scholarly journals Management of pre-analytical nonconformities at the biochemistry laboratory in Antananarivo in 2019

2021 ◽  
Vol 5 (2) ◽  
pp. 006-011
Author(s):  
Miora Koloina Ranaivosoa ◽  
Valdo Rahajanirina ◽  
Zafindrasoa Domoina Rakotovao Ravahatra ◽  
Jaquinot Randriamora ◽  
Olivat Rakoto Alsone, Andry Rasamindrakotroka
Keyword(s):  
Human Error ◽  
Medical Service ◽  
Research Unit ◽  
University Hospital ◽  
Reliability Of Results ◽  
Surgical Intensive Care ◽  
Know How ◽  
Analytical Phase ◽  
Hospital Center

Management of pre analytical nonconformities within a laboratory is a critical step in ensuring the reliability of results. The objectives of this study are to evaluate the non-compliance of the pre-analytical phase at the Paraclinical Training and Biochemistry Research Unit of the Joseph Ravoahangy Andrianavalona University Hospital Center, to describe in detail the state of play and the progress of this stage. This is a retrospective descriptive study over a period of 5 months from November 01, 2018 to March 31, 2019 within the Paraclinical Training and Biochemistry Research Unit of Joseph Ravoahangy Andrianavalona University Hospital Center. All patient files recorded during this study period have been exploited. Only inpatient records were included in this study. In this study, 5, 71% of pre-analytical non-conformities were recorded. The most frequent non-conformities (recorded 248 times that means 56.88% of the whole nonconformities) were related to the swab or its container, followed by non-conformities related to the prescription sheet (recorded 96 times, that means 22.02%). Pre-analytical non-conformities were the most frequently identified in the surgical intensive care department with 25.24%, followed by the medical service (17.92%). Most of the nonconformities observed were due to preventable human error. However, the laboratory must know how to control nonconformities in order to prevent them and ensure the quality of the analyses.

Trends in Quality of Anesthesia Care Associated with Changing Staffing Patterns, Productivity, and Concurrency of Case Supervision in a Teaching Hospital 

1999 ◽  
Vol 91 (3) ◽  
pp. 839-839 ◽  
Author(s):  
Karen L. Posner ◽  
Peter R. Freund
Keyword(s):  
Critical Incident ◽  
Human Error ◽  
Injury Rate ◽  
Error Rates ◽  
University Hospital ◽  
Anesthesia Care ◽  
Continuous Quality ◽  
Staffing Patterns ◽  
Team Productivity

Background The authors used continuous quality improvement (CQI) program data to investigate trends in quality of anesthesia care associated with changing staffing patterns in a university hospital. Methods The monthly proportion of cases performed by solo attending anesthesiologists versus attending-resident teams or attending-certified registered nurse anesthetist (CRNA) teams was used to measure staffing patterns. Anesthesia team productivity was measured as mean monthly surgical anesthesia hours billed per attending anesthesiologist per clinical day. Supervisory ratios (concurrency) were measured as mean monthly number of cases supervised concurrently by attending anesthesiologists. Quality of anesthesia care was measured as monthly rates of critical incidents, patient injury, escalation of care, operational inefficiencies, and human errors per 10,000 cases. Trends in quality at increasing productivity and concurrency levels from 1992 to 1997 were analyzed by the one-sided Jonckheere-Terpstra test. Results Productivity was positively correlated with concurrency (r = 0.838; P<0.001). Productivity levels ranged from 10 to 17 h per anesthesiologist per clinical day. Concurrency ranged from 1.6 to 2.2 cases per attending anesthesiologist. At higher productivity and concurrency levels, solo anesthesiologists conducted a smaller percentage of cases, and the proportion of cases with CRNA team members increased. The patient injury rate decreased with increased productivity levels (P = 0.002), whereas the critical incident rate increased (P = 0.001). Changes in operational inefficiency, escalation of care, and human error rates were not statistically significant (P = 0.072, 0.345, 0.320, respectively). Conclusions Most aspects of quality of anesthesia care were apparently not effected by changing anesthesia team composition or increased productivity and concurrency. Only team performance was measured; the role of individuals (attending anesthesiologist, resident, or CRNA) in quality of care was not directly measured. Further research is needed to explain lower patient injury rates and increases in critical incident reporting at higher concurrency and productivity levels.

scholarly journals Impact of Education on the Quality of Life of Asthmatics: Evaluative Study of 100 Cases in Pneumophtisiology Department of the Fann National University Hospital Center (FNUHC), Senegal

2019 ◽  
Vol 07 (01) ◽  
pp. 1-12
Author(s):  
Cheikh Tacko Diop ◽  
Khady Thiam ◽  
Fatimata Binetou Rassoule Mbaye ◽  
Maïmouna Fafa Cisse ◽  
El Hadj Mamadou Ndiaye ◽  
...  
Keyword(s):  
Quality Of Life ◽  
University Hospital ◽  
Evaluative Study ◽  
National University ◽  
Hospital Center

scholarly journals External Evaluation of the Quality of the Seven Biochemical Parameters in Antananarivo in 2020

2020 ◽  
Vol 1 (1) ◽  
pp. 01-06
Author(s):  
Miora Koloina Ranaivosoa ◽  
Annick Anjatiana Raherinaivo ◽  
Andriamiarimbola Irène Rakotoniaina ◽  
Rasoamialy-Soa Razanakolona ◽  
Olivat Rakoto Alson ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Biochemical Parameters ◽  
Accreditation Process ◽  
University Hospital ◽  
External Evaluation ◽  
Evaluative Study ◽  
Quality Program ◽  
Clinical Biology ◽  
Hospital Center

The aim of the present study is to assess the performance of the biochemistry laboratory of Joseph Ravoahangy Andrianavalona by the dosage of the most prescribed 7 biochemical parameters. It is a retrospective evaluative study of the performance of the biochemistry laboratory of Joseph Ravoahangy Andrianavalona University Hospital Center on a period of 6 months from January 2020 to June 2020 involving 12 samples of External Evaluation of the Quality provided by the Quality Insurance Association of the clinical Biology Laboratories in France. Uremia, Serum creatinine, blood glucose, natremia, kaliemia, chlorure and were dosed on the 12 samples which carried out 84 dosages. During a period of 6 months the accuracy was 97.61%. The precision had been 100% if the Variation Coefficient Ratio (VCR) was below 1.50. This participation in the External Evaluation of the Quality program can then improve the quality of the laboratory. It is a step towards the accreditation process.

scholarly journals Prescription profile for urgent biochemical analyzes at the biochemistry laboratory in Antananarivo

2020 ◽  
Vol 13 (3) ◽  
pp. 105-108
Author(s):  
Miora Koloina Ranaivosoa ◽  
Tina Rakotoniaina ◽  
Alain Ntoezara ◽  
Saraha Rabeherisoa ◽  
Olivat Rakoto Alson ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Biochemical Parameters ◽  
Pathological Condition ◽  
Biochemical Parameter ◽  
Research Unit ◽  
University Hospital ◽  
Biochemical Tests ◽  
Lipid Status ◽  
Biochemical Testing ◽  
Hospital Center

The extreme emergency in biochemistry matches with the detection and/or monitoring of an acute or chronic pathological condition, at the root of a vital failure or a systemic imbalance deleterious for the organism. This study aims at determining the prescription profile of biochemical tests prescribed on call at the Paraclinical Training and Biochemistry Research Unit of the Joseph Ravoahangy Andrianavalona. The specific objectives are to determine the proportion of tests prescribed by the departments qualified as "urgent" and to determine the frequency of request for each biochemical parameter prescribed during on-call duty. This is a descriptive retrospective study over a period of 5 Months, from November 2016 to March 2017. All the biochemical testing prescribed during the study period and carried out in the laboratory of Joseph Ravoahangy Andrianavalona University Hospital Center were used. Out of the 595 biochemical testing prescribed during on-call period, 588 (98.82%) were included in the study. Two hundred and seventy-four (46.60%) of these testing were prescribed by departments classified as "non-urgent" and 314 (53.40%) by departments classified as "urgent". We found that non-urgent parameters were prescribed such as lipid status and HbA1c at less than 2%. Creatinine was prescribed at 99.60%, followed by blood ionogram at 65.99% and urea at 40.48%. Biochemical parameters prescribed during on-call periode are limited and that biologists must develop a list of feasible biochemical parameters on call periode for better management of patiens as soon as possible.

Music experience is associated with lower depression level and higher quality of life among family caregivers of critically ill patients

2020 ◽  
pp. 030573562090688
Author(s):  
Ga Eul Yoo ◽  
Jeongmin Kim ◽  
Da In Choi ◽  
Myung Sun Yeo ◽  
Soo Ji Kim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Critically Ill ◽  
Psychological Health ◽  
Critically Ill Patients ◽  
University Hospital ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Icu Patients

This study aimed to investigate level of the psychological health of family caregivers of critically ill patients, considering quality of life and depression, and whether it varied depending on their individualized music use. A survey was administered in a surgical intensive care unit (ICU) of a university hospital. Adult family caregivers of ICU patients older than 18 years of age were included. Depression and quality of life were measured via self-administered scales, and emotional states were evaluated using a visual analog scale. Music use in daily life was also queried. A total of 195 caregivers (mean age, 51.2 years) participated in this study (spouses 44.6%, offspring 51.3%, and parents 4.1%). Among respondents, 44.6% were at high risk of depression, and 18.0% of these respondents reported their quality of life as poor or very poor. In terms of singing in their everyday lives, respondents who had singing experience reported higher quality of life and lower depression than those without singing experience. The results of this study support the active engagement in music as resource for caregivers of ICU patients to alleviate their emotional distress. Further investigation into diversified music use and music intervention in critical care should focus on the inclusion of family caregivers.

Quality of communication at the Division of Pediatric Surgery, Zagreb University Hospital Center

2014 ◽  
pp. 203-207
Author(s):  
Marina Stilinović ◽  
Ivana Sabolić Pipinić ◽  
Anko Antabak ◽  
Stanko Ćavar ◽  
Marko Bogović ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
University Hospital ◽  
Hospital Center

Pengaruh Kompetensi Coder terhadap Keakuratan dan Ketepatan Pengkodean Menggunakan ICD 10 di Rumah Sakit X Pekanbaru Tahun 2016

2018 ◽  
Vol 1 (1) ◽  
pp. 31-43
Author(s):  
Nur Maimun ◽  
Jihan Natassa ◽  
Wen Via Trisna ◽  
Yeye Supriatin
Keyword(s):  
Medical Record ◽  
Human Error ◽  
Medical Personnel ◽  
Quality Of Data ◽  
Accuracy And Precision ◽  
Result Show ◽  
Study Implementation ◽  
Icd 10 ◽  
The Cost

The accuracy in administering the diagnosis code was the important matter for medical recorder, quality of data was the most important thing for health information management of medical recorder. This study aims to know the coder competency for accuracy and precision of using ICD 10 at X Hospital in Pekanbaru. This study was a qualitative method with case study implementation from five informan. The result show that medical personnel (doctor) have never received a training about coding, doctors writing that hard and difficult to read, failure for making diagnoses code or procedures, doctor used an usual abbreviations that are not standard, theres still an officer who are not understand about the nomenclature and mastering anatomy phatology, facilities and infrastructure were supported for accuracy and precision of the existing code. The errors of coding always happen because there is a human error. The accuracy and precision in coding very influence against the cost of INA CBGs, medical and the committee did most of the work in the case of severity level III, while medical record had a role in monitoring or evaluation of coding implementation. If there are resumes that is not clearly case mix team check file needed medical record the result the diagnoses or coding for conformity. Keywords: coder competency, accuracy and precision of coding, ICD 10

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