scholarly journals The Description of Five Moments for Washing Hands in Syuhada Haji Hospital Blitar City

2016 ◽  
Vol 3 (2) ◽  
pp. 142-147
Author(s):  
Galuh Nilawati
Keyword(s):  
At Risk ◽  
Patient Safety ◽  
Data Collection ◽  
Infection Prevention ◽  
Body Fluids ◽  
Inpatient Unit ◽  
Hand Washing ◽  
Descriptive Research ◽  
Patients At Risk ◽  
The Moment

Washing hands is a five moments act of hand washing which is done with water or handrub. Itis one kind of the infection prevention and as the control of patient safety. The purpose of this study wasto determine the implementation of the five moments for hand washing in Syuhada Haji Hospital BlitarCity. Method: This was a descriptive research by observation. The population in this study was nursesin the inpatient unit of Syuhada Haji Hospital. The sample was 37 respondents collected by totalsampling technique. The data collection was done on March 5 to April 9, 2015. Results: It showed thatfive moments of hand washing only moments 3 after touching body fluids of patients at risk and 4thmoments after touching the patient all the nurses wash their hands with more than 75% nurse handwashing is not appropriate standart operating procedures and the moment the most infrequent handwashing is the moment to-1 before touching the patient. Discussion: This is due to lack of knowledge ofnurses about the importance of washing their hands before touching patients can become a bad habit.Recommendations: the researchers were to observe the amount of washing hands nurses in one shift.

scholarly journals Using the electronic health record to build a culture of practice safety: evaluating the implementation of trigger tools in one general practice

2018 ◽  
Vol 68 (669) ◽  
pp. e279-e285 ◽  
Author(s):  
Tom Margham ◽  
Natalie Symes ◽  
Sally A Hull
Keyword(s):  
Primary Care ◽  
At Risk ◽  
General Practice ◽  
Patient Safety ◽  
Ease Of Use ◽  
High Yield ◽  
Case Review ◽  
Patients At Risk ◽  
Barriers To Implementation ◽  
Narrative Evaluation

BackgroundIdentifying patients at risk of harm in general practice is challenging for busy clinicians. In UK primary care, trigger tools and case note reviews are mainly used to identify rates of harm in sample populations.AimThis study explores how adaptions to existing trigger tool methodology can identify patient safety events and engage clinicians in ongoing reflective work around safety.Design and settingMixed-method quantitative and narrative evaluation using thematic analysis in a single East London training practice.MethodThe project team developed and tested five trigger searches, supported by Excel worksheets to guide the case review process. Project evaluation included summary statistics of completed worksheets and a qualitative review focused on ease of use, barriers to implementation, and perception of value to clinicians.ResultsTrigger searches identified 204 patients for GP review. Overall, 117 (57%) of cases were reviewed and 62 (53%) of these cases had patient safety events identified. These were usually incidents of omission, including failure to monitor or review. Key themes from interviews with practice members included the fact that GPs’ work is generally reactive and GPs welcomed an approach that identified patients who were ‘under the radar’ of safety. All GPs expressed concern that the tool might identify too many patients at risk of harm, placing further demands on their time.ConclusionElectronic trigger tools can identify patients for review in domains of clinical risk for primary care. The high yield of safety events engaged clinicians and provided validation of the need for routine safety checks.

scholarly journals Comparative Usability of Three Platforms for Collecting Standard Precautions Surveillance Data

2020 ◽  
Vol 41 (S1) ◽  
pp. s442-s442
Author(s):  
Cara Thurman ◽  
Amanda Hessels
Keyword(s):  
Patient Safety ◽  
Data Collection ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Data Entry ◽  
Electronic Version ◽  
Healthcare Research ◽  
Surveillance Data ◽  
Columbia University ◽  
Standard Precautions

Background: Although standard precautions are considered a building block in the prevention of healthcare-associated infections (HAIs) and bloodborne pathogen (BBP) exposures, little is known about the rate of adherence to standard precautions among healthcare workers in US acute-care hospitals and the processes used for measurement and surveillance. Methods: We evaluated the development and usability of electronic platforms to collect standard precautions surveillance data in support of the Simulation to Improve Infection Prevention and Patient Safety (SIPPS) Trial. SIPPS is a 5-year group-randomized group-interventional study to develop and test a simulation intervention to improve provider performance of standard precautions and prevent HAIs and occupational BBP exposures. In the pilot study, standard precautions adherence data were collected and validated using the Standard Precautions Observational Tool (SPOT) in a paper format. Adherence was measured using 10 indicators across the categories of hand hygiene, personal protective equipment, linen handling, and sharps disposal. The SPOT allows users to observe healthcare workers providing routine care and to record when an SP action is indicated and whether it was completed or missed. The data did not contain personally identifiable information or protected health information. The aim of this project was to design an electronic version of the SPOT that is simple and affordable to create, allows for rapid and structured data collection, and can be disseminated for broad standardization of standard precautions surveillance. Results: Three electronic platforms, including 2 survey-based platforms (Qualtrics and REDCap) and 1 website-based platform (Google), were evaluated for the following characteristics: (1) design interface, (2) customizability, (3) data entry speed, (4) accessibility, and (5) total cost. Both survey platforms performed well in design interface, allowing for a no- or low-code design and offered mobile-friendly formats. Rigid survey formats created obstacles in customization and rapid data collection, involving large amounts of scrolling or screen advancement. Survey-based platforms also required a subscription or access fee. Conversely, the website-based platform had a more challenging design interface but was easily customizable with low-level knowledge of hypertext mark-up language (HTML) and application programming interface deployment. The website platform allowed for a single screen view, mobile-phone–friendly design, and rapid data collection. It was developed using freely available resources. Conclusions: A website-based HTML form allows for faster data collection and a higher level of customization than survey-based platforms and can be designed and implemented free of cost using minimal web-development skills. This surveillance methodology will be field tested for fidelity of implementation and for broad use in surveillance.Funding: The Agency for Healthcare Research and Quality provided Funding: for this study (grant no. 1R18HS026418).Disclosures: Amanda Hessels reports that she is the primary investigator for the studies titled “Impact of Patient Safety Climate on Infection Prevention Practices and Healthcare Worker and Patient Outcomes” (grant no. DHHS/CDC/NIOSH 1K01OH011186 to Columbia University) and “Simulation to Improve Infection Prevention and Patient Safety: The SIPPS Trial (AHRQ grant no. R18: 1R18HS026418 to Columbia University)

Artificial Nails: Are They Putting Patients at Risk? A Review of the Research

2002 ◽  
Vol 19 (5) ◽  
pp. 164-171 ◽  
Author(s):  
Angela Toles
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Hand Washing ◽  
Surgical Patients ◽  
Immunocompromised Patients ◽  
Fungal Contamination ◽  
Care Workers ◽  
Increased Risk ◽  
Patients At Risk

The use of artificial nails has become a popular fashion trend, and many health care workers are following this trend. There is debate whether artificial nails are putting patients at risk of nosocomial infections. Researchers have shown that the colony counts on artificial nails are greater than the colony counts on native nails. Artificial nails have also been linked to poor hand washing practices and more tears in gloves. These factors lead to an increased risk of transmitting bacteria to patients. This transmission could greatly affect patients because the hospitalized patient's risk of nosocomial infection is high. The purpose of this article is to review the data related to the bacterial and fungal contamination of artificial nails and their implications for health care workers. Most of the review describes findings of studies of surgical patients and health care workers who work in surgery departments, but the research applies to any area where there is a risk of transferring potential pathogens to immunocompromised patients.

EVALUASI PENYIMPANAN HIGH ALERT MEDICATION DI INSTALASI FARMASI RUMAH SAKIT X TANGERANG

2021 ◽  
Vol 5 (2) ◽  
pp. 56
Author(s):  
Andriyani Rahmah Fahriati ◽  
Gina Aulia ◽  
Tanti Juwita Saragih ◽  
Dimas Agung Waskito Wijayanto ◽  
Linda Hotimah
Keyword(s):  
Patient Safety ◽  
High Risk ◽  
Data Collection ◽  
Direct Observation ◽  
Drug Class ◽  
Research Data ◽  
Check List ◽  
Descriptive Research ◽  
Drug Storage ◽  
Service Standards

High Alert drugs are medicines that have a high risk that can endanger patient safety if its not used properly. According to the Minister of Health No. 72 of 2016 regarding Service Standards in Hospitals, it is explained that high alert drugs must be stored separately from other drug storage and given special labeling. The purpose of this study was to identify and evaluate the suitability of storage and labeling of high alert drugs at the Pharmacy Installation of Hospital X Tangerang. This type of research is descriptive research. Data collection was carried out by direct observation using a check list sheet. The samples taken were drug storage data and labeling of high alert drugs. The results of this study indicate that the most appropriate evaluation of the storage and labeling of high alert drugs is the concentrated electrolyte which reaches 100%. The results of the evaluation that received the lowest percentage were the LASA drug class in the main pharmacy installation with 58% for storage and 65% for labeling that was most in accordance with existing regulations. With the discrepancy with the existing provisions so that data on cases of errors that occurred in the pharmacy installation of Hospital X in 1 year were obtained, the most of which were errors in taking the LASA class of drugs, where the error reached 72%, but it did not reach the patient, because in Hospital X Tangerang has been checked for the class of drugs including high alert medications, checked by 2 people, before being given to the patient.ABSTRAKObat High Alert merupakan obat yang memiliki resiko tinggi yang dapat membahayakan keselamatan pasien jika tidak digunakan secara tepat. Menurut Menteri Kesehatan No.72 Tahun 2016 Tentang Standar Pelayanan di rumah Sakit dijelaskan bahwa obat high alert wajib disimpan secara terpisah dari penyimpanan obat lain dan diberi pelabelan khusus. Tujuan dari penelitian ini adalah untuk mengidentifikasi dan mengevaluasi tentang kesesuaian penyimpanan dan pelabelan obat high alert di Intalasi Farmasi Rumah Sakit X Tangerang. Jenis penelitian ini adalah penelitian deskriptif. Pengumpulan data dilakukan secara observasi langsung menggunakan lembar check list. Sampel yang diambil adalah data penyimpanan obat dan pelabelan golongan obat high alert. Hasil penelitian ini menunjukkan bahwa evaluasi terhadap penyimpanan dan pelabelan obat high alert yang paling sesuai yakni pada elektrolit pekat yang mencapai 100%. Hasil evaluasi yang paling mendapat presentase rendah yakni pada golongan obat LASA di instalasi farmasi utama dengan umlah 58% untuk penyimpanan dan 65% untuk pelabelan yang paling sesuai dengan ketentuan yang ada. Dengan adanya ketidaksesuaian dengan ketentuan yang ada sehingga diperoleh data kasus kesalahan yang terjadi di instalasi farmasi Rumah sakit X pada 1 tahun, yang terbanyak yakni kesalahan pada pengambilan obat golongan LASA, dimana kesalahan mencapai 72%, namun hal tersebut tidak sampai ke pasien, karena di Rumah Sakit X Tangerang telah dilakukan pengecekan untuk golongan obat yang termasuk high alert medications dilakukan pengecekan oleh 2 orang, sebelum diberikan ke pasien 

scholarly journals Oxygen alert wristbands (OxyBand) and controlled oxygen: a pilot study

2019 ◽  
Vol 24 (7) ◽  
pp. 310-314
Author(s):  
Emma Rickards ◽  
Dennis Wat ◽  
Carol Ann Kelly ◽  
Sarah Sibley
Keyword(s):  
At Risk ◽  
Patient Safety ◽  
Pilot Study ◽  
Health Professionals ◽  
Oxygen Therapy ◽  
Improve Patient Safety ◽  
Hypercapnic Acidosis ◽  
Inappropriate Prescription ◽  
Patients At Risk ◽  
Improve Patient

Despite the introduction of Oxygen Alert Cards, guidelines and audits, oxygen therapy remains overused in NHS practice, and this may lead to iatrogenic mortality. This pilot study aimed to examine the use of Oxygen Alert Wristbands (OxyBand) designed to alert health professionals who are delivering oxygen to patients to ensure that the oxygen is administered and titrated safely to the appropriate target saturations. Patients at risk of hypercapnic acidosis were asked to wear OxyBands while presenting to paramedics and health professionals in hospitals. Inappropriate prescription of oxygen reduced significantly after the OxyBands were used. A questionnaire-based assessment showed that the clinicians involved had a good understanding of the risks of uncontrolled oxygen. Forty-two patients found the wrist band comfortable to wear, and only two did not. OxyBands may have the potential to improve patient safety over Oxygen Alert Cards.

scholarly journals Knowledge of the nursing team in the main types of hospital infections

2017 ◽  
Vol 11 (12) ◽  
pp. 4946
Author(s):  
José Ramos Batista ◽  
Kamila Nethielly Souza Leite ◽  
Silvia Ximenes Oliveira ◽  
Raquel Campos de Medeiros ◽  
Talita Araújo de Souza ◽  
...  
Keyword(s):  
Data Collection ◽  
Personal Protective Equipment ◽  
Infection Prevention ◽  
Descriptive Study ◽  
Hospital Infection ◽  
Hand Washing ◽  
Protective Equipment ◽  
Hospital Infections ◽  
Nursing Team ◽  
Individual Protection

RESUMOObjetivo: identificar o conhecimento da equipe de enfermagem perante as infecções hospitalares. Método: estudo quantitativo, exploratório-descritivo, com 30 técnicos de enfermagem e 10 enfermeiros. O instrumento utilizado para coleta de dados foi um questionário, analisado estatisticamente. Os resultados foram expressos em tabelas. Resultados: 100% dos enfermeiros e 96,7% dos técnicos de enfermagem têm conhecimento sobre a infecção hospitalar; 80% dos enfermeiros e 70% dos técnicos de enfermagem usam o EPI (Equipamento de Proteção Individual) corretamente. Conclusão: a maior porção da equipe de enfermagem compreende os riscos perante as infecções hospitalares; a enfermagem apresenta grande importância para redução dos níveis de infecções nos hospitais. Descritores: Infecção Hospitalar; Enfermagem; Equipamento de Proteção Individual; Técnica de Lavagem de Mãos; Prevenção de Infecção Hospitalar; Centro Cirúrgico.ABSTRACT Objective: to identify the knowledge of the nursing team regarding hospital infections. Method: this is a quantitative, exploratory-descriptive study, with 30 nursing technicians and 10 nurses. The instrument used for data collection was a questionnaire analyzed statistically. The results were expressed in tables. Results: 100% of nurses and 96.7% of nursing technicians know about hospital infection; 80% of nurses and 70% of nursing technicians use PPE (Personal Protective Equipment) correctly. Conclusion: most of the nursing team understand the risks related to hospital infections; nursing is very important for reducing the levels of infections in hospitals. Descriptors: Hospital Infection; Nursing; Individual Protection Equipment; Hand Washing Technique; Hospital Infection Prevention; Surgery Center.RESUMEN Objetivo: identificar el conocimiento del equipo de enfermería frente a las infecciones hospitalares. Método: estudio cuantitativo, exploratorio-descriptivo, con 30 técnicos de enfermería y 10 enfermeros. El instrumento utilizado para recolección de datos fue um cuestionario, analizado estadísticamente. Los resultados fueron expresos en tablas. Resultados: 100% de los enfermeros y 96,7% de los técnicos de enfermería tienen conocimiento sobre la infección hospitalaria; 80% de los enfermeros y 70% de los técnicos de enfermería usan el EPI (Equipamiento de Protección Individual) correctamente. Conclusión: la mayor parte del equipo de enfermería comprende los riesgos frente a las infecciones hospitalarias; la enfermería presenta grande importancia para reducción de los niveles de infecciones en los hospitales. Descriptores: Infección Hospitalaria; Enfermería; Equipo de Protección Individual; Técnica de Lavado de Manos; Prevención de Infección Hospitalaria; Centro Cirúrgico.

CA 50 Determination in body fluids: Can we screen patients at risk for gastric cancer?

1991 ◽  
Vol 47 (1) ◽  
pp. 7-11 ◽  
Author(s):  
F. Farinati ◽  
J. Holmgren ◽  
F. Di Mario ◽  
F. Cardin ◽  
F. Valiante ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
At Risk ◽  
Body Fluids ◽  
Patients At Risk ◽  
Ca 50

scholarly journals Quality Initiatives MR Imaging in Patients at Risk for Developing Nephrogenic Systemic Fibrosis: Protocols, Practices, and Imaging Techniques to Maximize Patient Safety

Radiographics ◽  
2009 ◽  
Vol 29 (1) ◽  
pp. 9-22 ◽  
Author(s):  
Krishna Juluru ◽  
Jens Vogel-Claussen ◽  
Katarzyna J. Macura ◽  
Ihab R. Kamel ◽  
Alexander Steever ◽  
...  
Keyword(s):  
At Risk ◽  
Patient Safety ◽  
Mr Imaging ◽  
Nephrogenic Systemic Fibrosis ◽  
Imaging Techniques ◽  
Quality Initiatives ◽  
Patients At Risk

scholarly journals The economic Loss of Hypertention Sufferers Patient With Accompanying Diseases At Inpatient Unit of Anutapura General Hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 56-64
Author(s):  
Syafiqah Syafiqah
Keyword(s):  
Data Collection ◽  
Secondary Data ◽  
Economic Loss ◽  
Inpatient Unit ◽  
Primary Data ◽  
Descriptive Research ◽  
Regular Control ◽  
The World ◽  
Quantitative Descriptive ◽  
The Cost

Hypertension is one of the major problems in Indonesia and in the world. The number of hypertensive cases in Palu city in 2015-2017 was increased. In 2015 as many as 8407 cases, the year 2016 as many as 8697 cases and 2017 as many as 9406 cases. This research aims to determine the economic loss that is borne by hypertension sufferers with concomitant diseases in the inpatient unit of RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from March to June 2019. The population is all patients suffering from hypertension with a concomitant illness that conducts hospitalisation in RSU Anutapura Palu, the number of samples of 78 patients. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. Total economic loss for people with hypertension with concomitant illness in inpatient unit of RSU Anutapura Palu amounting to Rp. 234.318.617 with an average of Rp 3.004.084 per sufferer. The results of this study also showed that the magnitude of the losses suffered by patients especially in patients who are still productive work is advised to carry out regular control every month to prevent the expenditure of the cost of illness that will continue Increased.

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