Healthcare Quality in the Pandemic Aftermath

Author(s):  
Anastasius S. Moumtzoglou

The COVID-19 pandemic is putting massive stress on the formal training of healthcare professionals, their creed to do no harm, as well as the patient safety movement. So far, we have explicitly been teaching healthcare professionals that the best way of treating a patient is through its vicinity with multiple providers. Moreover, healthcare education requires a pack of health care workers from varied educational backgrounds and training levels for the nuances of a disease. However, the novel coronavirus (COVID-19), a respiratory disease that has spread to many countries around the world, affects not only all aspects of daily life but also organizational culture and values of healthcare. In this context, COVID-19 introduced an exponential threat to the theory and practice of quality.

2021 ◽  
Vol 4 (11) ◽  
pp. RV1-RV5
Author(s):  
Najmus Sahar ◽  
Pradeep Tangade ◽  
Vikas Singh ◽  
Surbhi Priyadarshini ◽  
Debashis Roy

The novel coronavirus outbreak is a contagious disease affecting the countries around the world. The quick advancing nature of pandemic has gripped the entire community making it a public health emergency. Infection control preventive measures are necessary to prevent it from further spreading. Medical practitioners, health care workers and Dentists are at high risk of acquiring and transmission of infection. The virus transmission occurs through respiratory tract, aerosols and droplets. Clinical manifestations of virus vary from mild to severe sickness. This review article mainly emphasizes on all the information collected to date on the virus, and future recommendations for dental settings to manage the further spread of this virus.


2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.


Author(s):  
Seyed Hadi Kalantar ◽  
Seyed Mohammad Javad Mortazavi ◽  
Nima Bagheri ◽  
Seyed Ali Dehghan Manshadi ◽  
Alireza Moharrami ◽  
...  

Background: The novel coronavirus disease-2019 (COVID-19) has become a significant worldwide problem since January 2019. Hospitals have spent most of their time and logistics on patients with COVID-19. During this crisis, many healthcare providers have been infected with the disease, and occasionally, some wards and operating rooms were shut down as a result. Here, we explain our experience with the healthcare staff involvement with COVID-19 in our hospital. Methods: As a referral tertiary center, Imam Khomeini Hospital (Tehran, Iran) has 4,200 health-care workers (HCWs). From February 20, 2020 to August 21, 2020, we investigated the hospital database for COVID-19 involvement among the staff. Results: During the study period, 973 (23%) hospital HCWs were detected with COVID-19, 378 (9%) of whom were involved between June 21 and July 21, 2020. In the orthopedic department, 20 of 43 (46%) HCWs were infected with COVID-19. Conclusion: We believe that the increase in the incidence of the disease and higher risk of exposure is a highly noticeable factor which should be addressed by the administrative health officials.


2020 ◽  
Vol 57 ◽  
pp. 14-16
Author(s):  
Nabil A. Al-zoubi ◽  
Basil R. Obeidat ◽  
Mohammad A. Al-Ghazo ◽  
Wail A. Hayajneh ◽  
Abdelkarim H. Alomari ◽  
...  

2020 ◽  
Vol 34 (1-2) ◽  
pp. 24-27
Author(s):  
Aakash Pandita ◽  
Girish Gupta

The world has recently been hit by a pandemic caused by the novel Coronavirus infection. The infection is highly contagious and possesses a significant risk for health care workers caring for the infected patients. With more than 200 countries being affected and around 3,00,000 deaths across the globe, the essential supply of masks and personal protective equipment has been falling short of the ever increasing need. In such crisis there is a need for innovating and designing endogenous masks and equipment to avoid compromise in care of the effected patients and for safeguarding the health of health care workers.


Author(s):  
Nehad J. Ahmed ◽  
Omar S. Alanazi ◽  
Abeer A. Alzahrani ◽  
Rana E. Alonazi

Aim: There is evidence that health care providers have insufficient knowledge and poor practices regarding the use of surgical mask. Therefore, this study aimed to explore the knowledge, practices and attitude of healthcare providers about using face mask in order to limit the spreading of the novel coronavirus disease. Methodology: This was a cross sectional pilot study included a questionnaire about the knowledge of health care workers regarding the use of surgical face mask to prevent the new COVID-19 spreading and about their practices and the attitude of them regarding the use of surgical face mask to limit the new COVID-19 exposure. Results: About 86.21% of health care workers said that the correct way of using surgical face mask is White side facing in and about 65.52% of them said that N-95 mask is the mask type that actually protect against COVID-19. All of the respondents reported that they wear a mask in public places to protect themselves against COVID-19 and that they wear a mask in hospital premises to protect themselves against COVID-19 (100.00%). Conclusion: The Knowledge, attitude, and practice of health care providers regarding the use of surgical face masks were found to be good but still more knowledge is required about several aspects such as the types of masks, the duration of using masks and the disposal of the masks.


2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 309-310
Author(s):  
Satheesh Kumar Bhandary ◽  
Rajeshwary Aroor ◽  
Vadisha Bhat ◽  
Mark Jittu V ◽  
Sreesan P

COVID-19, the disease caused by the novel coronavirus, SARS-CoV-2, is a highly contagious infection known to spread rapidly, leading to severe consequences and disasters. Health care workers are at higher risk of getting the infection, during the process of diagnosis and treatment of patients with the disease. Worldwide, a lot of health care workers have lost their lives because of COVID-19 infection. Managing the COVID- 19 caseload is a real challenge to the health care system. For the diagnosis of COVID-19, both nasopharyngeal and oropharyngeal swabs are obtained to detect viral RNA. (1). A nasopharyngeal swab is more sensitive due to higher viral load in nasal secretions than oral secretions, which is similar to that of Influenza (2). Taking nasopharyngeal swab is a real challenge to the health care workers and also is uncomfortable for the patient. It also exposes the health care workers to aerosols. Moreover, the scarcity of personal protective equipment (PPE) is a real burden to the health care system.


2020 ◽  
Vol 11 (01) ◽  
pp. 45-52
Author(s):  
Shibi Mathew ◽  
Mathew Philip

AbstractThe novel coronavirus disease 2019 (COVID-19) which originated in China has been declared a pandemic by the World Health Organization (WHO). This virus gets transmitted through air droplets and direct contact. Health care workers doing aerosol-generating procedures are at a higher risk of acquiring the infection. Many procedures done by the gastrointestinal endoscopists are classified as aerosol-generating procedures, which in turn underline the need for proper safety precautions during these procedures. Apart from general safety measures advised by various organizations, proper use of personal protective equipment (PPE) is a pivotal factor in safeguarding health care personnel during endoscopy. This article provides a short overview of the different PPEs available and their proper use in endoscopy.


2020 ◽  
pp. 1-3
Author(s):  
Sindhu Sapru ◽  
Nida N Farooqui ◽  
Amit Kulshreshta

Covid 19 infection caused by the novel coronavirus Sars Cov-2 has become a global pandemic. Due to a high human to human transmission rate of the virus and the physiological changes of pregnancy, these patients may be at high risk. Obstetric anaesthesia including antenatal perioperative and postoperative care of pregnant patients and protection of health care workers from infection is an important area for anaesthetic management


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