scholarly journals PRINSIP DALAM MENUJU BUDAYA KESELAMATAN PASIEN

2019 ◽  
Author(s):  
Ronita Jayanti Purba
Keyword(s):  
Patient Safety ◽  
Problem Solving ◽  
Monitoring And Evaluation ◽  
Problem Analysis ◽  
Strategy Design

Keselamatan pasien (patient safety) sudah menjadi isu global di pelayanan kesehatan saat ini. PSC terdiri dari 5 tahapan dan setiap tahapan meliputi beberapa kegiatan meliputi: 1) Problem analysis, 2) Strategy design, 3) Strategi development, 4) Implementation-monitoring and evaluation, 5). Follow up and Feedback. Penelitian ini bertujuan untuk merekomendasikan upaya peningkatan program patient safety berdasarkan 7 prinsip menuju keselamatan pasien rumah sakit dengan intervensi Problem Solving Cycle (PSC). Perbedaan kondisi tujuh prinsip menuju keselamatan pasien rumah sakit di tim patient safety rawat inap dan farmasi RSU Surya Husadha sebelum dan sesudah intervensi PSC adalah dari kondisi kurang menjadi kondisi baik, sedangkan perbedaan kondisi setiap dimensi dari tujuh prinsip menuju keselamatan pasien rumah sakit di tim patient safety sebelum dan sesudah dilakukan intervensi PSC.

scholarly journals EKSPLORASI KULTUR BERBASIS PROGRAM HOLISTIC INTEGRATIF DI SMP ISTIQOMAH SAMBAS PURBALINGGA

2021 ◽  
Vol 1 (3) ◽  
pp. 273-281
Author(s):  
Dian Anggraini ◽  
Eti Nur Qori'ah ◽  
Fera Dwi Prasetyaningrum ◽  
Ahmad Khoiri ◽  
Ikhwandi Arifin
Keyword(s):  
School Culture ◽  
School Principals ◽  
Monitoring And Evaluation ◽  
Problem Analysis ◽  
Observation Data ◽  
Central Java ◽  
Good School ◽  
School Programs ◽  
Teachers And Students

The holistic, integrative program is needed for excellent schools because this program offers a variety of integrative services that support school programs to be more optimal. The service aims to know the implementation of a holistic, integrative program to support school culture at SMP Istiqamah Sambas Purbalingga, Central Java. The service method with case studies is based on findings in the field through direct observation data collection techniques and interviews with school principals, teachers, and students. The activity results show that the implementation begins with problem analysis, socialization, monitoring and evaluation of the program, and follow-up. SMP Istiqamah Sambas shows a good school culture based on monitoring and evaluating the holistic, integrative program of more than 75% achieved for each service indicator so that the holistic, integrative program effectively improves the superior school culture

Stochastic and Deterministic Petri Networks Model for Joint Management Model for Spare Parts and Maintenance: Simulation Study

2020 ◽  
Vol 46 ◽  
pp. 180-188 ◽  
Author(s):  
Oumaima Bounou ◽  
Abdellah El Barkany ◽  
Ahmed El Biyaali
Keyword(s):  
Simulation Study ◽  
Monitoring And Evaluation ◽  
Spare Parts ◽  
Maintenance Management ◽  
Graphical Interface ◽  
Efficient Tool ◽  
Joint Management ◽  
And Storage ◽  
Evaluation Techniques

Maintenance management is an orderly procedure to address the planning, organization, monitoring and evaluation of maintenance activities and associated costs. The maintenance management allows to have an efficient tool either to the management of the preventive or curative activity, an optimization of the production tool, and finally a follow-up of the costs and the performances. A good maintenance management system can help prevent problems and damages to the operating and storage environment, extend the life of assets, and reduce operating costs.In this paper, we will first present our model on the joint management of spare parts and maintenance. We will do a simulation study of our model, presented in the first section of this paper. The results of this study are presented in the second section through the presentation of the influence of certain parameters of the model on the operation of the system under consideration. This study carried out on the graphical interface of Matlab, which is one of the performance evaluation techniques. It allows to visualize the variations and anomalies which can be reached in the system considered as an overcoming of the repair of the machines by the unforeseen breakdowns.

scholarly journals Smartphone-Enhanced Training, QA, Monitoring, and Evaluation of a Platform for Secondary Prevention of Cervical Cancer: Opportunities and Challenges to Implementation in Tanzania

2020 ◽  
pp. 1114-1123
Author(s):  
Karen Yeates ◽  
Erica Erwin ◽  
Zac Mtema ◽  
Frank Magoti ◽  
Simoni Nkumbugwa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Visual Inspection ◽  
Screening Program ◽  
Cervical Screening ◽  
Monitoring And Evaluation ◽  
Visual Assessment ◽  
Cervical Cancer Prevention ◽  
Supportive Supervision ◽  
Health Providers

PURPOSE Until human papillomavirus (HPV)–based cervical screening is more affordable and widely available, visual inspection with acetic acid (VIA) is recommended by the WHO for screening in lower-resource settings. Visual inspection will still be required to assess the cervix for women whose screening is positive for high-risk HPV. However, the quality of VIA can vary widely, and it is difficult to maintain a well-trained cadre of providers. We developed a smartphone-enhanced VIA platform (SEVIA) for real-time secure sharing of cervical images for remote supportive supervision, data monitoring, and evaluation. METHODS We assessed programmatic outcomes so that findings could be translated into routine care in the Tanzania National Cervical Cancer Prevention Program. We compared VIA positivity rates (for HIV-positive and HIV-negative women) before and after implementation. We collected demographic, diagnostic, treatment, and loss-to-follow-up data. RESULTS From July 2016 to June 2017, 10,545 women were screened using SEVIA at 24 health facilities across 5 regions of Tanzania. In the first 6 months of implementation, screening quality increased significantly from the baseline rate in the prior year, with a well-trained cadre of more than 50 health providers who “graduated” from the supportive-supervision training model. However, losses to follow-up for women referred for further evaluation or to a higher level of care were considerable. CONCLUSION The SEVIA platform is a feasible, quality improvement, mobile health intervention that can be integrated into a national cervical screening program. Our model demonstrates potential for scalability. As HPV screening becomes more affordable, the platform can be used for visual assessment of the cervix to determine amenability for same-day ablative therapy and/or as a secondary triage step, if needed.

Safety of vitamin E-infused highwall liners for routine use in primary total hip arthroplasty: single centre, short-term follow-up of 1221 cases

2020 ◽  
pp. 112070002096964
Author(s):  
Kirill Gromov ◽  
Nanna H Sillesen ◽  
Thomas Kallemose ◽  
Henrik Husted ◽  
Henrik Malchau ◽  
...  
Keyword(s):  
Patient Safety ◽  
Vitamin E ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Single Centre ◽  
Short Term ◽  
Total Hip ◽  
Arthroplasty Registry ◽  
Primary Total Hip Arthroplasty

Background: Introduction of new implants should be monitored closely to capture any signs of compromising patient safety. Vitamin E infused highly-crosslinked polyethylene liners (VEPE) offer the potential for reduced wear. Highwall liners have been hypothesised to result in increased wear and potential liner fractures. The aim of this study was to determine the 3–7-year follow-up of highwall VEPE for primary total hip arthroplasty (THA), focusing on liner-related complications. Methods: We included 1221 consecutive THA operations from July 2010 to May 2014 with minimum follow-up of 3 (3.1–6.8) years Data collected included demographics, implant data, complications, reoperations, and deaths. Data were cross-referenced with the Danish Hip Arthroplasty Registry in order to ensure validity and completeness. Acetabular shell position was measured using Martell Hip Analysis Suite in a subgroup of 931 THAs. Results: Cumulative stem revision and shell revision at 3-year follow-up was 3.4% and 0.4% respectively. There were no revisions due to liner failure. Reason for revision included 11 dislocations, 15 soft-tissue revisions for infection, 44 stem revisions of which 34 were periprosthetic fractures and 13 shell revisions of which 6 were combined shell and stem revisions. Conclusion: Early follow-up of VEPE liners for primary THA have not shown any revisions associated with liner failure. Continued monitoring of new materials are necessary to capture any signs of compromised patient safety.

Incidence and Association of Patient Safety Indicator 9 (Perioperative hemorrhage or hematoma) and clinical outcomes in Cardio-thoracic surgery hospital, Ain Shams University, Egypt

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mahi M Al-Tehewy ◽  
Sara E. M Abd AlRazak ◽  
Maha M Wahdan ◽  
Tamer S. F Hikal
Keyword(s):  
Patient Safety ◽  
Incidence Rate ◽  
Clinical Outcomes ◽  
Improve Patient Safety ◽  
Cardiothoracic Surgery ◽  
Patient Safety Indicators ◽  
Risk Of Death ◽  
Safety Indicator ◽  
Perioperative Hemorrhage

Abstract Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify potentially preventable complications and improve patient safety performance. Aim the study aimed to measure the association between the AHRQ patient safety indicator PSI9 (Perioperative hemorrhage or hematoma) and the clinical outcome including death, readmission within 30 days and length of stay at the cardiothoracic surgery hospital Ain Shams University. Methods exploratory prospective cohort study was conducted to follow up patients from admission till 1 month after discharge at the cardiothoracic surgery hospital who fulfills the inclusion criteria. Data were collected for 330 patients through basic information sheet and follow-up sheet. Results the incidence rate of PSI9 was 49.54 per 1000 discharges. Demographic data was not significantly associated with increased incidence of PSI9. The risk of development of PSI9 was significantly higher in patients admitted directly to ICU [relative risk (RR) =5.6]. The risk of death and readmission was higher in cases developed PSI9 than the cases without PSI9 [RR = 2.40 (0.60-9.55) and 2.43 (0.636 - 9.48) respectively]. Conclusion high incidence rate of PSI9 and the incidence is higher in male gender and 60 years old and more patients. Those patients developed PSI9 were at high risk for readmission and death. Recommendations the hospital administration should consider strategies and policies to decrease the rate of PSI9 and subsequent unfavorable clinical outcomes.

How to decrease the rejection rates: reasons of sample rejection and solutions

2018 ◽  
Vol 43 (1) ◽  
pp. 98-100
Author(s):  
Saadet Celik ◽  
Tuncay Seyrekel ◽  
Medeni Arpa
Keyword(s):  
Information System ◽  
Patient Safety ◽  
Standard Deviation ◽  
Staff Training ◽  
Training Group ◽  
Laboratory Information System ◽  
Important Place ◽  
Number Of Patients ◽  
Rejection Rates

AbstractObjective:Sample rejection is an important step in the laboratory related with the patient safety. Periodical analysis of rejected samples is necessary to define the causes of rejection and follow-up the requirements for staff training. In this study, we aimed to put forth the efficiency of trainings by analyzing the amount of rejected samples in Yozgat State Hospital.Materials and methods:Taken from laboratory information system (LIS), rejected sample statistics related to 8 month-data before training was compared with 8-month data after training between 07.2015 and 10.2016 are examined. These datas were compared in itself and to each other. All statistical analyses were performed using the SPSS (V15).Results:Before training, the average number of patients for the analysis included months was 34,733 [standard deviation (SD)±4031], the number of rejected samples was 397.7 (SD±85.3) and the average rejection percentage was 1.13 (min-max: 1–1.29). The average number of patients for the after training months was 39,426 (SD±4779), the number of rejected samples was 343.2 (SD±57.7) and the average rejection percentage was 0.87 (min-max: 0.62–0.98), Rejected sample rates were significantly lower interms of statistics in the after-training group (p=0.0001).Conclusion:Staff training takes a very important place preventing these mistakes. As it can be seen in our study, training helps decreasing rejection rates. It is suggested to schedule more trainings in order to decrease the rates to lower degrees.

Successful Careers and Cognitive Style: A Follow-up Study of Childhood Family Discontinuity

1991 ◽  
Vol 69 (3_suppl) ◽  
pp. 1071-1074
Author(s):  
Virginia Z. Gordon
Keyword(s):  
Problem Solving ◽  
Cognitive Style ◽  
Career Path ◽  
Cognitive Styles ◽  
Original Research ◽  
Original Sample ◽  
Follow Up Study ◽  
Successful Career ◽  
Problem Solving Style

It was predicted that those participants who experienced discontinuity (death, divorce, and separations) from their parent(s) in childhood and who had successful careers in adulthood would manifest more innovative than adaptive cognitive styles on the Kirton Adaption-Innovation Inventory. The original research showed 61% of the sample members ( n = 41) experienced family discontinuity. Ninety percent ( n = 37) of the previous participants responded and showed 59% family discontinuity. Fifty-four percent in the follow-up study chose an alternative career path (counterstriving), the same percentage as in the original sample. When both family discontinuity and counterstriving were present, statistically significant innovation scores occurred. Family discontinuity in childhood and a successful career in adulthood are likely to be associated with high striving-motivation and an innovative (paradigm-breaking) problem-solving style.

scholarly journals Dificuldades na aplicação do checklist cirúrgico: estudo qualitativo de abordagem ecológica restaurativa

2018 ◽  
Vol 16 (4) ◽  
pp. 448
Author(s):  
Nery José de Oliveira Junior ◽  
Ana Maria Müller de Magalhães
Keyword(s):  
Patient Safety ◽  
Qualitative Study ◽  
Focus Groups ◽  
Ecological Approach ◽  
Medical Team ◽  
Southern Brazil ◽  
Safe Surgery ◽  
Time Out ◽  
Main Factors

Aim: analyze the application of the safe surgery checklist, seeking to describe the main factors that can affect its completion and follow-up, according to the perception of nursing technicians. Method: this is a qualitative study performed with nursing technicians from an outpatient surgical center in southern Brazil. The data were collected through focus groups and photographic methods, from the perspective of ecological and restorative thinking. Results: three categories emerged from the information grouping: Checklist for patient safety – still a challenge; difficulty of adherence to the safe surgery checklist; and Checklist Steps. Discussion: the data indicate that some stages of this process are still not met and there is difficulty of adherence by the teams. Conclusions: among the main failures is the low adherence of the medical team to perform the time out and to the confirmation of the place and the procedure. The restorative ecological approach made it possible to engage professionals.

scholarly journals METACOGNITIVE SKILLS ANALYSIS OF STUDENTS IN INTEGRAL CALCULUS PROBLEM SOLVING

2021 ◽  
Vol 12 (2) ◽  
pp. 170
Author(s):  
Nurina Kurniasari Rahmawati ◽  
S B Waluya ◽  
Rochmad Rochmad ◽  
Isti Hidayah
Keyword(s):  
Problem Solving ◽  
Research Method ◽  
Sampling Technique ◽  
Monitoring And Evaluation ◽  
Observation Data ◽  
Metacognitive Skills ◽  
Integral Calculus ◽  
Evaluation Stage ◽  
Three Stages ◽  
Academic Year

This study aims to describe the profile of students' metacognitive skills in solving integral calculus problems seen from the aspects of planning, monitoring and evaluation metacognitive skills. The research method used is descriptive qualitative research methods. The subjects in this study were 3rd semester students who had taken courses or were taking calculus II courses for the 2020/2021 academic year which were carried out using purposive sampling technique. In this study, the instrument used was a test to measure the ability in solving integral calculus problems in the form of essay questions, unstructured interview guidelines, documentation and observation. Data were analyzed in three stages, namely reduction, presentation, and conclusion or verification. The results in this study were students with high problem solving abilities had met the indicators of metacognitive skills, namely the planning, monitoring and evaluation stages. Students with moderate problem-solving abilities have only reached indicators of metacognitive skills, namely the planning and monitoring stages, but have not reached the evaluation stage, while students with low problem-solving abilities have not measured metacognitive skills indicators both at the planning, monitoring and evaluation stages. So that students with high problem solving abilities are more likely to have good metacognitive skills, because students with high problem solving abilities are well organized from planning, monitoring to the evaluation stage.

scholarly journals KAJIAN KEMAMPUAN LITERASI KUANTITATIF SISWA SMA 8 KOTA BENGKULU

2019 ◽  
Vol 2 (1) ◽  
pp. 137
Author(s):  
Siska Yosmar ◽  
Nur Afandi ◽  
Baki Swita
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Literacy Skills ◽  
Quantitative Literacy ◽  
Mathematical Literacy ◽  
Mathematical Concepts ◽  
Economic Problems ◽  
Absolute Requirement ◽  
Almost All

Quantitative literacy is the ability and confidence in using basic mathematical concepts and calculating operations needed for problem solving, decision making of economic problems and their applications in everyday life. Mastery of basic mathematics is an absolute requirement for achieving good quantitative literacy skills. The aim of this activity was to improve mathematical literacy skills of the students at SMA 8 Bengkulu City. The activities were begun by giving pre-tests to students, preparing of modules, presenting the materials of the modules in classroom, practicing through LKS and post-tests. Several techniques, methods and approaches in number counting operations have been presented in this activity. This activity has provided an increase in quantitative literacy skills in class XI IIS-1 SMA 8 Kota Bengkulu. Even so, the improvement of students' abilities can be said to be less optimal because there are still some questions that cannot be answered by almost all students. Therefore, cooperation and involvement of all parties is needed to improve students' quantitative literacy skills and follow-up activities in an effort to strengthen quantitative literacy skills.

Sign in / Sign up

Export Citation Format

Share Document