scholarly journals Improved basic life support skills and patient transportation at ambulance drivers in Medan Tuntung and Medan Sunggal area to improve patient safety

2019 ◽  
Vol 4 (2) ◽  
pp. 802-807
Author(s):  
Yetty Machrina ◽  
Kamal Basri Siregar ◽  
Nuraiza Meutia ◽  
Gema Nazri Yanni ◽  
Yunita Sari Pane

The technique of providing basic and quick life support (BHD) and transportation to patients with cardiac and pulmonary arrest can save a patient's life. An ambulance driver as one of the ambulance personnel should be equipped with the two forms of skills above. The aim of community service is to increase the capacity of ambulance drivers in terms of providing basic life support skills and patient transportation to improve patient safety. This training was held in September 2019, at the H. Adam Malik General Hospital Training Center Installation Medan, with 24 participants. The training is carried out with 2 methods, namely exposure to BHD theory and BHD skills training. The knowledge and skills of participants before and after the training were assessed. Pre and post assessment results were analyzed using paired t-test with a significance level of p <0.05 Ambulance drivers in the Medan Tuntung and Medan Sunggal area are mostly over 30 years old, with most working as ambulance drivers for more than 5 years. The most recent level of education is high school graduation or equivalent. The results of statistical analysis using paired t-test, obtained a significant difference in the knowledge of ambulance drivers about basic life support theory before and after training (p = 0.000). Likewise, ambulance driver skills in providing basic life support for adult patients, infants and children were significantly different before and after training (p = 0.000). Training in basic life support skills and patient transportation can increase the capacity of ambulance drivers in providing basic life support..

2021 ◽  
Vol 14 (1) ◽  
pp. 42-48
Author(s):  
Edi Purnomo ◽  
Akbar Nur ◽  
Zulhaini Sartika A. Pulungan ◽  
Andi Nasir

Gawat darurat merupakan suatu kejadian yang terjadi secara mendadak sehingga megakibatkan seseorang memerlukan penanganan dan pertolongan secara cepat dan tepat. Salah satu tindakan yang dapat dilakukan masyarakat awam dan tenaga medis dalam menangani kasus gawat darurat yaitu dengan memberikan Bantuan Hidup Dasar (BHD) dan Basic Life Support (BLS) yang merupakan suatu usaha mencegah terjadinya henti jantung dan henti napas. Tujuan: penelitian ini dilakukan guna untuk mengetahui pengaruh Bantuan Hidup Dasar (BHD) dan penanganan tersedak terhadap peningkatan pengetahuan dan keterampilan siswa SMAN 3 Mamuju. Penelitian ini menggunakan  One-Group pre test-post test design guna untuk mengetahui pengetahuan dan keterampilan dalam penanganan Bantuan Hidup Dasar (BHD) dan penanganan tersedak pada siswa SMAN 3 Mamuju. Subyek yang digunakan dalam penelitian ini adalah siswa SMAN 3 Mamuju dengan total responden sebanyak 35 siswa. Analisis data penelitian menggunakan SPSS dan uji hipotesis menggunakan Paired t-test. Hasil uji statistic dengan Paired t-test terdapat pengaruh signifikan sebelum dan setelah diberikan pelatihan Bantuan Hidup Dasar (BHD) dan penanganan tersedak dengan nilai signifikansi p value=0,001  pengetahuan, keterampilan BHD P Value = 0,002 dan keterampilan penanganan tersedak P Value =0,001 dengan taraf signifikansi 0,05 (P0,05). Kesimpulan Pelatihan Bantuan Hidup Dasar (BHD) dan penanganan tersedak efektif untuk meningkatkan pengetahuan, keterampilan Bantuan Hidup Dasar dan keterampilan penanganan tersedak siswa SMAN 3 Mamuju sehingga diharapkan penanganan kasus gawat darurat yang dapat ditemui dilapangan dapat diatasi dengan cepat dan tepat.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S20-S21
Author(s):  
Maria Donnelly ◽  
Nieves Mercadillo ◽  
Stuart Davidson

AimsIn this project our aim was to improve patient safety and care by reducing hypnotic prescription medication administration. We also wanted to reduce over-prescribing/unnecessary prescribing which has a negative pharmaceutical impact on the environment and is a huge expenditure issue for the NHS. NICE guidance for Insomnia management states “After consideration of the use of non-pharmacological measures, hypnotic drug therapy is considered appropriate for the management of severe insomnia interfering with normal daily life; it is recommended that hypnotics should be prescribed for short periods of time only, in strict accordance with their licensed indications” Side effects are common with hypnotic usage including, most importantly, the development of tolerance and rebound insomnia.MethodThe interventions we implemented included the development of an educational presentation about insomnia, the development of an “Insomnia Management Flow chart” to be used at admission point, training sessions for ward staff, shared teaching programmes with patients at their sleep management sessions, face to face and email correspondence to inform medical trainees about this project and gathering feedback from patients and staff before and after this project.ResultThe results of this project demonstrated a total reduction in hypnotic tablet administration was very significant with a 44.5% reduction post intervention.ConclusionThis demonstrates the positive change in our clinical practice that has resulted from our interventions. This will improve patient safety and reduce cost of hypnotic medications for the NHS. Following on from this initial intervention, we feel that we can continue to make further changes and expand the changes we made on this ward, to other similar wards in our hospital, trust and to other inpatient psychiatric wards further afield.


Author(s):  
Olivia Marie Jacob ◽  
Anil Goswami ◽  
Farhad Ahamed ◽  
Mahasweta Dubey ◽  
Kiran Goswami ◽  
...  

Background: There is a need for training teachers in first aid skills as they are the primary contact for most commonly encountered emergency situations in school scenario. The objective of the study was to assess the feasibility of a training program on first aid and basic life support skills among teachers of a school in south Delhi, India.Methods: We identified topics and prepared a training module (6-hour duration on a single day) for teachers and conducted the training in the Centre for Community Medicine department of All India Institute of Medical Sciences, New Delhi.Results: 40 teachers were involved in this study. The mean (SD) score before and after the training was 5.55 (1.88) and 12.4 (1.66) respectively. A significant improvement in the scores pertaining to knowledge on first aid skill was observed after the training (p<0.01).Conclusions: We conclude that training program is feasible and acceptable by teachers and improves their immediate knowledge and skills.


2019 ◽  
Author(s):  
Chuang Zhao ◽  
Qing Chang ◽  
Xi Zhang ◽  
Qijun Wu ◽  
Nan Wu ◽  
...  

Abstract Background: Safety culture in hospitals can affect patient disease processes and health status. However, comprehensive measures to improve patient safety and effective methods to precisely assess the outcomes are limited in China. Methods: A cohort study was carried out in a tertiary hospital in China. Medical caregivers received comprehensive interventions such as a study on emergency plans and professional skills training to improve safety culture at the beginning of January 2017. A total of 553 caregivers in March, 299 caregivers in June and 284 caregivers in December in the same year participated in the three evaluation surveys. The safety attitude questionnaire (SAQ), the dimension frequency and number of events reported in the hospital survey of patient safety culture (HSOPSC) and a questionnaire on barriers to reporting adverse events were used to examine the safety culture changes before, during and at the end of intervention implementation. Results: The scores for dimension teamwork climate, job satisfaction and perception of management in the SAQ were significantly increased (p < 0.05). The scores for the 17 items in the barriers to reporting adverse events questionnaire were significantly increased (p < 0.05). No significant changes were observed in the scores for the dimension frequency and number of events reported in the HSOPSC after the interventions. Conclusion: Our findings showed that the interventions improved safety attitudes, and the barriers to reporting adverse events decreased, suggesting that the comprehensive interventions used were helpful for improving the safety culture.


Resuscitation ◽  
2019 ◽  
Vol 138 ◽  
pp. 28-35 ◽  
Author(s):  
Asbjørn Hasselager ◽  
Cathrine Bohnstedt ◽  
Doris Østergaard ◽  
Claus Sønderskov ◽  
Kristine Bihrmann ◽  
...  

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Akhmad Rifai ◽  
Muh Ilyas

Abstract Background: Heart disease is the number one cause of death, accounting for 39% of all deaths in the world. Basic Life Assistance (BLS) should be given to victims who suffer from stopping breathing, cardiac arrest, and bleeding. The purpose of this study was to determine the ability of Basic Life Support Skills (BLS) santri Ponpes Yambuul Hikmah in Andong Boyolali. Methods: This research is an experimental research with approach of Pre-Tes-Post Test Group design. through testing of research hypotheses. The population of this study is the people of cloud (santri Ponpes Yambul Hikmah)amounted to 50 respondents. Statistical test in pairs of groups using nonparametric Wilcoxon test. Result: Based on Wilcoxon test results it can be concluded that 50 respondents who Basic Life support Assistance (BLS) training can be drawn conclusion that the majority of santri have good knowledge in terms of emergency handling capability especially Basic Life Support with p value 0,001 which means there is a difference that takes place between before and after training. Conclusion: put forward in this research is education and training BLS of santri continue to be held at otherboarding school to improve the ability of BLS.


2020 ◽  
pp. 1-2
Author(s):  
Althaf A ◽  
Retheesh K H ◽  
Suni K Akbar

The study was aimed to assess the basic life support skills of interns in a tertiary care teaching hospital in Kerala and to evaluate the effectiveness of a skill training package in improving their cognitive skills. Methods: 92 medical students who have recently completed their internship were enrolled in this interventional study. Each skills training session consists of a six-stage process comprising the pre-test, tutor demonstration, followed by explanation, hands-on training practice under supervision and the post-test. Pre and post tests were carried out to assess the basic life support skills of participants. Results: The overall mean test score improved significantly from 1.88 (SD 1.9) in the pre-test to 9.15 (SD 0.85) in the post-test (p < 0.000). McNemar Chi square test was used to compare the critical performance and find the effectiveness of the training package. Conclusion: The pre-test assessment of basic life support skills of the participants revealed the critical lacunae in our medical curriculum. The training package on basic life support skills is highly effective in improving the basic life support skills of medical interns.


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