scholarly journals Barriers to Reporting Clinical Errors in Operating Theatres and Intensive Care Units of a Teaching Hospital: A Phenomenological Study

2021 ◽  
Author(s):  
Sedighe Ghobadian ◽  
Mansour Zahiri ◽  
Behnaz Dindamal ◽  
Hosein Dargahi ◽  
Farzad Faraji Khiavi
Keyword(s):  
Intensive Care ◽  
Teaching Hospital ◽  
Phenomenological Study ◽  
Operating Theatre ◽  
Care Staff ◽  
Teaching Hospitals ◽  
Medical Team ◽  
Hospital Data ◽  
Surgical Assistants ◽  
Organizational Problems

Abstract Background: Clinical errors are one of the challenges of health care in countries; moreover, the obtaining of accurate statistics regarding clinical errors in most countries is a difficult process and varies from one study to another. The current study was conducted to identify impediments in the reporting of clinical errors in the operating theatre and the intensive care unit of a teaching hospital.Methods This study was conducted qualitatively in the operating theatre and intensive care sections of a training hospital. Data collection was conducted through semi-structured with medical care staff and senior doctors and surgical assistants. Data analysis was carried out through listening to recorded interviews and developing tape scripts of the interviews. The meaning units were identified and codified based on the type of discussion. Furthermore, codes which had a common concept were categorized in one group and by using the designated groups, the main problems were derived. Finally, the codes and designated groups were analyzed, discussed and confirmed by a panel of four experts in qualitative content, and the existing main problems were identified and categorized.Results: Barriers to reporting clinical errors were extracted in two themes: individual and organizational problems. Individual problems included 4 categories and 12 codes and organizational problems included 6 categories and 17 codes. The results showed that in the majority of cases, nurses indicated their desire to change current prevailing attitudes in the workplace while doctors expected reform policies dealing with clinical errors in teaching hospitals to be implemented at higher levels by officials. Conclusion: in order to alleviate Barriers to reporting clinical errors, individual problems and organizational problems should be resolved. To reduce individual problems, it is recommended to train the nursing and medical team in the field of error recognition. In order to solve organizational problems in the nursing team, improve the process of reporting clinical errors and in the medical team, rectifying of legal loopholes should be considered.

scholarly journals Barriers to reporting clinical errors in operating theatres and intensive care units of a university hospital: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sedighe Ghobadian ◽  
Mansour Zahiri ◽  
Behnaz Dindamal ◽  
Hossein Dargahi ◽  
Farzad Faraji-Khiavi
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Operating Theatre ◽  
University Hospital ◽  
Care Staff ◽  
Health Care Staff ◽  
Organizational Problems

Abstract Background Clinical errors are one of the challenges of health care in different countries, and obtaining accurate statistics regarding clinical errors in most countries is a difficult process which varies from one study to another. The current study was conducted to identify barriers to reporting clinical errors in the operating theatre and the intensive care unit of a university hospital. Methods This qualitative study was conducted in the operating theatre and intensive care unit of a university hospital. Data collection was conducted through semi-structured interviews with health care staff, senior doctors, and surgical assistants. Data analysis was carried out through listening to the recorded interviews and developing transcripts of the interviews. Meaning units were identified and codified based on the type of discussion. Then, codes which had a common concept were grouped under one category. Finally, the codes and designated categories were analysed, discussed and confirmed by a panel of four experts of qualitative content analysis, and the main existing problems were identified and derived. Results Barriers to reporting clinical errors were extracted in two themes: individual problems and organizational problems. Individual problems included 4 categories and 12 codes and organizational problems included 6 categories and 17 codes. The results showed that in the majority of cases, nurses expressed their desire to change the current prevailing attitudes in the workplace while doctors expected the officials to implement reform policies regarding clinical errors in university hospitals. Conclusion In order to alleviate the barriers to reporting clinical errors, both individual and organizational problems should be addressed and resolved. At an individual level, training nursing and medical teams on error recognition is recommended. In order to solve organizational problems, on the other hand, the process of reporting clinical errors should be improved as far as the nursing team is concerned, but when it comes to the medical team, addressing legal loopholes should be given full consideration.

scholarly journals 1385 “Pre-Op Fasting Times Audit in Colorectal Surgery at A University Teaching Hospital”

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Khan ◽  
R Mohideen ◽  
K Khan ◽  
C Helbren
Keyword(s):  
Colorectal Surgery ◽  
Teaching Hospital ◽  
Elective Surgery ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Hospital Data ◽  
Elective Colorectal Surgery ◽  
Operation Room ◽  
Theatre Staff ◽  
University Teaching Hospitals

Abstract Aim Hull University teaching hospitals NHS trust has guidelines for patient fasting times prior to major elective surgery. We aimed to assess the compliance of pre-op fasting times for patients undergoing elective colorectal surgery. Method An initial and later re-audit was undertaken, prospectively, of 20 consecutive patients admitted for elective colorectal surgery at Castle Hill Hospital. Data was collected on a structured proforma and was completed following patient’s interview, ORMIS (operation room system) and Lorenzo (hospital intranet). Results Initial audit demonstrated 10% (2 out of 20) and 5% (1 out of 20) compliance with liquid and solid fasting times, respectively. Following implementation of changes, re-audit demonstrated 60% (12 out of 20) and 0% (0 out of 20) compliance with liquid and solid fasting times respectively Conclusions We concluded that liquid fasting times can be improved further by communication between theatre staff and ward. Whilst solid fasting times can be improved but at an expense of losing a theatre space. A further re-audit [planned in a month period.

scholarly journals Assessment of knowledge and practices of intensive care unit nurses about endotracheal suctioning for adult patients in Baghdad, Iraq teaching hospitals

2017 ◽  
Vol 5 (4) ◽  
pp. 1396
Author(s):  
Haider Mohammed Majeed
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Teaching Hospital ◽  
Training Session ◽  
Adult Patients ◽  
Teaching Hospitals ◽  
Respiratory Disorder ◽  
Endotracheal Suctioning ◽  
Cross Sectional ◽  
Nursing College

Background: Mechanical ventilation is a vital, life-saving therapy for clients with dangerous illness and ‎respiratory disorder. Objective of the study was to assess knowledge and practices of ICU nurses about endotracheal suctioning for adult patients and to determine the relationship between demographic characteristic data with nurse's knowledge and practices.Methods: A cross-sectional design study was conducted in the period of 1st June 2016 to 15th November 2016. On purposive of (50) nurses who were working at intensive care unit in Baghdad, these hospitals were: Baghdad teaching hospital, Surgical Specialties Hospital /Medical City Directorate descriptive and Al- Kidney Teaching Hospital/Al Rusafa health.Results: The majority of nurses’ ages were (20-29) years old that were accounted for (60%), Most of them (70%) were male, the level of education represented that most of them (54%) were from nursing college, (34%) for less than one years were employee in the intensive care unit, Majority of them (58) were employee (1-5) years were employment in nursing, (58%) of them have training session in the intensive care unit.Conclusions: Nurses have best practical level than knowledge level and their no significant relationship significant nurse’s demographic characteristics and levels of knowledge and practice.

scholarly journals Family Needs of Patients Admitted to the Intensive Care Units

2018 ◽  
Vol 5 (4) ◽  
pp. 128-132
Author(s):  
Fateme Hasandoost ◽  
Maryam Momeni ◽  
Leila Dehghankar ◽  
Nastaran Norouzi Parashkouh ◽  
Haydeh Rezaei Looyeh ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Family Members ◽  
Educational Status ◽  
Care Staff ◽  
Teaching Hospitals ◽  
Health Care Staff ◽  
Family Needs ◽  
Cross Sectional

Background and aims: Organizational support of family members of the patients admitted to intensive care units (ICUs) potentially reduces mental stresses and enables them to better comply with and support the patients. The current study aimed at evaluating the needs of families of the patients admitted to ICUs in teaching hospitals of Iran. Methods: This cross-sectional study was conducted in 2015 using convenience sampling method. The Critical Care Family Needs Inventory (CCFNI) in 5 factors was used as a main data collection tool. The study population included 235 family members of the patients. Results: Total score of CCFNI was 132.32±18.46. Needs of family members of ICU patients decreased 0.428 times following the increase of length of stay in ICU (P<0.001). Moreover, the need for supportive cares was significantly 9.273 times lower among illiterate families, compared with the ones with higher education level (P<0.018). Conclusion: Considering that the highest need was in the area of support and the predictors of the family needs of the patients were the duration of hospitalization and the educational status of their families, the main focus of nurses should be on the support of family members of the patients admitted to the ICU and supporting and paying attention to their needs, who experience stressful conditions, to satisfy them and even to encourage them to give better care to the patient and help health care staff.

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

Sign in / Sign up

Export Citation Format

Share Document