CROSS SECTIONAL STUDY

2021 ◽  
pp. 20-24
Author(s):  
Radhika Vijay
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Great Role ◽  
Drug Compliance ◽  
Online Questionnaire ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
North West ◽  
Adult Lives ◽  
Prevention Of Infections

OBJECTIVES: Nobody is refrained from the use of medications in today's times, not even kids,The objective of this study is to focus on the knowledge and awareness level, perception, of children of primary and secondary grade towards medicines , prevention of Infections and Diseases and drug compliance. This descriptive, cross sectional observational study was done METHODS: amongst the kids of North West Rajasthan ,India from August 2020 to October 2020 via an online questionnaire . A sample size of 100 kids , 50 each from Primary and Secondary grade was chosen for the study. The data was entered in Microsoft Excel and was statistically analysed. Results are outcomes of various RESULTS: questions put up to conduct detailed analysis of kids' awareness and medicinal knowledge, drug preferences, factors inuencing and attitude related to hygiene, safety and protection from Covid 19 infection. Kids are the young budding phys CONCLUSION: icians and their childhood beliefs and perceptions might affect their behaviour and decisions in adult lives. Parents and schools can play a great role through educational programs . It's well said, “Children are like wet cement, whatever falls on them, leaves an impression.”

Hepatitis B prophylaxis in newborns: A cross-sectional study of 7-year attendance in a public hospital of Brazil

2019 ◽  
Vol 47 (9) ◽  
pp. 1107-1111
Author(s):  
Alex S. Jorge ◽  
Barbara S. Horvath ◽  
Claudia Ariati ◽  
Jessica C. Silva ◽  
Lucas B. Lima ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Chronic stress, work-related daily challenges and medicolegal investigations: a cross-sectional study among German general practitioners

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine Kersting ◽  
Lena Zimmer ◽  
Anika Thielmann ◽  
Birgitta Weltermann
Keyword(s):  
Regression Model ◽  
General Practitioners ◽  
Chronic Stress ◽  
Medical Records ◽  
High Strain ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related

Abstract Background The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician well-being is associated with poor patient outcomes, targeted strategies are needed. This analysis focuses on work-related factors associated with high chronic stress in GPs. Methods This cross-sectional study measured chronic stress among German GPs using the validated and standardized Trier Inventory for the Assessment of Chronic Stress (TICS-SSCS). Based on the TICS, GPs were categorized as either having low strain (≤ 25th percentile) or high strain (≥ 75th percentile) due to chronic stress. Questions on work-related challenges assessed the frequency and the subjectively perceived strain of single challenges. For exploratory analyses, these items were combined to dichotomous variables reflecting challenges that are common and that cause high strain. Variables significant in bivariate analyses were included in a multivariate logistic regression model analyzing their association with high chronic stress. Results Data of 109 GPs categorized as having low strain (n = 53) or high strain (n = 56) due to chronic stress were analyzed. Based on bivariate analyses, challenges regarding personnel matters, practice software, complexity of patients, difficult patients, care facilities, scheduling of appointments, keeping medical records up-to-date, fee structures, and expectations versus reality of care were included in the regression model. Keeping medical records up-to-date had the strongest association with high chronic stress (odds ratio 4.95, 95% confidence interval 1.29–19.06). A non-significant trend showed that medicolegal investigations were more common among GPs with high chronic stress. Conclusions This exploratory research shows that chronic stress is predominantly associated with administrative challenges. Treatment documentation, which represents a legal safeguard and is closely linked to existential concerns, has the strongest influence.

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