scholarly journals Preparedness for Internship: A Survey of New Interns at a Tertiary Care Hospital, Telangana

2021 ◽  
Vol 9 (2) ◽  
pp. 24-27
Author(s):  
Padmavathy V ◽  
Kranti Tekulapally
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Orientation Program ◽  
Cross Sectional ◽  
Hospital Practice ◽  
Before And After ◽  
Minor Injuries

INTRODUCTION An internship orientation program is conducted in most of the medical colleges before the beginning of internship program to facilitate the transition between medical student and intern. The present study was initiated to assess the preparedness of interns for the internship program and identifying the areas that require additional training and education. MATERIALS AND METHODS A cross sectional study was carried out among 2014 batch interns of Malla Reddy Medical College for Women, Suraram, Hyderabad. Hard copies of the study questionnaire prepared and validated by expert panel was administered to the interns before and after the two-day internship orientation program. The outcomes were measured on 5-point quantitative scale. The raw scores obtained by each student were converted to percentages.The scores less than or equal to 49% were considered low, the scores between 50% to 70% were considered as average and scores above 71% were considered high with respect to level of preparedness for internship. Two open ended questions were asked – additional topics to be included in the program and other suggestions. RESULTS A total of 110 students completed the study. Only 2% of the interns were highly prepared for hospital practice before the orientation program while this number increased to 78% after the program. Interns expressed their desire to learn new topics like basic first aid to minor injuries, management of trauma cases and Road Traffic Accidents and handling of medical emergencies during the orientation program. They also suggested that there should more focus on practical demonstrations and hands on training in skill lab during this program. CONCLUSION here is significant improvement in the preparedness of interns after the orientation program indicated the program helped to boost the confidence of the interns for hospital practice.

scholarly journals A record based study of frequency and pattern of medico-legal cases reported at a tertiary care hospital in Miraj

2017 ◽  
Vol 4 (4) ◽  
pp. 1348 ◽  
Author(s):  
Tanuja R. Brahmankar ◽  
Sachin K. Sharma
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Legal Cases ◽  
Legal Case

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents. 

scholarly journals A study on injuries of road traffic accident victims attending a tertiary care hospital, Tirupathi

2018 ◽  
Vol 5 (6) ◽  
pp. 2357
Author(s):  
Shakeer Kahn P. ◽  
Bayapa Reddy N. ◽  
Chandrasekhar C. ◽  
R. Altaf Hussain ◽  
K. Reddy Jawahar Basha
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Engineering Technology ◽  
One Year ◽  
Almost All

Background: Rapid motorization bought a boon along with the curse of road traffic accidents toll. Injuries and deaths due to road traffic accidents (RTA) are one of the major public health problems across the globe especially in developing countries due to lack of comprehensive legislative measures. It will have immeasurable impact on the families affected by RTAs.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupathi, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: External injury was seen in almost all cases (97.9%) and 61.5% suffered grievous injury. Laceration, fractures and abrasion are the most common types of injuries found. Regarding anatomical sites, head injury is the commonest (68.8%). Majority of the victims suffered grievous injury during 6AM to 12 PM (66.2%). The proportion of grievous injury was most commonly found in victims who were hit by Unknown vehicle (84.6%).Conclusions: Road side medical assistance by their timely action can prevent the toll of RTA fatalities and disabilities. Studies on injuries help in developing improved personal protective gear and safety measures inside the vehicles through novel engineering technology.

scholarly journals Spectrum of Injury Presenting to Emergency Department in A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Sameer Thapa ◽  
Anup Raj Upreti ◽  
Bishow Raj Dawadi
Keyword(s):  
Emergency Department ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Injury is one of the major global public health problems causing significant number of death and disability. The study aims to study the epidemiological and clinical profile of patients presented in emergency department with injury. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital from September 2019 to February 2020 after obtaining ethical approval from Institutional review board (reference number 007-076/077). A convenient sampling method was applied. Epidemiological factors, chronological factors, causes of injury, anatomical distribution, pattern of injury were studied. Statistical analysis was done using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 197 patients, 72 (36.5%) patients had fall followed by road traffic accident 57 (28.9%). Of total, 80 (40.6%) had injury at home and 80 (40.6%) had cut injury. Head and neck accounted for 66 (33.5%) of total injury followed by upper Extremities 50 (25.4%) and lower extremities 47 (23.9%). Eighty-seven (44.2%) of the patients visited emergency within 30 minutes of sustained injury. Conclusions: The top three leading causes of injuries visiting emergency department were: fall, Road Traffic Accident and physical assaults respectively. The most common mode was fall being cut as most common pattern. Head and neck was the most commonest site of injury. The common place of injury was home.

scholarly journals Stethoscope, “the friendly foe” – A study to evaluate bacterial contamination of stethoscopes and disinfection practices

2018 ◽  
Vol 12 (10) ◽  
pp. 887-893 ◽  
Author(s):  
Priya Datta ◽  
Mandeep Kaur ◽  
Sangeeta Rawat ◽  
Varsha Gupta ◽  
Jagdish Chander
Keyword(s):  
Disease Transmission ◽  
Healthcare Workers ◽  
Methicillin Resistance ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contamination Rate ◽  
Care Hospital ◽  
Cross Sectional ◽  
Before And After ◽  
Healthcare Associated

Introduction: Stethoscope is used to assess the health of patients but can also act as a potential source of disease transmission. The study was aimed to find out the contamination rate of stethoscopes, evaluate awareness and attitude of healthcare workers (HCWs) about stethoscope cleaning, and determine the efficacy of 70% alcohol as cleaning agent. Methodology: This hospital based cross-sectional study was conducted in a tertiary care hospital in October 2015 among healthcare workers. They were asked to fill a questionnaire followed by culturing the diaphragm and bell surfaces of their stethoscopes before and after cleaning with 70% isopropyl alcohol. Results: Out of 100 stethoscopes cultured, 56 were found to be contaminated at least with one microorganism. Acinetobacter cbc was the commonest contaminant followed by Klebsiella pneumoniae. Three out of twelve S. aureus strains showed methicillin resistance. Stethoscopes used in emergency areas were more contaminated when compared to wards and out-patient departments. Despite 100% awareness among HCWs, the importance of stethoscope cleaning is realized by only 70% who practice it regularly. Conclusion: Stethoscope is a potential vector for transmission of healthcare associated infections. Hence it is vital to clean it after each use to reduce the load of iatrogenic infections.

scholarly journals SPINE TRAUMA

2018 ◽  
Vol 25 (03) ◽  
pp. 371-375
Author(s):  
Muhammad Sajid Mehmood ◽  
Muhammad Asad Javed ◽  
Muhammad Zafar Elahi ◽  
Sana Sehrish ◽  
Sultan Shah
Keyword(s):  
Lumbar Spine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Tertiary Care ◽  
Neurological Status ◽  
Spine Injury ◽  
Care Hospital ◽  
Spine Trauma ◽  
Cross Sectional

Objectives: To determine the etiology and level of spine trauma in patientspresenting in tertiary care hospital of Pakistan. Study Design: Descriptive, cross-sectional study.Setting: This study was conducted at the Department of Neurosurgery, Pakistan Institute ofMedical Sciences (PIMS), Islamabad, from September 20th, 2014 to March 20th, 2015. Subjects:The patients in the study were of both genders, between 15 to 80 years of age (N=315, meanage 38.17 years, SD 17.31). Materials and Methods: All 315patientsbetween 15 to 80 yearsof age with spine trauma presenting to the Neurosurgery department of PIMS, Islamabadconsented to participate in the study. All these patients had underwent thorough history andphysical examination after stabilization and initial emergency management. X-ray spine wascarefully reviewed and patient details, bio-data, etiology of trauma, spinal injury type, level,neurological status and diagnosis were recorded. Results: The most frequently affected agegroup presenting with spine trauma were young and between 15 to 30 years of age (17.1%).The most frequent etiologies seen for spine injury were falls; 158 (50.2%) followed by RTA’s;129 (41%). The most common level of spine trauma presentation was at the lumbar spine;142 (45.1%) followed by thoracic spine fractures; 80 (25.4%). Conclusion: Lumbar spine andyounger male people are more prone to spinal injuries in Pakistan. The most frequent reasonfor the trauma was due to falls followed by road traffic accidents.

scholarly journals Comparison of Prescribing Errors in Different Wards of Tertiary Care Hospital before and after Implementation of CPOE System

2021 ◽  
pp. 213-218
Author(s):  
Imran Qureshi ◽  
Mirza Tasawer Baig ◽  
Uzma Shahid ◽  
Ambreen Huma ◽  
Aisha Jabeen ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Prescribing Errors ◽  
Cross Sectional ◽  
Before And After ◽  
Tract Infections ◽  
Hospital Wards ◽  
Strategic Reserve

Background: Medication prescribing errors were always known as inevitable errors in health care system which mainly includes physician’s writing error which then leads to wrong dispensing error. Manual Prescribing has now shifted to CPOE System that seems to be more efficient. Through this system, it is believed that quality and patient security is improved by lessening medicine and different mistakes at various phases of the request the board procedure and by maintaining a strategic reserve from repetitive testing. This Study was conducted to compare the prescribing errors in different hospital wards of a tertiary care hospital for in-patients by using two approaches; Manual Prescribing and CPOE System Prescribing. Methods: This cross sectional study was conducted on manual prescriptions for three months and on CPOE prescriptions for three months. In this way a total of 4102 prescriptions were evaluated for different types of prescribing errors occurred in different wards. Whole study was conducted on In-patients from all the wards in the hospital except Emergency and OPD patients. Results and Discussion: The results showed that the maximum number of manual prescription errors were found in Medical ICU ward, while prescribing errors for CPOE setup were found comparatively at higher rate in Medicinal ward. It was also found that maximum frequency of prescribing errors were found in Lower Respiratory Tract Infections in both the settings; CPOE System and Manual Prescribing Conclusion: It was concluded that CPOE system is helpful for reducing prescribing errors but it must be supervised by pharmacists to overcome potential errors.

scholarly journals Study on risk factors of road traffic accident victims attending a tertiary care hospital at Tirupati

2017 ◽  
Vol 4 (5) ◽  
pp. 1708
Author(s):  
Shakeer Kahn P. ◽  
Bayapa Reddy N. ◽  
Ashok Kumar Reddy K. ◽  
Ravi Prabhu G.
Keyword(s):  
Risk Factors ◽  
Traffic Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Motor Vehicles ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Medical Disorders

Background: Road traffic accidents stand as one of the leading causes of mortality and morbidity across the globe. Increase in the number of motor vehicles, poor enforcement of traffic safety regulations, inadequacy of health infrastructure, and poor transport facilities makes the situation still worse. The objective of the study is to know the role of victims and various risk factors related to RTA. To determine the association of risk factors with type of injury and to know the pre-existing medical disorders in RTA victims.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupati, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: Most of the victims were drivers (48.5%) followed by passengers (31.7%) and pedestrian (19.8%). No two wheeler driver was wearing helmet. 74% of the four wheeler occupants were not using seat belts. Among drivers and pedestrians, 29.2% were under the influence of alcohol and 12.7% were listening to music. 55.8% of the passengers felt that their vehicle was going with over speed. 17.1% & 11.0% of the participants had history of hypertension and diabetes.Conclusions: There is a need to develop integrated surveillance system to identify the road traffic injury burden and the causal/risk factors. Enforcement of stringent road traffic laws to bring down the burden of road traffic accidents.

scholarly journals Road Traffic Accidents Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (243) ◽  
pp. 1081-1085
Author(s):  
Rohan Jha ◽  
Priya Pathak ◽  
Pallavi Koirala ◽  
Bishwash Maharjan ◽  
Srijana Panthi
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Road Traffic Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Records

Introduction: Road Traffic Accidents have emerged as the leading cause of mortality and morbidity globally. The burden of road traffic accidents has escalated gradually in Nepal and is a common cause of injury and trauma. The study aims to identify the prevalence of road traffic accidents in the emergency department. Methods: This descriptive cross-sectional study was conducted among hospital records of cases admitted to the emergency department of tertiary care hospital between March to August, 2020. Ethical approval was taken from the ethical review board of College of Medical Sciences (reference number: 2020-035). Information was collected through pro-forma and hospital records. Convenience sampling was done. The data were entered in the Statistical Package for the Social Sciences version 24 and analysed using descriptive statistics. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 4050 cases presenting to the emergency department, 228 (5.6%) (4.9-6.3 at 95% Confidence Interval) cases of road traffic accidents were seen. The most common injuries involved were soft tissue injury 90 (39.47%) and head injury 77 (33.77%). Most patients admitted to the hospital were male 178 (78.07%) aged 21 to 30 years 79 (41.38%). The vehicles mostly involved in the accidents were motorized two-wheelers 120 (50.6%) and pedestrians 51 (22.4%). Conclusions: The prevalence of road traffic accidents was similar to the findings from similar studies. Strengthening the capacities of the pre-hospital care and emergency department is necessary along with preventive intervention in public to reduce such health burden.

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