scholarly journals Quality Assessment in Surgery- Conceptual Framework

2020 ◽  
Vol 38 (2) ◽  
pp. 93-97
Author(s):  
Abdullah Al Mamun Chowdhury ◽  
Md Margub Hussain
Keyword(s):  
Economic Growth ◽  
Health Care ◽  
Objective Assessment ◽  
Surgical Care ◽  
Care Quality ◽  
The Other ◽  
Surgical Patients ◽  
Care Process ◽  
Surgical Team ◽  
Social Reforms

‘Quality’ is a popular demand in health care. Surgeons as professionals are consistently putting their efforts to meet this demand. The standard and dimensions of ‘quality’ are changing and expectations are rising along with social reforms driven by scientific and economic growth. On the other hand, objective assessment of care in surgical patients is difficult and dependent on factors that are not precisely related to surgical skills. It is rather performance of all in the organization and sum of each and every human and system effort. In this effort we will discuss factors related to surgical care quality and different methods of assessment and their limitations. For quality surgical care, good intent, enabling environment with organized supportive system is required with skilled surgical team and meticulous monitoring system along the care process. J Bangladesh Coll Phys Surg 2020; 38(2): 93-97

scholarly journals Sexuality in Patient with Breast Cancer Hospitalized in Professional Nursing Vision

2017 ◽  
Vol 2 (4) ◽  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Professional Practice ◽  
Health Professionals ◽  
Educational Process ◽  
The Other ◽  
Care Process ◽  
Sexual Practice ◽  
Professional Nursing ◽  
Other Hand

The study seeks to investigate aspects of sexuality of women with breast cancer interned. The emergence of the study took place at the time of my professional practice where I came across patient dialogues, and health professionals with the behavior of women in different times, having sexual practice and professional assistants, on the other hand the kind of suppressed such an attitude as well as the patients more “excited” In the context of health, the educational process consists much more than the simple act of teaching. The client, who is often mistakenly called a passive individual, is a key player in the care process, since we already know that the process of health care is dynamic and requires the participation of both parties, whether caregiver or individual who will receive the care.

The Search for Synergy: Interrelating Medical Work and Patient Care Information Systems

2003 ◽  
Vol 42 (04) ◽  
pp. 337-344 ◽  
Author(s):  
M. Berg
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Patient Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Care Work ◽  
Care Process ◽  
Health Care Work ◽  
Care Information ◽  
The Way

Summary Objectives: This article aims to search for the way patient care information systems can be most fruitfully put to work in health care. Methods: Given the calls for improved health care quality, there is a need for IT’s coordination capacities in health care. Yet IT’s track record in this area is less than many expected. Moreover, many argue that the nature of health care work sets natural limits to the possibilities of IT to revolutionize this work. Starting with an analysis of the paper record, this article explores the way IT and professional work can be interrelated synergistically. Results: Two principles are discussed: 1) The key to a fruitful operation of IT in health care work lies in the unraveling of the care process, and the redistribution of tasks between professionals and the IT application. 2) Professionals should be given the skills and resources to adapt the IT application’s demands to the needs of their work practices. Conclusion: IT can bring true process support to health care when taking the two principles discussed here into account.

scholarly journals Smartphone and Surgery, Reality or Gadget?

2021 ◽  
Author(s):  
Sassi Boughizane ◽  
Badra Bannour ◽  
Imen Bannour ◽  
Faten Hacheni ◽  
Imen Bannour ◽  
...  
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Digital Health ◽  
Surgical Care ◽  
Developed Countries ◽  
Care Quality ◽  
Mobile Systems ◽  
Poor Countries ◽  
Cost Of Health Care ◽  
The Cost

Surgical care is an essential component of health care. This basic universal right is not available to everyone. Indeed, countries with low economic resources suffer from a lack of access to surgical care and the most developed countries will have to reduce the cost of health care to ensure the sustainability of provided care quality. New communication technologies have invaded the field of health and have led to the development of a new concept of mobile health. The purpose of this paper is to answer the following question: Can these new tools, and in particular the Smartphone, remedy, even partially, the lack of health care in poor countries and reduce the cost of health care in rich countries? New communication tools, led by the Smartphone, have the capacity to capture, store, retrieve and transmit data to provide instant and personalized information to individuals. This information could be a key element in health systems and can contribute to monitoring health status and improving patient safety and care quality. Mobile telephony via applications and connected objects can facilitate the pre-, intra- and post-operative management of patients. These mobile systems also facilitate the collection and transmission of data. This will allow better analysis of this data and will greatly pave the way to the introduction of artificial intelligence in medicine and surgery. The Smartphone can be used as an important tool for both, diagnosis care and surgical training. Surgeons must adapt their equipment to local resources while respecting safety standards. Covid-19 has put health systems around the world under severe strain. Decision-makers are being forced to make adjustments. The long-vaunted digital health is becoming a reality and a necessity. Healthcare authorities and strategy specialists face challenges in terms of disease prevention and therapy, as well as in terms of health economics and management.

Well-Being, Wisdom, Health, and IT

2013 ◽  
pp. 1-28
Author(s):  
Andrew Targowski
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Information ◽  
Health Care Quality ◽  
Well Being ◽  
Information Infrastructure ◽  
Care Quality ◽  
The Other ◽  
Health Prevention ◽  
Good Lives

The purpose of this study is to define a comprehensive solution for the improvements of lives of Americans. It is assumed that health is one of the three major constituents of life. The other two are well-being and Health Information Infrastructure. A lack of one of these minimizes the chance for Americans, and in general humans in any country, to lead good lives. It will be a quest for the answer to the question of how to minimize civilizational negatives, particularly in the area of health and its quickly rising costs. Key goals and strategies are defined by improving well-being and health of Americans. Issues such as wisdom and intelligence of the society are evaluated in the context of mental health, prevention, and lifestyles. Special attention is given to the issues of health-care quality and costs and the role and architecture of the Health Information Infrastructure. The conclusion evaluates the chances for implementing the proposed solutions.

scholarly journals The Emergency Surgical Team – The Way Forward in Emergency Care?

2009 ◽  
Vol 91 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Laura Tincknell ◽  
Sarah Burton ◽  
Claire Cooke ◽  
Stephen Black ◽  
Stefano Andreani ◽  
...  
Keyword(s):  
Patient Care ◽  
Surgical Care ◽  
Improve Patient Care ◽  
Working Hours ◽  
District General Hospital ◽  
Continuity Of Patient Care ◽  
Surgical Patients ◽  
Surgical Team ◽  
Number Of Patients ◽  
Training Opportunities

INTRODUCTION With reduced working hours and shift patterns, surgical training and continuity of patient care is being put at risk. We have devised a system for managing the emergency surgical patients in an effort to counteract these perceived problems. This study describes the emergency surgical team and audits its activity. PATIENTS AND METHODS The emergency surgery team concept is described in detail. Over a 2-week period, general surgical referral data, patient management and operative activity were audited. RESULTS A total of 229 patients were referred to the emergency surgical team with 159 treated conservatively, 45 underwent operative intervention and 25 were discharged without admission. Of the emergency surgical team referrals, 58% had gallstone pathology, appendicitis or constipation/non-specific abdominal pain. Average daily number of patients under the care of the emergency surgical team was 26 (range, 10–40). CONCLUTIONS The consultant-led emergency surgical team look after many of the acutely sick surgical patients. Our system not only provides good teaching opportunities but ensures optimal continuity of patient care in a busy district general hospital. Such an approach to emergency surgical care has been successfully developed to optimise training opportunities and improve patient care in a setting of reduced working hours and shift systems in our hospital.

scholarly journals Evaluations related to the quality of health and nursing care of patients after abdominal surgery

2014 ◽  
Vol 13 (1) ◽  
pp. 25-30
Author(s):  
Natalja Istomina ◽  
Artūras Razbadauskas ◽  
Arvydas Martinkėnas
Keyword(s):  
Health Care ◽  
Abdominal Surgery ◽  
Nursing Care ◽  
Health Care Quality ◽  
Significant Others ◽  
Care Quality ◽  
Care Process ◽  
Abdominal Operations ◽  
Quality Of Nursing

Background / objectiveEvaluations of the health care quality of patients after abdominal operations are significant for the improvement of health care quality in all hospitals. However, there are a lot of discussions how to evaluate the patient’s opinion and attitudes. The aim of the present study was to analyze patients’ evaluations of the quality of abdominal surgical nursing care.MethodsA multicenter, cross-sectional, analytical study was performed. The study was conducted in 11 abdominal surgical wards at Lithuanian hospitals. The data were collected in June 2007 and January 2008. Patients (n = 1208) after abdominal operations participated in the study. A GNCS-P with the response rates of 74 % was used. The data were analyzed statistically.ResultsThe co-operation with significant others and the progress of the nursing and health care process were evaluated lowest by patients. The patient age and satisfaction were the factors related to the quality of nursing care.ConclusionsThe abdominal surgical nursing and health care is a specific surgical area in which different patients are involved; however, all of them expect the good quality of health care before, during, and after abdominal surgery. The process of nursing care in abdominal surgery is specific because of the limited time of patient hospitalization, usually multiple patients’ diagnosis, as well as multiple contacts and relationships with many different staff. Surgical patient participation in the process of health care should be based on the effective relationship and co-operation among patients, medical specialists, and significant others, which is necessary and imperative for increasing the quality of abdominal surgical nursing care.Key words: health and the quality of nursing care, surgical health care, abdominal surgery, patient evaluations.Pacientų po pilvo operacijų sveikatos priežiūros ir slaugos kokybės vertinimai Įvadas / tikslasPacientų po pilvo operacijų sveikatos priežiūros kokybės vertinimai yra reikšmingi siekiant gerinti ligoninės paslaugų kokybę. Tačiau daug diskutuojama, kaip būtų galima vertinti pacientų nuomonę ir požiūrį į kokybę. Tyrimo tikslas – išanalizuoti pacientų sveikatos priežiūros ir slaugos kokybės vertinimus.MetodaiTyrimui atlikti buvo pasirinktas daugiacentris aprašomasis tyrimo metodas. Pacientų apklausa vyko 2007 m. birželio–2008 m. sausio mėn. septynių Lietuvos ligoninių 11-oje pilvo chirurgijos skyrių. Pacientai (n=1208), kuriems atlikta pilvo operacija,apklausti paskutinę hospitalizacijos dieną. Klausimynų grįžtamumas 74 proc. Atlikta statistinė duomenų analizė.RezultataiBendradarbiavimą su paciento artimaisiais ir sveikatos priežiūros pažangą pacientai įvertino blogiausiai. Pacientų amžius ir pasitenkinimas sveikatos priežiūra turėjo koreliacinį ryšį su sveikatos priežiūros kokybe.IšvadosPacientų po pilvo operacijų sveikatos priežiūra ir slauga yra specifinė chirurgijos sritis. Visi jie tikisi gauti kokybiškas paslaugas prieš operaciją, jos metu ir po jos. Slaugos procesas pilvo chirurgijoje yra savitas ir todėl, kad pacientų hospitalizacijos laikas yra ribotas, jie dažnai serga gretutinėmis ligomis, turi daug kontaktų ir santykių su personalu. Pacientų dalyvavimas sveikatos priežiūros procese turi būti grindžiamas efektyviais jų santykiais ir bendradarbiavimu su medikais ir savo artimaisiais, nes nuo to priklauso paslaugos kokybės tobulinimas.Reikšminiai žodžiai: sveikatos priežiūros ir slaugos kokybė, chirurginė sveikatos priežiūra, pilvo operacija, pacientų vertinimai

The presence of a Surgical Care Practitioner in the perioperative team is of benefit both to the patient and the consultant-led extended surgical team

2018 ◽  
Vol 29 (4) ◽  
pp. 81-86 ◽  
Author(s):  
Gabriel Rene M. Campaner
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Surgical Care ◽  
Scope Of Practice ◽  
Surgical Team ◽  
Falling Number ◽  
Current Health ◽  
Effective Care ◽  
Care System

Non-medically qualified professionals have progressively advanced and developed in line with the country’s constantly evolving health care system. Recently, increasing hospital activity, underfunding in health care and a falling number of doctors have left the NHS perpetually underdoctored, underfunded and overstretched. As the current health care climate demands these ‘non-doctors’ to demonstrate competent knowledge and skill in providing safe and effective care, this paper discusses limitations, the scope of practice as well as the benefits the Surgical Care Practitioner provides to the modern extended surgical team, and most importantly – the patients under their care.

Health Care and Workers' Self-Management in Yugoslavia

1979 ◽  
Vol 9 (3) ◽  
pp. 521-537 ◽  
Author(s):  
Stephen J. Kunitz
Keyword(s):  
Economic Growth ◽  
Health Care ◽  
Health Care System ◽  
Participatory Democracy ◽  
The Other ◽  
Self Management ◽  
The West ◽  
Other Hand ◽  
Care System

The form of communism developed in Yugoslavia since the early 1950s—called workers' self-management—has been of interest to many westerners concerned with the ideas of participatory democracy and workers' self-management. Yugoslavia's economic growth and general openness toward the West have encouraged many people to visit and to investigate the health care system as well as other aspects of the society. It is generally said that self-management is responsible for the remarkable successes that Yugoslavia has achieved. This paper suggests, on the other hand, that many of the successes achieved in the health care system are attributable largely to the fact that self-management is not allowed to work as freely as it does in other sectors of the economy.

Sustainable Society With Responsible Consumption and Production

2021 ◽  
pp. 335-351
Author(s):  
Bhavya Kavitha Dwarapureddi ◽  
Swathi Dash ◽  
Nihanth Soury Garika ◽  
Aman Raj ◽  
Saritha Vara
Keyword(s):  
Economic Growth ◽  
Sustainable Development ◽  
Environmental Problems ◽  
Consumption Patterns ◽  
The Other ◽  
Sustainable Society ◽  
Social Reforms ◽  
Production Methods ◽  
Production And Consumption ◽  
Responsible Consumption

Contemporary consumption patterns are observed to be ever-growing leading to aggravated social and environmental problems. In order to achieve sustainable development and economic growth, a reduction in ecological footprint through changes in production and consumption of goods and resources is to be bought. In fact, the 12th goal of sustainable development aims at the same. This has made several researchers carry out studies on sustainable production and consumption, which have identified two distinct points, one being focused on the promotion of effective production methods and products while the other is emphasizing the need for considering volumes of the overall distribution, consumption issues, along with related institutional and social reforms. Furthermore, responsible consumption and production behaviors include intricate forms of social and environmental issues which are in line with sustainability. This chapter focuses on the need for sustainable responsible consumption and production, detailing the barriers and also providing measures to attain the same.

scholarly journals Analysis of Indicators of in Patient Surgical Care at the Health Care Facilities in Ivano-Frankivsk Region for 2005-2015

2016 ◽  
Vol 23 (4) ◽  
pp. 201646
Author(s):  
Andriy Yavorskyy
Keyword(s):  
Health Care ◽  
Inpatient Care ◽  
National Level ◽  
Surgical Care ◽  
Care Quality ◽  
Health Care Facilities ◽  
Outpatient Basis ◽  
Regional Health Care ◽  
Care Facilities

Surgical inpatient care is one of the most capital-intensive types of care. Therefore, the health care system task is to ensure public access to this type of care, to guarantee the safety and quality of its provision on the background of resources rational use.The objective of the research was to analyze the basic parameters of inpatient surgical care quality provided at Ivano-Frankivsk region health care facilities. Materials and methods. The data of statistical reports (17 and 20) of health care facilities in Ivano-Frankivsk region for 2005-2015 were analyzed. Sociological survey of 530 patients treated at the surgical units of inpatient facilities was conducted. Results of the research. Resources for surgical inpatient care in terms of quantity in Ivano-Frankivsk region including beds and staff were determined to be higher than the average national level. However, the quality of staffing of the regional health care facilities (secondary employment coefficient is less than one point, one third of surgeons is with the second qualifying category or is not certified) does not meet modern requirements. Low-duty health care facilities were detected to be characterized by low operational activity (60.6%, 114.0 operations per surgeon per year on average), insufficient relevance of hospitalization (40% of operations may be performed on an outpatient basis), low attractiveness for a significant per cent of patients (46.2%).Conclusions. Regional program for optimization of surgical care provision should be developed.

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