scholarly journals Assessment of occupational radiation exposure among medical staff in health-care facilities in the Eastern Province, Kingdom of Saudi Arabia

2016 ◽  
Vol 20 (1) ◽  
pp. 21 ◽  
Author(s):  
KhaledFikry Salama ◽  
Abdulrahman AlObireed ◽  
Mohammed AlBagawi ◽  
Yuosef AlSufayan ◽  
Mohammed AlSerheed
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Radiation Exposure ◽  
Medical Staff ◽  
Health Care Facilities ◽  
Kingdom Of Saudi Arabia ◽  
Eastern Province ◽  
Occupational Radiation Exposure ◽  
Care Facilities ◽  
Occupational Radiation

scholarly journals Occupational Radiation Exposure in Health Care Facilities

2013 ◽  
Vol 10 (3) ◽  
pp. 48-51 ◽  
Author(s):  
Chhavi Raj Bhatt ◽  
A Widmark ◽  
SL Shrestha ◽  
T Khanal ◽  
B Ween
Keyword(s):  
Health Care ◽  
Radiation Exposure ◽  
Background Radiation ◽  
Health Care Facilities ◽  
High Dose ◽  
Occupational Radiation Exposure ◽  
X Ray ◽  
Care Facilities ◽  
Personal Dosimetry ◽  
Occupational Radiation

Background  Radiation, which is used extensively to diagnose and treat human diseases, poses an occupational health risk for the concerned health workers. Personal dosimetry is an important tool to monitor occupational radiation exposures. Objective  This study was conducted to reveal and to describe the situation of occupational radiation exposure monitoring among staffs in different health care facilities in Nepal. Methods  A cross-sectional study was performed among the 35 Health Care Facilities. Information about types and number of X-ray procedures performed, types and number of personnel involved, workload and the availability of personal dosimetry service were collected. Results  Six Health Care Facilities had personal dosimetry service available for a total of 149 personnel. Of a total of nearly one million X-ray procedures performed in the 35 Health Care Facilities in 2007, 76 % was performed by non-monitored personnel. The majority of the facilities performing high dose procedures, like catheterisation, angiography and intestinal barium procedures did not offer personal dosimetry for the involved personnel. Conclusion  There are a limited number of personnel being monitored with personal dosimetry. There are no regulatory dose limits for occupationally exposed staff. Thus, there is an urgent need to establish a national radiation protection authority to regulate the use of radiation in Nepal. Kathmandu University Medical Journal | VOL.10 | NO. 3 | ISSUE 39 | JUL- SEP 2012 | Page 48-51 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8019

Top four types of sentinel events in Saudi Arabia during the period 2016–19

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Nasser Altalhi ◽  
Haifa Alnaimi ◽  
Mafaten Chaouali ◽  
Falaa Alahmari ◽  
Noor Alabdulkareem ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Patient Safety ◽  
Reporting System ◽  
Improve Patient Safety ◽  
Health Care Facilities ◽  
Common Root ◽  
Private Hospitals ◽  
Care Facilities ◽  
Sentinel Events

Abstract Background This study discusses the summary, investigation and root causes of the top four sentinel events (SEs) in Saudi Arabia (SA) that occurred between January 2016 and December 2019, as reported by the Ministry of Health (MOH) and private hospitals through the MOH SE reporting system (SERS). It is intended for use by legislators, health-care facilities and the public to shed light on areas that still need improvement to preserve patient safety. Objectives The purpose of this study is to review the most common SEs reported by the MOH and private hospitals between the years 2016 and 2019 to assess the patterns and identify risk areas and the common root causes of these events in order to promote country-wide learning and support services that can improve patient safety. Methods In this retrospective descriptive study, the data were retrieved from the SERS, which routinely collects records from both MOH and private hospitals in SA. SEs were analyzed by type of event, location, time, patient demographics, outcome and root causes. Results There were 727 SEs during this period, 38.4% of which were under the category of unexpected patient death, 19.4% under maternal death, 11.7% under unexpected loss of limb or function and 9.9% under retained instruments or sponge. Common root causes were related to policies and procedures, guidelines, miscommunication between health-care facilities, shortage of staff and lack of competencies. Conclusion Given these results, efforts should focus on improving the care of deteriorating patients in general wards, ICU (Intensive Care Units) admission/discharge criteria and maternal, child and surgical safety. The results also highlighted the problem of underreporting of SEs, which needs to be addressed and improved. Linking data sources such as claims and patient complaints databases and electronic medical records to the national reporting system must also be considered to ensure an optimal estimation of the number of events.

Substantiation of the hygienic standard for air exchange multiplicity in medical premises of ambulances built into residential houses for preservation and improvement of the health of medical staff

2021 ◽  
pp. 42-50
Author(s):  
V.M. Makhniuk ◽  
◽  
A.V. Chaika ◽  
N.P. Pavlenko ◽  
S.M. Mohylnyi ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Air Conditioning ◽  
Health Care Facilities ◽  
Town Planning ◽  
Office Work ◽  
Current Standard ◽  
Care Facilities ◽  
Hygienic Standard ◽  
Air Exchange

Objective: We substantiated a hygienic standard for air exchange multiplicity in the doctors’medical premises at the ambulances built into residential houses to preserve and strengthen their health. Materials and methods: The analytical method was applied in the work (regulatory framework of sanitary and town-planning legislation, development of the hygienic standard by calculation method). The air exchange calculation for the working places of family doctors of the built-in ambulances was carried out in accordance with the NBS B.2.5-67:2013 Heating, Ventilation and Air Conditioning. Results and discussion: The calculation of air exchange rate for the doctors’ working places of the healh care facilities built into the residential houses was carried out in accordance with the NBS B.2.5-67:2013 Heating, Ventilation and Air Conditioning (Annex X (mandatory) Minimum Outdoor Air Consumption) and corresponding formulas. To calculate the air exchange in the doctors’premises, the category of the works of the doctors of the ambulance medical practice, which refers to light physical (office) work by the category I; the number of nurses at work at the same time and the potential number of visitors (2 persons - doctor and patient; 3 persons - doctor, nurse and patient and / or doctor, patient and accompanying person; 4 persons - doctor, nurse, patient and accompanying patient person); the minimum air consumption per 1 person - 60 m3 / hour; the regulatory size of the area of the medical premises (12 m2, 18 m2) and different types of housing estate with 2.5 m and 3 m premise high were taken into account. Conclusions: To replace the current standard K = 1 (NBS B.2.2-10-2001 Health Care Facilities), the standards of optimal air exchange multiplicity K = 6.44 and K = 8.40 in doctors’ medical facilities with different sizes and the number of people staying simultaneously were substantiated on the basis of the conducted hygienic study of the conditions of the placement of modern health care facilities of ambulance type built into residential houses. In order to ensure strengthening and preservation of the health of medical staff and patients and to create the proper sanitary and anti-epidemic working conditions for staff, the health care facilities, built into residential houses, need the mechanical plenum-exhaust ventilation according to the new reasonable standards of air exchange multiplicity for medical premises.

Occupational radiation exposure of medical staff performing 90Y-loaded microsphere radioembolization

2015 ◽  
Vol 43 (5) ◽  
pp. 824-831 ◽  
Author(s):  
Sophie Laffont ◽  
Yan Rolland ◽  
Valérie Ardisson ◽  
Julien Edeline ◽  
Marc Pracht ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Medical Staff ◽  
Occupational Radiation Exposure ◽  
Occupational Radiation

scholarly journals Commentary on: “Occupational radiation exposure of medical staff performing 90Y-loaded microsphere radioembolization”

2016 ◽  
Vol 43 (5) ◽  
pp. 822-823
Author(s):  
Vanessa L. Gates ◽  
Ahmed Gabr ◽  
Joseph Kallini ◽  
Robert J. Lewandowski ◽  
Riad Salem
Keyword(s):  
Radiation Exposure ◽  
Medical Staff ◽  
Occupational Radiation Exposure ◽  
Occupational Radiation

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

scholarly journals E-HEALTH SERVICES AND THEIR REQUIREMENTS EVALUATION

2010 ◽  
Vol 8 (1) ◽  
pp. 246-260 ◽  
Author(s):  
Rimantas Stašys
Keyword(s):  
Health Care ◽  
Work Experience ◽  
Medical Staff ◽  
Information Technologies ◽  
Best Practice ◽  
Healthy Lifestyle ◽  
Outpatient Service ◽  
Health Care Facilities ◽  
Career Opportunities ◽  
Care Facilities

E-health could be defined as the use of modern information technologies within the health care facilities in order to better satisfy expectations and needs of the patients, medical staff and administration. As the research shows economic profits exceed investments in the e-health three times. Studies in Lithuania in December of 2008 show that only 38 % of the country hospitals have online WebPages. Only large hospitals located in the major Lithuanian cities have internet sites. Situation within the outpatient facilities is even worse. Only 12 % of these health care facilities had online services offered to the public according to the survey completed at the end of 2008. There is insufficient focus for doctors’ advices and not enough links to other websites. Additionally, many sites do not contain information about career opportunities within a facility. Finally, online sites lack such information as the institution’s service charges or their implementation for various projects. Only a few hospitals have an online registra-tion feature and very few provide work hours. Outpatient service facilities do not reflect the institution’s activities adequately. None of the outpatient service facilities provide business reports; there is no information about their participation in the international projects. Only four WebPages contain sections providing the career opportunities for the office and a list of new doctor positions available. By the comparison of the Webpages of polyclinics and health care facilities one can indicate that polyclinic facilities have better online pages. Most of the health care consumers would use the Internet to find out such information as the doctor’s qualifications and work experience, information about main diseases and their symptoms, the medications and their side effects, tips on healthy lifestyle, as well as utilize registration to a specialist feature. Most of the respondents surveyed also indicated that there should be more information about health care services and their prices, institution’s medical equipment and devices as well as their methods of treatment. The best practice for the e-Health website is classifying it into four groups: information on the health care institution, information relating to the services provided, information on the medical staff working in the office, other information. 48 % of the respondents were not familiar with the online registration possibility, and 74 % of survey participants would like to use the feature. Only 13 % of the respondents knew that they could fill prescription online and only 10 % were aware of the electronic medical record. All of this leads to the conclusion that Lithuanian consumers lack information about the e-health.

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