scholarly journals An Assessment of the Adequacy of Clinical Communication between Clinicians and Radiographers on the Quality of Diagnostic Ultrasound Reports: A Case of the University Teaching Hospital in Lusaka, Zambia

2018 ◽  
pp. 225-231
Author(s):  
Helen Nampungwe ◽  
Foster Munsanje ◽  
Titus Haakonde
Keyword(s):  
Teaching Hospital ◽  
Work Experience ◽  
Social Scientist ◽  
Clinical Information ◽  
Diagnostic Ultrasound ◽  
University Teaching ◽  
Cross Sectional ◽  
Clinical Communication ◽  
The University

Background: Clear clinical communication between clinicians and radiographers in confirming of clinical information remains key in the provision of quality healthcare. As per procedure, clinicians make a clinical diagnosis and thereafter, request the radiographers to carry out sonographic examinations and produce Diagnostic Ultrasound Reports (DURs) based on the clinician’s request. Therefore, this study aimed at assessing the adequacy of clinical communication between clinicians and radiographers on the quality of DURs at the University Teaching Hospital (UTH) in Lusaka, Zambia. Methods: A cross-sectional descriptive study design was used. A total of 40 Clinicians were conveniently recruited into the study while 12 radiographers were purposefully sampled. Two types of special semi-structured, self-administered questionnaires were administered. Each type was to a specific professional discipline, i.e. clinicians or radiographers. Data analysis was done using Social Statistical Packages for Social Scientist Version 22. Results: The study revealed that it was a common practice for the radiographers to receive requests from the clinicians demanding for repeat of the DURs. Clinical meetings between clinicians and radiographers were irregularly held. Less than a quarter of the clinicians lacked specialized training in Diagnostic Ultrasound. The study further revealed that practitioners’ gender had no effect on the adequacy of communication between clinicians and radiographers while qualifications and work experience had effect. Conclusion: The study showed that communication between clinicians and radiographers at the UTH was inadequate. The major causes to this inadequacy included the use of unstandardized radiological request forms and lack of regular clinical meetings.

scholarly journals Patients and Patients’ Relatives Perception of Cleanliness in Radiology Department of a Nigerian Teaching Hospital

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammed Abacha ◽  
Isah Mustapha Nma ◽  
Sadiq Abubakar Audu ◽  
Abubakar Umar ◽  
Mohammed Dahiru ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Hospital Environment ◽  
Radiology Department ◽  
X Rays ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Examination Room

Background: Cleanliness and dirt are a dichotomy to categorize a particular environment especially hospital settings in which cleanliness pave a great linkage to patient satisfaction on quality of care and reduction of infection. Dirt creates negative thought on the quality of services being rendered to patients in the hospital environment. Objectives: To assess the perception of patients and their relatives on the level of cleanliness in radiology department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto and to determine which amongst the diagnostic rooms is the cleanest (Computed Tomography (CT) room, Routine X-rays room or contrast exams room (fluoroscopy)). Materials and Method: A descriptive cross-sectional study was conducted, 100 questionnaires were distributed to the respondents of which 66 in Routine xray room, 23 in CT suit and 11 in contrast examination room. Out of the 100 questionnaires nine were not returned and the remaining 91 were analysed. The questionnaire contains fifteen statements in total apart from the socio-demographic component. The count of responses was considered and for each type of response (SA, A, N, D, and SD) the percentage were calculated using statistical package for social sciences (SPSS) version 23.0. Results: Sixty percent of the respondents were patients while 40% were relatives of patients that were critically ill. The modal age range of the respondents was 25-34years, 58% were married, while 48.4% were civil servants. The result of our study shows that the respondents have adequate knowledge on cleanliness with a mean score of 4.3, they perceived radiology department as a clean environment for diagnosis and visitation but need further improvement. According to the findings, CT room was the cleanest (87.0%) followed by contrast examination room 64.0% and routine X-rays room was the least 47.0%. It also revealed that lack of manpower is the cause of inadequate sanitation. Conclusion: Radiology Department in Usmanu Danfodiyo University Teaching Hospital is clean and the CT suit is the cleanest.

scholarly journals Profil Évolutif Des Accidents Vasculaires Cérébraux Hémorragiques À Yaoundé (Hôpital Général& Centre Hospitalier Et Universitaire)

2016 ◽  
Vol 12 (21) ◽  
pp. 197
Author(s):  
Patrice Emmanuel Awono Ateba ◽  
Justin Ndié ◽  
Julienne Louise Ngo Likeng ◽  
Benjamin Alexandre Nkoum
Keyword(s):  
General Hospital ◽  
Teaching Hospital ◽  
Public Health Problem ◽  
Premature Mortality ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Evolutionary Trend ◽  
Cross Sectional ◽  
Duration Of Hospitalization ◽  
The University

Nowadays, strokes constitute a real public health problem in the world. In Cameroon, because of the people’s lifestyle potential risk factor, the prevalence of hemorrhagic strokes as well as its mortality is on the rise. This study was aimed at analyzing the evolutionary profile of hemorrhagic strokes at the General Hospital and the University Teaching Hospital in Yaoundé. A retrospective cross-sectional study with a qualitative component was carried out at the General Hospital and the University Teaching Hospital in Yaoundé for 2 months. Were included, all patients with a diagnosis of hemorrhagic strokes confirmed by CT Scan. With the help of a scale, patient data over a 30 month’s period (2013-2015) were collected. Over 1037 patients hospitalized in intensive care unit at the General Hospital and the University Teaching Hospital in Yaoundé, 122 cases of hemorrhagic strokes were diagnosed, that is a prevalence of 11.8%. The average age was 58±10.52 and the most vulnerable age range was between 50 and 70 years with 67.2%. Men were most affected (60.7%) with a sex ratio of 1.54(74 men/48 women). Among these cases of hemorrhagic strokes still hospitalized, 70 had died giving a lethality rate of 57.4%. Only the duration of hospitalization had an effect on the outcome of patients with hemorrhagic strokes. Actually the patients, victims of hemorrhagic strokes who had had less than 21 days of hospitalization, had 2.91 chances of dying as compared to those patients hospitalized for over 21 days (OR=2.91 IC 95% [5.1-65.7]; p=0.000). The late admission to reanimation, the difficulties encountered by victims of hemorrhagic strokes and their careers, to handle the enormous cost of their treatment and the insufficiencies of the technical platform, were factors also influencing the evolution of hemorrhagic strokes hospitalized in reanimation at the General Hospital and the University Teaching Hospital in Yaoundé. Despite certain efforts aimed at reducing premature mortality, the prevalence of hemorrhagic strokes was increasing in reanimation at the General Hospital and University Teaching Hospital in Yaoundé. Only multisectorial actions of sensitization, the restructuring and amelioration of the care of this ailment will help reverse the evolutionary trend.

scholarly journals Management of Malaria in Pregnant Women at the Maternity Unit of the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) in Ouagadougou: About Report on the Quality of Care

2018 ◽  
Vol 08 (13) ◽  
pp. 1337-1344
Author(s):  
Ouattara Adama ◽  
Ouédraogo Smaila ◽  
Lankoandé Bako Coulibaly Natacha ◽  
Ouédraogo Marie Charlemagne ◽  
Ouédraogo Ali ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
University Teaching ◽  
Maternity Unit ◽  
The University

scholarly journals Prevalence of Anaemia among Pregnant Women at Booking in the University of Uyo Teaching Hospital, Uyo, Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Olujimi A. Olatunbosun ◽  
Aniekan M. Abasiattai ◽  
Emem A. Bassey ◽  
Robert S. James ◽  
Godwin Ibanga ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Cell Volume ◽  
Teaching Hospital ◽  
Packed Cell Volume ◽  
University Teaching ◽  
Red Cell ◽  
Morphological Pattern ◽  
Cross Sectional ◽  
The University

Background. Anaemia with an estimated prevalence of 35–75% among pregnant women is a major cause of maternal deaths in Nigeria.Objective. To determine the prevalence of anaemia, associated sociodemographic factors and red cell morphological pattern among pregnant women during booking at the University Teaching Hospital, Uyo.Material and Methods. A cross-sectional analytical study of 400 women at the booking clinic over a 16-week period. The packed cell volume and red cell morphology of each pregnant woman were determined. Their biodata, obstetric and medical histories, and results of other routine investigations were obtained with questionnaires and analyzed with SPSS Package version 17.0.Results. The mean packed cell volume was 31.8%±3.2and 54.5% of the women were anaemic. The commonest blood picture was microcytic hypochromia and normocytic hypochromia suggesting iron deficiency anaemia. Anaemia was significantly and independently related to a history of fever in the index pregnancy (OR=0.4;P=0.00; 95%CI=0.3–0.7), HIV positive status (OR=0.2;P=0.01; 95%CI=0.1–0.6), and low social class (OR=0.3;P=0.00; 95%CI=0.2–0.7).Conclusion. Women need to be economically empowered and every pregnant woman should be encouraged to obtain antenatal care, where haematinics supplementation can be given and appropriate investigations and treatment of causes of fever and management of HIV can be instituted.

scholarly journals Accuracy and Completeness of Medication Histories in Patients in Medical Admission Ward at the University Teaching Hospital

2020 ◽  
Vol 4 (4) ◽  
pp. 25-31
Author(s):  
Melody Mutinta ◽  
◽  
Lungwani T. Muungo ◽  
Pierre Yassa ◽  
◽  
...  
Keyword(s):  
Hospital Admission ◽  
Teaching Hospital ◽  
University Teaching ◽  
Medical Admission ◽  
Medication History ◽  
Cross Sectional ◽  
Admission Ward ◽  
Clinical Records ◽  
The University ◽  
Time Of Admission

Background: Quality documentation of medication histories at the time of hospitaladmission with regard to accuracy and completeness is not documented at the University Teaching Hospital (UTH), in Zambia. The aim of our study was to assess the accuracy and completeness of medication histories obtained in patients upon hospital admission. Materials and Methods: We conducted a prospective cross-sectional study at the medical admission ward, University Teaching Hospital, over a period of 3months. Our study enrolled 322 patients admitted to this ward who were above 18 years of age and were able to communicate verbally, if not, were accompanied by a caregiver. Clinical records of these patients were screened to review allmedications the patient was taking and patients/caregivers were interviewed to obtain acomplete medication history. All information obtained from patients through interviews was compared with medications recorded in the patient’s clinical records at the time of admission to the hospital. The Statistical Package for Social Sciences(SPSS) version 22 was used for all statistical calculations. Results: Of 287 clinical records, 175 (61%) incidents of inaccurate medication histories at the time of admission were identified and that medication histories in clinical records of patients were incomplete or poorly documented. Conclusion: Our study shows that 61% of medication histories in patients at the time of admission to hospitals are inaccurate. Quality documentation of medication histories in clinical records at the time of hospital admission is poor.

scholarly journals COVID-19 Disease in the Paediatric Population: A Cross Sectional Study at the University Teaching Hospital in Port Harcourt, Southern Nigeria

2021 ◽  
pp. 15-20
Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Causative Organism ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Corona Virus ◽  
Port Harcourt ◽  
The University

Background: Globally, there has been a destruction of human lives, economies and health systems by the novel corona virus pandemic. Presently there is no known certain cure, although a number of vaccines have been proposed to prevent the corona virus disease 2019 (COVID-19) which was first seen as increasing number of pneumonia cases in Wuhan, China, with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) as the causative organism. Objectives: To screen paediatric patients for COVID-19 at the University of Port Harcourt Teaching Hospital and to know their pattern of presentation. Materials and Methods: Descriptive cross-sectional study, not controlled, over a period of six weeks, using interviewer administered structured questionnaire which was adapted and used at the Accident and Emergency Department for patients triaging as a COVID-19 Risk assessment tool. No action was required for a score of 0-7, while admission into COVID-19 holding area following review by IDU was recommended for a score 8 ≥17. All children brought into the department, requiring treatment were screened. Results: There were 131 patients, 74 (56.5%) males and 56 (42.7%) females, with a mean age 7.2 ± 5.41 years. Male: Female ratio was 1.3:1. Four children (3%) had a total score of ≥ 8, while half of them (n=2; 50%) tested positive for COVID-19, giving a disease prevalence of 1.5%. Both cases were females; fever and difficulty in breathing were the commonest symptoms. No mortality was recorded. Conclusions: COVID-19 prevalence is low in children, and they have a good outcome. A community-based study is recommended.

scholarly journals Dyslipidemia in Patients with a Cardiovascular Risk and Disease at the University Teaching Hospital of Yaoundé, Cameroon

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Vicky Jocelyne Ama Moor ◽  
Sylvie Ndongo Amougou ◽  
Sebastien Ombotto ◽  
Felicien Ntone ◽  
Doriane Edna Wouamba ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Teaching Hospital ◽  
Hdl Cholesterol ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Cross Sectional ◽  
Low Hdl ◽  
The University ◽  
Lipid Abnormalities

Objective. To determine the frequency of lipid abnormalities in patients with a cardiovascular risk and disease at the University Teaching Hospital (UTH) of Yaoundé.Materials and Methods. We conducted a cross-sectional study from 1 March to 31 May 2015 at the UTH of Yaoundé. We included all patients seen in the outpatient department with a diagnosis of a cardiovascular disease or a risk factor for cardiovascular disease. Patients who accepted to participate in the study were asked to answer a questionnaire; after that a blood sample was taken for lipid profile. An informed consent was signed by all the participants and the study has received approval from the national ethic committee.Results. We recruited 264 patients of which 119 were men and 145 were women with a sex ratio of 0.82. Mean age was 61.36 years. The frequency of lipid profiles abnormalities was as follows: low HDL cholesterol (44.3%), hypertriglyceridemia (18.9%), high LDL cholesterol (3.8%), and high total cholesterol 3.4%). Hypertriglyceridemia was strongly associated with type 2 diabetes mellitus.Conclusion. Low levels of HDL cholesterol and hypertriglyceridemia are more prevalent in our study population. More studies are needed to confirm this finding in our environment.

scholarly journals Prevalence and outcome of hypernatraemic dehydration among under-5 children with diarrhoea at the University Teaching Hospital, Lusaka, Zambia

2020 ◽  
Vol 4 (2) ◽  
pp. 14-20
Author(s):  
Jombo Namushi ◽  
◽  
Evans Mpabalwani ◽  
Keyword(s):  
Hospital Stay ◽  
Teaching Hospital ◽  
Acute Diarrhoea ◽  
University Teaching ◽  
Treatment Modalities ◽  
Cross Sectional ◽  
Female Ratio ◽  
Under Five ◽  
Under Five Children ◽  
The University

Diarrhoea is the second commonest cause of under-five mortality globally (second to Pneumonia) and kills one (10 percent) out of every 10 children who die before their fifth birthday. In Zambia dehydration due to diarrhoea is a leading cause of morbidity and mortality among under-five children. Hypernatraemic dehydration is the most dangerous and fatal form of dehydration. Despite the availability of well known effective treatment modalities for dehydration in diarrhoea, mortality remains high in many developing countries. The situation is not any different in Zambia and at The University Teaching Hospital (UTH) Department of Paediatrics. This study therefore sought to determine the prevalence and outcome of hypernatraemic dehydration as a possible contributing factor to the high mortality rate among children with diarrhoea.It was a cross sectional study conducted at the UTH Department of Paediatrics. The study population was under-five children presenting with acute diarrhoea with dehydration. Independent variables were age, sex, feeding modality, prior ORS therapy, rotavirus vaccine status and serum sodium. The dependent or outcome variables were discharge/mortality and duration of hospital stay. Data analysis was done with the help of SPSS version 20. There were a total of 148 participants with an almost 1:1 male/female ratio (73/75), mean age of 14.7 months ranging 1-60 months. The prevalence of hypernatraemic dehydration was approximately 19 percent (29/148) among children presenting with diarrhoea and dehydration. Hypernatraemia was associated with a high risk of mortality (7/29) with an OR 5.8 (adjusted OR 3.6, 95% CI 2.9-8.0, p 0.002), compared to (7/74) OR 1.8 (adjusted OR 1.1, 95% CI 0.8-2.2, p 0.06), and (5/33) OR 3.1 (adjusted OR 2.3, 95% CI 1.7-4.4, p 0.03) for normal and low initial sodium level respectively. Hypernatraemia was also associated with longer hospital stay with a mean duration of 3.09 days (74.2hrs) compared to 2.01 days (48.2 hours) and 2.13 days (51.1 hours) for normal and low sodium respectively. Hypernatraemia is prevalent among under-five children presenting with diarrhoea at UTH department of peadiatrics and a major contributing factor to high diarrhoeal associated mortality. Recognition of its occurrence through diligent laboratory services is therefore critical for appropriate patient care.

Sign in / Sign up

Export Citation Format

Share Document