Evaluate Nurses’ Performance regarding Safety Measures in Cardiac Catheterization Unit at Benha University Hospital and Suggested Guidelines

2022 ◽  
Vol 3 (1) ◽  
pp. 64-77
Author(s):  
Walaa El Sayed Khaliel ◽  
Sabah Said Mohamed ◽  
Samah Elsayed Ghonaem
Keyword(s):  
Cardiac Catheterization ◽  
University Hospital ◽  
Safety Measures

scholarly journals Impact of Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI) in LMICs

Heart Asia ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. e011105 ◽  
Author(s):  
Fatima Ali ◽  
Mohammad Qasim Mehdi ◽  
Saleem Akhtar ◽  
Nadeem Aslam ◽  
Rashid Abbas ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Cardiac Catheterization ◽  
Improve Patient Care ◽  
Cardiac Catheterisation ◽  
University Hospital ◽  
System Level ◽  
Middle Income ◽  
Reduce Radiation Exposure ◽  
Low Middle Income Countries ◽  
Before And After

BackgroundThe importance of registries for collaborative quality improvement has been overlooked in low/middle-income countries (LMIC). Aga Khan University Hospital (AKUH) in Pakistan joined the Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI) in March 2017 with the goal of leveraging international collaboration to improve patient care and institutional standards.MethodsThe C3PO-QI key driver-based approach was used, with certain modifications, for process re-engineering in AKUH’s congenital cardiac catheterisation laboratory (CCL) to reduce radiation exposure during cardiac catheterisation procedures (the primary outcome of C3PO- QI). Educating staff and standardising procedural documentation were the principal goals of the process re-engineering. Data survey was used to assess staff knowledge, attitude and practice before and after the initiative. Additionally, case demographics and outcomes were compared between AKUH and C3PO-QI centres.ResultsThere was an increase in appropriate recording of radiation surrogates (0%–100%, p=0.00) and in the percentage of cases that met the established benchmark of ‘Ideal documentation’ (35% vs 95%, p=0.001). There was also an increase in self-reported staff interest during the case (25% vs 75%, p=0.001). AKUH versus C3PO-QI data showed similar demographic characteristics. There was a slight over-representation of diagnostic cases (42% vs 32%) as compared with interventional (58% vs 68%) at AKUH. Furthermore, interventional procedures were predominately PDA and ASD device closures (n=19 and 15, respectively). The frequency of adverse events were the same between AKUH and collaborative sites.ConclusionCollaborative efforts between developed and LMIC CCL are significant in advancing system-level processes.

scholarly journals 122. Present Condition of Radiation Dose and Btterment for Cardiac Catheterization in TOHOKU University Hospital

1994 ◽  
Vol 50 (2) ◽  
pp. 241
Author(s):  
Tatsuo Nagasaka ◽  
Kouichi Chida ◽  
Masahiro Sai ◽  
Noriko Sugano ◽  
Hiroyasu Arima
Keyword(s):  
Radiation Dose ◽  
Cardiac Catheterization ◽  
University Hospital ◽  
Present Condition

scholarly journals Effect of Self-Care Management on Nursing-Sensitive Patients’ Outcomes after Permanent Pacemaker Implantation

2019 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Reham El-Sayed ◽  
Tahany El-Senousy ◽  
Sahar Yassien
Keyword(s):  
Cardiac Catheterization ◽  
Care Management ◽  
Pacemaker Implantation ◽  
Self Care ◽  
Permanent Pacemaker ◽  
University Hospital ◽  
Management Guidelines ◽  
Permanent Pacemaker Implantation ◽  
Study Results ◽  
Quasi Experimental

Context: Nursing is striving to build a knowledge base that supports professional practice and improves the quality of care. Aim: This study aimed to evaluate the effect of self-care management guidelines on nursing-sensitive patients' outcomes after permanent pacemaker implantation. Methods: A quasi-experimental design was utilized in this study. A purposive sample of 50 patients admitted to the cardiac catheterization unit at Ain Shams University Hospital after permanent pacemaker implantation during their follow up visit. They are divided into two matched group study and control groups. Their mean age ±SD was 45.37±5.76, and 48.75±4.27 successively. Patient socio-demographic characteristic and medical data sheet, self-care management level assessment scale, and nursing-sensitive outcomes measuring scale were utilized to achieve the study aim. Results: The study results revealed positive outcomes for patients of the study group compared to the controls and their pre-implementation level of self-care guidelines. Conclusion: The study concludes that implementation of self-care management guidelines reflected positively on enhancing all dimensions of nursing-sensitive patients' outcomes recommending that it should be applied in all cardiac catheterization units and should be updated periodically to enhance self-care management for those patients based on nursing-sensitive outcome classification.

scholarly journals COVID-19 Pandemic: management of patients affected by SARS-CoV-2 in Rome Covid Hospital 2 Trauma Center and safety of our surgical equipe 

2020 ◽  
Author(s):  
Domenico De Mauro ◽  
MD ◽  
Alessandro Smimmo ◽  
Cesare Meschini ◽  
Fabrizio Mocini ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Clinical Status ◽  
Rapid Test ◽  
Important Change ◽  
University Hospital ◽  
Safety Measures ◽  
Orthopedic Surgeons ◽  
Safe Management ◽  
Novel Coronavirus ◽  
Surgical Treatments

Abstract Background. SARS-CoV-2 Pandemic left a deep mark in the Health Systems around the globe, leading to an important change in the way we intend the access to the healthcare and its fruition. Hospitals faced something unexpected and they underwent a deep change and so did the orthopedic activity.Materials and Methods. In “A. Gemelli” University hospital new protocols were adopted for the safe management of patients affected by SARS-CoV-2. Among these patients, six had to be treated also for orthopedic problems. The management of these patients, from the admission in the Emergency Room (E.R). to the operating room (O.R.), followed the protocols we predisposed for the Coronavirus crisis.Results. Four among the six patients underwent surgical treatments. Two of them showed a change of their clinical status, due to a worsening of the COVID-19 symptoms, so the surgical option was postponed. All of them were admitted to the Infectious Diseases Unit, rather than the Orthopedic and Traumatology Unit, in order to provide the best measures to prevent the spread of the contagion and to ensure the best treatment for the COVID-19. No O.R. staff was infected by SARS-CoV-2.Conclusions. More studies are needed to provide a higher statistical significance to the safety measures taken in order to contrast the spread of SARS-CoV-2 in the Surgical Room. Orthopedic surgeons are more exposed to the contagion due to the particular tools set they use. A more sensible and specific quick test for novel Coronavirus is particularly needed, due to the lack of sensibility of the serological rapid test.

Abstract 119: Are There Demographic Differences In Arterial Access Sites For Cardiac Catheterization?

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Ankitkumar Patel ◽  
Rajesh Kabadi ◽  
Fern Martin ◽  
Matthew Dolan ◽  
Ankita Patel ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Older Patients ◽  
Tertiary Care ◽  
The United States ◽  
University Hospital ◽  
Care Hospital ◽  
Access Site ◽  
Arterial Access ◽  
Cardiac Catheterization Laboratory ◽  
Chi Square Analysis

Background: Though cardiac catheterization via the radial artery (RA) as compared to the femoral artery (FA) access site is on the rise in the United States, most centers perform less than <10% cases via radial approach based on the National Cardiovascular Data Registry. RA catheterization is associated with lower rates of complications; however, it has been reported to be underutilized in women and elderly patients. The cardiac catheterization laboratory at Cooper University Hospital performs RA catheterization more frequently than national average. Our study is to investigate whether gender and age differences exist in a large volume RA center. Methods: Patients presenting to a large urban, tertiary care hospital for cardiac catheterization were included from January 2011 to November 2011. Vascular access site (radial or femoral) is defined as the site of successful vascular entry; failed attempts are not included. Statistical analysis included percentages and Chi-square analysis. Results: Of the 2275 procedures performed during the study period, 611 (27%) were performed via RA access. The study population was 41% females and had a median age of 63 years. There was a trend towards more RA access in females as compared to males (29% vs 25%, p=0.06). Older patients (age >63 years) were significantly less likely to have RA access as compared to younger patients (23% vs 30%, p<0.001). Conclusions: At our center which performs RA access cardiac catheterization in one-fourth of all cases, there is an increased frequency in female patients which differs from other centers. However, older patients are more likely to have a FA access site. Given the increased safety profile and overall quality of care associated with RA access, greater use should be implemented in the elderly population.

scholarly journals COVID-19 pandemic: management of patients affected by SARS-CoV-2 in Rome COVID Hospital 2 Trauma Centre and safety of our surgical team

2020 ◽  
Vol 44 (12) ◽  
pp. 2487-2491 ◽  
Author(s):  
Domenico De Mauro ◽  
Giuseppe Rovere ◽  
Alessandro Smimmo ◽  
Cesare Meschini ◽  
Fabrizio Mocini ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Clinical Status ◽  
Rapid Test ◽  
Important Change ◽  
Trauma Centre ◽  
University Hospital ◽  
Safety Measures ◽  
Safe Management ◽  
Novel Coronavirus ◽  
Surgical Treatments

Abstract Background SARS-CoV-2 pandemic left a deep mark in the health systems around the globe, leading to an important change in the way we intend the access to the healthcare and its fruition. Hospitals faced something unexpected, and they underwent a deep change and so did orthopaedic activity. Materials and methods In “A. Gemelli” University hospital new protocols were adopted for the safe management of patients affected by SARS-CoV-2. Among these patients, six had to be treated also for orthopaedic problems. The management of these patients, from the admission in the Emergency Room (E.R). to the operating room (O.R.), followed the protocols we developed for the coronavirus crisis. Results Four among the six patients underwent surgical treatments. Two of them showed a change of their clinical status, due to a worsening of COVID-19 symptoms, so the surgical option was postponed. All of them were admitted to the Infectious Diseases Unit, rather than the Orthopaedic and Traumatology Unit, in order to provide the best measures to prevent the spread of the contagion and to ensure the best treatment for COVID-19. No O.R. staff was infected by SARS-CoV-2. Conclusions More studies are needed to provide a higher statistical significance to the safety measures taken in order to contrast the spread of SARS-CoV-2 in the Surgical Room. Orthopaedic surgeons are more exposed to the contagion due to the particular tools set they use. A more sensible and specific quick test for novel Coronavirus is particularly needed, due to the lack of sensitivity of the serological rapid test.

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