scholarly journals Perceptions of a Surgical Team About the Ethical and Legal Responsibilities of Forgetting Foreign Bodies in Patient Bodies and Other Errors

Author(s):  
Díaz-Pérez Anderson ◽  
Zilena Ardila González ◽  
Moraima Del Toro ◽  
Elkin Navarro Quiroz

Abstract Background: Retained surgical items (RSIs) represent a real and ongoing problem, but it is preventable. Its real incidence is unknown because of underreporting resulting from the fear of lawsuits for medical errors. This study aimed to describe the perception of the members of a surgical team about their ethical and legal responsibilities related to medical errors, specifically concerning the presence of RSIs. Methods: This qualitative, descriptive, and interpretative study focused on the perceptions of the members of a surgical team on the ethical and legal problems they may face because of the presence of RSIs. Continuous saturation sampling was performed by interviewing 17 professional members of the surgical team. Atlas Ti 8.0® program was used for analyzing the data obtained. It traced the categories by means of content analysis of the perceptions and practices during possible ethical and legal responsibilities because of medical errors. Results: The interviewees were conflicted between complicity and justice, as it is a duty to report events or actions that put the lives of surgical patients at risk.Conclusions: The lack of awareness about the rules and believing that human errors are inevitable lead to normalizing errors, which does not allow professionals to face the risk and, therefore, to avoid it.

2021 ◽  
Vol 25 (2) ◽  
pp. 94-101
Author(s):  
Thi Minh Khue Nguyen ◽  
Quang Tung Nguyen

Objectives: Describe bleeding characteristics and evaluate the correlation between surgical-related bleeding and bleeding risk according by ISTH – BATs. Methods: Research was conducted on 340 surgical patients at Hanoi Medical University Hospital. Results: The percentage of patients with bleeding during and after surgery is 13.5%. The proportion of patients at risk of bleeding according to BATs is 1.8%. There was a correlation between bleeding risk according to ISTH - BAT with bleeding status during and after surgery with p = 0.004. The positive predictive value of ISTH - BATs is 66.7%, negative predictive value is 87.4%, the sensitivity is 8.7%, the specificity is 99.3%. Conclusions: Surgery has a high risk of abnormal bleeding. Bleeding history has important implications in assessing bleeding risk during and after surgery. The ISTH - BATs is a bleeding history assessment tool that can be used to assess the risk of bleeding before surgery.


Author(s):  
Katherina Jurewicz ◽  
Myrtede Alfred ◽  
David M. Neyens ◽  
Ken Catchpole ◽  
Anjali Joseph ◽  
...  

Handoffs occur frequently in healthcare systems, and miscommunications and critical omissions within handoffs have been linked to serious medical errors. Handoff quality is a priority of patient safety initiatives across several international organizations. The majority of previous research in handoffs have focused on postoperative handoffs; yet, there is a need to specifically investigate intraoperative handoffs, especially within individual professions or subspecialties. Each subspecialty within a surgical team may approach handoffs differently. The anesthesia team is especially unique as they take a team-based approach to patient care where multiple anesthesia providers may be involved in one surgical case. We describe an observational study of intraoperative and intraprofessional handoffs in anesthesia. Temporary and permanent handoffs were investigated as well as the contextual elements that influenced handoff procedures. In a sample of 35 video recorded surgeries, a total of 16 handoffs were identified for the maintenance phase of surgery. These handoffs ranged between 33 seconds and 7.42 minutes in duration. Our study revealed variability in intraoperative handoffs during the maintenance phase of anesthesia and emphasizes that intraoperative and intraprofessional handoffs warrant more in-depth examination in order to develop effective strategies or tools for high quality handoffs in anesthesia.


Author(s):  
Andri Asmara ◽  
Yessi Fitriani ◽  
Arif Ardiansyah

This study aimed to determine the structure and function of healing and charm spells in Makarti Jaya village, Banyuasin District. This research used a qualitative descriptive method. The source of the data was 22 healing and charm spells which are taken from three informants. The data analysis used was content analysis. The results of this study indicated that not all spells mention a name component because some spells do not have a name element but still do not reduce the magical value of the spell, for a name is not a measure of whether the spell is effective. In the component of the opening greeting, The suggestions received in the analyzed spell are aimed at making the spell look pleasing. In the objective component, all spells have the same goal, which is to captivate the opposite sex. Whereas the closing element of all spells uses words from Arabic such as laillahailallah muhamadarasulullah. From the analysis of the seven healing spells and fifteen charm spells, it showed that the spell has a different structure and function according to the verse contained in the spell.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shenbaga Rajamanikam ◽  
Suzzana Argyropoulos ◽  
Reza Arsalani Zadeh

Abstract Background COVID-19 pandemic has affected the number of surgical admissions and the number of emergency general surgical operations performed. COVID-19 pandemic has also led to changes in how some of the acute surgical patients were managed. Aim of the study was to compare acute surgical admissions and number of emergency general surgical procedures in this period. Material and Method We retrospectively analyzed acute surgical admissions during the pandemic from 20/3/20 to 19/4/20 and compared it with acute surgical admissions during pre-COVID-19 period from 1/11/2019 to 30/11/2019. Results During the COVID-19 pandemic 97 patients were assessed and admitted by the General surgical team, during the pre COVID-19 period 205 patients were assessed and admitted by the General surgical team. The number of acute surgical admissions during COVID-19 pandemic dropped by 53%. There were 46% less emergency surgeries performed during COVID 19 pandemic period. Length of stay during and before the COVID-19pandemic were 4.1 vs 4.4 days. Conclusion During the COVID-19 pandemic number of acute surgical admissions and the number of emergency surgeries were fewer than during pre COVID-19 pandemic. Length of hospital stay was less during COVID-19 pandemic.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Primasari Wahyuni

Abstrak: Penelitian ini berujudul Hegemoni Kekuasaan Dalam Novel Hujan Karya Tere Liye dan Relevansinya Dalam Pembelajaran Bahasa Indonesia di SMA. Penelitian ini bertujuan untuk mndeskripsikan formasi ideologi, bentuk hegemoni kekuasaan, dan relevansi penelitian dengan pembelajaran Bahasa Indonesia di SMA. Jenis penelitian ini adalah deskriptif kualitatif. Sumber data penelitian ini adalah novel Hujan karya Tere Liye. Data penelitian berupa kata, frasa, atau kalimat yang memuat formasi ideologi dan bentuk hegemoni dalam novel Hujan karya Tere Liye, serta relevansinya dalam pembelajaran Bahasa Indonesia di SMA. Teknik pengumpulan data menggunakan baca dan catat. Teknik analisis data menggunakan content analysis. Validitas dan reliabilitas menggunakan validitas semantik dan intrarater. Hasil penelitian ini antara lain: 1) Pertama, Formasi ideologi dalam novel Hujan karya Tere Liye. Formasi ideologi yang ditemukan dalam novel Hujan karya Tere Liye yaitu otoritarisme, feodalisme, kapitalisme, liberalisme, sosialisme, serta vandalisme. Otoritarisme merupakan formasi ideologi yang paling banyak muncul dalam novel. 2) Kedua, bentuk hegemoni kekuasaan terjadi dalam masyarakat sipil dan masyarakat politik. 3) Ketiga, Relevansi penelitian dengan pembelajaran Bahasa Indonesia di SMA. Penelitian ini relevan dengan KD. 3.8 Mengidentifikasi nilai-nilai kehidupan yang terkandung dalam kumpulan cerpen yang dibaca. Melalui novel Hujan karya Tere Liye, siswa dapat mengapresiasi karya sastra sehingga menambah pengalaman, pengetahuan, dan wawasan yang dapat digunakan sebagai media untuk membentuk kepribadian diri. Kata kunci: formasi ideologi, hegemoni, relevansi pembelajaran, novel Abstract: This research entitle “The Hegemony of Power in Novel Hujan by Tere Liye and Its Relevance in Indonesia learning at High School” has aims to describe the ideology formation, term of hegemony power, and the research relevance with Indonesia learning at high school. This research is a qualitative descriptive with data source is Npvel Hujan by Tere Liye. Research data are words, phrases pr sentences which has ideology formation and hegemony term and also the relevance with Indonesia learning at high school. Read and write were used to collect the data. Content analysis was used to analyze the data. Semantics and intrarater were used to test the validity and reliability. The reserach findings were : 1) the ideology formations were authoritarian, feudalism, capitalism, liberalism, socialism, and vandalism. Authoritarian was dominant in the novel, 2) the term of hegemony happened both in civil society and political society, 3) the relevance of this research with Indonesia learning at high school. This research was relevant with basic competence 3.8 (identify the life values in a short story. Novel hujan brught student to appreciate the literatures to enrich their experience, knowledge and insight to create the personality.  Keywords : Ideology formation, hegemony, learning relevance, novel.


TOTOBUANG ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 155-167
Author(s):  
Salimulloh Tegar Sanubarianto ◽  
Erwin Syahputra Kembaren

This study discusses the positive politeness strategies in Kupang Malay on Facebook social media which are related with the politeness strategy theory  by Brown and Levinson. This research is a qualitative descriptive study with content analysis method. The research data were the status posts/comments in the Kupang Malay language on the Facebook which were selected based on the suitability of the research objectives. The selected data are then collected and analyzed according to theory. As a result, there are 12 strategies used by Facebook users in Kupang Malay namely (1) give sympathy to the interlocutor; (2) exaggerating sympathy for the interlocutor; (3) pay special attention to the interlocutor; (4) increase interest in the interlocutor; (5) use markers that show similarities; (6) seek the approval of the interlocutor; (7) avoid conflict with the interlocutor; (8) presupposes the interlocutor; (9) the strategy of making jokes; (10) strategies for making offers and promises; (11) showing a sense of optimism; and (12) trying to involve the interlocutor. Penelitian ini membahas strategi kesantunan positif dalam bahasa Melayu Kupang pada media sosial Facebook yang dikaitkan dengan teori strategi kesantunan yang dikemukakan oleh Brown dan Levinson. Penelitian ini adalah penelitian deskriptif kualitatif dengan metode analisis isi (content analysis). Data penelitian adalah tulisan status/komentar dalam bahasa Melayu Kupang pada Facebook yang dipilih berdasarkan kesesuaian terhadap tujuan penelitian. Data yang dipilih kemudian dikumpulkan dan dianalisis sesuai teori. Hasilnya, ada 12 strategi yang digunakan oleh pengguna Facebook berbahasa Melayu Kupang, dan ada 12 strategi yang ditemukan dalam penggunaanya dalam Facebook, yaitu (1) memberikan simpati pada lawan tutur; (2) melebih-lebihkan simpati pada lawan tutur; (3) memberikan perhatian khusus pada lawan tutur; (4) meningkatkan rasa tertarik pada lawan tutur; (5) menggunakan penanda yang menunjukkan kesamaan; (6) mencari dan mengusahakan persetujuan lawan tutur; (7) menghindari pertentangan dengan lawan tutur; (8) mempresuposisikan lawan tutur; (9) strategi membuat lelucon; (10) strategi membuat penawaran dan janji; (11) menunjukkan rasa optimism; dan (12) berusaha melibatkan lawan tutur.


2019 ◽  
Vol 2 (2) ◽  
pp. 80-86
Author(s):  
Ahmad Yusril Firdaus ◽  
Sulis Setiawati ◽  
Eko Yulianto

The aim the research is to find out and analize satire of the stand up comedy “Mesakke Bangsaku” by Pandji Pragiwaksono. The writer use qualitative descriptive research in observing with content analysis technique. Resources of the research is video tape of stand up comedy “Mesakke Bangsaku” Pandji Pragiwaksono brings transcript into the writing process. Script product of transcription then, identify with use of satire’s theory. Based on analysis result, it find out satire with the highest percentage in the cynicism category which was as many as 39 of data or 38,23%. Another finding is, sarcasm category as many as 37 data (36,27%), ironic 4 data (3,92%), and antiphrase 1 data (0,98%).


2020 ◽  
Vol 7 (2) ◽  
pp. 149
Author(s):  
Muhammad Ngizzul Muttaqin

The practice of unregistered marriage between Indonesian citizens and foreign nationals always raises legal problems, both the law of marriage and the legal consequences of the marriage. This article aims to provide concrete legal solutions and steps to the practice of unregistered marriage between Indonesian citizens and foreign nationals. This study used literature research with qualitative descriptive methods, through a normative legal approach. The results show that unregistered marriage is a social symptom of modern society which always occurs in the practice of today’s society. Although unregistered marriage is not specifically regulated in the practice of mixed marriages, it often occurs and must be anticipated. The solution is that there are three legal options that can be taken: first, if the person concerned is domiciled in Indonesia and intends to become an Indonesian citizen, then s/he can register the marriage with the employee who registers the marriage and performs the marriage certificate according to the provisions. Second, if the person concerned is living abroad but wants to become an Indonesian citizen, then s/he can take legal steps by registering the marriage and marriage certificate at the Indonesian Embassy. Third, if the person concerned is domiciled and wants to become a resident of a foreign country, then the person concerned must take the legal route that has been determined in that country. Thus, family law in Indonesia can be adaptive and responsive to the dynamics of social change.


2021 ◽  
Author(s):  
Sanidhya D. Tripathi ◽  
Pearman D. Parker ◽  
Arpan V. Prabhu ◽  
Kevin O. Thomas ◽  
Analiz Rodriguez

BACKGROUND Many brain tumor patients commonly utilize online resources such as Reddit as avenues for self-management and support outside of the clinical setting. OBJECTIVE We aimed to examine trends from Reddit discussion treads on brain tumors to identify areas of need in patient care. METHODS We used a qualitative, descriptive design to understand patient and caregivers unmet and met needs. We analyzed the top 100 posts from the ‘braincancer’ subreddit to identify common themes. RESULTS The qualitative content analysis revealed three major topic areas: (1) harnessing hope; (2) moving through the grief process; and (3) expressing gratitude toward other Reddit users. Most of the authors of the posts were patients with brain tumors (n = 32; 36.4%) who used Reddit as a reflective journaling tool to process associated emotions of a challenging diagnosis. CONCLUSIONS This study shows the potential of Reddit to serve as unique group therapy platform for patients affected by brain tumors. Additionally, the results highlight the importance of recommending Reddit as a therapeutic virtual community. Our results highlight the support provided by the Reddit community members as a unique mechanism to assist cancer survivors and caregivers with the emotional processing of living with brain tumors.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-113
Author(s):  
Suardi

Some of the problems faced by students in learning English are speech acts. This research focused on finding the speech acts. This study aims to get an overview of humor speech acts of the big bang theory. The qualitative descriptive approach will be used along with the content analysis technique. The result shows that: (1) there are three parts of speech acts used, including locutionary, illocutionary, and perlocutionary acts, (2) there is a violation of quantity, quality, relevance, and manner maxim. However, the most violation maxim was at the quantity maxim, (3) the screenwriters intentionally create a dialogue with several principles’ violations of speech acts, team-works, and humor categories. It can be concluded that the speech acts humor of the big bang theory screenwriters intentionally made some mistakes to create humor to raise up the jocularity atmosphere that can be enjoyed by the viewers. It is expected that this research can enrich the knowledge as regard the linguistic phenomena especially those which are related to speech acts.


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