scholarly journals ANALYSIS OF APPLICABILITY OF TOOLS OF INVENTORY CONTROL AND KNOWLEDGE OF HOSPITAL PHARMACISTS ON METHODS OF INVENTORY IN THE CENTRAL PHARMACY OF A TERTIARY CARE HOSPITAL

2019 ◽  
pp. 11-16
Author(s):  
SAI ASHWINI R. ◽  
SAI CHOWDRY B. ◽  
SAI SANNIHITHA B. ◽  
SENTHIL RAJ V. ◽  
VANITHA RANI N. ◽  
...  
Keyword(s):  
Inventory Control ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Unit Price ◽  
Care Hospital ◽  
Inventory Analysis ◽  
Hospital Pharmacists ◽  
Abc Analysis ◽  
Structured Questionnaire

Objective: A study was conducted to analyse the applicability of the tools of inventory control of drugs, and the awareness of hospital pharmacists on the inventory tools in the central pharmacy of a tertiary care hospital. Methods: Always Better Control (ABC) and High Moderate Low (HML) analysis were carried out for 4057 drugs purchased in the central pharmacy during the financial year of 2017-2018. The drugs were classified as A, B and C category based on their annual usage value and as Category High (H), Moderate (M) and low (L) drugs based on their unit price respectively. The knowledge of the 80 hospital pharmacists on the tools of inventory control was assessed using a structured questionnaire. Results: Based on ABC analysis, of 4057 drugs, 330 drugs were classified under “A” category accounting to 8.13% of the total number of drugs purchased which was 70.91 % of total annual consumption in money value. The category “B” consisted of 667 drugs accounting to 16.44% of the total number of drugs which was 20.01% of total annual money consumption. Category “C” had 3060 drugs which accounted to 75.42% of the total number of drugs purchased which reflected on 9.01% of annual money consumption. Based on HML analysis, 440 drugs (10%) had a unit price above Rs. 500 and were classified under ‘H’ category. The drugs with unit price between Rs.500 and Rs.100 were grouped as ‘M’ items. There were 695 drugs (17.13%) in ‘M’ category. The ‘L’ category consisted of 2922 drugs (72.02%) with their unit price below Rs.100. Of 80 pharmacists, 84 % had good overall knowledge on the inventory control tools and 59 participants were willing to acquire additional training on inventory control techniques. Conclusion: The study explained the need for the application of ABC and HML analysis, and the involvement of hospital pharmacists in the regular implementation of inventory analysis towards effective management of Pharmacy stores in a hospital setting.

scholarly journals The ABC and VED analysis of the medical store of the tertiary care teaching hospital in Maharashtra, India

2017 ◽  
Vol 6 (9) ◽  
pp. 2183 ◽  
Author(s):  
Sujata Dudhgaonkar ◽  
Sachin R. Choudhari ◽  
Narendra P. Bachewar
Keyword(s):  
Inventory Control ◽  
Teaching Hospital ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Management Control ◽  
Drug Consumption ◽  
Care Hospital ◽  
Tertiary Care Teaching Hospital ◽  
Abc Analysis ◽  
Analysis Category

Background: Substantial amount of money need to be spent on medicines. The ABC-VED matrix is an attempt to evolve on proper inventory control systems.Methods: The study was conducted at medical store of tertiary care hospital in FY 2016-2017. The annual drug consumption and expenditure incurred on each medicine were collected. The data were subjected to ABC and VED analysis. For a management purpose ABC-VED matrix was formulated by combining results of both the analysis.Results: Total 124 drugs consumed budget of INR 2,03,24,881. In the ABC analysis, Category A, B and C were consisted of 18 (14.51%), 21 (16.94%) and 85 (68.55%) medicines respectively. Whereas in the VED analysis, 67 (54.03%) medicines were belongs to category V [INR 1, 61, 13, 992 (79.28%)], 38 (30.65%) medicines to Category E [INR 35, 26,095 (17.35%)] and 19 (15.32%) medicines to Category D [INR 6, 84,794 (3.37%)]. The ABC-VED Matrix shows that category I, II and III contained 69, 38 and 17 medicines respectively. The ADE for Category I was INR 1,71,80,643 (84.53%), for category II was INR 27, 29,919 (13.43%) and for a category III medicines was INR 4, 14,319 (2.04%). According to matrix, category I require topmost management control. Middle and lower managerial staff may supervise category II and category III respectively.Conclusions: ABC-VED analysis helps us to know about the medicines which require more stringent monitoring and management, to narrow down on fewer medicines.

Chemo-prophylaxis of COVID-19 with hydroxychloroquine: a study of health care workers attitude, adherence to regime and toxicities/side effects (Preprint)

2020 ◽  
Author(s):  
Debajyoti Bhattacharyya ◽  
Neeraj Raizada ◽  
Bharathnag Nagappa ◽  
Arvind Tomar ◽  
Prateek Maurya ◽  
...  
Keyword(s):  
Side Effects ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Perceived Threat ◽  
Care Hospital ◽  
Care Workers ◽  
Perceived Danger ◽  
Structured Questionnaire

BACKGROUND There are apprehensions among healthcare worker (HCWs) about COVID-19. The HCWs have been given hydroxychloroquine (HCQ) chemo-prophylaxis for seven weeks as per Government of India guidelines. OBJECTIVE To assess the apprehensions among HCWs about COVID-19 and to document accessibility, adherence and side effects related to HCQ prophylaxis in HCWs. METHODS A longitudinal follow up study was conducted in a tertiary care hospital. HCQ was given in the dose of 400 mg twice on day one, and then 400 mg weekly for seven weeks. 391 HCWs were interviewed using semi structured questionnaire. RESULTS 62.2% HCWs expressed perceived danger posted by COVID-19 infection. Doctors (54%) showed least acceptance and paramedics (88%) showed highest acceptance to chemo-prophylaxis. 17.5% participants developed at least one of the side effects to HCQ. Females and nursing profession were significantly associated with adverse effects. Common side effects were gastro-intestinal symptoms, headache and abnormal mood change. Most of these were mild, not requiring any intervention. Gender, professions and perceived threat of COVID-19 were significantly associated with acceptance and adherence to HCQ prophylaxis. CONCLUSIONS Two third of HCWs had perceived danger due to COVID-19. Three fourth of the HCWs accepted chemo-prophylaxis and four out of five who accepted had complete adherence to prophylaxis schedule. One out of five had developed at least one of side effects; however, most of these were mild not requiring any intervention.

scholarly journals Possibility of transmission of severe acute respiratory syndrome coronavirus 2 in a tertiary care hospital setting: A case study

2020 ◽  
Vol 2 (3) ◽  
pp. 100079
Author(s):  
Shinichiro Morioka ◽  
Keiji Nakamura ◽  
Shun Iida ◽  
Satoshi Kutsuna ◽  
Noriko Kinoshita ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Care Hospital

scholarly journals FACTORS ASSOCIATED WITH SEVERITY OF ILLNESS IN PATIENTS WITH DENGUE FEVER IN A TERTIARY CARE HOSPITAL IN SOUTHERN INDIA

2018 ◽  
Vol 11 (3) ◽  
pp. 272
Author(s):  
Melissa Sherrel Pereira ◽  
Chandrashekar Udyavara Kudru ◽  
Sreedharan Nair ◽  
Girish Thunga ◽  
Vijayanarayana Kunhikatta ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Elevated Serum ◽  
Hospital Setting ◽  
Severity Of Illness ◽  
Southern India ◽  
Severe Dengue ◽  
Care Hospital ◽  
Factors Associated

 Objective: Denguefeveris one of the important tropical disease of public health significance caused by flavivirus. It is a major cause of morbidity and mortality worldwide. Identification of factors associated with severity of dengue can improve the prognosis of the disease.This study tried toassess the factors associated with severity of dengue.Methods: A record based study was conducted in a tertiary care hospital setting in southern India. A total of 550 case files were reviewed to ascertain demographic, clinical and laboratory parameters among confirmed cases of dengue. The severity of dengue was categorized using WHO 2009 classification.Results: Of 550 records reviewed, 449 (81.6%) were classified as non-severe dengue and 101 (18.4%) as severe dengue. Factors associated with severe dengue on univariate analysis were: gender, backache, skin rash, nausea and vomiting, abdominal distension, haemorrhage, breathlessness, oliguria, hepatomegaly, splenomegaly, ascites, leukopenia, hypoproteinemia, and elevated serum alanine transaminase (ALT) >63 IU/L.On multivariate analysis,haemorrhage (OR=11.75, 95%; CI=6.38-21.62), oliguria (OR=4.01, 95%; CI=1.32-12.15), ascites (OR=2.68, 95%; CI=1.19-6.01), ALT>63 IU/L (OR=1.77, 95%; CI=1.01-3.1) and hypoproteinemia (OR=5.57, 95%; CI=2.82-10.98) were found to have significant association with the development of severe dengue.Conclusion: This study indicates thatwhen dengue patients present with bleeding episodes, ascites, oliguria,raised ALT and low serum protein levels, clinicians should be alert to the appearance of severe complications. Early identification of these factors will help clinicians to recognise the severity of dengue illness and enable them to implement appropriate interventions.

scholarly journals High-Quality Draft Genome Sequences of Rare Nontuberculous Mycobacteria Isolated from Surfaces of a Hospital

2019 ◽  
Vol 8 (21) ◽  
Author(s):  
Igor Tiago ◽  
Susana Alarico ◽  
Ana Maranha ◽  
Catarina Coelho ◽  
Sónia Gonçalves Pereira ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Nontuberculous Mycobacteria ◽  
Tertiary Care ◽  
Draft Genome ◽  
Hospital Setting ◽  
Multidrug Resistant ◽  
Care Hospital ◽  
Opportunistic Pathogens ◽  
Genome Sequences ◽  
High Quality

Nontuberculous mycobacteria (NTM), some of which had multidrug-resistant profiles, were isolated from a tertiary care hospital setting. Although most NTM are nonpathogenic, contamination of hospital surfaces by these opportunistic pathogens poses a health risk to vulnerable inpatients.

scholarly journals Assessment of Perinatal Mortality in a Tertiary Care Hospital by Using Wigglesworth Classification

1970 ◽  
pp. 32-39
Author(s):  
Lutfun Nahar Begum ◽  
Kishwar Azad ◽  
Shahida Akhter ◽  
Nazmun Nahar ◽  
Abu Hasan Md Abdullah
Keyword(s):  
Child Health ◽  
Key Words ◽  
Causes Of Death ◽  
Tertiary Care Hospital ◽  
Perinatal Death ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Care Hospital ◽  
Perinatal Deaths

Objective: To determine the causes of perinatal death using Wigglesworth classification and to assess the feasibility of using Wigglesworth classification in a tertiary care hospital setting. Methods: All live and stillborn babies delivered at BIRDEM over a 5 yr period(from January 2000 to December 2004) were recorded. Perinatal deaths of that period were analysed according to Wigglesworth classification Results: According to Wigglesworth classification, majority of deaths were in the group "macerated stillbirths" (63.5%). Perinatal asphyxia was responsible for 13.6% of deaths, lethal congenital malformation was found in 11.2% and immaturity and "others" each accounted for 6.1%. Conclusion: Macerated stillbirth and asphyxia were the two leading causes of death at BIRDEM and Wigglesworth classification has been found to be feasible in BIRDEM for categorising perinatal deaths retrospectively. Key words: Perinatal death; Wigglesworth classification DOI: 10.3329/bjch.v31i1.6072 Bangladesh Journal of Child Health 2007; Vol.31(1-3): 32-39

scholarly journals Opinion and Usage Regarding Complementary and Alternative Therapies among Patients at a Tertiary Care Hospital in Lahore, Pakistan

2020 ◽  
Vol 10 (1) ◽  
pp. 48-53
Author(s):  
Khadeej Choudhry Ilyas ◽  
Naureen Omar
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Complementary And Alternative Therapies ◽  
Spiritual Healers ◽  
Structured Questionnaire ◽  
Complementary And Alternative

Background: Complementary and alternative medicine (CAM) therapies are widely used among the population in Pakistan either separately or in conjunction with convention medical therapies. CAM therapies are used for varying reasons and result in complications as conventional treatment is often delayed resulting in increased morbidity and mortality. Objective of the study was to assess the opinions and usage regarding CAM therapies among patients in a tertiary care setup. Methods: Cross sectional study was conducted at Fatima Memorial Hospital, Lahore from April 2018 to June 2018. Sample size was calculated to be 186 which were equally divided between patients in OPD, ER and IPD. A structured questionnaire was administered. SPSS 20 was used for analysis. Results: In this study 112(60.2%) patients had used CAM for an illness whereas 74(39.8%) had never used CAM therapy. Most of the patients 165(88.7%) were able to differentiate between CAM and conventional therapies.  Most frequent source of knowledge cited was family and friends 139(74.7%), previous users of CAM 83(44.6%) and media/internet 69(37.1%). Spiritual Healers (Pirs) were the most used modality of CAM at 64(34.4%) followed by hakeem and homeopathy. Most common reasons for using CAM were advice from family and friends, personal will and religious/spiritual reasons. Conclusion: Use of CAM therapies is widely prevalent in our study with more than half the respondents having used a modality of CAM. Users of CAM were found to be generally satisfied with the treatment.

scholarly journals Practice of Informed Consent, Confidentiality and Privacy by Physicians at a Tertiary Care Teaching Hospital

2015 ◽  
Vol 5 (3) ◽  
pp. 1-5
Author(s):  
Zoheb Rafique Rafique ◽  
Urooj Bhatti
Keyword(s):  
Informed Consent ◽  
Medical Ethics ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Laboratory Findings ◽  
Public Sector Hospital ◽  
Privacy And Confidentiality ◽  
Structured Questionnaire

Objective: The aim of this paper was to assess the practice of medical ethics by the physicians at a public sector hospital in Jamshoro Sindh. Material and methods: This survey was conducted at four medical units of tertiary care hospital at jamshoro in the month of august 2014. Participants were randomly selected from patients aged over 18 years. A structured questionnaire was designed and the participants were asked about their demographic profile and their physician’s practice regarding informed consent, maintaining confidentiality, privacy and other treatment formalities. Written consent was taken from all the participants before interview.Results: A total of 100 patients were randomly selected for this study. The majority of patients reported that informed consent was taken from them. The patients also responded that privacy and confidentiality is maintained during their treatment. However, many patients agreed that they were not properly informed about the laboratory findings, role of proposed drugs and also side effects of drugs. Conclusion: There is marked improvement in the practice of medical ethics by physicians of this tertiary care hospital. However, awareness workshops should be conducted to update and improve the knowledge of medical ethics among physicians. This will surely help them translate the knowledge into practice. DOI: http://dx.doi.org/10.3329/bioethics.v5i3.21531 Bangladesh Journal of Bioethics 2014 Vol.5 (3): 1-5.

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