Identification of patients as a safety in providing medical care (practical experience)

2021 ◽  
pp. 33-39
Author(s):  
A. V. Potylitsyn ◽  
◽  
S. N. Beniova ◽  
I. S. Gorelova ◽  
P. F. Kiku ◽  
...  
Keyword(s):  
Medical Care ◽  
Main Idea ◽  
Practical Experience ◽  
World Health ◽  
Automatic Identification ◽  
Identification System ◽  
Patient Identification ◽  
Patient Health ◽  
Patients At Risk ◽  
Health Organization

Patient safety is one of the priorities in medical care. The leading place in it is occupied by “correct patient identification”. According to research by experts from the World Health Organization (WHO), “misidentification of a patient is the cause of many errors.” The purpose of this work is to assess the implementation of a patient identification system using bracelets in a multidisciplinary hospital. The main idea of the project is based on the use of personal identifiers, made in the form of a disposable white bracelet worn on the patient’s arm, as well as the use of color-coded bracelets (red, yellow, red-yellow), which allows identifying patients at risk of developing life-threatening conditions: high risk falling of the patient and the presence of an allergological history. The introduction of identification bracelets with patient data and a barcode on them increased the percentage of identification performance increased from 67% to 89%. After the introduction of the system of prevention of falls and color identification by bracelets, the number of falls of patients decreased by more than 4 times. Successful integration of the automatic identification system into the workflow of a multidisciplinary hospital significantly reduces the influence of the human factor on the number of medical errors and related preventable consequences for patient health.

scholarly journals COVID-19 PANDEMIC UPDATES AND PERSPECTIVES. NEED FOR AN INTEGRATED AND EQUITABLE APPROACH.

2021 ◽  
Author(s):  
Grigoris Gerotziafas ◽  
Mariella Catalano ◽  
Ioannis Theodorou ◽  
Patrick van Dreden ◽  
Vincent Marechal ◽  
...  
Keyword(s):  
Mitigation Strategies ◽  
World Health ◽  
Learning Technology ◽  
Pharmacological Interventions ◽  
Health Crisis ◽  
Patients At Risk ◽  
Physical Barriers ◽  
Risk Of Disease ◽  
One Year ◽  
Health Organization

One year after the declaration of the COVID-19 pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Non-pharmacological interventions (NPI) are efficient mitigation strategies. The success of these intense NPI is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current issues: The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against SARS-CoV-2 and its variants. The need of a second and even third generation of vaccines and the possibility of potentially harmful side-effects of the vaccines (i.e. venous thromboembolism ) have already been acknowledged. Perspectives: There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) Prevention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion: The “PDA strategy” integrated into state policy for the support and expansion of health systems and introduction of digital organization (i.e. telemedicine, artificial intelligence and machine learning technology) is of major importance for the preservation of citizens’ health and life world-wide.

Prevalence of depression in Tunisian general population

2017 ◽  
Vol 41 (S1) ◽  
pp. S523-S523
Author(s):  
H. Belhadj ◽  
R. Jomli
Keyword(s):  
General Population ◽  
World Health ◽  
Cross Sectional ◽  
Gender Education ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Severity Of Depression ◽  
Competing Interest ◽  
Health Organization ◽  
Detection Of Depression

IntroductionDepression is a major burden for the health-care system worldwide.ObjectiveTo identify prevalence and severity of depression in Tunisian general population and define socoiodemographic characteristics of screened positive to depression participants.MethodWe undertook a cross-sectional and descriptive study. A total of 134 participants, representative of the Tunisian general population, were enrolled. Age, gender, and educational level were the major criteria for representativeness. Depression was assessed with the Patient Health Questionnaire (PHQ-9).ResultsThe cut-off score was 10. The prevalence of depression was 13.4%. There were no statistical difference in gender, education and age for the prevalence of depression.ConclusionThe World Health Organization ranks depression as the fourth leading cause of disability worldwide. Thus, the detection of depression and the dissemination of treatment in the general population are very important to reduce the burden of the disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Special aspects of medical care for cancer patients during COVID-19 pandemic

2021 ◽  
pp. 2-2
Author(s):  
Mariia Pavlushenko ◽  
Roman Liubota ◽  
Roman Vereshchako ◽  
Nikolay Anikusko ◽  
Irina Liubota
Keyword(s):  
Cancer Treatment ◽  
Medical Care ◽  
World Health Organization ◽  
Cancer Patients ◽  
Cancer Care ◽  
World Health ◽  
Cancer Therapies ◽  
Risk Of Infection ◽  
The World ◽  
Health Organization

The biggest challenge for the World Health Organization today is the fight against the COVID-19 pandemic. The current situation prompted major adjustments in the system of cancer care. In this review, we investigate the aspects of cancer treatment and care during the pandemic, since in this setting oncological services face challenges in determining the feasibility of anticancer treatments while minimizing the risk of infection. Cancer patients are at a higher risk from COVID-19 disease. Therefore, oncological community is discussing on the priorities for providing cancer therapies and care and at the same time minimizing the risk of infection.

scholarly journals Study and analysis the effect of chemical composition of spring water of dhofar region against turbidity

2020 ◽  
Vol 8 (4) ◽  
Author(s):  
Ahmmed Saadi Ibrahim ◽  
◽  
Tafoul Abdullah Al Kathiri ◽  
Tariq Omar Hassan Al Rashidi Al Rashidi ◽  
Salim Ahmed Salim Al Shanfari Al Shanfari ◽  
...  
Keyword(s):  
Chemical Composition ◽  
Chemical Properties ◽  
Solid Particles ◽  
World Health ◽  
Identification System ◽  
Physiochemical Parameters ◽  
Percentage Difference ◽  
Quality Water ◽  
The Difference ◽  
Health Organization

The aim of this study is to calculate the physical properties of eight springs of the water of the Dhofar region in Oman using physiochemical parameters like pH, total dissolved solids (TDS), conductivity, turbidity, and dissolved oxygen (DO). The chemical properties estimated the concentrations of the metals in springs of water and specified the best healthy spring of water depending on the percentage difference between the actual and normal range set by the World Health Organization (WHO). Eight samples for each test were collected from eight springs of water, namely, Ain Hamran, Ain Deribat, Ain Tobruk, Ain Al-Nabi Ayoub, Ain Atom, Ain Jarziz, Ain Sahlnot, and Ain Razat using an atomic absorption spectrophotometer (AAS) to study the chemical composition of the samples. Ain Jarziz represented high quality water because the percentage difference between actual and WHO was 78.78% compared to Ain Al-Nabi Ayoub, where the difference percentage was 105.95 %. Quantity of dissolved solid particles has a big effect on TDS and conductivity compared to the turbidity. Identification system was used to evaluate the effect of the quality of the chemical composition on the turbidity for Ions of Cl-1, So4 -2, Ca+2, Na+1, Mg+2, and K+1 to be equal to 99.52%, 75.4%, 92.548%, 95.346%, 98.011%, and 97.33 %, respectively. However, more studies are required to conform with the outcomes of this research employing this energetic technique.

scholarly journals Otorhinolaryngology Out-Patient Practice in the “Post”-COVID-19 Era: Ensuring a Balance Between Service and Safety

2020 ◽  
Vol 35 (1) ◽  
pp. 6-29
Author(s):  
Jose Florencio Lapeña ◽  
Franco Louie Abes ◽  
Mark Anthony Gomez ◽  
Cesar Vincent Villafuerte ◽  
Rodante Roldan ◽  
...  
Keyword(s):  
Task Force ◽  
Care Delivery ◽  
Grey Literature ◽  
Relevant Literature ◽  
Neck Surgery ◽  
The Philippines ◽  
Data Sources ◽  
World Health ◽  
Patient Health ◽  
Health Organization

Objective: To review available resources and provide evidence-based recommendations that may optimize otorhinolaryngologic out-patient health care delivery in the “post”-COVID-19 era while ensuring the safety of our patients, healthcare workers and staff. Data Sources: Relevant peer-reviewed journal articles; task force, organizational and institutional, government and non-government organization recommendations; published guidelines from medical, health-related, and scientific organizations. Methods: A comprehensive review of the literature on the COVID-19 pandemic as it pertained to “post”-COVID 19 out-patient otorhinolaryngologic practice was obtained from peer-reviewed articles, guidelines, recommendations, and statements that were identified through a structured search of the data sources for relevant literature utilizing MEDLINE (through PubMed and PubMed Central PMC), Google (and Google Scholar), HERDIN Plus, the World Health Organization (WHO) Global Health Library, and grey literature including social media (blogs, Twitter, LinkedIn, Facebook). In-patient management (including ORL surgical procedures such as tracheostomy) were excluded. Retrieved material was critically appraised and organized according to five discussion themes: physical office set-up, patient processing, personal protection, procedures, and prevention and health-promotion. Conclusion: These recommendations are consistent with the best available evidence to date, and are globally acceptable while being locally applicable. They address the concerns of otorhinolaryngologists and related specialists about resuming office practice during the “post”-COVID-19 period when strict quarantines are gradually lifted and a transition to the “new” normal is made despite the unavailability of a specific vaccine for SARS-CoV-2. While they target practice settings in the Philippines, they should be useful to ENT (ear, nose & throat) surgeons in other countries in ensuring a balance between service and safety as we continue to serve our patients during these challenging times. Keywords: COVID-19; SARS-CoV-2; otorhinolaryngology; otolaryngology head and neck surgery;ENT; out-patient practice; clinic practice.

scholarly journals Missions, Humanitarianism, and the Evolution of Modern Global Surgery

2020 ◽  
pp. 000313482097918
Author(s):  
Danielle I. Ellis ◽  
Don K. Nakayama ◽  
Tamara N. Fitzgerald
Keyword(s):  
World War Ii ◽  
Global Health ◽  
Medical Care ◽  
International Health ◽  
Surgical Care ◽  
International Committee ◽  
Global Surgery ◽  
World Health ◽  
Red Cross ◽  
Health Organization

Modern global surgery, which aims to provide improved and equitable surgical care worldwide, is a product of centuries of international care initiatives, some borne out of religious traditions, dating back to the first millennium. The first hospitals ( xenodochia) were established in the 4th and 5th centuries CE by the early Christian church. Early “missions,” a term introduced by Jesuit Christians in the 16th century to refer to the institutionalized expansion of faith, included medical care. Formalized Muslim humanitarian medical care was marked by organizations like the Aga Khan Foundation and the Islamic Association of North America in the 20th century. Secular medical humanitarian programs developed in the 19th century, notably with the creation of the International Committee of the Red Cross (1863) and the League of Nations Health Organization (1920) (which later became the World Health Organization [1946]). World War II catalyzed another proliferation of nongovernmental organizations, epitomized by the quintessential humanitarian health provider, Médecins Sans Frontières (1971). “Global health” as an academic endeavor encompassing education, service, and research began as an outgrowth of departments of tropical medicine and international health. The American College of Surgeons brought a surgical focus to global health beginning in the 1980s. Providing medical care in distant countries has a long tradition that parallels broad themes in history: faith, imperialism, humanitarianism, education, and service. Surgery as a focus of academic global health is a recent development that continues to gain traction.

scholarly journals A review of patients presenting to accident and emergency department with deliberate self-harm, KwaZulu-Natal, South Africa

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Josephat O. Ani ◽  
Andrew J. Ross ◽  
Laura M. Campbell
Keyword(s):  
Study Data ◽  
African Women ◽  
World Health ◽  
Community Based ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Kwazulu Natal ◽  
Patients At Risk ◽  
Self Harm ◽  
Health Organization

Background: The World Health Organization has described deliberate self-harm (DSH) as a major global health challenge. Little is known about the profile of patients admitted following DSH at district and regional combo hospitals in KwaZulu-Natal, South Africa.Aim: The aim of this study was to assess the profiles of patients and reasons for admission following DSH.Setting: The study was conducted on data from a busy Accident and Emergency (A&E) department in a combination district and regional hospital situated in Empangeni in northern KwaZulu-Natal.Method: This was a retrospective descriptive study. Data were collected from charts of all patients admitted to the A&E department from April 2012 to March 2013 following DSH. Variables assessed included age, gender, race, occupation, religion, education level, coexisting medical and mental health conditions, and reasons for DSH. Data were entered into SPSS and analysed descriptively.Results: A total of 262 charts were identified and 215 (82%) were selected for inclusion. Most patients admitted following DSH were young, single African women with at least secondary-level education. Most (169/215;78%) admissions were for parasuicide, with relational issues contributing in more than 50% of cases and circumstance challenges contributing in just under 30%.Conclusion: Although an underestimation, DSH is not an uncommon reason for patients to present in the A&E at this district and regional combo hospital. Findings from this study are consistent with those of other studies on DSH and highlight the need for a validated screening tool for the identification of patients at risk of DSH. There is a need to explore community-based intervention, which could address reasons for DSH and prevent future admissions.

scholarly journals Development of mobile application for safe surgery checklist

2020 ◽  
pp. 25-38
Author(s):  
Rafael Henrique Silva ◽  
Marcia Aparecida Nuevo Gatti ◽  
Sara Nader Marta ◽  
Nirave Reigota Caram ◽  
Solange de Oliveira Braga Franzolin ◽  
...  
Keyword(s):  
Patient Safety ◽  
World Health Organization ◽  
Information Technologies ◽  
Technological Development ◽  
World Health ◽  
Patient Identification ◽  
Safe Surgery ◽  
The World ◽  
Health Organization ◽  
And Control

Communication and information technologies are increasingly influencing health actions, as well as patient safety. Thus, this study aimed to develop an application for conference and control of all stages of the Safe Surgery checklist suggested by the World Health Organization improving the safety of patients submitted to surgery. The problem of research lies precisely in the absence of mobile applications capable of meeting the need for patient safety. This study is applied in the technological development of an application with the possibility of deployment in any health service and easy installation on mobile devices. The app was built based on the Safe Surgery checklist established by the World Health Organization. The application allows patient identification through three identifiers. Later it contemplates all the items of the three stages of the checklist of safe surgery: Before anesthetic induction, Before the Surgical Incision and Before the Patient Leaves the Room. At the end of all the steps of the application, it calculates the risk to patient safety. The application developed is a tool that can be implemented in health institutions and used by professionals working in the operating room.

scholarly journals Assessment of mosquito insecticidal activity of bacterial extracts produced by Colombian strains

2020 ◽  
Vol 2 (7A) ◽  
Author(s):  
Manuela Agudelo-Restrepo ◽  
Martha Lucia Hernández‐Quesada ◽  
Edinson Yonny Sanabria-Duran ◽  
Sandra Inés Uribe-Soto ◽  
Adriana Ortiz-Reyes ◽  
...  
Keyword(s):  
Aedes Aegypti ◽  
Serratia Marcescens ◽  
Aedes Albopictus ◽  
Insecticidal Activity ◽  
Mosquito Control ◽  
World Health ◽  
Identification System ◽  
Control Disease ◽  
Health Organization ◽  
Emergence Of Resistance

Aedes aegypti and Aedes albopictus are the major vectors for the transmission of more than 30 disease-causing viruses as dengue fever, dengue hemorragic fever, zika, yellow fever and chikungunya. Vector control is one of the important strategies used in order to fight these diseases in tropical and subtropical countries. However, mosquito control is facing a threat because of the emergence of resistance to synthetic insecticides. The aim of this study was to identify larvicidal and adulticidal activity of secondary metabolites in extracts produced by bacteria isolated from different sources in Colombia. A total of 105 extracts produced from the same number of bacteria were evaluated for their activity against fourth instar larvae and adults of A. aegypti and A. albopictus using standard protocols defined for the WHO (World Health Organization) and CDC (Control Disease Centre, USA). Six extracts showed relevant activity (more than 50% of mosquito larvae were killed after 48 hours), two of them showed to be actives against larvae of Aedes aegypti and four against larvae of Aedes albopictus. None of the extracts showed activity against the mosquitoes in adult stage. The bacteria producing active extracts were identified using the biolog ® identification system as Serratia marcescens ss marcescens, Escherichia hermannii, Serratia marcescens ss marcescens, Bacillus marisflavi, Bacillus atropheus/subtilis and Pseudomonas chlororaphis subsp. aurantiaca. In conclusion, bacterial extracts are a good source for the search of new strategies in the control of mosquitoes. Further studies to determine the compound responsible for the insecticidal activity are in progress.

scholarly journals Organizational activity of S.V. Kurashov in establishing and developing of national medicine and health care (to the 110th anniversary of the birth of S.V. Kurashov)

2020 ◽  
Vol 101 (6) ◽  
pp. 930-936
Author(s):  
A N Galiullin ◽  
A V Shulaev ◽  
I M Burykin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Medical Personnel ◽  
World Health ◽  
Specialty Hospitals ◽  
Organizational Activity ◽  
Health Organization ◽  
National Programs

The article provides information about the organizational activities and role of S.V. Kurashov in establishing and developing of national medicine and health care in the USSR and his contribution to the organization of health resorts, medical industry, pharmacy. The data on the improvement of outpatient specialized medical care for the population, the dynamics of health care in the USSR in 19501965, and the implementation of national programs to eliminate especially dangerous infections in the country are detailed. The paper shows the role of S.V. Kurashov in the training of medical personnel, the construction of multi-specialty hospitals in rural areas, allowing to provide specialized outpatient and inpatient medical care, in the country's accession to the World Health Organization in Geneva, which increased the importance of the USSR health care in the international arena.

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