scholarly journals Drug Shortages in Canada and Selected European Countries: A Cross-Sectional, Institution-Level Comparison

2019 ◽  
Vol 72 (1) ◽  
Author(s):  
Manon Videau ◽  
Lotfi Chemali ◽  
Cyril Stucki ◽  
Mar Saavedra-Mitjans ◽  
Samuel Largana ◽  
...  
Keyword(s):  
Health Care ◽  
Median Duration ◽  
Health Care Facilities ◽  
European Countries ◽  
Canadian Hospital ◽  
Cross Sectional ◽  
Drug Shortages ◽  
Spanish Hospital ◽  
French Hospital ◽  
Belgian Hospital

<p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Drug shortages represent a complex global problem affect-ing patients and health care professionals on a daily basis. <br /><strong></strong></p><p><strong>Objectives:</strong> To identify, describe, and compare drug shortages in health care facilities in Canada and 4 European countries in early 2018.<br /><strong></strong></p><p><strong>Methods:</strong> A descriptive cross-sectional study was conducted in 1 hospital in each of 5 countries: Canada, France, Belgium, Spain, and Switzerland. Over a 4-week period, shortage data were collected daily by each hospital using a standardized grid and a standard process. <br /><strong></strong></p><p><strong>Results:</strong> From January 8 to February 2, 2018, there were a total of 84 shortages (median duration 32 days) in the Canadian hospital, 62 shortages (median duration 9 days) in the French hospital, 46 shortages (median duration 37 days) in the Belgian hospital, 28 shortages (median duration 25 days) in the Spanish hospital, and 98 shortages (median duration 68 days) in the Swiss hospital. The number of manufacturers implicated in the shortages was 28 for the Canadian hospital, 30 for the French hospital, 19 for the Belgian hospital, 16 for the Spanish hospital, and 42 for the Swiss hospital. Most of the shortages involved parenteral drugs, with both innovative and generic manufacturers being affected. Most therapeutic classes were affected by shortages to some extent, with the top 3 classes being anti-infective agents (accounting for 21.1% of shortages overall), central nervous system drugs (11.3%), and cardio-vascular drugs (8.2%).<br /><strong></strong></p><p><strong>Conclusions:</strong> Drug shortages occurred almost daily in all of the study hospitals. Across the 5 hospitals, the frequency of shortages varied by a factor of 3, which may imply similar variability at the national level. All stakeholders should work more diligently to prevent and manage drug shortages.</p><p><strong>RÉSUMÉ</strong></p><p><strong>Contexte :</strong> Les pénuries de médicaments représentent un problème mondial complexe qui touche quotidiennement les patients et les professionnels de la santé.</p><p><strong>Objectifs :</strong> Recenser, décrire et comparer les pénuries de médicaments ayant eu lieu au début de 2018 dans des établissements de soins de santé du Canada et de quatre pays d’Europe.</p><p><strong>Méthodes :</strong> Une étude descriptive et transversale a été menée dans un hôpital de chacun des cinq pays suivants : le Canada, la France, la Belgique, l’Espagne et la Suisse. Sur une période de quatre semaines, chaque hôpital a recueilli quotidiennement les données sur les pénuries à l’aide d’une grille et d’un processus normalisés. <br />Résultats : Pour la période allant du 8 janvier au 2 février 2018, on a recensé 84 pénuries (durée médiane de 32 jours) dans l’hôpital canadien, 62 pénuries (durée médiane de 9 jours) dans l’hôpital français, 46 pénuries (durée médiane de 37 jours) dans l’hôpital belge, 28 pénuries (durée médiane de 25 jours) dans l’hôpital espagnol et 98 pénuries (durée médiane de 68 jours) dans l’hôpital suisse. Vingt-huit (28) fabricants étaient impliqués dans les cas de pénuries dans l’hôpital canadien, 30 dans l’hôpital français, 19 dans l’hôpital belge, 16 dans l’hôpital espagnol et 42 dans l’hôpital suisse. La plupart des pénuries touchaient les médicaments parentéraux et mettaient en cause tant les fabricants de médicaments novateurs que ceux de médicaments génériques. Les pénuries ont affecté d’une manière ou d’une autre la plupart des classes de médicaments , mais les trois classes les plus touchées étaient les agents anti-infectieux (21,1 %) les médicaments agissant sur le système nerveux central (11,3 %) et les agents cardiovasculaires (8,2 %).</p><p><strong>Conclusions :</strong> Des pénuries survenaient presque quotidiennement dans chaque hôpital de l’étude. Dans l’ensemble des hôpitaux, la fréquence des pénuries variait selon un facteur de trois, ce qui pourrait se traduire par une variabilité semblable à l’échelle nationale. Toutes les parties prenantes doivent travailler avec plus d’ardeur à la prévention et à la gestion des pénuries de médicaments.</p><p> </p>

FIRST AID AND TREATMENT FOR CHILDREN ACCIDENT INJURY IN BUON MA THUOT CITY, DAK LAK PROVINCE 2014

2017 ◽  
pp. 69-74
Author(s):  
Van Hung Nguyen ◽  
Van Thang Vo
Keyword(s):  
Health Care ◽  
Intervention Program ◽  
First Aid ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Health Staff ◽  
Cross Sectional ◽  
Care Facilities ◽  
Accident Injuries ◽  
Accident Injury

Background: Accident injuries caused has been serious heatlth problem in developing coutries. Children is vulnerable group with accident injury beucase of lacking knowlegde and exposing with risk factors in eviromental household. The treatment outcome for accident injury of children usually has more serious than other groups. The aims of this study to describle some characteristics of first aid and the outcome of treatment for children accident in Buon Ma Thuot, Dak Lak provice in 2014. Methodology: A cross-sectional study was conducted total 2,273 household which was 4,505 children aged under 16 in 8 communes, Buon Ma Thuot city, Daklak province. Interview technique with structural questionnaire and household observation methods were used for data collection. Results: The propotion of first aid was 75.9%; not received any first aid (23.8%); mortality at accident place (0.3%). At the time accident: The highest personal involving first aid was pedestrians 54.1%; 25% of health staff, self- first aid was 14.5%. Two main of first aid methods were hemostasis and bandeged with 45.5%; 28% respectiviely. After first aid, there was 80% delivering to health care facilities. The transport methods were motocycle (91.8%), car (5.6%) and ambulance (0.4%). The rate of approach health care facilities around early 6 hours were 86.7%. The characteristics of damages: sub-damages (scratches, dislocations, sprains...) were 36.9 %, deep damages (fractures, open wounds) accounted for 44.6%. Inpatient treatment was 23.9%; 91.5% medical therapy, surgery of 8.2%. The outcome of treatment were good (97.2%), sequelae/disability 2.6%. Conclusion: First aid activities for children at time and properly right were demonstrated effectively for prevented seriously outcome. There should be an intervention program for children with the appropriate models to reduce accident injuries in children; improvement first aid to communities and health care worker. Key words: accident injury, first aid, capacity first care, children under 16 years old

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

scholarly journals TINGKAT KECEMASAN IBU HAMIL TERHADAP KUNJUNGAN ANTENATAL CARE DI MASA PANDEMI COVID-19

2021 ◽  
Vol 13 (01) ◽  
pp. 96
Author(s):  
Nining Sulistyowati ◽  
Yeti Trisnawati
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Personality Inventory ◽  
Health Care Facilities ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Pregnancy Anxiety ◽  
Care Facilities

ABSTRAKLatar belakang: Pandemi Covid-19 menyebabkan banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan maternal dan neonatal. Ibu hamil menjadi enggan ke puskesmas atau fasiltas pelayanan kesehatan karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan dan kelas ibu hamil Kurangnya kunjungan ANC ini bisa menyebabkan bahaya bagi ibu maupun janin seperti terjadinya perdarahan saat masa kehamilan karena tidak terdeteksinya tanda bahaya. Tujuan penelitian: Untuk menganalisis kecemasan ibu hamil terhadap kunjungan antenatal care di masa pandemic covid-19. Metode: Penelitian analitik dengan rancangan cross sectional. Penelitian dilakukan di Praktik Mandiri Bidan di Kota Tanjungpinang dari bulan Januari – Februari 2021. Populasi seluruh ibu hamil TM III yang terdata di Praktik Mandiri Bidan di Kota Tanjungpinang dengan sampel sebanyak 32 responden. Teknik purposive sampling dengan kriteria antara lain ibu hamil dengan usia kehamilan trimester III, mampu mengungkapkan perasaan dan kecemasannya, mempunyai handphone dan nomor whatsapp, memiliki Buku KIA serta skor L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) <10. Hasil penelitian: Hasil uji statistik chi square diperoleh nilai p 0,016 (p<0,05) disimpulkan ada hubungan antara tingkat kecemasan ibu hamil dengan kunjungan antenatal care ke fasilitas pelayanan kesehatan di masa pandemi Covid-19. Simpulan: Hasil penelitian menunjukkan bahwa kunjungan ANC ibu hamil ke fasilitas pelayanan kesehatan pada masa pandemi covid-19 sebagian besar melakukan kunjungan ANC teratur 22 ibu hamil (68,8%), ibu hamil tidak mengalami kecemasan 9 (28,1%). Ibu hamil yang mengalami kecemasan dan tidak teratur melakukan kunjungan ANC sebanyak 12 ibu hamil (37,5%). Ibu hamil yang tidak mengalami cemas seluruhnya melakukan kunjungan ANC secara teratur yaitu 9 responden.Kata kunci: umur, Pendidikan, pekerjaan, kehamilan, kecemasan, frekuensi antenatal carePREGNANT MOTHER'S ANXIETY LEVELS ON ANTENATAL CARE VISITS DURING THE COVID-19 PANDEMICABSTRACTBackground: The Covid-19 pandemic has caused many restrictions on almost all routine services, including maternal and neonatal health services. Pregnant women are reluctant to go to the puskesmas or health service facilities for fear of contracting it, there are recommendations to postpone pregnancy checks and classes for pregnant women. This lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy because no danger signs are detected. The purpose of the study: To analyze the anxiety of pregnant women regarding antenatal care visits during the covid-19 pandemic. Methods: Analytical research with cross sectional design. The study was conducted at the Independent Midwife Practice in Tanjungpinang City from January - February 2021. The population of all TM III pregnant women recorded at the Midwife Independent Practice in Tanjungpinang City with a sample of 32 respondents. Purposive sampling technique with criteria including pregnant women with the third trimester of pregnancy, being able to express their feelings and anxieties, having a cellphone and whatsapp number, having a KIA Book and an L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) score <10. Research results: The results of the chi square statistical test obtained a p value of 0.016 (p <0.05) it was concluded that there was a relationship between the level of anxiety of pregnant women and antenatal care visits to health care facilities during the Covid-19 pandemic. Conclusion: The results showed that ANC visits of pregnant women to health care facilities during the covid-19 pandemic mostly carried out regular ANC visits 22 pregnant women (68.8%), pregnant women did not experience anxiety 9 (28.1%). Pregnant women who experience anxiety and do not regularly visit ANC as many as 12 pregnant women (37.5%). Pregnant women who do not experience anxiety all make regular ANC visits, namely 9 respondents.Keywords: age, education, occupation, pregnancy, anxiety, antenatal care frequency.

scholarly journals Status and effects of health workforce related factors on implementation of universal health care in Nakuru West Sub County, Nakuru, Kenya

2020 ◽  
Vol 8 (1) ◽  
pp. 90
Author(s):  
Jackline Mokeira Selvester ◽  
Moses Otiati Esilaba ◽  
Oscar Omondi Donde
Keyword(s):  
Health Care ◽  
Health Workforce ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
County Government ◽  
Universal Health Care ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Officer ◽  
Universal Health

Background: Globally, due to low health care coverage, there have been continued efforts to ensure that there is increased accessibility to quality, affordable and equitable universal health care (UHC) services in most parts of developing countries, such as within Nakuru county in Kenya.Methods: The study focused on determining health workforce gaps in health care facilities that affect the implementation of UHC in Nakuru West Sub County. Cross-sectional study design was applied, data was collected using structured questionnaires, analyzed using statistical package for social sciences 23rd version and presented in charts for ease comparison.Results: The findings of this study indicated that there was shortage of HWCs. This implies that the staffing in the facilities located in Nakuru West Sub-County is inadequate for the implementation of the Kenyan government UHC and it was evident that the mostly affected sections were the nursing, public health officer (PHO), pharmacy, clinical officers and laboratory in that order. Most alarmingly, majority of the HCWs (58.2%) were not being appreciated for good work, despite the fact that they play a key role in the implementation of UHC.Conclusions: It is therefore imperative for the county government which is the arm of the Kenyan government to ensure that they recruit adequate health care workers in all cadres to serve the continuously rising population and HCWs should have adequate level of education, acceptable training skills and be well- motivated.

• Drug Shortages Lead to Medication Errors; •Dispense from the Pharmacy, Not from Central Supply; •Use of Symbols Increases Medication Error Risk

2001 ◽  
Vol 36 (5) ◽  
pp. 494-496
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Error ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Drug Shortages ◽  
Care Facilities ◽  
Error Risk

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 1-800-233-7767 (1-800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

FAIRNESS OF UTILIZING HEALTH CARE FACILITIES AND OUT-OF-POCKET PAYMENT BURDEN: EVIDENCE FROM CAMBODIA

2012 ◽  
Vol 45 (3) ◽  
pp. 345-357 ◽  
Author(s):  
KOUSTUV DALAL ◽  
OLATUNDE AREMU
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Facilities ◽  
Care Utilization ◽  
Cross Sectional ◽  
Middle Income ◽  
Distinct Level ◽  
Out Of Pocket Payments ◽  
Care Facilities ◽  
Low And Middle Income

SummaryCatastrophic spending on health care through out-of-pocket payment is a huge problem in most low- and middle-income countries all over the world. The collapse of health systems and poverty have resulted in the proliferation of the private health sector in Cambodia, but very few studies have examined the fairness in ease of utilization of these services based on mode of payment. This study examined the utilization of health services for sickness or injury and identified its relationship with people's ability to pay for treatment seeking at various instances. Based on cross-sectional data from the Cambodian 2007 Demographic and Health Survey, the economic index estimated through principal component analysis and Lorenz curve was used to quantify the degree of fairness and equality in utilization and payment burden among the respondents. A distinct level of fairness was found in health care utilization and out-of-pocket payments. Specifically, use of private health care facilities and over-the-counter remedies dominate, and out-of-pocket payments cut across all socioeconomic strata. As many countries in low- and middle-income regions, and most importantly those in transition such as Cambodia, are repositioning their health systems, efforts should be made towards maintaining equitable access through adoption of finance mechanisms that make utilization of health care services fair and equitable.

scholarly journals Bundle Prevention Form Filling Completeness of Surgical Site Infection (SSI) on Sectio Caesarea Patients in 2016

2017 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Adita Puspitasari Swastya Putri ◽  
Kurnia Dwi Artanti ◽  
Dwiono Mudjianto
Keyword(s):  
Health Care ◽  
Surgical Site Infection ◽  
Care Facility ◽  
Health Care Facility ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Health Care Facilities ◽  
Sectio Caesarea ◽  
Site Infection ◽  
Cross Sectional

Hospital Acquired Infections (HAIs) is an infection acquired during a patient undergoing treatment proedur and medical measures in health care facilities within ≥ 48 hours or within ≤ 30 days and infection was observed after the patients leaving the health care facility. The one of Hais what often happens is Surgical Site Infection (SSI) so that SSI surveillance is needed for prevention and control of infection. Bundle prevention is an instrument used for data collection the incidence of SSI in Hospital X Surabaya. This study aims to look at the picture of existence, charging and completeness of bundle SSI prevention on patients sectio caesarea in Hospital X Surabaya. The study design used is cross sectional with a total sample of 47 patients were taken by simple random sampling on patients sectio caesarea in January-June 2016. The result showed that 64% of patient records status is not accompanied by SSI prevention bundle with charging and completeness of the data that is still below the predetermined standard that is equal to 80%. Although SSI surveillance is in conformity with the guidelines infection surveillance but there are still some shortcomings in terms of the accuracy of the data so that the information obtained is still not able to be reported as well.Keywords: surveillance, SSI, hospital

scholarly journals Identifikasi Praktik Kefarmasian Yang Sesuai Dengan Kebutuhan Pasien Dan Fasilitas Pelayanan Kesehatan

2019 ◽  
Vol 22 (2) ◽  
pp. 126-136
Author(s):  
Selma Siahaan ◽  
Rini Sasanti Handayani
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Exit Interview ◽  
Lead Times ◽  
Cross Sectional ◽  
Planning Strategy ◽  
Medicines Information ◽  
Central Java ◽  
Care Facilities ◽  
Study Sites

The study of pharmaceutical practices in health care facilities was conducted in 2016. It aimed to identify pharmaceutical practices needed by patients and health care facilities. The study sites were in Central Java, Bali, South Kalimantan, and South Sulawesi. In each provinces, the study was conducted in one urban and one rural district areas. The sample locations were both government and private hospitals, health centers and pharmacies. The study design study was cross sectional. Data collection was carried out by in-depth interview to responsible pharmacists who did medicines management, and exit interview to patients after they received medicines services from government hospitals and primary health cares. The results showed that pharmaceutical practices needed by the health care facilities were good medicines planning andprocurement that can maintain the continuity of the availability of medicine stocks needed for patients, and the ability in managing medicines effi ciently and eff ectively. Moreover, the pharmaceutical practices needed by the communities were medicines completeness, quick services, as well as simple and complete medicines information. It is recommended that pharmacists should be trained on comprehensive medicines planning, strategy to anticipate the emptiness of medicines including lead times, and communication skills to the patients. In addition, IT supports for pharmacy services development is also needed. Abstrak Telah dilakukan studi mengenai praktik kefarmasian di fasilitas pelayanan kesehatan yang bertujuan mengidentifikasi pelayanan kefarmasian yang dibutuhkan pasien dan fasilitas pelayanan kesehatan. Kegiatan studi dilaksanakan di Jawa Tengah, Bali, Kalimantan Selatan, Sulawesi Selatan. Dari masing-masing propinsi di atas dipilih satu kota dan satu kabupaten. Studi dilakukan pada tahun 2016. Lokasi penelitian adalah rumah sakit pemerintah, rumah sakit swasta, puskesmas dan apotek dengan desain potong lintang. Pengumpulan data dilakukan melalui wawancara mendalam terhadap apoteker penanggung jawab/pengelola obat, dan exit interview terhadap pasien rumah sakit pemerintah dan puskesmas yang baru selesai menerima pelayanan obat. Hasil penelitian menunjukkan praktik kefarmasian yang dibutuhkan oleh fasilitas pelayanan kesehatan adalah perencanaan dan pengadaan obat yang baik yang dapat menjaga kesinambungan ketersediaan stok obat yang diperlukan bagi pelayanan ke pasien serta pengelolaan obat yang efektif dan efi sien. Praktikkefarmasian yang dibutuhkan masyarakat adalah tersedianya obat lengkap, kecepatan pelayanan, dan informasi obat yang singkat padat. Disarankan perlunya pelatihan perencanaan obat yang lebih komprehensif, kiat-kiat mengantisipasi kekosongan obat dan lamanya pengiriman, serta pelatihan cara berkomunikasi yang baik kepada pasien secara menyeluruh. Selain itu, dukungan teknologi informasi bagi pengembangan pelayanan farmasi juga dibutuhkan.  

scholarly journals Knowledge, attitude and practice regarding mother-to-child transmission of HIV, its prevention, and associated factors among antenatal women attending a health care facility in district Srinagar, North India: a cross sectional study

2020 ◽  
Vol 7 (7) ◽  
pp. 2622
Author(s):  
Mohsina Mukhtar ◽  
Ruqia Quansar ◽  
Suhail N. Bhat ◽  
S. M. Salim Khan
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Care Facility ◽  
Health Care Facilities ◽  
People Living With Hiv ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Mother To Child

Background: HIV pandemic still remains an issue of major concern on a global scale with more than 37.9 million people estimated to be living with HIV in 2019 globally -an increase from 36.7 million in 2015. India has the third largest HIV epidemic in the world, with 2.1 million people living with HIV, with higher prevalence among men (0.25%) than women (0.19%) out of which children (15 years) accounts for 6.54%, while two fifth (40.5%) of total HIV infections are among females.Methods: A cross-sectional hospital based study was conducted over a time period of 03 months and a total of 366 pregnant women attending the health care facilities of Block Hazratbal were included in the study.Results: Among the study participants, only 15 (4.1%) women had not heard about HIV/AIDS, 314 (85.8%) were aware of sexual transmission as a mode of transmission and only half of the study subjects (50.8%) knew about MTCT, more than half of the subjects (68.3%) were aware that the transmission of HIV infection can occur during pregnancy.Conclusions: Although the study population showed adequate knowledge about HIV infection, there was a considerable lack of knowledge regarding mother-to-child transmission of HIV infection and its prevention.

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