Compliance with self-reporting quality assurance database entry in a tertiary academic anesthesiology practice

Mapping Intimacies ◽

10.21203/rs.2.19045/v1 ◽

2019 ◽

Author(s):

George Tewfik ◽

Neil Borad

Keyword(s):

Quality Assurance ◽

Reporting System ◽

Compliance Rate ◽

Reporting Quality ◽

Daily Practice ◽

Day Surgery ◽

Voluntary Reporting ◽

Improvement Measures ◽

Academic Year ◽

Surgery Center

Abstract Background. Quality assurance (QA) programs are critical to ensuring patient safety in current anesthesiology practices. While challenging to adapt to daily practice, rates of case entry into other Anesthesiology quality assurance databases have ranged from 48% to 85.1%. The goal of this study was to investigate entry rates at our institution’s voluntary QA database and uncover patterns of reporting. Methods. From 2013 to 2017, a total of 61,492 surgeries were analyzed to determine the rates of voluntary reporting of all cases (with or without a reportable incident) in our QA database by comparing the number of total procedures billed in that time to the total number of cases input into the QA system. Results. The overall compliance rate of entry of cases into the QA database during the 5 year period analyzed was 65.51%. Cases in the Main OR had a higher 5 year rate of entry compared to cases in the Same Day Surgery center. Interestingly, during the 5 year period, July has consistently had the highest rate of case entry (72.54%) into the QA Database, perhaps due to the start of the new academic year for residents. More importantly, there was a decreasing trend of entry into the QA database over the 5 year period of study. From an initial rate of 84.37% in 2013, compliance rates have gradually declined to 78.88% in 2014, 67.30% in 2015, 54.18% in 2016, and 45.16% in 2017. Conclusion. The inherent disadvantages of a voluntary reporting system combined with the growing requirement for quality improvement measures in today’s healthcare system reflect the necessity for particular interventions at our institution aimed at increasing QA compliance rates.

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The Management of Post-Tonsillectomy Morbidity in Patients With Sleep Apnoea

Revista de Chimie ◽

10.37358/rc.19.10.3738 ◽

2019 ◽

Vol 70 (10) ◽

pp. 3738-3740

Keyword(s):

Day Surgery ◽

Sleep Apnoea ◽

Integrative Approach ◽

Multicenter Studies ◽

Therapeutic Modalities ◽

Advantages And Disadvantages ◽

Obstructive Sleep ◽

Wide Range ◽

The Impact ◽

Surgery Center

The Tonsillectomy in children or adults is an intervention commonly encountered in the ENT (Ear Nose and Throat) and Head and Neck surgeon practice. The current tendency is to perform this type of surgery in major ambulatory surgery centers. Two objectives are thus pursued: first of all, the increase of the patient quality of life through the reintegration into the family as quickly as possible and secondly, the expenses associated with continuous hospitalization are reduced. Any tertiary (multidisciplinary) sleep center must ensure the complete diagnosis and treatment (including surgery) of sleep respiratory disorders. Under these conditions the selection of patients and especially the implementation of the specific protocols in order to control the postoperative complications it becomes essential. The present paper describes our experience of tonsillectomy as treatment for selected patients with chronic rhonchopathy (snoring) and mild to moderate obstructive sleep apnoea. It was presented the impact of antibiotics protocols in reducing the main morbid outcomes following tonsillectomy, in our day surgery center. The obtained results can also be a prerequisite for the integrative approach of the patients with sleep apnoea who were recommended surgical treatment. Considering the wide range of therapeutic modalities used in sleep apnoea, each with its specific advantages and disadvantages, more extensive and multicenter studies are needed. Keywords: post-tonsillectomy morbidity, day surgery center, sleep disorders

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Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16040607 ◽

2019 ◽

Vol 16 (4) ◽

pp. 607 ◽

Cited By ~ 6

Author(s):

Cam Le ◽

Erik Lehman ◽

Thanh Nguyen ◽

Timothy Craig

Keyword(s):

Quality Assurance ◽

Hand Hygiene ◽

Healthcare Workers ◽

Medical Center ◽

Compliance Rate ◽

World Health ◽

Limiting Factors ◽

Cultural Attitudes ◽

Knowledge And Attitude ◽

Hygiene Compliance

Lack of proper hand hygiene among healthcare workers has been identified as a core facilitator of hospital-acquired infections. Although the concept of hand hygiene quality assurance was introduced to Vietnam relatively recently, it has now become a national focus in an effort to improve the quality of care. Nonetheless, barriers such as resources, lack of education, and cultural norms may be limiting factors for this concept to be properly practiced. Our study aimed to assess the knowledge and attitude of healthcare workers toward hand hygiene and to identify barriers to compliance, as per the World Health Organization’s guidelines, through surveys at a large medical center in Vietnam. In addition, we aimed to evaluate the compliance rate across different hospital departments and the roles of healthcare workers through direct observation. Results showed that, in general, healthcare workers had good knowledge of hand hygiene guidelines, but not all believed in receiving reminders from patients. The barriers to compliance were identified as: limited resources, patient overcrowding, shortage of staff, allergic reactions to hand sanitizers, and lack of awareness. The overall compliance was 31%; physicians had the lowest rate of compliance at 15%, while nurses had the highest rate at 39%; internal medicine had the lowest rate at 16%, while the intensive care unit had the highest rate at 40%. In summary, it appears that addressing cultural attitudes in addition to enforcing repetitive quality assurance and assessment programs are needed to ensure adherence to safe hand washing.

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A novel colonoscopy reporting system enabling quality assurance

Endoscopy ◽

10.1055/s-0034-1364877 ◽

2014 ◽

Vol 46 (03) ◽

pp. 181-187 ◽

Cited By ~ 22

Author(s):

Sascha van Doorn ◽

Joost van Vliet ◽

Paul Fockens ◽

Evelien Dekker

Keyword(s):

Quality Assurance ◽

Reporting System

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The Incident Reporting System Lacks Validity as the Basis for a Quality Assurance Program

Anesthesiology ◽

10.1097/00000542-199409001-01226 ◽

1994 ◽

Vol 81 (SUPPLEMENT) ◽

pp. A1227 ◽

Cited By ~ 1

Author(s):

S. Small ◽

D. J. Cullen ◽

D. Bates ◽

J. B. Cooper ◽

L. Leape

Keyword(s):

Quality Assurance ◽

Reporting System ◽

Incident Reporting ◽

Quality Assurance Program ◽

Incident Reporting System

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De-hospitalization of the pediatric day surgery by means of a freestanding surgery center: pilot study in the lazio region

Italian Journal of Pediatrics ◽

10.1186/1824-7288-38-5 ◽

2012 ◽

Vol 38 (1) ◽

pp. 5 ◽

Cited By ~ 2

Author(s):

Giovanni Mangia ◽

Franco Bianco ◽

Alma Ciaschi ◽

Elisabetta Caro ◽

Eufrasia Frattarelli ◽

...

Keyword(s):

Pilot Study ◽

Day Surgery ◽

Lazio Region ◽

Surgery Center

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Public Price Reporting in the Cash Market for Live Cattle: A Spatial Market Approach

Agricultural and Resource Economics Review ◽

10.1017/s1068280500007139 ◽

2007 ◽

Vol 36 (2) ◽

pp. 336-348 ◽

Cited By ~ 4

Author(s):

Scott W. Fausti ◽

Matthew A. Diersen ◽

Bashir A. Qasmi

Keyword(s):

Reporting System ◽

Spatial Relationship ◽

State Level ◽

Mandatory Reporting ◽

Department Of Agriculture ◽

Voluntary Reporting ◽

Slaughter Cattle ◽

Price Series ◽

Cash Market ◽

Regional Markets

Legislative authorization for the Livestock Mandatory Reporting Act of 1999 was renewed in October of 2006. One of the cited justifications for implementing mandatory reporting was that the voluntary reporting system for the slaughter cattle cash market was unable to provide accurate and timely market information. We extend the spatial market analysis literature by developing a methodology for detecting distortions in spatial relationships across related price series. Using spatially linked regional markets, we compare state-level mandatory price-reporting data to the U.S. Department of Agriculture voluntarily reported state data to determine if the spatial relationship between price-reporting mechanisms was disrupted by market distortions prior to implementation of federal mandatory price reporting. We found no empirical evidence of system failure; therefore, we conclude that market thinning or noncompetitive behavior had not reached the level necessary to disrupt the ability of the voluntary price-reporting system to provide timely and accurate price information.

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Utilization of a Voluntary Reporting System in Quantitative Risk Assessment for Medical Tasks in a Hospital Setting‐with Special Reference to Tasks Done by Nurses

Journal of Occupational Health ◽

10.1539/joh.44.360 ◽

2002 ◽

Vol 44 (5) ◽

pp. 360-372 ◽

Cited By ~ 3

Author(s):

Kayoko Inoue ◽

Iwao Hirosawa ◽

Miki Yatsuduka ◽

Takeo Yoshinaga ◽

Akio Koizumi

Keyword(s):

Risk Assessment ◽

Special Reference ◽

Reporting System ◽

Hospital Setting ◽

Quantitative Risk Assessment ◽

Voluntary Reporting

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Implementation of Online Radiology Quality Assurance Reporting System for Performance Improvement: Initial Evaluation

Radiology ◽

10.1148/radiol.2412051400 ◽

2006 ◽

Vol 241 (2) ◽

pp. 518-527 ◽

Cited By ~ 26

Author(s):

Jonathan B. Kruskal ◽

Chun S. Yam ◽

Jacob Sosna ◽

Donna T. Hallett ◽

Yolanda J. Milliman ◽

...

Keyword(s):

Quality Assurance ◽

Performance Improvement ◽

Reporting System ◽

Initial Evaluation

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The reporting quality of the interventional animal experiments in Chinese journals based on the evaluated results of the Animals in Research: Reporting In Vivo Experiments (ARRIVE) guidelines

10.21203/rs.2.23896/v2 ◽

2020 ◽

Author(s):

Bing Zhao ◽

Yanbiao Jiang ◽

Ting Zhang ◽

Zhizhong Shang ◽

Weiyi Zhang ◽

...

Keyword(s):

Compliance Rate ◽

Animal Experiments ◽

Reporting Quality ◽

Experimental Animals ◽

Chinese Science ◽

Research Reporting ◽

In Vivo Experiments ◽

Sufficient Detail

Abstract Objective To retrospectively evaluate the reporting quality of animal experiments published in Chinese journals adhering to the Animals Research: Reporting of In Vivo Experiments (ARRIVE) guidelines. Methods The databases CNKI, WanFang, VIP, and CBM were searched from inception until July 2018. Two appropriately-trained. reviewers screened and extracted articles independently. The ARRIVE guidelines were used to assess the quality of the published reports of animal experiments. The compliance rate of every item was analyzed relative to the different dates of publication. Results A total of 4342 studies were finally included, of which 73.03% had been cited ≤ 5 times. Only 29.04% (1261/4342) were published in journals listed in the Chinese Science Citation Database. The results indicate that the compliance rate of around half of the sub-items (51.3%, 20/39) was less than 50% and 65.0% (13/20) was less than 10%. Conclusions The reporting quality of animal experiments in Chinese journals is generally at a low to moderate level. Due to the publication of the ARRIVE guidelines in 2010, the compliance rate of the majority of items in the ARRIVE guidelines has improved to some extent. However, less attention has been paid to the ethics and welfare of experimental animals, and a number of specific items in the Methods, Results, and Discussion sections continue to not be reported in sufficient detail. Therefore, it is necessary to popularize the ARRIVE guidelines, advocate researchers to adhere to them in the future, and in particular promote the use of the guidelines in specialized journals, in order that the design, implementation, and reporting of animal experiments is promoted, to ultimately improve their quality.

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