scholarly journals Health Care Workers’ Use Of Electronic Hospital Information System And Their Computer Literacy At The Outpatient Department In District General Hospital Trincomalee In Sri Lanka

2016 ◽  
Vol 2 (1) ◽  
pp. 20-29
Author(s):  
Ayanthi Saranga Jayawardena ◽  
S.C. Wickramasinghe ◽  
S.R.U. Wimalaratne

AbstractObjectives:To describe the use of Electronic Hospital Information System(EHIS) by the staff, to assess the competency of them to handle the EHIS and to assess the computer literacy among health care workers at the Out Patient’s Department(OPD) in District General Hospital(DGH) Trincomalee.Study design:A cross sectional descriptive study. A competency assessment test and a self administered questionnaire were used. Participants: All the staff members operating the EHIS at the OPD in DGH Trincomalee. Results: Regarding the general use of the EHIS medical officers (100%) used the EHIS to write prescriptions,(>70%)to get the patient’s socio-demographic details, enter patient’s history to retrieve previous medical records, to obtain what drugs available and what drugs out of stock at the outdoor pharmacy, for notification of diseases and used less frequently to get the laboratory reports (50-70%). The system was used for 17 tasks out of 20 tasks and most unused tasks were write the diagnosis according to the ICD-10. Nurses and attendents used the system less than half of the tasks for which the system was functional. The pharmacists use of the system was optimal. Overall respondents’ competency of using the system were high (>80%). Conclusions: Majority of staff members had low level of computer literacy. Majority of them used the system successfully. Recommendations: To strengthen the training program,combat several constraints and upgrade the system, provide digital X-ray imaging and download them to CDs and improved to write the diagnosis according to the ICD-10.Key words: Electronic Hospital Information System, Multi Disease Surveillance, Computer Literacy. 

2000 ◽  
Vol 38 (4) ◽  
pp. 1536-1538 ◽  
Author(s):  
Sergio L. Vargas ◽  
Carolina A. Ponce ◽  
Francis Gigliotti ◽  
Ana V. Ulloa ◽  
Susana Prieto ◽  
...  

The transmission of Pneumocystis carinii from person to person was studied by detecting P. carinii-specific DNA in prospectively obtained noninvasive deep-nasal-swab samples from a child with a documented P. carinii pneumonia (PCP), his mother, two contact health care workers, and 30 hospital staff members who did not enter the patient's room (controls). Nested-DNA amplification was done by using oligonucleotide primers designed for the gene encoding the mitochondrial large subunit rRNA of rat P. carinii(P. carinii f. sp. carinii) that amplifies all forms of P. carinii and internal primers specific for humanP. carinii (f. sp. hominis). P. carinii f. sp. hominis DNA was detected in samples from the patient and all of his contacts versus none of the 30 hospital staff members. The results, as previously shown in murine models ofP. carinii pneumonia, document that person-to-person transmission of P. carinii is possible. This observation suggests that immunocompromised patients not on PCP prophylaxis should not enter the room of a patient with PCP, and it also raises the question as to whether healthy contacts can transmit the disease to immunocompromised patients at risk.


Author(s):  
Nicola Magnavita ◽  
Giovanni Tripepi ◽  
Reparata Rosa Di Prinzio

In March–April 2020, the Corona Virus Disease 19 (COVID-19) pandemic suddenly hit Italian healthcare facilities and in some of them many staff members became infected. In this work 595 health care workers from a public company were tested for Severe acute respiratory syndrome coronavirus 2 (82 positive) and asked to complete a questionnaire on early COVID-19 symptoms. Respiratory symptoms were present in 56.1% of cases. Anosmia and dysgeusia in COVID-19 cases were found to have an odds ratio (OR) = 100.7 (95% Confidence Interval [CI] = 26.5–382.6) and an OR = 51.8 (95%CI 16.6–161.9), respectively. About one in three of the cases (29.3%) never manifested symptoms. Anxiety was reported by 16.6% of COVID-19 cases and depression by 20.3%, with a significant increase in the estimated risk (OR = 4.3; 95%CI = 2.4–7.4 for anxiety, OR = 3.5; 95%CI = 2.0–6.0 for depression). In cases, sleep was a significant moderating factor in the relationship between occupational stress, or organizational justice, and anxiety. The early diagnosis of COVID-19 in health care workers, must consider, in addition to respiratory disorders and fever, anosmia, dysgeusia, exhaustion, myalgias and enteric disorders. The frequency of anxiety and depression disorders in the population examined was not higher than that commonly recorded in the same company during periodic checks in the years preceding the epidemic. In COVID-19 cases there was a significant risk of anxiety, especially in those who had low sleep quality. Mental health support and improvement interventions must mainly concern workers with positive tests and should also tend to improve sleep quality.


2019 ◽  
Vol 8 (3) ◽  
pp. 129-135
Author(s):  
Simon Sherring

The literature suggests that mental illness among UK health care staff is common. This study reports health care workers' knowledge and experience of mental illness. Medical staff, administration staff and other staff members employed in four NHS Trusts (n=2073) responded to a questionnaire survey. A proportion of health care workers in the NHS reported having personal (colleagues, family and self) experience of mental illness. Some health care workers held causal explanations of mental illness that are not evidence based. This study found that almost half of health care workers reported experiencing a mental illness, which could have significant implications for service delivery. Some health care workers held causal explanations of mental illness that were not evidence based; for example, some respondents reported that demonic possession or possession by evil spirits was a very good explanation for mental illness.


2020 ◽  
Vol 163 (4) ◽  
pp. 671-672 ◽  
Author(s):  
Alberto Paderno ◽  
Milena Fior ◽  
Giulia Berretti ◽  
Alberto Schreiber ◽  
Alberto Grammatica ◽  
...  

The restart of routine in- and outpatient activity in the COVID-19 postepidemic peak needs to be carefully planned in light of specific patterns of viral diffusion. We evaluated SARS-CoV-2 serology in the entire personnel of a COVID-19-free otolaryngology department in a highly affected area. The aim was to determine the prevalence of SARS-CoV-2 positivity among staff to clarify the impact of different risk factors for infection. The entire staff of the otolaryngology unit was tested for SARS-CoV-2 serology. Symptomatic staff members were tested with nasal/pharyngeal swabs. All answered a survey focused on the number of in- and extrahospital positive contacts and type of activities in the unit. Five (9%) were positive for SARS-CoV-2 infection. The only variable associated with a higher risk of infection was the number of extrahospital contacts without personal protective equipment ( P = .008). Our study shows that in non-COVID-19 departments, the use of adequate personal protective equipment leads to low rates of infection among health care workers. The prevalent risk of infection was related to extrahospital contact.


2020 ◽  
Author(s):  
Hanley J Ho ◽  
Zoe Xiaozhu Zhang ◽  
Zhilian Huang ◽  
Aung Hein Aung ◽  
Wei-Yen Lim ◽  
...  

BACKGROUND In early 2020, coronavirus disease (COVID-19) emerged and spread by community and nosocomial transmission. Effective contact tracing of potentially exposed health care workers is crucial for the prevention and control of infectious disease outbreaks in the health care setting. OBJECTIVE This study aimed to evaluate the comparative effectiveness of contact tracing during the COVID-19 pandemic through the real-time locating system (RTLS) and review of the electronic medical record (EMR) at the designated hospital for COVID-19 response in Singapore. METHODS Over a 2-day study period, all admitted patients with COVID-19, their ward locations, and the health care workers rostered to each ward were identified to determine the total number of potential contacts between patients with COVID-19 and health care workers. The numbers of staff-patient contacts determined by EMR reviews, RTLS-based contact tracing, and a combination of both methods were evaluated. The use of EMR-based and RTLS-based contact tracing methods was further validated by comparing their sensitivity and specificity against self-reported staff-patient contacts by health care workers. RESULTS Of 796 potential staff-patient contacts (between 17 patients and 162 staff members), 104 (13.1%) were identified by both the RTLS and EMR, 54 (6.8%) by the RTLS alone, and 99 (12.4%) by the EMR alone; 539 (67.7%) were not identified through either method. Compared to self-reported contacts, EMR reviews had a sensitivity of 47.2% and a specificity of 77.9%, while the RTLS had a sensitivity of 72.2% and a specificity of 87.7%. The highest sensitivity was obtained by including all contacts identified by either the RTLS or the EMR (sensitivity 77.8%, specificity 73.4%). CONCLUSIONS RTLS-based contact tracing showed higher sensitivity and specificity than EMR review. Integration of both methods provided the best performance for rapid contact tracing, although technical adjustments to the RTLS and increasing user compliance with wearing of RTLS tags remain necessary.


2020 ◽  
Author(s):  
Pauline Penot ◽  
Anne Delaval ◽  
Fabienne L’Hour ◽  
Angélique Grenier ◽  
Raya Harich

AbstractBackgroundEvidence as to whether childcare and school closure limits the spread of SARS-CoV-2 virus is limited, especially because the role of children in SARS-CoV2 transmission remains unclear.MethodsBetween May 29 and July 2, 2020, a retrospective cohort study was conducted among two populations: requisitioned health-care workers and requisitioned staff from hospitals childcare centers, to investigate the virus circulation during lockdown, in a French area of high transmission.ResultsThe infection attack rate was 6/52 (11.6%) and 8/46 (17.4%) among health-care workers and childcare staff, respectively. An early epidemic occurred among Montreuil s hospital childcare staff, but the parents were not affected (p=0.029). Among Aulnay-sous-bois childcare center, three staff members were infected but none of them was in charge of a child whose parents were infected. Also among the parents of the children they cared for, none developed antibodies. Out of 14 infections, 12 were reliable to a source of transmission, mostly among colleagues.Discussion-conclusionThe assessment of viral circulation among healthcare workers and childcare staff suggests that the children did not contribute to SARS-CoV-2 spread in our setting.


Author(s):  
Sumalatha M. N. ◽  
M. Veerakumari ◽  
V. Shivakumar ◽  
G. Sreedhar ◽  
Avinash V. ◽  
...  

Background: Health care workers are constantly associated with generation, segregation and disposal of biomedical wastes. Knowledge, attitude and awareness of BMW management among HCWs are the three determinants used to evaluate the effective functioning of BMW management system of the Institution. This study aims to detect the degree of Knowledge, attitude and awareness of BMW management among HCWs in a dental hospital.Methods: This study included 90 HCWs from three groups (dentists, interns, and paramedical staffs), each group comprising of 30 individuals. They were instructed to tick their response in the questionnaire containing 22 questions and were graded as good, average and poor based on individual score.Results: Order of decreasing knowledge and attitude seen among the three groups was dentists followed by interns and paramedical staff. Decreasing order of awareness was postgraduates, interns and laboratory technicians with same score, followed by nurses and sanitary staffs. In our study, 88%, 86.7% and 69.33% of participants had above average KAA values respectively.Conclusions: Doctors and interns had better understanding of BMW management than other Paramedical staff members. Sanitary workers were highly ignorant regarding BMW management. So a continuing medical education program on BMW management should be conducted on yearly basis to train and update newly appointed as well as existing HCWs.


10.2196/19437 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e19437 ◽  
Author(s):  
Hanley J Ho ◽  
Zoe Xiaozhu Zhang ◽  
Zhilian Huang ◽  
Aung Hein Aung ◽  
Wei-Yen Lim ◽  
...  

Background In early 2020, coronavirus disease (COVID-19) emerged and spread by community and nosocomial transmission. Effective contact tracing of potentially exposed health care workers is crucial for the prevention and control of infectious disease outbreaks in the health care setting. Objective This study aimed to evaluate the comparative effectiveness of contact tracing during the COVID-19 pandemic through the real-time locating system (RTLS) and review of the electronic medical record (EMR) at the designated hospital for COVID-19 response in Singapore. Methods Over a 2-day study period, all admitted patients with COVID-19, their ward locations, and the health care workers rostered to each ward were identified to determine the total number of potential contacts between patients with COVID-19 and health care workers. The numbers of staff-patient contacts determined by EMR reviews, RTLS-based contact tracing, and a combination of both methods were evaluated. The use of EMR-based and RTLS-based contact tracing methods was further validated by comparing their sensitivity and specificity against self-reported staff-patient contacts by health care workers. Results Of 796 potential staff-patient contacts (between 17 patients and 162 staff members), 104 (13.1%) were identified by both the RTLS and EMR, 54 (6.8%) by the RTLS alone, and 99 (12.4%) by the EMR alone; 539 (67.7%) were not identified through either method. Compared to self-reported contacts, EMR reviews had a sensitivity of 47.2% and a specificity of 77.9%, while the RTLS had a sensitivity of 72.2% and a specificity of 87.7%. The highest sensitivity was obtained by including all contacts identified by either the RTLS or the EMR (sensitivity 77.8%, specificity 73.4%). Conclusions RTLS-based contact tracing showed higher sensitivity and specificity than EMR review. Integration of both methods provided the best performance for rapid contact tracing, although technical adjustments to the RTLS and increasing user compliance with wearing of RTLS tags remain necessary.


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