scholarly journals Failed Knowledge Retention from Educational Intervention on Anaphylaxis Management Among Medical Personnel

2021 ◽  
Vol 2 (1) ◽  
pp. 11-16
Author(s):  
John Johnson ◽  
Tina Abraham ◽  
Monica Sandhu ◽  
Brian P. Peppers ◽  
Cathy Knorzer ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Hospital Setting ◽  
Improve Patient Care ◽  
Medical Personnel ◽  
Knowledge Retention ◽  
Adverse Outcomes ◽  
Healthcare Personnel ◽  
Multiple Choice Questions ◽  
University Hospitals ◽  
Initial Questionnaire

Abstract Background: Anaphylaxis is a life-threatening allergic reaction that is often inadequately treated in the hospital setting, leading to adverse outcomes. We hypothesize that a brief educational intervention will enhance knowledge of community-based medical professionals evaluated by pre- and post-questionnaires, leading to improved recognition and management of anaphylaxis. Methods: An initial questionnaire consisting of eight multiple-choice questions and two fill in response pertaining to anaphylaxis identification, management, and treatment was completed by 189 University Hospitals Regional Hospitals personnel, including faculty, nurses, student, residents, and Emergency Medical Services (EMS). The participants were then offered an educational intervention, including a 10-slide, 20-minute PowerPoint presentation on anaphylaxis, and review of the pre-educational intervention questionnaire responses, followed by a post-educational intervention questionnaire similar to the initial questionnaire. Seventy-seven participants completed the same questionnaire at a six-month follow-up to assess retention. Results: Participant scores improved from 62% to 94%, from the initial questionnaire to the immediate post- educational intervention questionnaire. The six-month post-educational intervention questionnaire revealed a return to near baseline (65%) medical knowledge regarding anaphylaxis Conclusion: Healthcare personnel demonstrate a knowledge deficit of identification and management of anaphylaxis. In the short-term, a brief, educational intervention did improve knowledge of anaphylaxis (p<0.00001). However, in the long-term, this educational intervention did not improve knowledge retention about anaphylaxis (p=0.52218). We received approval for and implemented an anaphylaxis order set in the electronic medical record (EMR) at University Hospitals, in effort to improve patient care.

scholarly journals Education of medical personnel optimizes filling volume of blood culture bottles without negatively affecting microbiology testing

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Katrin Steiner ◽  
Joanna Baron-Stefaniak ◽  
Alexander M. Hirschl ◽  
Wolfgang Barousch ◽  
Birgit Willinger ◽  
...  
Keyword(s):  
Risk Factor ◽  
Blood Culture ◽  
Educational Intervention ◽  
Medical Personnel ◽  
Sample Volume ◽  
Blood Cultures ◽  
Adverse Outcomes ◽  
Filling Volume ◽  
Aerobic And Anaerobic ◽  
Blood Volumes

Abstract Background Anemia is a risk factor for adverse outcomes, which can be aggravated by unnecessary phlebotomies. In blood culture testing, up to 30 ml of blood can be withdrawn per sample, even though most manufacturers recommend blood volumes of 10 ml or less. After assessing the filling volume of blood culture bottles at our institution, we investigated whether an educational intervention could optimize filling volume of blood culture bottles without negatively affecting microbiology testing. Methods We weighed 10,147 blood cultures before and 11,806 blood cultures after a six-month educational intervention, during which employees were trained regarding correct filling volume via lectures, handouts, emails, and posters placed at strategic places. Results Before the educational intervention, only 31% of aerobic and 34% of anaerobic blood cultures were filled correctly with 5–10 ml of blood. The educational intervention increased the percentage of correctly filled bottles to 43% (P < 0.001) for both aerobic and anaerobic samples without negatively affecting results of microbiologic testing. In addition, sample volume was reduced from 11.0 ± 6.5 to 9.4 ± 5.1 ml (P < 0.001) in aerobic bottles and from 10.1 ± 5.6 to 8.8 ± 4.8 ml (P < 0.001) in anaerobic bottles. Conclusion Education of medical personnel is a simple and effective way to reduce iatrogenic blood loss and possibly moderate the extent of phlebotomy-induced anemia.

scholarly journals Need to Intervene: An Exploratory Study of Nurses’ Experiences With Patienthood

2021 ◽  
Vol 8 ◽  
pp. 237437352199884
Author(s):  
Marian A O Cohen ◽  
Jim McQuaid ◽  
Ruth Remington
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Healthcare System ◽  
Family Caregiver ◽  
Exploratory Study ◽  
Medical Personnel ◽  
Healthcare Personnel ◽  
Coordination Of Care ◽  
Professional Perspective

Much has been written about the patient experience, but there is little information about experiences of providers as patients. Since lay patients and providers have differing perspectives and expectations, it is important to identify those elements shared by those in each group and those that diverge. This study identified experiences of nurses as being a patient or a family caregiver of a patient as well as identified assessments of the healthcare system by nurses. An exploratory study using a self-administered electronic questionnaire with a group of registered nurses was conducted. Assessments of the system by responders were positive when addressing quality of care, interactions among healthcare personnel, and interactions with patients. However, when discussing their experiences as patient, nurses reported they encountered problems with coordination of care, responses of medical personnel, attention to details of care, and responses to their attempts to become more involved. Results confirm issues raised by patients who are not medical experts in patient satisfaction studies. Adding a professional perspective highlights where problems with the healthcare system lie.

scholarly journals Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

2021 ◽  
Vol 18 (10) ◽  
pp. 5368
Author(s):  
Shimaa A. Elghazally ◽  
Atef F. Alkarn ◽  
Hussein Elkhayat ◽  
Ahmed K. Ibrahim ◽  
Mariam Roshdy Elkhayat
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Adverse Outcomes ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Care Providers ◽  
University Hospitals

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.

scholarly journals Educational program “Communication in the Treatment Process” – description, goals, and theoretical background

2021 ◽  
Vol 21 (2) ◽  
pp. 134-140
Author(s):  
Aleksandra Wieczorek ◽  
◽  
Agnieszka Fusińska-Korpik ◽  
Łukasz Cichocki ◽  
◽  
...  
Keyword(s):  
Mental Disorders ◽  
Treatment Process ◽  
Medical Personnel ◽  
Theoretical Background ◽  
Healthcare Personnel ◽  
Patient Centered ◽  
Patient Centered Medicine ◽  
Research Findings ◽  
Medical Recommendations

Effective medical communication is an extremely important aspect of patient-centered medicine. It allows for achieving better treatment outcomes and is of key importance in the case of patients experiencing mental problems. Research clearly indicates that the quality of communication is a fundamental element of medical services, which not only affects patient satisfaction, but can also reduce the risk of burnout among staff who have contact with patients. A sense of mutual understanding translates into trust and contributes to more conscientious adherence to medical recommendations. Considering the cooperation of all medical and non-medical personnel, high-quality communication reduces the risk of tensions and conflicts, as well as the number of complaints reported by patients. Both research findings and our own experience show that individuals with mental disorders often feel misunderstood, stigmatised, or ignored by healthcare personnel. Based on the above assumptions, the experts from Józef Babiński Specialist Hospital in Kraków developed their own program entitled “Communication in the Treatment Process.” It was implemented in 2018 by the Ministry of Health among over 2,500 professionals in the Małopolskie and Podkarpackie provinces. The aim of the project was to improve the communication skills of medical and non-medical personnel in the context of communication with patients with mental disorders. The paper describes in detail the theoretical background, the goals, and the course of the program.

scholarly journals Nurses’ Knowledge on Delirium Prevention and Detection in Hospitalized Adults: A Quality Improvement Project

2021 ◽  
Author(s):  
Kayla Deery
Keyword(s):  
Quality Improvement ◽  
Educational Intervention ◽  
Medical Condition ◽  
Hospital Setting ◽  
Chronically Ill ◽  
Measurement Model ◽  
Assessment Method ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Nurses Knowledge

Delirium, recognized as a medical and psychological emergency, is a symptom of an acute medical condition. Despite the prevalence of delirium in the hospital setting, it continues to be unrecognized, resulting in poor patient outcomes, and exorbitant healthcare cost. Patients with dementia who are chronically ill, as well as patients previously diagnosed with delirium, represent a vulnerable population and require closer surveillance due to their predisposing factors. This quality improvement project goal is to increase nurses’ knowledge and understanding of delirium. This was completed through providing education to medical-surgical nurses on the causes of delirium (predisposing and precipitating factors), prevention, use of the confusion assessment method (CAM) screening tool, and detection of delirium. The change in knowledge was measure through an investigator created, 10-question multiple choice, pretest-posttest measurement model. Of the 58 nurses, nine responded and completed the pretest (N=9, 15.5%), while seven completed the educational intervention posttest (N=7, 12%). Results of the quality improvement project yielded a 22.1% increase in nurses’ knowledge after the educational intervention. Despite the low participation rate, this project revealed a positive correlation between the educational intervention and nurses’ knowledge.

Simulating Difficult Nurse Patient Relationships

2012 ◽  
pp. 141-156
Author(s):  
Peter Kandlbinder ◽  
Scott Brunero
Keyword(s):  
Mental Illness ◽  
General Hospital ◽  
Design Process ◽  
Nursing Staff ◽  
Low Cost ◽  
Hospital Setting ◽  
Improve Patient Care ◽  
Patient Behaviour ◽  
Patient Relationships ◽  
Improve Patient

Difficult nurse-patient relationships are an area where general nurses can improve their knowledge, confidence and skill. This chapter describes a user-centred approach used to create a low-cost e-simulation of a commonly occurring case of manipulative patient behaviour. This e-simulation required nurses to focus on specific problems, gain understanding about the possible causes, and use empathetic understanding of what was needed to improve patient care. Specific examples from our experience of including nurses from the very beginning of the design process illustrate how everyday technology can provide an authentic experience of difficult nurse-patient behaviours to prepare general nursing staff who are facing a higher incidence of mental illness in patients that are now in the general hospital setting.

Adverse Staff Health Outcomes Associated with Endoscope Reprocessing

2013 ◽  
Vol 47 (2) ◽  
pp. 172-179 ◽  
Author(s):  
Elane Gutterman ◽  
Lindsay Jorgensen ◽  
Amber Mitchell ◽  
Sherry Fua
Keyword(s):  
United States ◽  
Health Outcomes ◽  
Health Workers ◽  
The United States ◽  
Adverse Outcomes ◽  
Healthcare Personnel ◽  
Health Administration ◽  
Adverse Health ◽  
Adverse Health Outcomes ◽  
Pubmed Database

Abstract There are occupational challenges associated with cleaning, disinfecting, storing, and transporting flexible endoscopes. Although the Occupational Safety and Health Administration (OSHA) has set standards to protect the safety of health workers in the United States, the standards are not specific to endoscope reprocessing, and the general standards that are in place are not fully implemented. Furthermore, adverse staff outcomes may not be fully preventable. To assess the evidence for adverse outcomes in staff associated with endoscope reprocessing, a literature review was performed in the PubMed database for articles on this topic published between Jan. 1, 2007 and March 7, 2012. Eight studies were identified, mainly European, which reported numerous adverse outcomes to healthcare personnel associated with endoscope reprocessing including respiratory ailments and physical discomfort. More scientifically rigorous studies are required to comprehensively describe adverse health outcomes in personnel engaged in reprocessing, particularly in the United States, and examine whether increased automation of the reprocessing process leads to decreased adverse health outcomes for staff.

A problem-solving routine for improving hospital operations

2015 ◽  
Vol 29 (2) ◽  
pp. 252-270 ◽  
Author(s):  
Manimay Ghosh ◽  
Durward K Sobek II
Keyword(s):  
Problem Solving ◽  
Process Improvement ◽  
Hospital Setting ◽  
Improve Patient Care ◽  
Healthcare Setting ◽  
Theory Approach ◽  
Structured Interviews ◽  
Short Term ◽  
Content Type ◽  
Hospital Operations

Purpose – The purpose of this paper is to examine empirically why a systematic problem-solving routine can play an important role in the process improvement efforts of hospitals. Design/methodology/approach – Data on 18 process improvement cases were collected through semi-structured interviews, reports and other documents, and artifacts associated with the cases. The data were analyzed using a grounded theory approach. Findings – Adherence to all the steps of the problem-solving routine correlated to greater degrees of improvement across the sample. Analysis resulted in two models. The first partially explains why hospital workers tended to enact short-term solutions when faced with process-related problems; and tended not seek longer-term solutions that prevent problems from recurring. The second model highlights a set of self-reinforcing behaviors that are more likely to address problem recurrence and result in sustained process improvement. Research limitations/implications – The study was conducted in one hospital setting. Practical implications – Hospital managers can improve patient care and increase operational efficiency by adopting and diffusing problem-solving routines that embody three key characteristics. Originality/value – This paper offers new insights on why caregivers adopt short-term approaches to problem solving. Three characteristics of an effective problem-solving routine in a healthcare setting are proposed.

scholarly journals COMPARISON OF A FRAILTY RISK SCORE AND COMORBIDITY FOR EARLY REHOSPITALIZATION USING ELECTRONIC HEALTH RECORD DATA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S906-S906
Author(s):  
Deborah A Lekan ◽  
Thomas P McCoy ◽  
Marjorie Jenkins ◽  
Somya Mohanty ◽  
Prashanti Manda
Keyword(s):  
Electronic Health Record ◽  
Average Length ◽  
Laboratory Data ◽  
Hospital Setting ◽  
Adverse Outcomes ◽  
Risk Scores ◽  
Unplanned Readmission ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Electronic Health

Abstract Frailty is a clinical syndrome of impaired homeostasis and decreased physiologic reserve and resilience resulting in diminished ability to recover from stressors. In the hospital setting, barriers to adoption of popular frailty assessments make them impractical for widespread use. Improving quality and costs associated with hospitalization has motivated using data from the electronic health record (EHR) to identify patients at risk for adverse outcomes such as early readmission. Patient-level factors such as frailty and comorbidity may signal high readmission risk. In this retrospective study and secondary analysis of EHR data, we investigated Frailty Risk Scores (FRS) in models that included sociodemographic, comorbidity, and laboratory data for early 3-, 7-, and 30-day unplanned readmission. Study data were collected from a health system in the Southeastern U.S. on adults &gt;50 years with an inpatient stay of &gt;24 hours, 2013-2017. Exclusions included planned readmission and in-hospital mortality. The FRS was constructed using ICD-10-CM codes mapped for symptoms, syndromes, and laboratory values. Cox and logistic regression were conducted to examine associations with readmission. Area under the receiver operating characteristic curve (AUC) quantified accuracy. The sample was 53% female and 73% non-Hispanic White (N=55,778). About one-third took at least 7 prescribed medications (34%) and average length of stay was 4.3 days (max=103.6). FRS was a significant predictor of readmission for almost all models, independently of three comorbidity indices (range AUC=.850-.854 for 3-day, .809-.813 for 7-day, and .757 to .768 for 30-day). Frailty and comorbidity are independently associated with early rehospitalization.

A Web-Based Course on Infection Control for Physicians in Training An Educational Intervention

2006 ◽  
Vol 27 (7) ◽  
pp. 704-708 ◽  
Author(s):  
Mohamad G. Fakih ◽  
Iram Enayet ◽  
Steven Minnick ◽  
Louis D. Saravolatz
Keyword(s):  
Infection Control ◽  
Educational Intervention ◽  
Multiple Choice Questions ◽  
Information Retention ◽  
Web Based ◽  
Residency Programs ◽  
Evaluation Test ◽  
Group 3 ◽  
The Mean ◽  
The Web

Objective.To evaluate the effectiveness of a Web-based course on infection control accessed by physicians in training.Design.Educational intervention.Setting.A 607-bed urban teaching hospital.Participants.A total of 55 physicians in training beginning their first postgraduate year (the iPGYl group) and 59 physicians completing their first, second, or third postgraduate year (the oPGY group).Intervention.Individuals in the iPGYl group took a Web-based course on infection control practices.Measurements.Persons in the iPGYl group who took the Web-based course completed an evaluation test consisting of 15 multiple-choice questions (total possible score, 15 points). The same test was given to persons in the oPGY group, who did not take the Web-based course. We compared scores of the Web-based test taken by subjects in the iPGYl group immediately after the course with scores of the test they took 3 months after the course and with test scores of subjects in the oPGY group.Results.The mean score (±SD) for subjects in the iPGYl group who took the Web-based course was 10.6 ± 2.2, compared with 8.0 ± 2.5 for subjects in the oPGY group (P<.001). The mean score (±SD) for subjects in the iPGYl group 3 months after completing the course decreased to 8.0 ± 2.4 (P< .001 by the paired f test). For the oPGY group, significant differences were found between the scores (±SD) for subjects in the internal medicine (9.9 ± 2.3), emergency medicine (8.4 ± 1.7), pediatrics (7.0 ± 1.7), and family medicine (5.8 ± 1.6) residency programs (P< .001); there were no significant differences in scores according to the year of residency.Conclusions.Web-based infection control courses are an attractive teaching tool for physicians in training and need to be considered for teaching infection control. The evaluation of information retention will help identify physicians in training who require further training.

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