scholarly journals How Can the NHS Account for “Care Correct First Time”

2021 ◽  
Vol 2 (1) ◽  
pp. 3-9
Author(s):  
Gordon Caldwell
Keyword(s):  
Patient Care ◽  
Conceptual Framework ◽  
Constant Pressure ◽  
Quality Care ◽  
Healthcare Providers ◽  
Opportunity Costs ◽  
Frontline Staff ◽  
First Time

NHS Healthcare providers are under constant pressure to make costs savings. There seems to be no way to account for the costs of errors, harms and inefficiencies in patient care. If we could account for these costs then we could create medium to long term plans to reduce the costs lost in the consequences of errors, harm and delayed or low quality care of patients. If we get Care Correct First Time these wasted costs will fall and could well achieve the 5% savings within 5 years. I propose a conceptual framework to allow accounting for these costs wasted on the consequences of error, harm or delays caused by Opportunity Costs in the inefficient way frontline staff have to work to Do Patient Care.

scholarly journals An integrative approach to improving patient care pathways

2018 ◽  
Vol 31 (7) ◽  
pp. 810-821 ◽  
Author(s):  
Sharon Williams ◽  
Zoe Radnor
Keyword(s):  
Patient Care ◽  
Conceptual Framework ◽  
Care Pathway ◽  
Healthcare Delivery ◽  
Integrative Approach ◽  
Care Pathways ◽  
Content Type ◽  
Integrated Care Pathways ◽  
Improving Patient Care ◽  
First Time

Purpose Globally, healthcare managers continue to struggle with increasing demands for their services being delivered with limited or shrinking resources. It is, therefore, clear that systems, processes and practices need to change to meet these challenges. The purpose of this paper is to assess how integrating two improvement technologies, Lean and integrated care pathways (ICP) might help. Design/methodology/approach Lean and ICP in healthcare provide a platform to develop conceptual frameworks for integrating two approaches. Findings A conceptual integrated framework is provided to assist care pathway designers and implementers to consider the synergistic benefits of combining approaches to improvement. Research limitations/implications The authors provide a conceptual framework that requires empirically testing. Practical implications This research provides a conceptual framework to aid practitioners to improve healthcare design and delivery. Originality/value For the first time, the authors bring together two approaches to improving patient care pathway design and consider how these are linked in relation to improving healthcare delivery.

scholarly journals A Narrative Study of the Experiences of Providing Culturally Competent Care by Frontline Staff Caring for Older Ukrainian Immigrants in a Mono-culture Long-term Care Facility

2021 ◽  
Author(s):  
Maryana Zaplatsinska
Keyword(s):  
Long Term Care ◽  
Visual Analysis ◽  
Healthcare Providers ◽  
Care Facility ◽  
Culturally Competent ◽  
Term Care ◽  
Culturally Competent Care ◽  
Frontline Staff ◽  
Narrative Study

Frontline healthcare providers are increasingly called to demonstrate respect for clients’preferences by providing culturally competent care as part of person-centered approaches. Review of literature, however, shows culturally competent care practices have been poorly integrated into healthcare. Among Canada’s population, care of older Ukrainian immigrants has received limited consideration. This narrative study explored experiences of two Ukrainian nurses providing culturally competent care in Ukrainian long-term care homes in the Greater Toronto Area. Textual and photographic data were analyzed via categorical-content and visual analysis approaches in keeping with narrative methodology. Three levels of data analysis were completed: emergent theme analysis, comparative theme analysis, and metaphoric representative analysis. Major themes include honoring the client, home is where the varenyky are served, the culturally competent nurse as the doorway to culturally competent care, and cultural insight as the solid foundation. Study implications are for organizational practice, policy and research.

scholarly journals 657 Patient Perspectives on Telesleep Care in COVID Times: An Urban Teaching Hospital Survey

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A257-A257
Author(s):  
Tomas Munoz ◽  
Palakkumar Patel ◽  
Shilpa Viswanath ◽  
Bharati Prasad
Keyword(s):  
Patient Care ◽  
Secure Communication ◽  
Technical Assistance ◽  
Sleep Medicine ◽  
Privacy And Security ◽  
Privacy Concerns ◽  
Internet Privacy ◽  
Quality Patient Care ◽  
First Time

Abstract Introduction Telehealth is a relatively new tool for patient care, and to reach underserved areas where certain specialties are available. With the advent of the COVID19 pandemic, Telehealth has become a universal way to provide safe and quality patient care. However, Telehealth is a new experience for many providers and patients. We surveyed patients who received telehealth visits in sleep medicine between March and June 2020 to determine patient satisfaction and common technology-related barriers. The goal was to formulate actionable steps for improving patient’s experiences and determine the feasibility of long-term telehealth services for sleep medicine. Methods We interviewed 63 patients by phone, utilizing IRB approved surveys for telehealth satisfaction and technology. Responses were de-identified, tabulated, and analyzed in aggregate using Excel®. Results 85% of respondents had a high-school diploma or a higher level of education (9.6% students, 39.7% employed, 15.9% unemployed, and 19% retirees). 62% of participants participated in Telehealth for the first time. 89% preferred Telehealth, and 76% rated telehealth experience as good or better than in-person visits. 92% did not require technical assistance during the visit. Long-term telehealth care was acceptable to 63% of participants. Approximately 33% had technology-related barriers (no computer or webcam), and 12% did not have email. However, 89% had smartphones (70% connected to personal internet). Other barriers cited were lack of private space (13%) and taking time off work (9%). No clear preference for phone versus video Telehealth was noted (approximately 40% each), but 7% expressed concern about bi-directional video communication. This may be related to the privacy and security concerns expressed by 20% of respondents. However, only 5% reported using the electronic health record (EHR) based secure communication portal. Conclusion Sleep care via Telehealth is preferred by most patients during the COVID pandemic and is acceptable to two-thirds of patients for the long-term. In addition to access to personal devices or the internet, privacy concerns were a barrier to Telehealth. We plan to increase patient enrollment in the EHR-based portal to deliver telehealth services and communication securely to mitigate these barriers. Support (if any):

scholarly journals COVD-06. BRAIN TUMOURS AND COVID-19: THE PATIENT AND CAREGIVER EXPERIENCE

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii22-ii22 ◽  
Author(s):  
Mathew Voisin ◽  
Kathy Oliver ◽  
Stu Farrimond ◽  
Tess Chee ◽  
Gelareh Zadeh ◽  
...  
Keyword(s):  
Brain Tumour ◽  
Task Force ◽  
Quality Care ◽  
Healthcare Providers ◽  
Global Scale ◽  
Medical Procedures ◽  
Long Term Effects ◽  
Treatment Delays ◽  
Care Information

Abstract BACKGROUND Since the COVID-19 pandemic, thousands of medical procedures and appointments have been cancelled or delayed. The long-term effects of these drastic measures directly on brain tumour patients and their caregivers are unknown. The purpose of this study is to better understand how COVID-19 has affected this vulnerable population on a global scale. METHODS An online 79-question survey was developed by the IBTA, in conjunction with the SNO COVID-19 Task Force. The survey was sent to over 120 brain tumour charities and not-for-profits worldwide and disseminated to brain tumour patients and caregivers. All responses were subdivided by patient vs caregiver and by geographical region. RESULTS In total, 1989 participants completed the survey from 33 countries, including 1459 patients and 530 caregivers. There were no significant differences in COVID-19 testing rates (p = 0.662) or the number of positive cases for brain tumour patients between regions (p = 0.1068). Caregivers were significantly more anxious than patients (p = < 0.0001). Patients from the Americas were most likely to have lost their jobs due to the pandemic, practiced self-isolation, and received telehealth services (p = < 0.0001). Patients from Europe experienced the most treatment delays (p = 0.0031). Healthcare providers were ranked as the most trusted source of information. CONCLUSIONS As a result of COVID-19, brain tumour patients and caregivers have experienced significant stress and anxiety. Healthcare professionals, brain tumour charities, and not-for-profits must ensure that they continue to provide accessible, high-quality care, information, and support in the age of COVID-19.

scholarly journals A Narrative Study of the Experiences of Providing Culturally Competent Care by Frontline Staff Caring for Older Ukrainian Immigrants in a Mono-culture Long-term Care Facility

2021 ◽  
Author(s):  
Maryana Zaplatsinska
Keyword(s):  
Long Term Care ◽  
Visual Analysis ◽  
Healthcare Providers ◽  
Care Facility ◽  
Culturally Competent ◽  
Term Care ◽  
Culturally Competent Care ◽  
Frontline Staff ◽  
Narrative Study

Frontline healthcare providers are increasingly called to demonstrate respect for clients’preferences by providing culturally competent care as part of person-centered approaches. Review of literature, however, shows culturally competent care practices have been poorly integrated into healthcare. Among Canada’s population, care of older Ukrainian immigrants has received limited consideration. This narrative study explored experiences of two Ukrainian nurses providing culturally competent care in Ukrainian long-term care homes in the Greater Toronto Area. Textual and photographic data were analyzed via categorical-content and visual analysis approaches in keeping with narrative methodology. Three levels of data analysis were completed: emergent theme analysis, comparative theme analysis, and metaphoric representative analysis. Major themes include honoring the client, home is where the varenyky are served, the culturally competent nurse as the doorway to culturally competent care, and cultural insight as the solid foundation. Study implications are for organizational practice, policy and research.

Somatic Embryogenesis and In vitro Plant Regeneration in Vigna trilobata (L.) Verd. - A Potential Pasture Legume

1970 ◽  
Vol 19 (1) ◽  
pp. 89-99
Author(s):  
K. Choudhary ◽  
M. Singh ◽  
M. S. Rathore ◽  
N. S. Shekhawat
Keyword(s):  
Somatic Embryogenesis ◽  
Growth Regulators ◽  
Somatic Embryos ◽  
Basal Medium ◽  
Long Term Study ◽  
Continuous Application ◽  
First Time ◽  
Pasture Legume

This long term study demonstrates for the first time that it is possible to propagate embryogenic Vigna trilobata and to subsequently initiate the differentiation of embryos into complete plantlets. Initiation of callus was possible on 2,4-D. Somatic embryos differentiated on modified MS basal nutrient medium with 1.0 mg/l  of 2,4-D and 0.5 mg/l  of Kn. Sustained cell division resulted in globular and heart shape stages of somatic embryos. Transfer of embryos on to a fresh modified MS basal medium with 0.5 mg/l of Kn and 0.5 mg/l of GA3 helped them to attain maturation and germination. However, the propagation of cells, as well as the differentiation of embryos, were inhibited by a continuous application of these growth regulators. For this reason, a long period on medium lacking these growth regulators was necessary before the differentiation of embryos occurred again. The consequences for improving the propagation of embryogenic cultures in Vigna species are discussed. Key words: Pasture  legume, Vigna trilobata, Globular, Heart shape, somatic embryogenesis D.O.I. 10.3329/ptcb.v19i1.4990 Plant Tissue Cult. & Biotech. 19(1): 89-99, 2009 (June)

An Evaluation of Provincial Macroeconomic Performance in Vietnam

2017 ◽  
pp. 34-47
Author(s):  
Hoi Le Quoc ◽  
Nam Pham Xuan ◽  
Tuan Nguyen Anh
Keyword(s):  
Development Strategy ◽  
Institutional Transformation ◽  
Economic Indicators ◽  
Macroeconomic Performance ◽  
Economic Development Strategy ◽  
Socio Economic Development ◽  
The Cost ◽  
Development Objectives ◽  
First Time

The study was targeted at developing a methodology for constructing a macroeconomic performance index at a provincial level for the first time in Vietnam based on 4 groups of measurements: (i) Economic indicators; (ii) oriented economic indicators; (iii) socio-economic indicators; and (iv) economic - social – institutional indicators. Applying the methodology to the 2011 - 2015 empirical data of all provinces in Vietnam, the research shows that the socio-economic development strategy implemented by those provinces did not provide balanced outcomes between growth and social objectives, sustainability and inclusiveness. Many provinces focused on economic growth at the cost of structural change, equality and institutional transformation. In contrast, many provinces were successful in improving equality but not growth. Those facts threaten the long-term development objectives of the provinces.

NEW VARIETIES OF CURRANTS AND GOOSEBERRY BREEDING PLANTS

1970 ◽  
pp. 41-46
Author(s):  
O. D. Golyaeva ◽  
O. V. Kurashev ◽  
S. D. Knyazev ◽  
А. Yu. Bakhotskaya
Keyword(s):  
Powdery Mildew ◽  
Genetic Basis ◽  
Black Currant ◽  
Leaf Spots ◽  
Agricultural Sciences ◽  
Berry Crops ◽  
New Varieties ◽  
First Time ◽  
Red Currant

The main goal of the scientific institution was and remains to improve the assortment of fruit and berry crops for the development of domestic horticulture. Black currant breeding at VNIISPK was started by A.F Tamarova and continued by the doctor of agricultural Sciences T.P.Ogoltsova and doctor of agricultural Sciences S.D. Knyazev. A long-term breeding program has been developed. The main goals of the program are to create black currant cultivars with continuous resistance to diseases, first of all powdery mildew, as wells resistance to pests, i.e. bud mite. As a result of the long-term work, over 40 black currant cultivars have been developed, 14 of them are zoned. Red currant breeding was led by the candidate of agricultural Sciences L.V. Bayanova; since 2001 the work has been continued by the candidate of agricultural Sciences O.D. Golyaeva. ‘Heinemanns Rote Spӓtlese’, the descendant of R. multiflorum Kit., was involved in the red currant breeding for the first time in Russia. On its genetic basis, a series of late maturing cultivars with long and dense racemes was created. At the Institute, in total 21cultivars of red currants have been developed, 13 of them are zoned. At present, red currant cultivars make up 25.5% of the zoned assortment in Russia. The first research on gooseberries was stated by V.P. Semakin and A.F Tamarova; since 1992 the systematic gooseberry breeding has been carried out by the candidate of agricultural Sciences O.V. Kurashev. On the basis of Grossularia robusta, we have created gooseberry forms that are resistant to powdery mildew and leaf spots. These forms are highly productive, weakly thorned, having bush habit suitable for mechanized harvest. The result of breeding activities was the transfer of 6 gooseberry cultivars to State agricultural testing: ‘Solnechny Zaychik’, ‘Nekrasovsky’, ‘Yupiter’, ‘Zemlianichny’, ‘Moryachok’ and ‘Discovery’.

Current Practices and Challenges of Medical Services on Health Care System of Mandalay General Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 131
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Health Care Providers ◽  
Quality Care ◽  
Healthcare Providers ◽  
Medical Services ◽  
Tertiary Level ◽  
Care Providers ◽  
Level Hospital ◽  
Care System

In Myanmar, the main challenge to provide quality healthcare by Universal Health Care approach is documented as low health services coverage with substantial wealth-based inequality. To achieve the effective health care system, strong medical care system is essential. Understanding on challenges and needs in provision of medical services among patients and health care providers is critical to provide quality care with desirable outcomes. The aim of the study was to explore the patients’ and health care providers’ perceptions on the challenges in provision of medical services at the Mandalay General Hospital. This was a qualitative study conducted at the tertiary level hospital (Mandalay General Hospital). The data was collected by using focus group discussions and in-depth interviews with hospitalized patients or attendants, healthcare providers such as medical doctors, nurses, laboratory scientists and hospital administrators in March 2017. The qualitative data was analyzed using themes by themes matrix analysis. Most patients were satisfied with the care provided by the doctors because they believed that they received quality care. However, some patients complained about long waiting time for elective operation, congested conditions in the ward, burden for investigations outside the hospital for urgent needs and impolite manners of general workers. Healthcare providers reported that they had heavy workload due to limited human and financial resources in the hospital, poor compliances with hospital rules and regulation among patients and attendants, and inefficient referral practices from other health facilities. Other challenges experienced by healthcare providers were lack of ongoing training to improve knowledge and skills, limited health infrastructure and inadequate medicinal supplies. The findings highlighted the areas needed to be improved to provide quality health care at the tertiary level hospital. The challenges and problems encountered in this hospital can be improved by allocating adequate financial and human resources. The systematic referral system and hospital management guidelines are needed to reduce workload of health staff.

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