scholarly journals Epidemiological Profile Of Vascular Encephalic Accident (VEA) Victims Hospitalized In A Regional Hospital Of Paraíba, Brazil

10.3823/2329 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Jordeyanne Ferreira de Oliveira ◽  
Elicarlos Marques Nunes ◽  
Renata Santos Carvalho ◽  
Cristina Costa Melquíades Barreto ◽  
Robéria Da Silva Carvalho ◽  
...  
Keyword(s):  
Clinical Diagnosis ◽  
Medical Records ◽  
Stroke Unit ◽  
Genetic Factors ◽  
Heart Diseases ◽  
Regional Hospital ◽  
Medical Clinic ◽  
Epidemiological Profile ◽  
Simple Statistical Analysis

Introduction: Responsible for a high mortality rate and for causing numerous sequels in the general population, stroke arises from a deficiency in cerebral oxygen supply, commonly caused by obstruction of the arteries or extravasation of blood for the tissue. Genetic factors, style and quality of life are factors directly related to the incidence of stroke and its numerous hospitalizations. Objective: The study aimed to describe the epidemiological profile of hospitalized patients after clinical diagnosis of stroke. Methodology: This is a retrospective study, with a quantitative approach, carried out through the analysis of 252 medical records of patients hospitalized in the Medical Clinic and in the Mixed Stroke Unit of the Deputado Janduhy Carneiro Regional Hospital, in the municipality of Patos - PB, in the period of January 1 to December 31 2015. All medical records of patients affected by stroke in 2015 were included; internal with clinical diagnosis of stroke; Computed Tomography of Skull; Neurologist's evaluation; and readable handwriting. Data were collected using a questionnaire with objective questions, including variables related to the objective of study. They were submitted to simple statistical analysis and later, discussed and related to the literature from the reading and the comprehension of the researchers. Results: It was observed that the affected victim is woman, over 70 years of age, brown, living in an urban area and retired. The most frequent etiology of the stroke is of the ischemic type, being able to notice preexisting diseases in the patients, such as Arterial Hypertension and Heart diseases. 42% of patients were discharged after treatment in less than 15 days (78%). By causing many deaths and disabilities, bringing not only human, but social and financial damage to the health and social security system. Conclusion: More and more studies are needed to diagnose the causes of stroke, consequences and possible decisions that attenuate this problem. Keywords: Vascular Encephalic Accident. Hospitalization. Prognosis.

scholarly journals PROFILE OF PATIENTS RECEIVING TOTAL KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 25 (5) ◽  
pp. 202-205 ◽  
Author(s):  
MARCELO JOSÉ CORTEZ BEZERRA ◽  
IGOR MAGALHÃES BARBOSA ◽  
THALES GONÇALVES DE SOUSA ◽  
LARISSA MEIRELES FERNANDES ◽  
DIEGO LEONARDO MENEZES MAIA ◽  
...  
Keyword(s):  
Medical Records ◽  
Severe Disease ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Lequesne Index ◽  
Total Knee ◽  
Epidemiological Profile

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.

scholarly journals Evaluation of the quality of medical records in a Basic Health Unit: The challenge to characterize the epidemiological profile of the users served

2019 ◽  
Vol 29 ◽  
Author(s):  
Gabriela Souza Fernandes ◽  
João Lucas Lana Pereira ◽  
Neuman Augusto Clemente Bedetti ◽  
Marina Corrêa Lima ◽  
Lucas Ribeiro de Andrade Nascimento ◽  
...  
Keyword(s):  
Medical Records ◽  
Health Unit ◽  
Basic Health ◽  
Epidemiological Profile

scholarly journals Analysis The Level of Compliance of Hospital Human Resources in Writing The Status of Inpatient Medical Record Dr Sayidiman Hospital and The Influences Factors

2020 ◽  
Vol 3 (2) ◽  
pp. 423-433
Author(s):  
Ratnawati Ratnawati
Keyword(s):  
Linear Regression ◽  
Human Resources ◽  
General Hospital ◽  
Medical Record ◽  
Health Professionals ◽  
Medical Records ◽  
Regional Hospital ◽  
P Value ◽  
The Status

The quality of medical records in hospitals also determines the quality of service, completeness of writing Medical Records documents correctly and correctly is very important. The purpose of this study was to analyze the level of compliance of hospital human resources in writing the status of the inpatient Medical Record Dr. Sayidiman Magetan Regional Hospital and the factors that influence it. The design of this study was an observational quantitative study with a cross section approach with the focus of the research directed to be analyzing the level of compliance of hospital human resources in writing the status of the inpatient Medical Record Dr Sayidiman Magetan Regional Hospital and the factors that influenced it with a sample of 192 respondents taken with the Simple Random Sampling technique. The findings found that most of the respondents have high motivation that is 144 respondents (75%). Most of the respondents care to write in the medical record that is 160 respondents (83.3%). Most of the respondents have a high appreciation of 136 respondents (70.8%). Most of the respondents did not comply doing medical record writing of 107 respondents (55.7%). Based on the Linear Regression analysis the motivation variable on compliance p-value 0.015 <0.05, the variable concern for compliance p-value 0.025 <0.05 then H0 is rejected so there is the influence of motivation and concern for compliance with medical record writing by health professionals in Regional General Hospital Dr. Sayidiman Magetan. Linear regression variable rewards for compliance shows that the p-value of 0.665> 0.05 then H0 is accepted so it is concluded that there is no effect of rewards on compliance with writing medical records by health professionals at the Dr Sayidiman Magetan Regional General Hospital. It is expected that respondents can comply to fill out medical records so that the delivery of care to passion can be well integrated

scholarly journals Epidemiological profile of obstetric fistula women at the National Obstetric Fistula Reference Center in Niamey; from January 2016 to 31 December 2017

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Abdoulaya Idrissa ◽  
Adamou Moumouni Abdul Rashid
Keyword(s):  
Medical Records ◽  
Sampling Method ◽  
Obstetric Fistula ◽  
Public Health Problem ◽  
Descriptive Study ◽  
Cure Rate ◽  
Reference Center ◽  
Urogenital Fistula ◽  
Epidemiological Profile

Aims: To describe the socio-demographic, clinical and therapeutic aspects of fistula. Methods: It is a retrospective and descriptive study. The sampling method was exhaustive. Results: 140 women with obstetric fistula have been identified. The average age was 27 years old; 87.14% were married; 41% were primiparous; 97.86% were housewives. Urogenital fistula was found in 94% of cases smaller than 2 cm in 56.43%; 51.43% were on their first course; 91% were operated with a cure rate of 32.03% and failure of 16.41%. In 51.56% of cases, the outcome of treatment was not notified. Conclusions: Obstetric fistula remains a public health problem in Niger, given the number of new cases registered. Compared with previous studies, there has been an increase in the average age and an increase in the number of women married with fistula. The completeness of the filling of medical records would allow a better assessment of the quality of care.

scholarly journals Widespread gaps in the quality of care for primary biliary cholangitis in UK

2021 ◽  
pp. flgastro-2020-101713
Author(s):  
Mathuri Sivakumar ◽  
Akash Gandhi ◽  
Eathar Shakweh ◽  
Yu Meng Li ◽  
Niloufar Safinia ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Primary Biliary Cholangitis ◽  
Cholestatic Liver Disease ◽  
Patient Demographics ◽  
Risk Patients ◽  
Wide Scale ◽  
The Uk

ObjectivePrimary biliary cholangitis (PBC) is a progressive, autoimmune, cholestatic liver disease affecting approximately 15 000 individuals in the UK. Updated guidelines for the management of PBC were published by The European Association for the Study of the Liver (EASL) in 2017. We report on the first national, pilot audit that assesses the quality of care and adherence to guidelines.DesignData were collected from 11 National Health Service hospitals in England, Wales and Scotland between 2017 and 2020. Data on patient demographics, ursodeoxycholic acid (UDCA) dosing and key guideline recommendations were captured from medical records. Results from each hospital were evaluated for target achievement and underwent χ2 analysis for variation in performance between trusts.Results790 patients’ medical records were reviewed. The data demonstrated that the majority of hospitals did not meet all of the recommended EASL standards. Standards with the lowest likelihood of being met were identified as optimal UDCA dosing, assessment of bone density and assessment of clinical symptoms (pruritus and fatigue). Significant variations in meeting these three standards were observed across UK, in addition to assessment of biochemical response to UDCA (all p<0.0001) and assessment of transplant eligibility in high-risk patients (p=0.0297).ConclusionOur findings identify a broad-based deficiency in ‘real-world’ PBC care, suggesting the need for an intervention to improve guideline adherence, ultimately improving patient outcomes. We developed the PBC Review tool and recommend its incorporation into clinical practice. As the first audit of its kind, it will be used to inform a future wide-scale reaudit.

scholarly journals Stroke Unit Treatment Improves Long-term Quality of Life

Stroke ◽  
1998 ◽  
Vol 29 (5) ◽  
pp. 895-899 ◽  
Author(s):  
B. Indredavik ◽  
F. Bakke ◽  
S. A. Slørdahl ◽  
R. Rokseth ◽  
L. L. Håheim
Keyword(s):  
Quality Of Life ◽  
Stroke Unit

Research Note: Women's Experience of the Mother Role

1993 ◽  
Vol 41 (2) ◽  
pp. 347-360 ◽  
Author(s):  
Pat O'Connor
Keyword(s):  
Medical Records ◽  
Rating Scales ◽  
Empirical Work ◽  
Research Note ◽  
Small Scale ◽  
Intensive Study ◽  
Lower Middle Class ◽  
Women's Experience ◽  
Mother Role

Despite the feminist critique of the assumptions implicit in the ideology of motherhood, relatively little empirical work has been done on women's own experience of this role. This research note uses data from a small scale intensive study of 51 married or cohabiting mothers aged 20–42 years old, whose oldest child was 15 years old, and who were randomly selected from medical records in a lower middle class area of North London. Building on Boulton's (1983) conceptualization, it differentiates between three aspects of this role (namely their commitment to it; its perceived identity enhancing/ destructive character and the positive/negative quality of their interaction with their children). These women's experience of the mother role was then assessed on these dimensions – using rating scales and anchoring examples (which are illustrated here). This research note suggests that even within this relatively homogenous lower middle/upper working class sample, the experience of motherhood was extremely varied: with less than half of the sample experiencing it positively at all three levels. An attempt is made to explain this variation.

scholarly journals Benefit-risk of Patients' Online Access to their Medical Records: Consensus Exercise of an International Expert Group

2018 ◽  
Vol 27 (01) ◽  
pp. 156-162 ◽  
Author(s):  
Harshana Liyanage ◽  
Siaw-Teng Liaw ◽  
Emmanouela Konstantara ◽  
Freda Mold ◽  
Richard Schreiber ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Medical Records ◽  
Panel Discussion ◽  
Care Quality ◽  
Care Providers ◽  
Consensus Statements ◽  
Online Access ◽  
The Impact

Background: Patients' access to their computerised medical records (CMRs) is a legal right in many countries. However, little is reported about the benefit-risk associated with patients' online access to their CMRs. Objective: To conduct a consensus exercise to assess the impact of patients' online access to their CMRs on the quality of care as defined in six domains by the Institute of Medicine (IoM), now the National Academy of Medicine (NAM). Method: A five-round Delphi study was conducted. Round One explored experts' (n = 37) viewpoints on providing patients with access to their CMRs. Round Two rated the appropriateness of statements arising from Round One (n = 16). The third round was an online panel discussion of findings (n = 13) with the members of both the International Medical Informatics Association and the European Federation of Medical Informatics Primary Health Care Informatics Working Groups. Two additional rounds, a survey of the revised consensus statements and an online workshop, were carried out to further refine consensus statements. Results: Thirty-seven responses from Round One were used as a basis to initially develop 15 statements which were categorised using IoM's domains of care quality. The experts agreed that providing patients online access to their CMRs for bookings, results, and prescriptions increased efficiency and improved the quality of medical records. Experts also anticipated that patients would proactively use their online access to share data with different health care providers, including emergencies. However, experts differed on whether access to limited or summary data was more useful to patients than accessing their complete records. They thought online access would change recording practice, but they were unclear about the benefit-risk of high and onerous levels of security. The 5-round process, finally, produced 16 consensus statements. Conclusion: Patients' online access to their CMRs should be part of all CMR systems. It improves the process of health care, but further evidence is required about outcomes. Online access improves efficiency of bookings and other services. However, there is scope to improve many of the processes of care it purports to support, particularly the provision of a more effective interface and the protection of the vulnerable.

scholarly journals Improving Nursing Care Documentation in Emergency Department: A Participatory Action Research Study in Iran

2018 ◽  
Vol 6 (8) ◽  
pp. 1527-1532 ◽  
Author(s):  
Seyed Majid Vafaei ◽  
Zahra Sadat Manzari ◽  
Abbas Heydari ◽  
Razieh Froutan ◽  
Leila Amiri Farahani
Keyword(s):  
Emergency Department ◽  
Action Research ◽  
Nursing Care ◽  
Medical Records ◽  
Research Study ◽  
Collaborative Action Research ◽  
Second Phase ◽  
Monitoring And Control ◽  
Action Research Study

BACKGROUND: Standardization of documentation has enabled the use of medical records as a primary tool for evaluating health care functions and obtaining appropriate credit points for medical centres. However, previous studies have shown that the quality of medical records in emergency departments is unsatisfactory.AIM: The aim of this study was improving the nursing care documentation in an emergency department, in Iran.MATERIAL AND METHODS: This collaborative action research study was carried out in two phases to improve nursing care documentation in cooperation with individuals involved in the process, from February 2015 to December 2017 in an affiliated academic hospital in Iran. The first phase featured virtual training, an educational workshop, and improvements to the hospital information system. The second phase involved the recruitment of human resources, the implementation of continuous codified training, the establishment of an appropriate reward and penalty system, and the review of patient education forms.RESULTS: The interventions improved nursing documentation quality score of 73.20%, which was the highest accreditation ranking provided by Iran’s Ministry of Health and Medical Education in 2017. In other words, this study caused a 32% improvement in the quality of nursing care documentation in the hospital.CONCLUSION: The appropriate practices for improving nursing care documentation are employee participation, managerial accountability, nurses’ adherence to documentation standards, improved leadership style, and continuous monitoring and control.

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