Conceptualizing and implementing a health workforce registry in Nigeria

Background Nigeria’s health sector aims to ensure that the right number of health workers that are qualified, skilled, and distributed equitably, are available for quality health service provision at all levels. Achieving this requires accurate and timely health workforce information. This informed the development of the Nigeria Health Workforce Registry (NHWR) based on the global, regional, and national strategies for strengthening the HRH towards achieving universal health coverage. This case study describes the process of conceptualizing and establishing the NHWR, and discusses the strategies for developing sustainable and scalable health workforce registries. Case presentation In designing the NHWR, a review of existing national HRH policies and guidelines, as well as reports of previous endeavors was done to learn what had been done previously and obtain the views of stakeholders on how to develop a scalable and sustainable registry. The findings indicated the need to review the architecture of the registry to align with other health information systems, develop a standardized data set and guidance documents for the registry including a standard operating procedure to ensure that a holistic process is adopted in data collection, management and use nationally. Learning from the findings, a conceptual framework was developed, a registry managed centrally by the Federal Ministry of Health was developed and decentralized, a standardized tool based on a national minimum data was developed and adopted nationally, a registry prototype was developed using iHRIS Manage and the registry governance functions were integrated into the health information system governance structures. To sustain the functionality of the NHWR, the handbook of the NHWR that comprised of an implementation guide, the standard operating procedure, and the basic user training manual was developed and the capacity of government staff was built on the operations of the registry. Conclusion In establishing a functional and sustainable registry, learning from experiences is essential in shaping acceptable, sustainable, and scalable approaches. Instituting governance structures that include and involve policymakers, health managers and users is of great importance in the design, planning, implementation, and decentralization stages. In addition, developing standardized tools based on the health system's needs and instituting supportable mechanisms for data flow and use for policy, planning, development, and management is essential.

Application Effect of the Standard Operating Procedure in the Prevention of Venous Thromboembolism

Objective. To investigate the application effect of the standard operating procedure (SOP) in the prevention of venous thromboembolism (VTE). Methods. The clinical data of patients admitted to respiratory, cardiovascular, neurological, and geriatric departments in the hospital (November 2020–May 2021) were retrospectively analyzed, and the patients in line with the inclusion criteria were equally randomized into the observation group (OG) and the control group (CG). The CG was treated with the routine nursing, and the OG received the SOP of VTE prevention additionally. After the record of the incidence of VTE and nursing satisfaction of the two groups, scores of VTE awareness were compared. Results. One hundred and twenty patients were included in this study, and no obvious difference was found in the general data of patients ( P > 0.05). Compared with the CG, the incidence of VTE of the OG was obviously lower ( P < 0.05). After nursing, compared with the CG, scores of VTE awareness in the OG were conspicuously higher ( P < 0.001), and scores of VTE awareness of the nursing staff were conspicuously higher than those before nursing ( P < 0.001). Compared with the CG, nursing satisfaction of the OG was obviously higher ( P < 0.001). Conclusion. SOP can reduce the incidence of VTE of patients, improve their disease awareness, and enhance their nursing satisfaction, which should be popularized in practice.

運用藍牙定位科技提升某病房醫材設備點班之效率

<p>本專案目的為運用藍牙定位系統追蹤儀器提升病房護理人員點班管理之效率。專案過程利用規劃重整器械放置處、建置藍牙定位追蹤儀器系統、規範醫材設備點班管理辦法等材料與方法，點班時間可由28.7分鐘縮短為14.7分鐘，將精實的時間回歸於臨床工作上，進而使病人獲得更完善的照護品質。</p> <p>&nbsp;</p><p>This study aimed to increase the efficiency of equipment counting by nurses by using a Bluetooth positioning system to track instruments. Counting medical equipment is often time-consuming; the proposed solution involves reorganizing equipment placement locations, constructing a Bluetooth positioning system to track the instruments, and developing a standardized operating procedure for equipment counting. After the plan was implemented, the time required for the nurses to count medical equipment was reduced from an average of 28.7 to 14.7 minutes, reflecting a substantial increase in efficiency. Consequently, the nurses had more time for clinical work, resulting in a higher quality of patient care.</p> <p>&nbsp;</p>

Development of Standard Operating Procedure (SOP) Training Model Using Disaster Safety Communication Network Based on Public Safety Long Term Evolution (PS-LTE)

This study provides information for developing the domestic standard operating procedure (SOP) to CMMI level 3 or higher by presenting the SOP education and training model development process that systematically utilize the PS-LTE-based disaster safety communication network. The survey was conducted with 113 domestic SOP experts. Results revealed that four strategies can minimize the damage to people's lives and property in a national disaster and develop the domestic SOP level to CMMI level 3 or higher-establishment of governance for the SOPs for disaster safety communication networks; training on SOP once a year; establishment of SOP according to the guidelines; and improvement in the technical field. In the future, if SOP develops to CMMI level 3 or higher, it will contribute to the protection of public safety and property from disasters.

Kebijakan yang Dilakukan oleh PT. Kimia Farma, Tbk (KAEF) dalam Meningkatkan Produktivitas dan Pendapatannya

Tujuan penelitian ini adalah untuk mengetahui berbagai kebijakan yang dikeluarkan oleh Kimia Farma dalam meningkatkan produktivitas dan meningkatkan pendapatan perusahaan, serta untuk melakukan analisa terhadap kebijakan perusahaan dalam menghadapi berbagai permasalahan, baik itu permasalahan yang bersifat domestik maupun itu permasalahan dunia dimasa sekarang ini, contohnya seperti adanya pandemi COVID-19. Dalam melakukan peneltian terhadap PT. Kimia Farma, peneliti menggunakan metode pengambilan data secara dokumentasi. Hal ini dikarenakan metode ini merupakan sebuah metode yang digunakan dalam penelitian dengan melakukan pengumpulan berbagai data yang diperlukan secara lengkap dan kompleks. Hasil penelitian menyimpulkan bahwa untuk mendapatkan kembali kepercayaan masyarakat, pihak Kimia Farma ini langsung melakukan evaluasi serta melakukan penguatan terhadap pelaksanaan SOP (Standard Operating Procedure) dengan tujuan untuk memastikan bahwa seluruh dari kegiatan operasional perusahaann sudah sesuai ketentuan yang telah ditentukan dan yang pasti nya ketentuan tersebut berlaku. Kebijakan ini diambil oleh pihak Kimia Farma adalah sebagai upaya untuk melakukan pencegahan terhadap kejadian serupa tidak terjadi lagi.

Multi-donor Fecal Microbial Transplantation for Critically Ill Patients: Rationale and Standard Operating Procedure

Patients in intensive care unit often lose a considerable fraction of their gut microbiome due to exposure of broad-spectrum antibiotics and other reasons. Dysbiosis often results in prolonged diarrhea and increase occurrence of multi-drug resistant pathogens in the colon with clinical consequences not yet well understood. Restoring the microbioma by faecal microbial transplantation (FMT) is a plausible therapeutic possibility, so far only documented in case reports and case series using very heterogeneous methodologies. Before FMT in critically ill can be tested in randomised controlled trials, there is a burning need to describe a standardized operating procedure (SOP) of the whole process, respecting the specifics of critically ill population, such as the risk of disrubted intestinal barrier and time critical nature of the procedure. We describe the SOP that has been developed for experimental use in critically ill patients by a multidisciplinary team of intensivists, gastroenterologist and microbiologist based on feedback from regulatory authority (State Institue of Drug Control of the Czech Republic). The hallmarks of these SOPs are multi-donor freshly frozen transplantate quaranteeded for 3 months consisting of 7 aliqutes from 7 unrelated healthy donors, and administered by rectal tube. In this paper we discuss the rationale for this SOP and the process of its development in details and release the full proposed SOP is in the form of online appendix.

Exercise-Based Injury Prevention in High-Level and Professional Athletes: Narrative Review and Proposed Standard Operating Procedure for Future Lockdown-Like Contexts After COVID-19

In regular times, implementing exercise-based injury prevention programs into the training routine of high-level and professional athletes represents a key and challenging aspect to decrease injury risk. Barriers to implementing such prevention programs have previously been identified such as lack of resources, logistic issues or motivation. The COVID-19 pandemic associated with restrictions on daily life dramatically impacted sports participation from training to competition. It is therefore reasonable to assume that such lockdown-like context has exacerbated the challenge to implement exercise-based injury prevention programs, potentially leading to a greater musculoskeletal injury risk. In this narrative review, recommendations are proposed for building an expertise- and evidence-based Standard Operating Procedure for injury prevention in lockdown-like contexts for high-level and professional athletes. The following recommendations can be provided: (1) assess the global and sport-specific risks in the light of the ongoing cause of isolation; (2) adapt remote training materials and programs; (3) ensure regular quality communication within the staff, between athletes and the staff as well as between athletes; (4) follow the athlete's mental well-being; and (5) plan for a safe return-to-sports as well as for an ongoing monitoring of the load-recovery balance. These key domains should further be addressed to comply with local policies, which are subject to change over time in each individual country. The use of these recommendations may improve the readiness of athletes, coaches, physicians and all sports stakeholders for future lockdown-like contexts.