Impact of Liaison Officers in a Tertiary Care Hospital (Modern Government Maternity Hospital Petlaburz Hyderbad) on Patient Care – A Project

Background: Depression and anxiety are the priority conditions covered by WHO’s Mental Health Gap Action Programme. Depression is a common illness worldwide, despite effective treatments available, fewer than half of those affected receive such treatments. Caregivers of the patients, attributed to bear higher burden of personal, financial, family, and social problems are expected to be predisposed to psychological illness. Thus this study was undertaken with following objectives; i) to estimate prevalence of anxiety and depression and ii) to find associated factors for anxiety and depression among in-patient care givers of a tertiary care hospital.Methods: An observational study was undertaken in the cardio, neuro, medical and cancer in-patient setting, in a tertiary care hospital, of Kalaburagi district. Study was undertaken for 2 months from Dec-2017 to Jan-2018. Care-givers of all, receiving in-patient care were included in the study. The anxiety and depression levels were assessed using GAD-7 & PHQ-9 questionnaires respectively.Results: All in-patient care-givers had some degree of anxiety of which majority of them had severe level of anxiety (50%). Likewise, 96% of the subjects had some degree of depression, of which 40% of them had moderately severe level of depression. Severe levels of anxiety and depression were found to be high among 30-40 years age group.Conclusions: It is crucial to screen the care givers, especially females, for presence of anxiety and depression. This approach will help timely identification and proper management of these individuals.

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COVID-19 pandemic: Impact on the management of patients with hepatocellular carcinoma at a tertiary care hospital

PLoS ONE ◽

10.1371/journal.pone.0256544 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0256544

Author(s):

Katharina Pomej ◽

Bernhard Scheiner ◽

Lukas Hartl ◽

Lorenz Balcar ◽

Tobias Meischl ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Patient Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Median Number ◽

Care Hospital ◽

Period 2 ◽

Number Of Patients ◽

Tumor Boards ◽

The Impact

Background Patients with hepatocellular carcinoma (HCC) represent a vulnerable population potentially negatively affected by COVID-19-associated reallocation of healthcare resources. Here, we report the impact of COVID-19 on the management of HCC patients in a large tertiary care hospital. Methods We retrospectively analyzed clinical data of HCC patients who presented at the Vienna General Hospital, between 01/DEC/2019 and 30/JUN/2020. We compared patient care before (period 1) and after (period 2) implementation of COVID-19-associated healthcare restrictions on 16/MAR/2020. Results Of 126 patients, majority was male (n = 104, 83%) with a mean age of 66±11 years. Half of patients (n = 57, 45%) had impaired liver function (Child-Pugh stage B/C) and 91 (72%) had intermediate-advanced stage HCC (BCLC B-D). New treatment, was initiated in 68 (54%) patients. Number of new HCC diagnoses did not differ between the two periods (n = 14 vs. 14). While personal visits were reduced, an increase in teleconsultation was observed (period 2). Number of patients with visit delays (n = 31 (30%) vs. n = 10 (10%); p = 0.001) and imaging delays (n = 25 (25%) vs. n = 7 (7%); p = 0.001) was higher in period 2. Accordingly, a reduced number of patients was discussed in interdisciplinary tumor boards (lowest number in April (n = 24), compared to a median number of 57 patients during period 1). Median number of elective/non-elective admissions was not different between the periods. One patient contracted COVID-19 with lethal outcome. Conclusions Changes in patient care included reduced personal contacts but increased telephone visits, and delays in diagnostic procedures. The effects on long-term outcome need to be determined.

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ATIONAL THERAPY INTERNS EXPERIENCES OF CULTURAL COMPETENCE DURING PATIENT CARE IN A TERTIARY CARE HOSPITAL: AN EXPLORATORY STUDY

10.36106/ijar/6700173 ◽

2020 ◽

pp. 1-5

Author(s):

Karuna V. Nadkarni ◽

Mansi D. Bhanushali ◽

Leena H. Mhatre ◽

Harshika J. Faria ◽

Shubhangi B. Bankar ◽

...

Keyword(s):

Cultural Competence ◽

Occupational Therapy ◽

Patient Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Indian Culture ◽

Group Discussions ◽

Analysis Technique

This article discusses about the importance of awareness of cultural competence among Occupational Therapy Intern; in order to ensure optimal quality of client centred practise. This explorative qualitative study was carried out with an aim to explore occupational therapy intern’s perceptions & experiences about cultural competence during patient care in a tertiary care hospital. The study was conducted on 23 interns from 4 different occupational therapy colleges in Mumbai through Focus Group Discussions (FGD’S). The data from the FGD’s was transcribed by verbatim and analysed by thematic analysis technique. The results of the study indicated how aspects like language, gender & religion act as both enablers & barriers to client centred practise. Inclusion of texts relevant to Indian culture & practise, organising workshops & lectures for better understanding of cultural competence, were some of the suggestions made by participants.

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Small Steps for a Big Change: Attention towards Preanalytical Error

International Journal of Biochemistry Research & Review ◽

10.9734/ijbcrr/2019/v28i130131 ◽

2019 ◽

pp. 1-9

Author(s):

Swati Digambar Sawant ◽

Atul Atmaram Patil ◽

Amit A. Bansode ◽

Santosh Varma

Keyword(s):

Patient Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Operative Procedures ◽

Care Hospital ◽

Educational Training ◽

Transportation Problems ◽

Preanalytical Phase ◽

Patient Department

Aims: The study aimed to evaluate the preanalytical errors in the Indoor patient department in tertiary care Hospital. To calculate the percentage of preanalytical errors in the Indoor patient department in our Hospital and to recommend standard operative interventions to improve quality of results. To test the effectiveness of attention by continuous educational action at reducing preanalytical errors and improving patient care. Study Design: An observational study. Place and Duration of Study: The work was done from July 2014 to July 2015 at a tertiary care Hospital India. Methodology: We retrospectively reviewed the samples and test request forms received at Biochemistry laboratory for one month. The outcome measures were incomplete laboratory forms, mislabeling samples, inappropriate tests, wrong container, poor quality of samples and transportation problems. Two weeks of interventions in the form of continuous educational training and education regarding standard operative procedures were given to stakeholders to raise awareness towards the preanalytical phase. Two weeks later, data was monitored again for one month. Results: 2330 and 2130 samples and request forms were monitored before-after intervention respectively from wards for one month each. Of the total chances of preanalytical errors, 22.17% were due to inappropriate tests, 81.5% were related to incomplete patient information, 97% lacking clinical information, 18.8% errors related to specimen information, 3.5% errors were of the deranged quality of the specimen, and in4.5% transportation problems were observed. Subsequently, these were reduced to 10%, 20%, 16.4%, 7.5%, 2.3%, 3.1% respectively. A significant difference in percentage change was observed in all the above errors after the one-month interventions for the reduction in preanalytical errors. Conclusion: The results of the present study revealed that taking small steps in the form of implementing standard operative procedures for collection, storage and transport facilities and continuous educational training of stakeholders would reduce big errors occurring due to human factors in preanalytical phase. We need good interdepartmental communication and cooperation to achieve good laboratory results and patient well being. This study improved the quality of test results and patient care.

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Gastrostomy Tube Insertion Complications and Patient Care Outcomes in a Tertiary Care Hospital

Cureus ◽

10.7759/cureus.18458 ◽

2021 ◽

Author(s):

Faisal Alhasani ◽

Salem Bazarah ◽

Mohammad Ahmed ◽

Basim Alraddadi ◽

Amjad Alotaibi

Keyword(s):

Patient Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Gastrostomy Tube ◽

Care Hospital ◽

Tube Insertion ◽

Care Outcomes

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Conformity to Guidelines for Pathologic Examination of the Placenta

Archives of Pathology & Laboratory Medicine ◽

10.5858/2003-127-205-ctgfpe ◽

2003 ◽

Vol 127 (2) ◽

pp. 205-207 ◽

Cited By ~ 1

Author(s):

Michael K. Spencer ◽

T. Yee Khong

Keyword(s):

Medical Staff ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Neonatal Infection ◽

Maternity Hospital ◽

Tertiary Level ◽

Care Hospital ◽

Pathologic Examination ◽

Design Data ◽

Clinical Events

Abstract Context.—The College of American Pathologists developed a consensual guideline for placental examination that included indications for the submission of placentas for pathologic examination. The adherence to this guideline is not known. Objectives.—To identify the number of placentas that were and that should have been examined by a tertiary-care hospital according to the College of American Pathologists' practice guideline and to compare the indications listed by medical staff on their pathology request forms with the clinical events recorded on the hospital's databases. Design.—Data from the hospital computer databases and from pathology request forms were collected for all 987 deliveries occurring at a tertiary-level maternity hospital from April through June 2000. Results.—Fewer than 20% of placentas were examined, but about 50% should have been. Maternal fever and suspected neonatal infection were the indications with the lowest examination rates. Neonatal indications were infrequently listed. Conclusions.—This hospital examined approximately one third of the placentas that should have been examined. When the placentas were examined, the medical staff often failed to appropriately list the indications on their pathology request forms.

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Quantifying Clinical Pharmacist Activities in a Tertiary Care Hospital Using Key Performance Indicators

Hospital Pharmacy ◽

10.1177/0018578719897074 ◽

2020 ◽

pp. 001857871989707

Author(s):

Abdulrazaq S. Al-Jazairi ◽

Adel O. Alnakhli

Keyword(s):

Patient Care ◽

Clinical Pharmacy ◽

Clinical Pharmacist ◽

Performance Indicators ◽

Tertiary Care Hospital ◽

Statistical Significance ◽

Tertiary Care ◽

Key Performance Indicators ◽

Care Hospital ◽

Clinical Pharmacists

Background: Key performance indicators (KPIs) are a set of measures used to help an organization in assessing and achieving goals critical to success. The aim of this study was to quantify the clinical pharmacists’ contribution to patient care in a tertiary care hospital using predefined clinical pharmacy KPIs. Method: This study was a prospective, observational study conducted by the Pharmaceutical Care Division of a tertiary care hospital. Clinical pharmacy KPIs were submitted by each clinical pharmacist on a monthly basis for 12 months during 2017. All clinical pharmacists up to the managerial level were included in the study. Data were analyzed, stratified, and correlated using Microsoft Excel, JMP statistical software, and Spearman correlation. The study was approved by the hospital’s Office of Research Affairs, RAC number 2171-080. Results: A total of 42 clinical pharmacists reviewed 104 728 patient encounters. They performed an adjusted average of 1221 interventions with an acceptance rate of 91.5%, 273 medication reconciliations, 325 discharge consultations, 332 pharmacokinetic consultations, 700 total parenteral nutrition consultations and follow-ups, and 12 688 electronic order verifications per clinical pharmacist per year. These interventions collectively resulted in a cost saving of $316 087.65 per clinical pharmacist per year. Statistical significance with positive correlation was noted for a number of precepted residents/students and clinical pharmacists’ experience ( R = 0.382, P = .013) and board certification ( R = 0.428, P = .0047). Conclusion: Clinical pharmacy KPIs were able to quantify the clinical pharmacists’ contributions to patient care and cost savings, which may lead to improve, standardize, and benchmark clinical pharmacy activities in the region.

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