scholarly journals Surveillance des substances contrôlées en établissements de santé : une contribution à la gestion de la crise des opioïdes au Canada

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Manon Videau ◽  
Maxime Thibault ◽  
Denis Lebel ◽  
Suzanne Atkinson ◽  
Jean-François Bussières
Keyword(s):  
Health Care ◽  
Anatomical Therapeutic Chemical ◽  
Care Facility ◽  
Health Care Facility ◽  
Descriptive Study ◽  
World Health ◽  
Health Concern ◽  
General Anesthetics ◽  
Controlled Substances ◽  
The World

RÉSUMÉContexte : La consommation des substances contrôlées et plus particulièrement des opioïdes est un enjeu de santé publique. Le Canada se situe au deuxième rang des plus gros consommateurs d’opioïdes dans le monde. L’utilisation de ces substances est associée à des problèmes de mésusage. À preuve, une crise des opioïdes sévit en Amérique du Nord.Objectifs : Décrire et analyser les tendances de consommation des substances contrôlées au sein d’un établissement de santé de 2003-2004 à 2017-2018. Proposer un outil de surveillance de la consommation des substances contrôlées dans un établissement de santé.Methodologie : Étude descriptive rétrospective. À partir du logiciel de gestion des approvisionnements, nous avons extrait les données de consommation de toutes les substances contrôlées du 1er avril 2003 au 31 mars 2018. Les données ont été exprimées selon l’index de la classification Anatomical Therapeutic Chemical en nombre de dosesdéfinies journalières (DDJ) pour 1000 jours-présence avec les valeurs de DDJ proposées par l’Organisation mondiale de la santé. Seules des statistiques descriptives ont été effectuées.Resultats : Durant les 15 dernières années, la consommation des substances contrôlées a diminué de 43 % au sein de notre établissement (min. : 739; max. : 1292 DDJ/1000 jours-présence par année). De 2003- 2004 à 2017-2018, les principales classes thérapeutiques consommées par ordre décroissant étaient : opioïdes, hypnotiques et sédatifs, anxiolytiques et anesthésiques généraux. Les principales molécules opioïdes consommées en 2017-2018 sont l’hydromorphone et la morphine injectable.Conclusions : Cette étude descriptive rétrospective montre une diminution de la consommation des substances contrôlées au sein de notre établissement de 2003-2004 à 2017-2018. Elle démontre la faisabilité de développer un outil de surveillance de la consommation des substances contrôlées en établissement de santé. Une telle approche pourrait être implantée à large échelle afin de favoriser les comparaisons entre les établissements. ABSTRACTBackground: The use of controlled substances, especially opioids, is a public health concern. Canada is the country with the second greatest opioid use in the world. The use of these substances is associated with problems of misuse, as evidenced by North America’s opioid crisis.Objectives: To describe and analyze usage patterns for controlled substances in a health care facility from 2003/04 to 2017/18, and to propose a tool for monitoring the use of controlled substances in this setting.Method: In this retrospective descriptive study, usage data for all controlled substances were extracted from the institution’s supply management software for the period April 1, 2003, to March 31, 2018. The data are presented according to the Anatomical Therapeutic Chemical classification in terms of number of Defined Daily Doses(DDD) per 1000 inpatient-days, using the DDD values proposed by the World Health Organization. Only descriptive statistics were determined.Results:During the last 15 years, use of controlled substances at the study facility dropped by 43% (min. 739 and max. 1292 DDD/1000 inpatient-days per year). From 2003/04 to 2017/18, the main therapeutic classes consumed (in decreasing order) were opioids, hypnotics and sedatives, anxiolytics, and general anesthetics. The main opioid molecules consumed in 2017/18 were hydromorphone and injectable morphine.Conclusions: This retrospective descriptive study showed a decrease in the consumption of controlled substances in the study facility from 2003/04 to 2017/18. It also demonstrated the feasibility of developing a tool for monitoring the use of controlled substances in a health care facility. This approach could be implemented at a larger scale to foster comparisons between facilities.

The Great Awakening - Digitalization in Dental Healthcare during the pandemic COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar
Keyword(s):  
Health Care ◽  
Task Force ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
World Health ◽  
Record System ◽  
The World

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.

scholarly journals Feasibility Study of the World Health Organization Health Care Facility-Based Antimicrobial Stewardship Toolkit for Low- and Middle-Income Countries

Antibiotics ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. 556
Author(s):  
Gina Maki ◽  
Ingrid Smith ◽  
Sarah Paulin ◽  
Linda Kaljee ◽  
Watipaso Kasambara ◽  
...  
Keyword(s):  
Health Care ◽  
World Health Organization ◽  
Feasibility Study ◽  
Care Facility ◽  
Health Care Facility ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
The World ◽  
Health Organization

Antimicrobial stewardship (AMS) has emerged as a systematic approach to optimize antimicrobial use and reduce antimicrobial resistance. To support the implementation of AMS programs, the World Health Organization developed a draft toolkit for health care facility AMS programs in low- and middle-income countries. A feasibility study was conducted in Bhutan, the Federated States of Micronesia, Malawi, and Nepal to obtain local input on toolkit content and implementation of AMS programs. This descriptive qualitative study included semi-structured interviews with national- and facility-level stakeholders. Respondents identified AMS as a priority and perceived the draft toolkit as a much-needed document to further AMS program implementation. Facilitators for implementing AMS included strong national and facility leadership and clinical staff engagement. Barriers included lack of human and financial resources, inadequate regulations for prescription antibiotic sales, and insufficient AMS training. Action items for AMS implementation included improved laboratory surveillance, establishment of a stepwise approach for implementation, and mechanisms for reporting and feedback. Recommendations to improve the AMS toolkit’s content included additional guidance on defining the responsibilities of the committees and how to prioritize AMS programming based on local context. The AMS toolkit was perceived to be an important asset as countries and health care facilities move forward to implement AMS programs.

scholarly journals Epidemiology of preoperative hyperglycaemia among patients undergoing surgery at a tertiary health care facility of Eastern India

2019 ◽  
Vol 6 (7) ◽  
pp. 2838
Author(s):  
Souvik Banerjee ◽  
Rakesh Kumar ◽  
Debasis Basu
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Overweight And Obesity ◽  
World Health ◽  
Surgical Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: With about 425 million patients globally and 72.9 million patients in India, diabetes mellitus (DM) is one of the global health emergency of 21st century. Perioperative hyperglycaemia is reported in 20-40% of patients undergoing general surgery. A substantial body of literature demonstrates a clear association between perioperative hyperglycaemia and adverse clinical outcomes. This study aims to find out the frequency of preoperative hyperglycaemia and factors influencing it among patients undergoing surgery at a tertiary health care hospital of Eastern India.Methods: This Institution based, cross-sectional, observational study was conducted among study subjects who were operated at IQ City Medical College and Multispecialty Hospital, Durgapur, India during January-February 2019. Relevant medical records were reviewed to collect data regarding clinic-social data. Estimation of fasting plasma glucose (FPG) has been done as per World Health Organization (WHO) guidelines. Hyperglycaemia was defined and classified as per American Diabetes Association (ADA). Anthropometric measurements were taken as per standard WHO protocols.Results: A total 158 study subjects participated in study. The mean age and mean FPG of the study subjects was 42.63±12.95 years and 103.3±17.37 mg/dl respectively. As per the ADA criteria, 58.9% had normal FPG, 24.0% had impaired fasting glucose (IFG) and 17.1% had diabetes. Out of total 27 T2DM patients, 22 (13.9%) were known cases of T2DM and 5 (3.2%) were undiagnosed. The frequency of preoperative hyperglycaemia i.e. sums of IFG and diabetes was found to be 41.1%. Increasing age, male gender and overweight and obesity significantly influenced the occurrence of preoperative hyperglycaemia.Conclusions: The prevalence of preoperative hyperglycaemia among patients undergoing surgery is higher than the prevalence of hyperglycaemia among non surgical patients. Routine HbA1C should be done in all surgical patients to differentiate between chronic undiagnosed hyperglycaemia and stress hyperglycaemia.

scholarly journals HEALTH FACILITIES (BHUS)

2005 ◽  
Vol 12 (04) ◽  
pp. 357-363
Author(s):  
MOHAMMAD AYAZ BHATTI ◽  
SHABBIR AHMAD KHAN
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Geographical Location ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
World Health ◽  
Cross Sectional ◽  
Geographical Access

Objective: To measure the distance of villagesfrom the facility (BHU) and to analyze the geographical location, Pattern of Access and health facility utilization. StudyPurpose: To improve the health status of community, by improving the geographical patterns of access and healthfacility utilization in Pakistan and to provide necessary information to policy makers, planners and health care providersfor improvement of health facility utilization in Pakistan. Study Design: A cross sectional study. Setting: At UnionCouncil Gali Jagir, Tehsil Fateh Jang, District Attock. Period: From 15 Nov 1999 to 31 Dec 2000. Material & Method:Measurement of the distance from the villages to the health facility and the facility record was reviewed to assess theutilization pattern by the village population. Information about mode of travel, time for travel and cost of traveling wascollected by the key informers. Results: 22% of villages and 23% of population was situated at a distance of 3km fromthe BHU. 33% of villages and 30% of population were living within 5km. 67% of villages and 70% of population wassituated at a distance of more than 5km from BHU.The overall health facility utilization of BHU Gali Jagir is 8.34%.Discussion: The health facility utilization decreases as the distance increases. Geographical accessibility up to adistance of 3km is a new finding in the study. We have noted that majority of the villages and populations, 67% villagesand 70% population is uncovered and 33% villages’ and 30%population is under served. Conclusion: The study hasidentified the gaps in the geographical access patterns that an accessible distance is 3km instead of 5km (as acceptedby world health organization). Distance of 3km was accessible for seeking care from a public health care facility. Theover all health facility utilization was 8.32 %, which was alarmingly low.

scholarly journals Delays in cancer diagnosis, with a focus on oral cancer during the COVID-19 pandemic - literature review

2021 ◽  
Vol 11 (9) ◽  
pp. 162-169
Author(s):  
Martyna Nowińska ◽  
Justyna Dziekońska ◽  
Paulina Grabowy ◽  
Martyna Drożak ◽  
Joanna Milanowska
Keyword(s):  
Health Care ◽  
Oral Cancer ◽  
Care Facility ◽  
Health Care Facility ◽  
The People ◽  
The World ◽  
Huge Impact ◽  
Causes Of Delays ◽  
Diagnostic Delays ◽  
The Impact

Introduction: Since the 2019 Coronavirus Disease (COVID-19) was classified as a pandemic infection on March 11, 2020, it has spread rapidly around the world. The total number of confirmed infections was 217,119,281 and the total deaths were 4,510,202 worldwide, as of August 31, 2021. The changes in life caused by these new threats also impacted patient care. Medics around the world have had to adapt to this new reality. There is a lot of research into the impact of the COVID-19 pandemic on the diagnosis and treatment of other diseases, including cancer. The aim of the study: Paying attention to the causes of delays in the diagnosis of cancer during the COVID-19 pandemic, with particular emphasis on oral cancer.Material and method: The research was done using the PubMed and Google Scholar articles about the topics of: covid-19 pandemic; oral cancer; healthcare; cancer diagnosisDescription of the state of knowledge: The COVID-19 pandemic has had a huge impact on the entire health system around the world. According to various studies, there were fewer cancer diagnoses between 2020 and 2021. Studies have identified the causes of these delays, such as: overwork and fatigue of health care workers, limited access to doctors due to quarantine, patients' fear of being infected in a health care facility, and the lack of follow-up visits, including dental visits.Summary:Undoubtedly, the coronavirus (COVID-19) pandemic has put the people with chronic illnesses and those who are immunocompromised at the most risk. Solutions such as telemedicine during lockdown may be helpful in caring for cancer patients, but cannot replace a comprehensive examination by a doctor, especially in the case of oral cancer. As a result of the diagnostic delays caused by the COVID-19 pandemic, a significant increase in the number of cancer deaths worldwide is expected.

Infodemiological patterns in searching medication errors: relationship with risk management and shift work (Preprint)

2019 ◽  
Author(s):  
Fabio Fabbian ◽  
Emanuele Di Simone ◽  
Sara Dionisi ◽  
Noemi Giannetta ◽  
Luigi De Gennaro ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Shift Work ◽  
Medication Errors ◽  
Medical Errors ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Western World ◽  
The World ◽  
Google Search

BACKGROUND Western world health care systems have been trying to improve their efficiency and effectiveness in order to respond properly to the aging of the population and the epidemic of noncommunicable diseases. Errors in drugs administration is an actual important issue due to different causes. OBJECTIVE Aim of this study is to measure interest in online seeking medical errors information online related to interest in risk management and shift work. METHODS We investigated Google Trends® for popular search relating to medical errors, risk management and shift work. Relative search volumes (RSVs) were evaluated for the period November 2008-November 2018 all around the world. A comparison between RSV curves related to medical errors, risk management and shift work was carried out. Then we compared world to Italian search. RESULTS RSVs were persistently higher for risk management than for medication errors during the study period (mean RSVs 74 vs. 51%) and RSVs were stably higher for medical errors than shift work during the study period (mean RSVs 51 vs 23%). In Italy, RSVs were much lower than the rest of the world, and RSVs for medication errors during the study period were negligible. Mean RSVs for risk management and shift work were 3 and 25%, respectively. RSVs related to medication errors and clinical risk management were correlated (r=0.520, p<0.0001). CONCLUSIONS Google search query volumes related to medication errors, risk management and shift work are different. RSVs for risk management are higher, are correlated with medication errors, and the relationship with shift work appears to be even worse, by analyzing the entire world. In Italy such a relationship completely disappears, suggesting that it needs to be emphasized by health care authorities.

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