Mutu Pelayanan Radiologi Di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Makassar

Services in the field of radiology which are health support services also need to maintain and improve the quality of their services. Radiology is one of the supporting units of health services in establishing the diagnosis of a disease and also needs to maintain and improve the quality of services appropriately and safely, both for patients (users), radiographers (officers) and the community or the surrounding environment. This study aims to determine the quality of radiology services at the Center for Community Lung Health (BBKPM) Makassar. The method used is descriptive research with a quantitative approach. The population is all patients in the radiology installation of the Center for Community Lung Health (BBKPM) with a sample of 158 people. The results showed that the quality of radiology services in terms of timeliness was categorized as very high, namely 91.86%. The cost of Thorax photo examination services is relatively cheap and affordable and the service waiting time reaches a fairly high-quality value of 86.79%. The information aspect reached a high-quality value, namely 85.97%. The technical executor of the Thorax photo examination is carried out by a radiographer and the executor of the diagnostic results is a radiologist (radiology specialist) who has achieved a fairly high-quality score of 97.15%. Aspects of Human Relations have reached a fairly high-quality score of 87.00%. Environmental Aspects achieved a quality value of 97.57%. It is recommended that the Makassar BBKPM management provide a complaint box (suggestion box) in the radiology room to evaluate services.

Does the Animal Model Influence in Vertical Alveolar Distraction? A Systematic Review of the Literature

This study is aimed at synthesizing all available evidence on vertical alveolar osteogenesis distraction (VAOD) in animal trials to determine whether the animal model used and its handling influence or not, and find which is the most appropriate animal model for this specific technique. This systematic review has been carried out following the PRISMA statements. Bibliographic sources have been consulted manually by two reviewers. Risk of bias was assessed using a version of the Newcastle-Ottawa-Scale (NOS). The selection criteria established by expert researchers were applied in order to decide which studies should be included in the review. Twenty-six studies met the inclusion criteria and were included in the review. Twenty-four of them had a high quality (score between 7 and 9), two medium quality (score between 4 and 6), and none low quality (score between 1 and 3). The highest possible score was 9 (using the NOS). Six studies complied with all NOS criteria. The animal model has been seen to influence the results, leading to failure in some cases. The most used animal model on VAOD, with fewer complications, was the Mongrel dog. The use of the pig and minipig is not recommended, due to the difficulties in handling and complications encountered.

Frameworks and quality measures used for debriefing in team-based simulation: a systematic review

ObjectivesThe skill of the debriefer is known to be the strongest independent predictor of the quality of simulation encounters yet educators feel underprepared for this role. The aim of this review was to identify frameworks used for debriefing team-based simulations and measures used to assess debriefing quality.MethodsWe systematically searched PubMed, CINAHL, MedLine and Embase databases for simulation studies that evaluated a debriefing framework. Two reviewers evaluated study quality and retrieved information regarding study methods, debriefing framework, outcome measures and debriefing quality.ResultsA total of 676 papers published between January 2003 and December 2017 were identified using the search protocol. Following screening of abstracts, 37 full-text articles were assessed for eligibility, 26 studies met inclusion criteria for quality appraisal and 18 achieved a sufficiently high-quality score for inclusion in the evidence synthesis. A debriefing framework was used in all studies, mostly tailored to the study. Impact of the debrief was measured using satisfaction surveys (n=11) and/or participant performance (n=18). Three themes emerged from the data synthesis: selection and training of facilitators, debrief model and debrief assessment. There was little commonality across studies in terms of participants, experience of faculty and measures used.ConclusionsA range of debriefing frameworks were used in these studies. Some key aspects of debrief for team-based simulation, such as facilitator training, the inclusion of a reaction phase and the impact of learner characteristics on debrief outcomes, have no or limited evidence and provide opportunities for future research particularly with interprofessional groups.

Onychomycosis: Quality of Studies

Objective: The quality of original clinical trial publications pertaining to the use of oral antifungal agents to treat onychomycosis was evaluated using predetermined criteria. Methods: The list of studies included in this analysis was determined by conducting a search in Medline. For each clinical trial, two independent reviewers each determined a composite score by evaluating a list of criteria that were felt to represent a good study, for example, randomization and blinding, prior sample size calculated, and treatment regimen clearly explained. A citation count was performed to determine whether higher-quality papers were cited more often than lower-quality papers. Results: Forty-five studies were included in this quality analysis of study design. Of these, 27 were considered to be “high quality” (score greater than or equal to 11 out of 20). A significant correlation coefficient of 0.997 was found between the two reviewers ( P < 0.00001). Higher-quality papers were cited significantly more often than lower-quality papers ( P = 0.03). Conclusion: The scale that we use to evaluate the quality of onychomycosis studies has high interrater reliability. According to this scale, many published studies (18 out of 45) pertaining to treatments for onychomycosis do not meet the criteria required to be considered “high quality.”