scholarly journals Testing of Defects per Million Medication Orders as a SMART Indicator for Monitoring Medication Safety in Admission and Discharge Orders

2021 ◽  
Vol 4 (1) ◽  
pp. 11-17
Author(s):  
Eman Kamal ◽  
P. J. Parameaswari
Keyword(s):  
Medication Safety ◽  
Healthcare Facility ◽  
Order Process ◽  
Cross Sectional ◽  
Riyadh City ◽  
Sigma Level ◽  
Medical City ◽  
Healthcare Processes ◽  
Cross Sectional Design ◽  
Better Than

ABSTRACT Introduction The study investigated the use of defects per million medication orders (DPMMO) as a SMART (specific, measurable, achievable, realistic, and timely) indicator for monitoring medication safety in admission and discharge orders. The study aimed to develop and test a new indicator as an investigator of medication safety. Methods The study was conducted in 2018 at King Saud Medical City in Riyadh City in Saudi Arabia. A retrospective cross-sectional design was used. The research sample had 292 patients. The selected medication orders included two types of medication orders (admission and discharge order). After sufficient data had been gathered from the hospitals, a statistical analysis was carried out. Results Analysis of admission and discharge orders indicated that defects per million opportunities (DPMO) and DPMMO count were slightly low, while the sigma level for admission orders was slightly high. Thus, the admission order process was slightly better than the discharge order process. Conclusion The DPMMO indicator could serve as a SMART indicator of medical safety. It can be used as a standardized indicator in any healthcare facility, which serves as a recommendation guide in monitoring and evaluating healthcare processes or systems that affect the safety and outcomes of patients.

scholarly journals Esthetic Perception of the Smile According to Variation of the Vertical Position and the Angulation of the Upper Central Incisor in Three Regions of Peru

2020 ◽  
pp. 391-403
Author(s):  
Luis Angel García-Gonzales ◽  
Teresa Angélica Evaristo-Chiyong
Keyword(s):  
Dental Students ◽  
Lower Score ◽  
Vertical Position ◽  
Central Incisor ◽  
Common People ◽  
Cross Sectional ◽  
Visual Scale ◽  
Cross Sectional Design ◽  
Better Than

Objective: To evaluate the esthetic perception of the smile according to the variation of the vertical position and the angulation of the upper central incisor (UPI) by dental students (DS) and common people (CP) of three regions of Peru. Materials and Methods: Descriptive cross-sectional design. The sample was 462 adults, divided into 77 for each subgroup of DS and CP of the Lima (Coast), Junín (Highlands) and Loreto (Rainforest) regions. Using the Photoshop® software, a photograph of a woman's smile was modified by varying the vertical position and angulation of the UPI, obtaining images that were evaluated using the analog visual scale. Results: The CP rated better than DS in most categories (p <0.001). The smile best valued by DS in a vertical position was 1mm and 2mm; and for angulation 0°, while for CP 1mm and 0° respectively (p <0.05). Comparing by regions, the DS of Lima gave the lowest rating for 0 ° with 52.63 and those of Junín the highest for 4° with 45.90. The PC of Loreto registered the lowest score for the vertical position categories (p <0.001), while for angulation in Junín it was rated with a lower score than in Loreto for -6 ° and 0 °; and for 4° Lima provided the lowest rating (p <0.001). Conclusions: The esthetic perception of the smile is affected by the variation of vertical position and angulation of the ICS in common people and dental students in the three regions of Peru.

scholarly journals Recent trends of glucose-6-phosphate dehydrogenase deficiency among saudi population in Riyadh city

2019 ◽  
Vol 35 (6) ◽  
Author(s):  
Fatmah Said Abdullah Al Qahtany
Keyword(s):  
Saudi Arabia ◽  
G6pd Deficiency ◽  
Descriptive Analysis ◽  
Saudi Population ◽  
Cross Sectional ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
King Saud University ◽  
Riyadh City ◽  
Medical City

G6PD deficiency is associated with erythrocyte deficiency in the X-chromosome enzyme. It causes a hematologic syndrome called hemolytic anemia that connects G6PD deficiency with X-linked condition. In the Middle East, including Saudi Arabia, G6PD deficiency is the most dominant genetic blood disorders. It results in higher rates of mortality and morbidity due to its incurable long-lasting nature and prevalence of physical and psychological incapacities. In this study, an attempt was made to evaluate the prevalence of G6PD deficiency among the Saudi population in Riyadh city. A cross-sectional retrospective study was conducted at King Saud University Medical City in Riyadh, Saudi Arabia. The population of the study comprised randomly chosen males and females who visited the hospital from January 2017 to January 2018. Statistical analyses were performed using SPSS, and descriptive analysis was used to find the frequency of G6PD-deficient patients. Out of the 209 patients, 62.2% were males (n=130) and 37.8% were females (n=79). Twenty males and 6 females were found to have G6PD deficiency, with the male to female ratio being 1:3. Out of the total 130 male participants, 20 patients were found to be enzyme deficient and 6 patients of 79 female patients were found to be G6PD deficient. There were 38.4% (n=10) patients with G6PD level <4 units/gram hemoglobin, 26.9% (n=7) patients had G6PD levels of 4.1–7.0 units/gram hemoglobin, and 34.6% (n=9) patients had >7 units/gram hemoglobin. Among the G6PD patients, 23.07% patients were severely anemic, and 5 (19.2%) patients were reported to have high bilirubin. The present study revealed the G6PD prevalence to be 12.4% among the Saudi population; this value is significantly higher than that found in France, Spain, India, and Singapore. In the Saudi population, males are more vulnerable to G6PD-deficient than females. Hence, attention should be paid to G6PD-deficient patients while prescribing antimalarial medication. Such patients may be advised to avoid certain foods to minimize the risk of having hemolytic episodes.

scholarly journals Status kebersihan gigi dan mulut berdasarkan cara menyikat gigi dengan teknik kombinasi pada anak kidal dan non-kidal

e-GIGI ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Novany Lumempouw ◽  
Christy N. Mintjelungan ◽  
Kustina Zuliari
Keyword(s):  
Oral Hygiene ◽  
Tooth Brushing ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Combination Technique ◽  
North Sulawesi ◽  
Left Handed ◽  
Cross Sectional Design ◽  
The Right ◽  
Better Than

Abstract: During the developmental stage, children begin to do a variety of activities including tooth brushing. Generally, children use their right hands dominantly to do their activities (right-handed), however, there are also children who use their left hands (left-handed) dominantly. This study was aimed to assess the oral hygiene status based on tooth brushing with a combination technique among left-handed and right-handed children. This was a descriptive study with a cross-sectional design. Population study consisted of left-handed and right-handed children at Kalawat, North Minahasa, North Sulawesi province. Respondents were 60 children consisted of 30 left-handed children and 30 right-handed children obtained by using the purposive sampling method. Data were obtained by using checking form of oral hygiene status. The results showed that oral hygiene status of most left-handed and right-handed children was in good category. The average of OHI-S score of the left-handed children before tooth brushing was 0.7 and after tooth brushing was 0.3, whereas, of the right-handed children, the average of OHI-S score before tooth brushing was 0.6 and after tooth brushing was 0.2. Conclusion: Oral hygiene status of right-handed children who brushed their teeth with a combination technique was better than of the left-handed children. Keywords: oral hygiene status, left-handed children, right-handed children, tooth brushing, combination techniqueAbstrak: Seiring berjalannya tahap perkembangan, anak-anak mulai melakukan aktivitas termasuk menyikat gigi. Umumnya anak dominan melakukan aktivitas menggunakan tangan kanan (non-kidal) tetapi ada juga yang dominan melakukan aktivitas menggunakan tangan kiri (kidal). Penelitian ini bertujuan untuk mendapatkan status kebersihan gigi dan mulut nerdasrkan cara menyikat gigi dengan teknik kombinasi pada anak kidal dan non-kidal. Jenis penelitian ialah deskriptif dengan desain potong lintang. Populasi penelitian ialah anak kidal dan non-kidal di Kecamatan Kalawat Kabupaten Minahasa Utara Provinsi Sulawesi Utara. Jumlah responden sebanyak 60 orang anak terdiri dari 30 anak kidal dan 30 anak non-kidal diambil dengan metode purposive sampling. Pengumpulan data menggunakan formulir pemeriksaan status kebersihan gigi dan mulut. Hasil penelitian menunjukkan status kebersihan gigi dan mulut pada anak kidal dan anak non-kidal sebagian besar memiliki kategori baik. Rerata skor OHI-S anak kidal sebelum menyikat gigi yaitu 0,7 dan sesudah menyikat gigi 0,3 sedangkan pada anak non-kidal rerata skor OHI-S sebelum menyikat gigi 0,6 dan sesudah menyikat gigi 0,2. Simpulan: Status kebersihan gigi dan mulut berdasarkan cara menyikat gigi menggunakan teknik kombinasi pada anak non-kidal lebih baik dibandingkan pada anak kidal.Kata kunci: status kebersihan gigi dan mulut, anak kidal, anak non-kidal, menyikat gigi teknik kombinasi.

scholarly journals UJI PSIKOMOTOR WAKTU REAKSI PADA SISWA YANG SARAPAN DAN TIDAK SARAPAN

2019 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Rosita Andriani ◽  
Bambang Purwanto ◽  
Merryana Adriani
Keyword(s):  
Reaction Time ◽  
Eating Habits ◽  
School Age Children ◽  
Test Time ◽  
P Value ◽  
Test Reaction ◽  
Cross Sectional ◽  
Elementary School Age ◽  
Cross Sectional Design ◽  
Better Than

Background: Eating habits that are currently owned by elementary school age children are difficult to eat with amoung should be three times a day according to the needs, one of them is breakfast. When they didn’t breakfast before went to school they will deficiency  of intake. Energy that can cause the children quickly experience fatigue and less to concentration for accepting the lesson in the school. Psycomotor test reaction time is the interval between receiving stimulus with a respon do main which includes movement behaviour and physical coordination, motor skills.Objectives: The purpose of this research is to analyze test time reaction psychomotor and to provides an overview of thetime difference reaction between students who breakfast and did not have breakfastMethods: This study is an observational study using cross sectional design. The sample in this study was school children aged 9-12 years  much as 100 children by measuring the reaction time of students who had breakfast or not breakfast with a special tool called Body ReactionResults: The result showed that of 45 % students have a habit of breakfast and at 55 % students do not have a habit of breakfast with psychomotor test time reaction between students who breakfast is better than the students who did not breakfast( p-value 0.01<0.05 ).Conclusions: There is the differencein psychomotor test time reaction between students who breakfast and did not have breakfast.Explained that the students also took a chance breakfast first before he left school, because with breakfast will be triggered growth and maximize the capability of at school.ABSTRAKLatar Belakang: Kebiasaan makan yang saat ini dimiliki oleh anak usia sekolah dasar adalah sulitnya untuk makan dengan jumlah yang seharusnya yaitu 3 kali dalam sehari sesuai dengan kebutuhan, salah satunya adalah sarapan. Disaat mereka tidak sarapan sebelum berangkat ke sekolah mereka akan kekurangan asupan energi yang dapat menyebabkan anak tersebut cepat mengalami kelelahan dan kurang konsentrasi dalam menerima pelajaran saat di sekolah. Uji psikomotor waktu reaksi adalah interval antara penerimaan stimulus dengan suatu responyang meliputi perilaku gerakan dan koordinasi jasmani, ketrampilan motorik dan kemampuan fisik seseorang.Tujuan: Untuk menganalisis hasil uji psikomotor waktu reaksi serta untuk memberikan gambaran mengenai perbedaan waktu reaksi antara siswa yang sarapan dan tidak sarapanMetode: Penelitian ini merupakan penelitian yang bersifat observasional dengan menggunakan design cross sectional. Sampel dalam penelitian ini adalah anak sekolah usia 9-12 tahun yaitu sebanyak 100 anak dengan cara mengukur waktu reaksi siswa baik yang sudah sarapan atau tidak sarapan dengan alat khusus yaitu Body ReactionHasil: Hasil penelitian menunjukkan bahwa sebesar 45% siswa memiliki kebiasaan sarapan dan sebesar 55% siswa tidak memiliki kebiasaan sarapan dengan hasil uji psikomotor waktu reaksi antara siswa yang sarapan lebih baik dibandingkan dengan siswa yang tidak sarapan (p-value 0,01<0,05).Kesimpulan: Terdapat perbedaan uji psikomotor waktu reaksi antara siswa yang sarapan dan tidak sarapan. Sebaiknya siswa menyempatkan sarapan terlebih dahulu sebelum berangkat sekolah, karena dengan sarapan akan memacu pertumbuhan dan memaksimalkan kemampuan di sekolah.

scholarly journals An Analysis of the Usage Patterns of Health Services Funded through Capitation and Non-Capitation in Government Owned Primary Healthcare Facilities in The District of Pandeglang

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Arovian Yuliardi ◽  
Amal Sjaaf
Keyword(s):  
Quality Control ◽  
Health Insurance ◽  
Health Status ◽  
Primary Healthcare ◽  
Analytical Study ◽  
Healthcare Facility ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Usage Patterns ◽  
Cross Sectional Design

Abstract. The National Health Insurance (JKN) is basically a form of managed care, a technique that integrates health costing and service quality through cost control and quality control. In that concept, the Puskesmas acts as the government’s primary healthcare facility, its vanguard. The aim of this research is to discover and analyze the healthcare usage patterns funded by capitation and non-capitation in government primary healthcare facilities (FKTP). This was an analytical study utilizing a cross-sectional design. 615 patients visiting the government’s FKTP were involved in this research. The results indicated that 47.3% of patients utilizing the government’s FKTP at Pandeglang district were JKN funded, while 52.7% were not funded by the JKN. 66.7% were funded by capitation methods and 33.3% used non-capitation funding. More JKN recipients access non-capitation healthcare than non-recipients. The factors that are related with the type of healthcare accessed are the patient’s health status, JKN status, and ability to pay. Keywords: JKN, utilization, Pandeglang, capitation

scholarly journals Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients

2021 ◽  
Vol 43 (s1) ◽  
Author(s):  
Yuni Maria Olviani Ndede ◽  
Dessie Wanda ◽  
Efa Apriyanti
Keyword(s):  
Sensitivity And Specificity ◽  
Screening Tool ◽  
Statistical Tests ◽  
Screening Tools ◽  
Nutritional Screening ◽  
Cross Sectional ◽  
Specificity Test ◽  
Cross Sectional Design ◽  
Hospital Acquired ◽  
Better Than

Detecting the risks for hospital-acquired malnutrition in children can be performed by using nutritional screening tools. One of the screening tools that has been created is Alarm Malnutrition. This study aimed to test the sensitivity and specificity of Alarm Malnutrition in detecting the risks for hospitalacquired malnutrition in comparison to Screening Tool for the Risk on Nutritional status and Growth (STRONGkids). This study employed cross sectional design and involved 168 hospitalized children (1 month to 18 years) at pediatric ward. The data were analyzed using diagnostic approach which resulted in sensitivity and specificity values. The statistical tests showed that the sensitivity and specificity values of Alarm Malnutrition and STRONGKids were 32,2% and 81,6% respectively. These results indicated that this screening tool was not better than STRONGkids which has been previously used in Indonesia. Alarm Malnutrition needs to be developed and improved in order to achieve better performance in detecting the risks for hospital-acquired malnutrition.

scholarly journals Profile of Maternal Referral Cases

2016 ◽  
pp. 64
Author(s):  
Junita Indarti ◽  
Dwiyana Ocviyanti ◽  
Reyhan Aditya
Keyword(s):  
Primary Healthcare ◽  
Monitoring And Evaluation ◽  
Healthcare Facility ◽  
Health Department ◽  
Referral System ◽  
Local Health ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Tertiary Healthcare ◽  
Cross Sectional Design

Objective: To explore the demography of maternal referral cases in Dr. Cipto Mangunkusumo Hospital (RSCM) along with the accuracy of referral. We also aim to evaluate the types of referral, origin of referral, referring healthcare facility and quality of referring healthcare facility. Method: The design of this study was a cross sectional design which described the accuracy of obstetrics referred cases in Emergency Unit Dr. Cipto Mangunkusumo Hospital from 2013 to 2014. Result: The total referred obstetric cases in 2013 was 1,645 patients. It was consisted of 1,307 appropriate (79.5%) and 338 inappropriate (20.5%) referred cases. Primary healthcare and general hospital were the most often referring cases to RSCM during two consecutive years. The top three cases referred to RSCM in both 2013 and 2014 were preterm premature rupture of membrane (PPROM), continued by severe preeclampsia and preterm labor. Conclusion: The number of referral cases in Indonesia is considered high, particularly in RSCM as the tertiary healthcare facility. There are still a high number of inappropriate referrals originating from primary healthcare facilities, pointing to the fact that the referral system is not running according to design or plan. To improve the quality of referral system, proper monitoring and evaluation of referral should be performed by local health department. [Indones J Obstet Gynecol 2016; 4-2: 64-66] Keywords: maternal case, referral system

Performance of Institutionalized and Community-Active Old Persons on Concrete and Formal Piagetian Tasks

1978 ◽  
Vol 8 (3) ◽  
pp. 269-278 ◽  
Author(s):  
Janet Blum Chap ◽  
Jan Dynda Sinnott
Keyword(s):  
Old Age ◽  
Cognitive Abilities ◽  
Educational Level ◽  
Positive Relationship ◽  
Logical Thinking ◽  
Cross Sectional ◽  
Level Of Education ◽  
Significant Positive Relationship ◽  
Cross Sectional Design ◽  
Better Than

This study investigates the effects of age, level of education, and institutionalization on the development of logical thinking. Seven Piagetian tasks, encompassing three levels of difficulty, were administered to thirty-four persons sixty-eight years of age or older. A significant positive relationship was found between success on tasks and educational level. With education controlled, Community-active elders performed significantly better than Institutionalized elders. Within the limitations of a cross-sectional design, results supported the hypothesis that cognitive abilities in old age retain an orderly structure.

scholarly journals Psychological Responses Among Healthcare Workers Providing Care for Patients with COVID-19: A Web-Based Cross-Sectional Survey in Riyadh, Saudi Arabia

2021 ◽  
Author(s):  
Yacoub Abuzied ◽  
Rasmieh Al-Amer ◽  
Shreemathie Somduth ◽  
Gerald Silva ◽  
Anitha Muthuraj ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Psychological Health ◽  
Healthcare Workers ◽  
Psychological Responses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical City ◽  
Physical And Psychological Health ◽  
Cross Sectional Design ◽  
Study Participants

ABSTRACT Introduction Coronavirus disease (COVID-19) is a pandemic of international concern that has caused significant physical and psychological health challenges to healthcare workers worldwide. This study aimed to assess and evaluate the psychological responses of healthcare workers who provided hands-on care for patients with COVID-19 at King Fahad Medical City (KFMC), Riyadh, Saudi Arabia, as it was converted to a dedicated COVID-19 hospital during the pandemic. Methods This study used a descriptive cross-sectional design to recruit 500 participants at KFMC between April 10 and May 5, 2020. This study used the 21-item Depression, Anxiety, and Stress Scale (DASS-21) to assess the psychological responses among the study participants. Results The findings of this study showed that of 500 respondents, 304 (60.9%) reported having depressive symptoms, 281 (56.3%), 318 (63.3%) having stress and anxiety symptoms. Moreover, 250 participants (50%) who lived with their families reported severe stress and anxiety. However, the results of our study indicated that healthcare workers were committed to providing care to COVID-19 patients. Conclusions Depression, anxiety, and stress symptoms were highly prevalent among healthcare workers at KFMC. Therefore, there is an urgent need for psychological interventions to identify healthcare workers with heavy psychological burdens.

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