Journal articles on the topic 'Medical personnel and patient Australia'
To see the other types of publications on this topic, follow the link: Medical personnel and patient Australia.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Medical personnel and patient Australia.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Angliss, V. E. "Holte Revisited — A Review of the Quality of Prosthetic Treatment." Prosthetics and Orthotics International 10, no. 1 (April 1986): 9–14. http://dx.doi.org/10.3109/03093648609103073.
Full textAbstract:
The standards recommended at the United Nations Inter regional Seminar on Standards for the Training of Prosthetists in Holte, Denmark, in 1968 were universally accepted as being ideal, practical and economical. As these standards and the services to patients are not always observed, world wide, a study was made to investigate the situation in Australia. Australia is a federation with responsibility for health and education vested in six States. The Federal Government is the principal taxing authority with the States dependent on it for financing services. The isolation of Australia led the Government during 1960 to send a rehabilitation medical officer to survey the system in Europe and North America. The best features of overseas practice became the basis for updating an Australian Service and establishing the Central Development Unit. The Artificial Limb Service is based on clinical care, formal in-service training of limb makers and fitters, patient training by therapists and the purchase of components from mass producers. The Service is answerable to lay and medical staff in the State Branches and to the Central Office of the Department, located in Canberra. The division of responsibility between the State and Federal Governments seems to lead to competition for control of services rather than to an integrated plan for Prosthetic-Orthotic training with services. Industrial conflict due to a perceived threat of the supplanting of apprentices by formally trained prosthetists-orthotists has also adversely affected development. In this paper the views of Government authorities, medical prosthetic prescribers and of personnel who conducted a pilot study in delivery of a prosthetic service are discussed.
2
Patrona-Aurand, Rosanna, and Leanne Schubert. "Case Study of a Peripherally Inserted Central Catheter's Migration into the Pulmonary Artery." Journal of the Association for Vascular Access 17, no. 3 (September 1, 2012): 131–34. http://dx.doi.org/10.1016/j.java.2012.07.005.
Full textAbstract:
Abstract An untoward event took place in Australia in 2011 involving a patient whose entire peripherally inserted central catheter (PICC) migrated into his pulmonary artery. At this particular rural hospital, a small vascular access team was initially formed; however, the PICC insertion procedure was taken over by a physician intensivist and his medical residents, who learned the procedure from him during their 3-month rotations. The distal portion of the patient's PICC, attached initially to a distal catheter-stabilizing device, dislodged and was drawn into the vein. The patient's PICC, now in his pulmonary artery, was retrieved via interventional radiology and the patient experienced no serious side effects from this event. This case highlights the importance of using only highly trained personnel who are familiar with the medical supplies to insert PICCs.
3
Monaghan, Timothy, Jo-Anne Manski-Nankervis, and Rachel Canaway. "Big data or big risk: general practitioner, practice nurse and practice manager attitudes to providing de-identified patient health data from electronic medical records to researchers." Australian Journal of Primary Health 26, no. 6 (2020): 466. http://dx.doi.org/10.1071/py20153.
Full textAbstract:
Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.
4
Meadley, Liz, Jane Conway, and Margaret McMillan. "Education and training needs of nurses in general practice." Australian Journal of Primary Health 10, no. 1 (2004): 21. http://dx.doi.org/10.1071/py04004.
Full textAbstract:
Practice nurses have been identified as key personnel in management of patients either in the prevention of hospitalisation or follow-up post-discharge from acute settings. There is an increase in numbers of practice nurses (PNs) in Australia, but the role of nurses who work in general practice is poorly understood. There is considerable variation in the activities of PNs, which can include functions as diverse as receptionist duties, performing a range of clinical skills at the direction of the medical practitioner, and conducting independent patient assessment and education. This paper reports on an investigation of PNs? perceptions of their ongoing professional development needs, and identifies issues in providing education and training to nurses who work with general practitioners (GPs).
5
Alanazy, Ahmed, John Fraser, and Stuart Wark. "Provision of Emergency Medical Services in Rural and Urban Saudi Arabia: An overview of personnel experiences." Asia Pacific Journal of Health Management 16, no. 2 (June 27, 2021): 148–57. http://dx.doi.org/10.24083/apjhm.v16i2.559.
Full textAbstract:
Objective: Pre-hospital emergency medical services (EMS) are a vital component of health management, however there are disparities in the provision of EMS between rural and urban locations. While rural people experience lower levels of pre-hospital care, there has been little examination of the reasons underpinning these differences through discussion with the providers of EMS, and particularly in countries other than the USA, UK and Australia. The purpose of this paper is to provide an overview of the lived experience of EMS personnel in Saudi Arabia regarding the key issues they face in their work practice. Design: This research focussed on frontline workers and middle-level station managers within the Saudi Arabian EMS system and adopted a hermeneutic phenomenology design to better understand the factors contributing to observed disparities between rural and urban areas in Riyadh region in Saudi Arabia. A semi-structured interview approach was used to collect data reflecting realistic experiences of EMS personnel in both urban and rural locations. Results: 20 interviews (10 each with rural and urban personnel) were done. Data analyses identified three primary thematic categories impacting EMS delivery: EMS Personnel Factors; Patient Factors; and, Organisational Factors. Underpinning each category were sub-themes, including Working Conditions, Stress, Education and training, and Resources, amongst others. Conclusions: The quality and efficiency of EMS services, in both rural and urban areas, was affected by a number of over-arching organizational factors. Implementing major policy shifts, such as recruitment of female EMS professionals, will be critical in addressing these challenges, but is acknowledged that this will take time. Quicker changes, such as improving the advanced training options for rural EMS staff, may help to remediate some of the issues. Public awareness campaigns may also be effective in addressing the identified misconceptions about the role of EMS in Saudi Arabia.
6
Maguire, Brian J., Matthew Browne, Barbara J. O’Neill, Michael T. Dealy, Darryl Clare, and Peter O’Meara. "International Survey of Violence Against EMS Personnel: Physical Violence Report." Prehospital and Disaster Medicine 33, no. 5 (October 2018): 526–31. http://dx.doi.org/10.1017/s1049023x18000870.
Full textAbstract:
AbstractIntroductionEach year, Emergency Medical Services (EMS) personnel respond to over 30 million calls for assistance in the United States alone. These EMS personnel have a rate of occupational fatality comparable to firefighters and police, and a rate of non-fatal injuries that is higher than the rates for police and firefighters and much higher than the national average for all workers. In Australia, no occupational group has a higher injury or fatality rate than EMS personnel. Emergency Medical Services personnel in the US have a rate of occupational violence injuries that is about 22-times higher than the average for all workers. On average, more than one EMS provider in the US is killed every year in an act of violence.Hypothesis/ObjectiveThe objective of this epidemiological study was to identify the risks and factors associated with work-related physical violence against EMS personnel internationally.MethodsAn online survey, based on a tool developed by the World Health Organization (WHO; Geneva, Switzerland), collected responses from April through November 2016.ResultsThere were 1,778 EMS personnel respondents from 13 countries; 69% were male and 54% were married. Around 55% described their primary EMS work location as “urban.” Approximately 68% described their employer as a “public provider.” The majority of respondents were from the US.When asked “Have you ever been physically attacked while on-duty?” 761 (65%) of the 1,172 who answered the question answered “Yes.” In almost 10% (67) of those incidents, the perpetrator used a weapon. Approximately 90% of the perpetrators were patients and around five percent were patient family members. The influence of alcohol and drugs was prevalent. Overall, men experienced more assaults than women, and younger workers experienced more assaults than older workers.Conclusions:In order to develop and implement measures to increase safety, EMS personnel must be involved with the research and implementation process. Furthermore, EMS agencies must work with university researchers to quantify agency-level risks and to develop, test, and implement interventions in such a way that they can be reliably evaluated and the results published in peer-reviewed journals.MaguireBJ, BrowneM, O’NeillBJ, DealyMT, ClareD, O’MearaP. International survey of violence against EMS personnel: physical violence report. Prehosp Disaster Med. 2018;33(5):526–531.
7
Cobcroft, M. D., and C. Forsdick. "Awareness under Anaesthesia: The Patients’ Point of View." Anaesthesia and Intensive Care 21, no. 6 (December 1993): 837–43. http://dx.doi.org/10.1177/0310057x9302100616.
Full textAbstract:
The collective experience of 187 patients who suffered awareness during general anaesthesia is presented. This has been collated from letters solicited in September 1992 by a women's magazine widely distributed throughout Australia and New Zealand. The responses cover anaesthetics given during a period from the 1950s to the present. The findings show a disturbing symptomatology ranging over almost all modalities of sensation and of postoperative psychological and psychiatric disturbances. The letters also reveal that in most cases understanding of awareness and its proper management by medical personnel was poor or totally lacking.
8
Denning, David W., and Donna Haiduven-Griffiths. "Eradication of Low-Level Methicillin-Resistant Staphylococcus aureus Skin Colonization with Topical Mupirocin." Infection Control & Hospital Epidemiology 9, no. 6 (June 1988): 261–63. http://dx.doi.org/10.1086/645849.
Full textAbstract:
Methicillin-resistant Staphylococcus aureus (MKSA) infections have become a major problem in many US hospitals in the last ten years.‘,’ Attempts to solve the problem have been hampered by many factors. One of these factors is the difficulty in eradicating the organism from colonized sites and thereby removing one of the reservoirs of endemicity. Another complicating factor is the lack of consistency in the published literature regarding what constitutes eradication and, therefore, when it is appropriate to discontinue isolation of patients or work restrictions of personnel. Even the decisions regarding when and how often to culture personnel remain difficult to define.” Finally, although the Australian experience illustrated an environmental component to an MRSA outbreak, the role of the environment in MRSA infections remains unclear. The following report describes the measures utilized to eradicate low-level MRSA skin colonization in a long-term psychiatric patient and illustrates several problems of-long-term MRSA carriage in institutionalized patients.
9
Cordato, Dennis J., Kaneez Fatima Shad, Wissam Soubra, and Roy G. Beran. "Health Research and Education during and after the COVID-19 Pandemic: An Australian Clinician and Researcher Perspective." Diagnostics 13, no. 2 (January 12, 2023): 289. http://dx.doi.org/10.3390/diagnostics13020289.
Full textAbstract:
Introduction: The COVID-19 pandemic had an unprecedented global effect on teaching and education. This review discusses research, education and diagnostics from the perspectives of four academic clinicians and researchers across different facilities in Australia. Materials and methods: The study adopted a literature review and an Australian researcher’s perspective on the impact of the COVID-19 pandemic on health education, research and diagnostics. Results: At the start of the pandemic, medical facilities had to adhere urgently to major work restrictions, including social distancing, mask-wearing rules and/or the closure of facilities to protect staff, students and patients from the risk of COVID-19 infection. Telemedicine and telehealth services were rapidly implemented and adapted to meet the needs of medical education, the teaching of students, trainee doctors, nursing and allied health staff and became a widely accepted norm. The impact on clinical research and education saw the closure of clinical trials and the implementation of new methods in the conducting of trials, including electronic consents, remote patient assessments and the ability to commence fully virtual clinical trials. Academic teaching adapted augmented reality and competency-based teaching to become important new modes of education delivery. Diagnostic services also required new policies and procedures to ensure the safety of personnel. Conclusions: As a by-product of the COVID-19 pandemic, traditional, face-to-face learning and clinical research were converted into online formats. An hybrid environment of traditional methods and novel technological tools has emerged in readiness for future pandemics that allows for virtual learning with concurrent recognition of the need to provide for interpersonal interactions.
10
Yoong, Jaclyn, Aleece MacPhail, Gael Trytel, Prashanti Yalini Rajendram, Margaret Winbolt, and Joseph E. Ibrahim. "Completion of Limitation of Medical Treatment forms by junior doctors for patients with dementia: clinical, medicolegal and education perspectives." Australian Health Review 41, no. 5 (2017): 519. http://dx.doi.org/10.1071/ah16116.
Full textAbstract:
Objective Limitation of Medical Treatment (LMT) forms are an essential element of end-of-life care. Decision making around LMT is complex and often involves patients with dementia. Despite the complexity, junior doctors frequently play a central role in completing LMT forms. The present study sought perspectives from a range of stakeholders (hospital clinicians, medical education personnel, legal and advocacy staff) about junior doctors’ roles in completing LMT forms in general and for patients with dementia. Methods Qualitative data were gathered in semi-structured interviews (SSI) and theoretical concepts were explored in roundtable discussion (RD). Participants were recruited through purposive and convenience sampling drawing on healthcare and legal personnel employed in the public hospital and aged care systems, selected from major metropolitan hospitals, healthcare and legal professional bodies and advocacy organisations in Victoria, Australia. The contents of the SSIs and RD were subject to thematic analysis using a framework approach. Data were indexed according to the topics established in the study aim; categories were systematically scrutinised, from which key themes were distilled. Results Stakeholders reported that completing LMT forms was difficult for junior doctors because of a lack of medical and legal knowledge, as well as clinical inexperience and inadequate training. Healthcare organisations (HCOs) either lacked policies about the role of junior doctors or had practices that were discordant with policy. In this process, there were substantial gaps pertaining to patients with dementia. Recommendations made by the study participants included the provision of supervised clinical exposure and additional training for junior doctors, strengthening HCO policies and explicit consideration of the needs of patients with dementia. Conclusions LMT forms should be designed for clarity and consistency across HCOs. Enhancing patient care requires appropriate and sensitive completion of LMT. Relevant HCO policy and clinical practice changes are discussed herein, and recommendations are made for junior doctors in this arena, specifically in the context of patients with dementia. What is known about the topic? Junior doctors continue to play a central role in LMT orders, a highly complex decision-making task that they are poorly prepared to complete. LMT decision making in Australia’s aging population and for people with dementia is especially challenging. What does this paper add? A broad range of stakeholders, including hospital clinicians, medical education personnel and legal and advocacy staff, identified ongoing substantial gaps in education and training of junior doctors (despite what is already known in the literature). Furthermore, LMT decision making for patients with dementia is not explicitly considered in policy of practice. What are the implications for practitioners? Current policy and practice are not at the desired level to deliver appropriate end-of-life care with regard to LMT orders, especially for patients with dementia. Greater involvement of executives and senior clinicians is required to improve both practice at the bed side and the training and support of junior doctors, as well as creating more robust policy.
11
Atlas, Alvin, Steve Milanese, Karen Grimmer, Sarah Barras, and Jacqueline H. Stephens. "Sources of information used by patients prior to elective surgery: a scoping review." BMJ Open 9, no. 8 (August 2019): e023080. http://dx.doi.org/10.1136/bmjopen-2018-023080.
Full textAbstract:
ObjectiveTo describe the range and nature of available research regarding sources of information that patients access to inform their decisions about elective surgery.DesignScoping review.Data sourcesPeer-reviewed studies published until February 2019 from the six scientific literature databases were searched and included in the study: Medline, PubMed, CINAHL, Academic Search Premier, EMBASE and SCOPUS. Web searches for grey literature were conducted in Google, South Australia Department of Health, Commonwealth Department of Health (Australia) and My Aged Care from the Department of Social Services (Australia).Eligibility criteriaStudies with a focus on elective surgery information sources oriented to patients were eligible for inclusion. Only studies written in English were sought and no publication date or study restrictions were applied.Data extraction and synthesisIncluded literature was described by National Health and Medical Council hierarchy of evidence, and data were extracted on country and year of publication, type of literature, who provided it and any information on end users. Information sources were categorised by type and how information was presented.ResultsA pool of 1039 articles was reduced to 26 after screening for duplicates and non-relevant studies. Face-to-face exchanges were the most likely source of information prior to elective surgery (59.3%), printed information (55.6%) followed by e-learning (51.9%) and multimedia (14.8%). The face-to-face category included information provided by the physician/general practitioners/specialists, and family and friends. Printed information included brochures and pamphlets, e-learning consisted of internet sites or videos and the use of multimedia included different mixed media format.ConclusionThere is considerable variability regarding the types of information patients use in their decision to undergo elective surgery. The most common source of health information (face-to-face interaction with medical personnel) raises the question that the information provided could be incomplete and/or biased, and dependent on what their health provider knew or chose to tell them.
12
Novis, David A., Richard C. Friedberg, Stephen W. Renner, Frederick A. Meier, and Molly K. Walsh. "Operating Room Blood Delivery Turnaround Time." Archives of Pathology & Laboratory Medicine 126, no. 8 (August 1, 2002): 909–14. http://dx.doi.org/10.5858/2002-126-0909-orbdtt.
Full textAbstract:
Abstract Objectives.—To determine the normative distribution of time elapsed for blood bank personnel to fill nonscheduled operating room (OR) blood component orders in hospital communities throughout the United States, and to examine hospital blood bank practices associated with faster blood component delivery times. Design.—Participants in the College of American Pathologists Q-Probes laboratory quality improvement program collected data prospectively on the times elapsed for blood bank personnel to fill nonscheduled emergent orders from hospital ORs for red blood cell (RBC) products, fresh frozen plasma (FFP), and platelets (PLTs). Participants also completed questionnaires describing their hospitals' and blood banks' laboratory and transfusion practices. Setting and Participants.—Four hundred sixty-six public and private institutions located in 48 states in the United States (n = 444), Canada (n = 9), Australia (n = 8), the United Kingdom (n = 4), and Spain (n = 1). Main Outcome Measures.—The median time elapsed between requests for blood components by OR personnel and the retrieval of those components by blood component transport personnel, and the median time elapsed between requests for blood components by OR personnel and the arrival of those components in ORs. Results.—Participants submitted data on 12 647 units of RBCs, FFP, and PLTs. The median aggregate request-to-retrieval turnaround times (TATs) for RBCs, FFP, and PLTs ranged from 30 to 35 minutes, and the median aggregate request-to-arrival TATs for RBCs, FFP, and PLTs ranged from 33 to 39 minutes. Most of the TAT was consumed by events occurring prior to, rather than after release of components from blood banks. Shorter prerelease TATs were associated with having surgical schedules that listed patients' names and procedures available to blood bank personnel prior to surgeries, and having adequate clotted specimens in the blood bank and completed type-and-screen procedures performed before requests for blood components were submitted to blood banks. Among the fastest-performing 10% of participants (90th percentile and above), request-to-retrieval TATs ranged from 12 to 24 minutes for the 3 blood components, whereas among the slowest-performing 10% of participants (10th percentile and below), request-to-retrieval TATs ranged from 63 to 115 minutes for the 3 components. Median TATs ranged from 33 to 37 minutes for the 3 components. Institutions with TATs in the fastest-performing 25th percentile more frequently stored cross-matched RBCs in the OR daily, stocked PLTs for unexpected surgical use, stored PLTs in or near the OR, and had laboratory rather than nonlaboratory personnel deliver components to the OR than did those institutions with TATs in the slowest-performing 25th percentile. Conclusions.—Hospital blood bank personnel can deliver blood components to the OR in slightly longer than 30 minutes, measured from the time that those units are requested by OR personnel. Practices aimed at saving time before components are released from blood banks will be more efficient in reducing overall TAT than those practices aimed at saving time after components are released from blood banks. Specific practices associated with shorter blood delivery TATs included providing blood bank personnel with access to the names of surgical patients potentially requiring blood components, having pretransfusion testing completed on those patients prior to surgery, having ample blood products on hand, and having laboratory personnel control blood product delivery.
13
Newton, Andy, Barry Hunt, and Julia Williams. "The paramedic profession: disruptive innovation and barriers to further progress." Journal of Paramedic Practice 12, no. 4 (April 2, 2020): 138–48. http://dx.doi.org/10.12968/jpar.2020.12.4.138.
Full textAbstract:
The paramedic profession in the UK evolved from a small number of pilot programmes in the early 1970s that focused on training selected NHS ambulance crews in advanced resuscitation techniques. Similar initiatives occurred almost simultaneously in the United States, Australia, New Zealand and Canada. This case study focuses primarily on the UK, and England in particular. The purpose of the initiatives described was to address the unmet needs of patients with serious injury and illness. Over the following decades, paramedics developed a clear identity and became fully professionally recognised and regulated as allied health professionals, becoming an example of the phenomenon termed ‘disruptive Innovation’; this is something that creates a new market and value network while disrupting existing ones. The steep developmental trajectory of paramedics has not been mirrored by a comparable pace of reform and modernisation in NHS ambulance services which, in comparison, have lagged behind and also failed to adapt to significant changes in the pattern, quantity and epidemiological characteristics of patient demand. This has led to a mismatch between the capabilities offered by paramedics and the professional opportunities available to them in ambulance services, and hampered these practitioners' ability to make full use of their skills. The consequence of this has often manifested as low levels of paramedic and other ambulance staff satisfaction, resulting in high rates of staff turnover. Parallel developments in medical personnel deployment have increased the quantity of medical labour available to patients with serious or life-threatening injuries, with medical staff added to helicopter emergency medical crews. While many patients with urgent conditions would have benefited from general practitioners being available out of hours, proportionally fewer doctors are available to fulfil this role today and those that are attracted to working with the ambulance service often prefer to respond to cases involving major injury. For these reasons and given the reality that the ambulance service is morphing into primarily an urgent care organisation, de-emphasising the transport aspect of the service, changes are needed to its model of operation and to staff management and support.
14
Dale, Jane C., and David A. Novis. "Outpatient Phlebotomy Success and Reasons for Specimen Rejection." Archives of Pathology & Laboratory Medicine 126, no. 4 (April 1, 2002): 416–19. http://dx.doi.org/10.5858/2002-126-0416-opsarf.
Full textAbstract:
Abstract Objectives.—To determine the rate with which blood collection is successful on the initial phlebotomy encounter, the rate with which laboratory personnel judge specimens unsuitable for analysis, and the practice characteristics associated with fewer unsuccessful collections and fewer rejected specimens. Design.—Clinical laboratories participating in the College of American Pathologists Q-Probes laboratory improvement program prospectively characterized the outcome of outpatient phlebotomies for 3 months or until 20 unsuccessful phlebotomy encounters occurred. By questionnaire, participants provided information about test ordering, patient preparation, and specimen collection. Setting and Participants.—Institutions in the United States (n = 202), Canada (n = 4), Australia (n = 3), and South Korea (n = 1). Main Outcome Measures.—Percentage of successful encounters and percentage of unsuitable specimens. Results.—Of 833289 encounters, 829723 were successful. Phlebotomies were unsuccessful because patients were not fasting as directed (32.2%), phlebotomy orders were missing information (22.5%), patients specimens were difficult to draw (13.0%), patients left the collection area before specimens were collected (11.8%), patients were improperly prepared for reasons other than fasting (6.3%), patients presented at the wrong time (3.1%), or for other reasons (11.8%). Only 2153 specimens (0.3%) were unsuitable; these samples were hemolyzed (18.1%), of insufficient quantity (16.0%), clotted (13.4%), lost or not received in the laboratory (11.5%), inadequately labeled (5.8%), at variance with previous or expected results (4.8%), or unacceptable for other reasons (31.1%). Facilities staffed by laboratory-administered phlebotomists reported higher success rates than facilities staffed by nonlaboratory-administered phlebotomists (P = .002). Conclusions.—Most outpatient phlebotomy encounters are successful and result in specimens suitable for laboratory analysis.
15
Novis, David A., Jane C. Dale, Ron B. Schifman, Stephen G. Ruby, and Molly K. Walsh. "Solitary Blood Cultures." Archives of Pathology & Laboratory Medicine 125, no. 10 (October 1, 2001): 1290–94. http://dx.doi.org/10.5858/2001-125-1290-sbc.
Full textAbstract:
Abstract Objective.—To determine the frequency with which solitary blood culture samples were submitted to laboratories serving small hospitals and to ascertain whether certain hospital practices relating to the performance of blood cultures were associated with lower solitary blood culture rates (SBCRs). Design.—Participants in the College of American Pathologists Q-Probes laboratory quality improvement program collected data prospectively on the numbers of solitary blood culture sets from adult patients submitted to their laboratories and answered questions about their institutions' practice characteristics relating to the collection of blood culture specimens. Setting and Participants.—Three hundred thirty-three public and private institutions with a median occupied bed size of 57. Participants were located in the United States (n = 329), Canada (n = 3), and Australia (n = 1). Main Outcome Measure.—The solitary blood culture rate was defined as the number of instances in which only 1 blood culture venipuncture was performed on an individual patient during a 24-hour period divided by the total number of blood culture venipunctures that were performed during the study period. Results.—Participants submitted data on 132 778 adult patient blood culture sets. The SBCRs were 3.4% or less in the top-performing 10% of participating institutions (90th percentile and above), 12.7% in the midrange of participating institutions (50th percentile), and 42.5% or more in the bottom-performing 10% of participating institutions (10th percentile and below). In half the participating institutions, the SBCRs for inpatients were 8.3% or less and for outpatients, 22% or less. Solitary blood culture rates were lower for institutions in which phlebotomists rather than nonphlebotomists routinely collected blood culture specimens, in which internal policies required drawing at least 2 blood culture sets, in which hospital personnel contacted clinicians when their laboratories received requests for solitary blood culture sets, and in which quality control programs monitored SBCRs routinely. Conclusions.—Hospitals can achieve SBCRs under 5%. Those hospitals with particularly high SBCRs may lower their rates by altering certain institutional practices.
16
Rae, Ian D. "Responses by Australian pharmacologists to respiratory depression caused by opiates and barbiturates." Historical Records of Australian Science 33, no. 1 (January 17, 2022): 1–11. http://dx.doi.org/10.1071/hr21005.
Full textAbstract:
In the middle of the last century, pharmacologists at the University of Melbourne led by Professor Frank Shaw inadvertently discovered that an amino-acridine they were using in other experiments reversed the respiratory depressive effects of morphine. They widened their search for such activity, experimenting with a range of heterocyclic substances and achieving success with a thiazole derivative, provided to them by the Professor of Organic Chemistry at the university, that countered the effects of morphine. Working with chemists and pharmacologists at a company with which Shaw had close links, Nicholas Pty Ltd, they discovered a glutarimide that offered the same benefit in cases of barbiturate intoxication. While this collaboration between pharmacologists and chemists, in industry and university, promised much, neither of these drugs survived into modern medical practice. The reasons for this include the development of better drugs or more appropriate patient care, Shaw’s withdrawal from the work because of illness, and decisions in the company that might have been influenced by increasingly stringent requirements for the registration of new drugs. Nonetheless this was important research that drew on the depth of expertise in pharmacology and chemistry among university researchers and a major Australian company with whom they collaborated and exchanged personnel.
17
Bridgewater, Franklin H. G., Edward T. Aspinall, Joy P. M. Booth, Roger A. Capps, Hugh J. M. Grantham, Andrew P. Pearce, and Brett K. Ritchie. "Team Echo: Observations and Lessons Learned in the Recovery Phase of the 2004 Asian Tsunami." Prehospital and Disaster Medicine 21, S1 (February 2006): S20—S25. http://dx.doi.org/10.1017/s1049023x00015831.
Full textAbstract:
AbstractThe 26 December 2004 Tsunami resulted in a death toll of >270,000 persons, making it the most lethal tsunami in recorded history. This article presents performance data observations and the lessons learned by a civilian team dispatched by the Australian government to “provide clinical and surgical functions and to make public health assessments”. The team, prepared and equipped for deployment four days after the event, arrived at its destination 13 days after the Tsunami. Aspiration pneumonia, tetanus, and extensive soft tissue wounds of the lower extremities were the prominent injuries encountered. Surgical techniques had to be adapted to work in the austere environment. The lessons learned included: (1) the importance of team member selection; (2) strategies for self-sufficiency; (3) personnel readiness and health considerations; (4) face-to-face handover; (5) coordination and liaison; (6) the characteristics of injuries; (7) the importance of protocols for patient discharge and hospital staffing; and (8) requirements for interpreter services.Whereas disaster medical relief teams will be required in the future, the composition and equipment needs will differ according to the nature of the disaster. National teams should be on standby for international response.
18
Bimbi, César, Daiane Flores Dalla Lana, Piotr Brzezinski, and Georgia Kyriakou. "Crusted Scabies as a Suitable Disease for Teledermatology: A Study of 2 Cases." Iproceedings 7, no. 1 (December 10, 2021): e35429. http://dx.doi.org/10.2196/35429.
Full textAbstract:
Background Teledermatology has been available for several years now, but the COVID-19 pandemic has highlighted its importance, especially in remote communities. Crusted scabies (CS) presents a unique clinical picture that favors telediagnosis. Patients with neurological diseases, as well as homeless, HIV-infected patients and people with impaired immunological function, are at risk. Clusters of CS have been reported in French Guyana, and these were associated with human T-lymphotropic virus infections. CS has also been reported in Aboriginal Australian communities. Objective Teledermatology is especially useful in cases of CS, as it is a disease that affects areas that are in need of medical services. At the same time, CS presents a unique clinical picture. The objective of this presentation is to fuel the clinical suspicion and detection of patients with this debilitating condition. Methods Relatives of patient 1 contacted our clinic for teledermatology appointments. General practitioners from health services sent images of the second patient. Results Case 1 involved an older woman living in a nursing home with Alzheimer disease, which was severe enough to constrain her to bed. We recommended that her relatives (who had sent images) collect skin scrapings in a container. These scrapings were sent to a clinical analysis laboratory where microscopic potassium hydroxide preparation revealed the presence of Sarcoptes mites. Treatment with oral ivermectin and topical permethrin resulted in the complete resolution of the lesions. Case 2 involved a homeless, HIV-positive, 42-year-old male. The images were sent by clinicians from local health services. This patient was also treated with oral ivermectin and permethrin lotion. We recognize that this case would need further diagnostic workup, but it is highly indicative of CS. Conclusions CS is one of the most suited diseases for the practice of teledermatology for widespread, large, hyperkeratotic fissured plaques covered with abundant, silvery scales for which the expression “once seen, never forgotten” is highly applicable. These cases are gratifyingly simple to treat, and patients benefit from rapid clinical improvement. Prompt diagnoses prevent outbreaks of scabies for relatives and medical personnel, since these skin crusts contain large numbers of scabies mites. CS has been increasingly reported but poorly recognized, and it has often been misdiagnosed as psoriasis. Images, such as those shown in this presentation, are unique and are enough to raise strong clinical suspicion. Conflicts of Interest None declared.
19
Putri, Alifia Fiarnanda, Retno Adriyani, Anizah Izzi Haibah, and Titi Rahmawati Hamedon. "ANALYSIS OF USE, AVAILABILITY OF PERSONAL PROTECTION EQUIPMENT (PPE) AND COVID-19 INFECTIONS CASE ON HEALTH WORKERS : A LITERATURE REVIEW." Journal of Public Health Research and Community Health Development 6, no. 1 (September 16, 2022): 35–47. http://dx.doi.org/10.20473/jphrecode.v6i1.36371.
Full textAbstract:
ABSTRACT COVID-19 is an infectious disease caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) virus. During the pandemic, health workers have a higher risk of being exposed to the coronavirus. This study aims to analyze the availability and use of PPE for COVID-19 infection cases in health workers. This study used the scoping review method. Selected articles had been chosen by topic and inclusion criteria. Twenty-four articles were varied based on research locations in the US, China, Italy, Germany, Ethiopia, India, Pakistan, Nigeria, Australia, and Israel. Health workers have used PPE when handling specimens or patients with COVID-19 symptoms. The health workers were varied, including doctors, dentists, veterinarians, public health officers, nurses, pharmacists, and medical personnel who treat COVID-19 patients or not—the type of PPE widely used as masks. Health care facilities have provided PPE, but access, quality, and availability vary. Cases of COVID-19 infection in health workers varied, and the symptoms. PPE availability indirectly affects the high or low cases of COVID-19 infection in health workers, so the availability of PPE for health workers must be considered. ABSTRAK COVID-19 merupakan penyakit menular yang disebabkan oleh virus SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2). Selama pandemi, tenaga kesehatan memiliki risiko lebih tinggi terpapar virus corona. Tujuan dari penulisan ini yaitu menganalis ketersediaan dan penggunaan APD terhadap kasus infeksi COVID-19 pada tenaga kesehatan. Penelitian ini menggunakan metode scoping review. Artikel yang dipilih sesuai dengan topik dan kriteria inklusi. Didapatkan 24 artikel dengan lokasi penelitian di AS, Cina, Italia, Jerman, Ethiopia, India, Pakistan, Nigeria, Australia, dan Israel. Tenaga kesehatan telah menggunakan APD saat menangani pasien ataupun spesimen pasien dengan gejala COVID-19. Tenaga kesehatan yang diteliti bervariasi, meliputi dokter, dokter gigi, dokter hewan, public health officer, perawat, apoteker, tenaga medis yang menangani pasien COVID-19 ataupun tidak. Jenis APD yang paling banyak digunakan oleh tenaga kesehatan yaitu masker. Fasilitas pelayanan kesehatan telah menyediakan APD, namun akses, kualitas, dan ketersediaannya bervariasi. Kasus infeksi COVID-19 pada tenaga kesehatan bervariasi, begitu pula dengan gejala yang timbul. Penggunaan APD dapat meminimalisir risiko penularan COVID-19 pada tenaga kesehatan. Ketersediaan APD berpengaruh tidak langsung terhadap tinggi atau rendahnya kasus infeksi COVID-19 pada tenaga kesehatan, sehingga ketersediaan APD untuk tenaga kesehatan harus diperhatikan.
20
Houston, Lauren, Yasmine Probst, Ping Yu, and Allison Martin. "Exploring Data Quality Management within Clinical Trials." Applied Clinical Informatics 09, no. 01 (January 2018): 072–81. http://dx.doi.org/10.1055/s-0037-1621702.
Full textAbstract:
Background Clinical trials are an important research method for improving medical knowledge and patient care. Multiple international and national guidelines stipulate the need for data quality and assurance. Many strategies and interventions are developed to reduce error in trials, including standard operating procedures, personnel training, data monitoring, and design of case report forms. However, guidelines are nonspecific in the nature and extent of necessary methods. Objective This article gathers information about current data quality tools and procedures used within Australian clinical trial sites, with the aim to develop standard data quality monitoring procedures to ensure data integrity. Methods Relevant information about data quality management methods and procedures, error levels, data monitoring, staff training, and development were collected. Staff members from 142 clinical trials listed on the National Health and Medical Research Council (NHMRC) clinical trials Web site were invited to complete a short self-reported semiquantitative anonymous online survey. Results Twenty (14%) clinical trials completed the survey. Results from the survey indicate that procedures to ensure data quality varies among clinical trial sites. Centralized monitoring (65%) was the most common procedure to ensure high-quality data. Ten (50%) trials reported having a data management plan in place and two sites utilized an error acceptance level to minimize discrepancy, set at <5% and 5 to 10%, respectively. The quantity of data variables checked (10–100%), the frequency of visits (once-a-month to annually), and types of variables (100%, critical data or critical and noncritical data audits) for data monitoring varied among respondents. The average time spent on staff training per person was 11.58 hours over a 12-month period and the type of training was diverse. Conclusion Clinical trial sites are implementing ad hoc methods pragmatically to ensure data quality. Findings highlight the necessity for further research into “standard practice” focusing on developing and implementing publicly available data quality monitoring procedures.
21
McDonald, Dylan, Robin M. Orr, and Rodney Pope. "A Comparison of Work Health and Safety Incidents and Injuries in Part-Time and Full-Time Australian Army Personnel." Journal of Athletic Training 51, no. 11 (November 1, 2016): 880–86. http://dx.doi.org/10.4085/1062-6050-51.10.12.
Full textAbstract:
Context: Part-time personnel are an integral part of the Australian Army. With operational deployments increasing, it is essential that medical teams identify the patterns of injuries sustained by part-time personnel in order to mitigate the risks of injury and optimize deployability. Objective: To compare the patterns of reported work health and safety incidents and injuries in part-time and full-time Australian Army personnel. Design: Retrospective cohort study. Setting: The Australian Army. Patients or Other Participants: Australian Army Reserve and Australian regular Army populations, July 1, 2012, through June 30, 2014. Main Outcome Measure(s): Proportions of reported work health and safety incidents that resulted in injuries among Army Reserve and regular Army personnel and specifically the (a) body locations affected by incidents, (b) nature of resulting injuries, (c) injury mechanisms, and (d) activities being performed when the incidents occurred. Results: Over 2 years, 15 065 work health and safety incidents and 11 263 injuries were reported in Army Reserve and regular Army populations combined. In the Army Reserve population, 85% of reported incidents were classified as involving minor personal injuries; 4% involved a serious personal injury. In the regular Army population, 68% of reported incidents involved a minor personal injury; 5% involved a serious personal injury. Substantially lower proportions of Army reservist incidents involved sports, whereas substantially higher proportions were associated with combat training, manual handling, and patrolling when compared with regular Army incidents. Conclusions: Army reservists had a higher proportion of injuries from Army work-related activities than did regular Army soldiers. Proportions of incidents arising from combat tasks and manual handling were higher in the Army Reserve. Understanding the sources of injuries will allow the medical teams to implement injury-mitigation strategies.
22
Roccia, Maria, Katlein França, David Castillo, Georgi Tchernev, Uwe Wollina, Michael Tirant, Yan Valle, Claudio Guarneri, Massimo Fioranelli, and Torello Lotti. "Artificial Hair: By the Dawn to Automatic Biofibre® Hair Implant." Open Access Macedonian Journal of Medical Sciences 6, no. 1 (December 30, 2017): 156–62. http://dx.doi.org/10.3889/oamjms.2018.001.
Full textAbstract:
Since the beginning of the twentieth century, there have been attempts at creating artificial hair to treat baldness. Major evolution took place at the end of 1970’s when, unfortunately, artificial hair treatments were applied without appropriate medical controls, resulting in sub-standard results from the use of unsuitable materials and technique. The large improper use of this technique in North America from no medical personnel and with dangerous fibres led the Food and Drug Administration (FDA) to suspend the procedure in 1983. In Europe, a new trial on artificial hair procedure started at the beginning of 1990’s.In 1995 the European Union (UE) recognised the artificial hair implant as a legitimate medical treatment and outlined the rules related to that procedure. In 1996, biocompatible fibres (Biofibre®) produced by Medicap® Italy were approved by the UE Authorities and by the Australian Therapeutic Goods Administration (TGA) as medical devices for hair implant. An effective medical protocol was developed during the following years to provide correct guidelines for appropriate treatment, and to reduce possible related complications. Automatic Biofibre® hair implant represents the last achievement in this hair restoration technique with significant advantages for the patients.
23
Henkel, Emily, Rebecca Vella, and Andrew Fenning. "The Effect of High Storage Temperature on the Stability and Efficacy of Lyophilized Tenecteplase." Prehospital and Disaster Medicine 35, no. 5 (July 20, 2020): 501–7. http://dx.doi.org/10.1017/s1049023x20000928.
Full textAbstract:
AbstractIntroduction:Tenecteplase is a thrombolytic protein drug used by paramedics, emergency responders, and critical care medical personnel for the prehospital treatment of blood clotting diseases. Minimizing the time between symptom onset and the initiation of thrombolytic treatment is important for reducing mortality and improving patient outcomes. However, the structure of protein drug molecules makes them susceptible to physical and chemical degradation that could potentially result in considerable adverse effects. In locations that experience extreme temperatures, lyophilized tenecteplase transported in emergency service vehicles (ESVs) may be subjected to conditions that exceed the manufacturer’s recommendations, particularly when access to the ambulance station is limited.Study Objective:This study evaluated the impact of heat exposure (based on temperatures experienced in an emergency vehicle during summer in a regional Australian city) on the stability and efficacy of lyophilized tenecteplase.Methods:Vials containing 50mg lyophilized tenecteplase were stored at 4.0°C (39.2°F), 35.5°C (95.9°F), or 44.9°C (112.8°F) for a continuous period of eight hours prior to reconstitution. Stability and efficacy were determined through assessment of: optical clarity and pH; analyte concentration using UV spectrometry; percent protein monomer and single chain protein using size-exclusion chromatography; and in vitro bioactivity using whole blood clot weight and fibrin degradation product (D-dimer) development.Results:Heat treatment, particularly at 44.9°C, was found to have the greatest impact on tenecteplase solubility; the amount of protein monomer and single chain protein lost (suggesting structural vulnerability); and the capacity for clot lysis in the form of decreased D-dimer production. Meanwhile, storage at 4.0°C preserved tenecteplase stability and in vitro bioactivity.Conclusion:The findings indicate that, in its lyophilized form, even relatively short exposure to high temperature can negatively affect tenecteplase stability and pharmacological efficacy. It is therefore important that measures are implemented to ensure the storage temperature is kept below 30.0°C (86.0°F), as recommended by manufacturers, and that repeated refrigeration-heat cycling is avoided. This will ensure drug administration provides more replicable thrombolysis upon reaching critical care facilities.
24
Terashima, Kuzuhiko, Seiichi Takenoshita, Jun Miura, Ryosuke Tasaki, Michiteru Kitazaki, Ryo Saegusa, Takanori Miyoshi, et al. "Medical Round Robot – Terapio –." Journal of Robotics and Mechatronics 26, no. 1 (February 20, 2014): 112–14. http://dx.doi.org/10.20965/jrm.2014.p0112.
Full textAbstract:
We have developed an innovative medical-personnel rounds-assistance robot called Terapio for use in hospital support, mainly in medical materials delivery and personnel rounds data recording. Terapio’s omnidirectional mobility and personnel tracking control during doctors’ rounds realize the smooth transfer of medical supplies from the nurses’ station to a patient’ bedside, for example. Vital information collected during medical personnel rounds is automatically recorded by a CCD camera and a voice recorder. This important information is then stored through the use of a touch panel.
25
Gregory Dawes, Brenda S. "Delegation of patient care responsibilities to unlicensed assistive personnel." AORN Journal 65, no. 1 (January 1997): 138–40. http://dx.doi.org/10.1016/s0001-2092(06)63036-6.
Full text
26
Vaillant, T., A. Loubiere, A. Lienard, P. Roy, N. Delacroix, M. Keirle, and B. Edouard. "Traitement personnel du patient : une procédure ne suffit pas." Le Pharmacien Hospitalier et Clinicien 49, no. 2 (June 2014): e168-e169. http://dx.doi.org/10.1016/j.phclin.2014.04.335.
Full text
27
Poulsen, Joo Hanne, Rikke Mie Rishøj, Hanne Fischer, Trine Kart, Lotte Stig Nørgaard, Christian Sevel, Peter Dieckmann, and Marianne Hald Clemmensen. "Drug change: ‘a hassle like no other’. An in-depth investigation using the Danish patient safety database and focus group interviews with Danish hospital personnel." Therapeutic Advances in Drug Safety 10 (January 2019): 204209861985999. http://dx.doi.org/10.1177/2042098619859995.
Full textAbstract:
Background: Drug change (DC) is a common challenge in Danish hospitals. It affects the work of hospital personnel and has potentially serious patient safety consequences. Focus on medication safety is becoming increasingly important in the prevention of adverse events. The aim of this study is to identify and describe patient safety challenges related to DCs, and to explore potential facilitators to improve patient safety in the medication process in Danish hospital setting. Method: Two qualitative methods were combined. Data were obtained from the Danish Patient Safety Database (DPSD) containing incidents reports of adverse events related to DCs. Additionally, five semi-structured focus group interviews with hospital personnel (doctors, nurses, pharmacists and pharmacy technicians) from the five regions of Denmark were held. Results: The DPSD search identified 88 incidents related to DCs due to tender or drug shortage. The incidents were linked to prescribing errors, incorrect dose being dispensed/administered, and delayed/omitted treatment. Four themes from the interviews emerged: (1) challenges related to the drug itself; (2) situational challenges; (3) challenges related to the organization/IT systems/personnel; (4) facilitators/measures to ensure patient safety. Conclusion: DC is as a complex challenge, especially related to drug shortage. The results allow for a deeper understanding of the challenges and possible facilitators of DCs on the individual and organizational level. Pharmacy personnel were identified to play a key role in ensuring patient safety of DCs in hospitals. Indeed, this emphasizes that pharmacy personnel should be engaged in developing patient safety strategies and support hospital personnel around drug changes.
28
Efstathopoulos, Efstathios P., Stamatis S. Makrygiannis, Sofia Kottou, Evangelia Karvouni, Eleftherios Giazitzoglou, Socrates Korovesis, Efthalia Tzanalaridou, Panagiota D. Raptou, and Demosthenes G. Katritsis. "Medical personnel and patient dosimetry during coronary angiography and intervention." Physics in Medicine and Biology 48, no. 18 (September 4, 2003): 3059–68. http://dx.doi.org/10.1088/0031-9155/48/18/307.
Full text
29
Gaddis, Gary M., and William A. Watson. "Naloxone-Associated Patient Violence: An Overlooked Toxicity?" Annals of Pharmacotherapy 26, no. 2 (February 1992): 196–98. http://dx.doi.org/10.1177/106002809202600211.
Full textAbstract:
OBJECTIVE: To report two cases of a previously unreported adverse effect, violent patient behavior, after the reversal of sedation by intravenous naloxone. DESIGN: Case report. PATIENTS/INTERVENTIONS: Responses of two individuals who had reversal of sedation by intravenous naloxone are compared. RESULTS: Placement of patient restraints before the administration of intravenous naloxone to obtunded or unconscious patients can make an important contribution to the safety of patients, healthcare personnel, and public safety personnel, as illustrated by the violent reaction of one unrestrained patient after naloxone administration. CONCLUSIONS: Patient restraint should be considered before naloxone administration to protect the patient and healthcare workers. In the prehospital setting, limiting the use of naloxone to patients with decreased mental status and respiratory depression would decrease the likelihood of naloxone-induced violent behavior.
30
Spradley, Elizabeth, and R. Tyler Spradley. "Simulating medical isolation: Communicatively managing patient and medical team safety." Proceedings of the International Crisis and Risk Communication Conference 3 (March 11, 2020): 45–48. http://dx.doi.org/10.30658/icrcc.2020.11.
Full textAbstract:
Reducing hospital acquired or associated infections (HAIs) is a national public health priority. HAIs pose risks to patients, visitors, and medical personnel. To better understand how to communicatively manage safety in medical isolation, data was collected with nursing students simulating medical isolation in a high-fidelity simulation with a medical mannequin with C. difficile. Observations of nursing students and faculty revealed four distinct communication practices: social support, patient education, humor, and storytelling. Conclusions include recommendations to intentionally design these communication practices into high-fidelity medial isolation simulations and scale up these communication practices in routines of safety.
31
Mair, Judith L. M. "Patient Access to Medical Records." Health Information Management 26, no. 3 (September 1996): 148–50. http://dx.doi.org/10.1177/183335839602600317.
Full textAbstract:
The issue of, and access to, medical records has been a contentious matter for some years in Australia. The recent High Court decision of Breen v Williams has clarified the law nationwide. The High Court confirmed that the ownership of medical records is vested in the creator of the records. The High Court further held that a patient has no right at law to access his or her medical records in the absence of any statute granting such a right, or other legal process.
32
Benrimoj, Shalom I., and Alison S. Roberts. "Providing Patient Care in Community Pharmacies in Australia." Annals of Pharmacotherapy 39, no. 11 (November 2005): 1911–17. http://dx.doi.org/10.1345/aph.1g165.
Full textAbstract:
OBJECTIVE To describe Australia's community pharmacy network in the context of the health system and outline the provision of services. DATA SYNTHESIS The 5000 community pharmacies form a key component of the healthcare system for Australians, for whom health expenditures represent 9% of the Gross Domestic Product. A typical community pharmacy dispenses 880 prescriptions per week. Pharmacists are key partners in the Government's National Medicines Policy and contribute to its objectives through the provision of cognitive pharmaceutical services (CPS). The Third Community Pharmacy Agreement included funding for CPS including medication review and the provision of written drug information. Funding is also provided for a quality assurance platform with which the majority of pharmacies are accredited. Fifteen million dollars (Australian) have been allocated to research in community pharmacy, which has focused on achieving quality use of medicines (QUM), as well as developing new CPS and facilitating change. Elements of the Agreements have taken into account QUM principles and are now significant drivers of practice change. Although accounting for 10% of remuneration for community pharmacy, the provision of CPS represents a significant shift in focus to view pharmacy as a service provider. Delivery of CPS through the community pharmacy network provides sustainability for primary health care due to improvement in quality presumably associated with a reduction in healthcare costs. CONCLUSIONS Australian pharmacy practice is moving strongly in the direction of CPS provision; however, change does not occur easily. The development of a change management strategy is underway to improve the uptake of professional and business opportunities in community pharmacy.
33
Nikonov, E. L., Yu Ya Boychenko, O. A. Chumakova, and V. N. Korablev. "MEDICAL CADRES DECIDE EVERYTHING." Public health of the Far East Peer-reviewed scientific and practical journal 94, no. 4 (December 23, 2022): 4–12. http://dx.doi.org/10.33454/1728-1261-2022-4-4-12.
Full textAbstract:
he article is devoted to assessing the situation to ensure healthcare of the Khabarovsk Krai with medical personnel. The authors analyzed the dynamics of the number of doctors and nurses of medical organizations subordinate to the Ministry of Health of the Khabarovsk Krai, from 2010 to 2021, as well as the staffing of healthcare institutions, the age breakdown of the personnel, and employment. Separately covered the problems of the provision of the out-patient clinics by district doctors, the implementation of the Zemsky doctor / Zemsky Feldsher program, the admission of students at the Far Eastern Medical University for employer-sponsored education, and the provision of housing for medical workers. The final part of the article is devoted to the main areas of solving the problem of eliminating the shortage of medical personnel
34
Martland, Jarrad, Diane Chamberlain, Alison Hutton, and Michael Smigielski. "Communication and general concern criterion prior to activation of the rapid response team: a grounded theory." Australian Health Review 40, no. 5 (2016): 477. http://dx.doi.org/10.1071/ah15123.
Full textAbstract:
Objective Patients commonly show signs and symptoms of deterioration for hours or days before cardiorespiratory arrest. Rapid response teams (RRT) were created to improve recognition and response to patient deterioration in these situations. Activation criteria include vital signs or ‘general concern’ by a clinician or family member. The general concern criterion for RRT activation accounts for nearly one-third of all RRT activity, and although it is well established that communication deficits between staff can contribute to poorer outcomes for patients, there is little evidence pertaining to communication and its effects on the general concern RRT activation. Thus, the aim of the present study was to develop a substantive grounded theory related to the communication process between clinicians that preceded the activation of an RRT when general concern criterion was used. Methods Qualitative grounded theory involved collection of three types of data details namely personal notes from participants in focus groups with white board notes from discussions and audio recordings of the focus groups sessions. Focus groups were conducted with participants exploring issues associated with clinician communication and how it related to the activation of an RRT using the general concern criterion. Results The three main phases of coding (i.e. open, axial and selective coding) analysis identified 322 separate open codes. The strongest theme contributed to a theory of ineffective communication and decreased psychological safety, namely that ‘In the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT using the ‘general concern’ criterion’. The RRT filled cultural and process deficiencies in the compliance with an escalation protocol. Issues such as ‘not for resuscitation documentation’ and ‘inability to establish communication with and between medical or nursing personnel’ rated highly and contributed to the debate. Conclusions This study highlighted that in the surveillance and management of the deteriorating patient and in the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT for the ‘general concern’ calling criteria. What is known about the topic? Deficiencies in collaboration and communication between healthcare professionals (HCPs) increase the stress and anxiety of healthcare staff and correspond to poorer outcomes for patients. The RRT can be activated as a ‘general concern RRT’ without observation of physiological derangements if staff are concerned about a patient’s condition, allowing for assistance from a skilled critical care team at the patient’s bedside. There are limited data on how poor communication affects the frequency of activation of general concern RRTs. What does this paper add? This study shows that poor communication between health professionals increases staff levels of anxiety and concern. In addition, the RRT system is being used to fill deficiencies in many other hospital processes, including end-of-life discussions. The deficiencies in hospital processes contribute to poor communication and increased levels of concern with this study demonstrating a direct link between a clinician’s level of anxiety/concern and the ‘general concern’ activation category for the RRT system. What are the implications for practitioners? The present study highlights the importance of effective communication strategies between HCPs to improve patient safety and quality of care. The study also highlights the expanding role of the RRT in hospitals, which has implications for hospital policy makers with regard to future funding and resource allocation. Finally, many of the concerns raised in the present study by the focus groups have been addressed by recent measures introduced through the Australian Commission on Safety and Quality in Health Care (e.g. rapid detection and response observation charts and Introduction, Situation, Background, Assessment and Recommendation [ISBAR] style of communication) with these measures supported by the findings of the present study.
35
Brady, W., G. Carr, J. Ilton, and K. Robbins. "Emergency medical services transfer of patient information to emergency department personnel." Annals of Emergency Medicine 44, no. 4 (October 2004): S64. http://dx.doi.org/10.1016/j.annemergmed.2004.07.212.
Full text
36
Linares, Roberto, Jo Choi-Nurvitadhi, Svetlana Cooper, YoungYoon Ham, Jane E. Ishmael, and Ann Zweber. "Personnel training and patient education in medical marijuana dispensaries in Oregon." Journal of the American Pharmacists Association 56, no. 3 (May 2016): 270–73. http://dx.doi.org/10.1016/j.japh.2015.12.015.
Full text
37
Adi, Sapto, Dian Mawarni, and Siti Istiqomah. "The Calculation of The Need for Medical Record Personel Based on The Full-Time Equivalent Method in The Outpatient Registration Department of Public Health Center." Jurnal Kesehatan Prima 15, no. 1 (February 28, 2021): 31. http://dx.doi.org/10.32807/jkp.v15i1.595.
Full textAbstract:
Public health center X is one of the public health center with high outpatient loads in Malang City. On average, the daily amount of outpatients is 119. The high load of outpatient directly affects employee’s working load. One of the units considered susceptible to working load increase is the medical record unit at the registration department because they have to interact with all visiting patients. The study aimed to discover the need for medical record personnel at the outpatient registration department of public health center X using the Full-Time Equivalent (FTE) method. The study used a descriptive study design and a quantitative approach. The researchers utilized a total sampling technique with two medical record personnel at the outpatient registration department. The study instrument employed was the outpatient registration daily log of Public health center X. The study results show that the working load of medical record personnel at the BPJS patient registration department had an FTE index value of 2.24 > 1.28, categorized as overload. Meanwhile, medical record personnel at the non-BPJS patient registration department had an FTE index value of 0.96 < 0.99, categorized as underload. Therefore, it can be concluded that Public health center X requires two additional medical record personnel at the BPJS patient registration department, while the non-BPJS patient registration department did not require additional medical record personnel.
38
Rottman, Steven J., David Rasumoff, Ron D'Acchioli, Baxter Larmon, and Curtis V. Reynolds. "Principles of Field Extrication for Medical Personnel." Prehospital and Disaster Medicine 2, no. 1-4 (1986): 175–77. http://dx.doi.org/10.1017/s1049023x00030740.
Full textAbstract:
In the United States, pre-hospital immediate care generally is practiced by paramedical personnel. These individuals are either firemen or civilians who have specific training in the assessment and management of acutely ill or injured patients outside the hospital. In most systems, once the initial evaluation of the patient is made, radio or telephone communication occurs between the pre-hospital team and a hospital-based physician or specially trained nurse. These hospital-based personnel are the responsible medical authority for the care delivered by the paramedical staff. Based on data reported by the field unit, the hospital team gives medical direction and specific therapeutic orders to the paramedics. This style of immediate care seems to work well for us in America although it is different in many ways from immediate care schemes elsewhere in the world, in that the physician or nurse is rarely on the scene, able to assess firsthand and provide medical care to the victims.
39
Sinha, Kavita, Amrendra Kushwaha, and Homnath Adhikari. "Caesarean Section in Confirmed COVID-19 Patient at Nepalgunj Medical College: Case Report." Journal of Nepalgunj Medical College 18, no. 1 (December 31, 2020): 105–6. http://dx.doi.org/10.3126/jngmc.v18i1.35222.
Full textAbstract:
An outbreak of novel coronavirus pneumonia occurred worldwide since December 2019, which had been named COVID-19 subsequently. It is extremely transmissive that infection in pregnant women were unavoidable. The delivery process will produce large amount of contaminated media, leaving a challenge for medical personnel to ensure both the safety of the mother and infant and good self-protection. Here, we report a 27 year woman had reverse transcription polymerase chain reaction-confirmed COVID-19 at 37 weeks 2 days of gestation. An emergency caesarean section at 38 weeks 2 days of gestation under spinal anaesthesia was performed for oligohydramnios with scar tenderness with strict protection for all personnel.
40
Van Den Bogaerde, J., and D. Sorrentino. "Bringing Top-End Endoscopy to Regional Australia: Hurdles and Benefits." Diagnostic and Therapeutic Endoscopy 2012 (September 9, 2012): 1–7. http://dx.doi.org/10.1155/2012/347202.
Full textAbstract:
This paper focuses on recent experience in setting up an endoscopy unit in a large regional hospital. The mix of endoscopy in three smaller hospitals, draining into the large hospital endoscopy unit, has enabled the authors to comment on practical and achievable steps towards creating best practice endoscopy in the regional setting. The challenges of using what is available from an infrastructural equipment and personnel setting are discussed. In a fast moving field such as endoscopy, new techniques have an important role to play, and some are indeed cost effective and have been shown to improve patient care. Some of the new techniques and technologies are easily applicable to smaller endoscopy units and can be easily integrated into the practice of working endoscopists. Cost effectiveness and patient care should always be the final arbiter of what is essential, as opposed to what is nice to have. Close cooperation between referral and peripheral centers should also guide these decisions.
41
Dukhovskaya, A. A., L. V. Egorova, Yu A. Ostrovskaya, and O. G. Rubtsova. "The analysis of human resources of medical workers by profile “Stomatology” providing out-patient medical care to population of megalopolis within the framework of mandatory medical insurance." Problems of Social Hygiene, Public Health and History of Medicine 30, no. 6 (December 15, 2022): 1351–53. http://dx.doi.org/10.32687/0869-866x-2022-30-6-1351-1353.
Full textAbstract:
The statistical report for 2017-2020 demonstrated that in outpatient conditions of multidisciplinary dental clinic providing services under compulsory medical insurance of population of megalopolis, there is increase in the number of physicians of the analyzed profile up to 304.5% and paramedical personnel up to 256.3% at the expense of young personnel. The direct relationship between increasing of the number of top- and middle-level dentists and quality of medical care provided within the framework of compulsory medical insurance was established.
42
Abbing, Henriette Roscam. "Medical Confidentiality and Patient Safety: Reporting Procedures." European Journal of Health Law 21, no. 3 (June 11, 2014): 245–59. http://dx.doi.org/10.1163/15718093-12341319.
Full textAbstract:
Medical confidentiality is of individual and of general interest. Medical confidentiality is not absolute. European countries differ in their legislative approaches of consent for data-sharing and lawful breaches of medical confidentiality. An increase of interference by the legislator with medical confidentiality is noticeable. In the Netherlands for instance this takes the form of new mandatory duties to report resp. of legislation providing for a release of medical confidentiality in specific situations, often under the condition that reporting takes place on the basis of a professional code that includes elements imposed by the legislator (e.g. (suspicion of ) child abuse, domestic violence). Legislative interference must not result in the patient loosing trust in healthcare. To avoid erosion of medical confidentiality, (comparative) effectiveness studies and privacy impact assessments are necessary (European and national level). Medical confidentiality should be a subject of permanent education of health personnel.
43
Kusumastuti, Dewi, Oryzati Hilman, and Arlina Dewi. "Persepsi Pasien dan Perawat tentang Patient Safety di Pelayanan Hemodialisa." Jurnal Keperawatan Silampari 4, no. 2 (May 9, 2021): 526–36. http://dx.doi.org/10.31539/jks.v4i2.1974.
Full textAbstract:
This study aims to explore patient and nurse perceptions of patient safety to increase patient engagement so that patients can be aware of patient safety in the Hospital Hemodialysis Unit. This research method uses qualitative methods of conducting in-depth interviews with patients and medical personnel. The results of this study indicate that overall the patients said they were satisfied with the services provided; this was evidenced by the patient feeling very well known by the medical staff, both nurses and doctors. In conclusion, this kinship relationship is highly valued by the patient and accompanying family so that patients can be open to medical personnel so that effective communication can be well established.
Keywords: Hemodialysis, Patient Engagement, Patient Safety
44
Bernard, L., I. Grémeau, M. C. Dell’Isola, S. Fourgeaud, C. Raynaud, D. Perron, and V.Sautou. "La gestion du traitement personnel du patient : une bande dessinée pour informer." Le Pharmacien Hospitalier et Clinicien 49, no. 2 (June 2014): e26. http://dx.doi.org/10.1016/j.phclin.2014.04.088.
Full text
45
Arbon, Paul, Franklin H. G. Bridgewater, and Colleen Smith. "Mass Gathering Medicine: A Predictive Model for Patient Presentation and Transport Rates." Prehospital and Disaster Medicine 16, no. 3 (September 2001): 150–58. http://dx.doi.org/10.1017/s1049023x00025905.
Full textAbstract:
AbstractIntroduction:This paper reports on research into the influence of environmental factors (including crowd size, temperature, humidity, and venue type) on the number of patients and the patient problems presenting to firstaid services at large, public events in Australia. Regression models were developed to predict rates of patient presentation and of transportation-to-a-hospital for future mass gatherings.Objective:To develop a data set and predictive model that can be applied across venues and types of mass gathering events that is not venue or event specific. Data collected will allow informed event planning for future mass gatherings for which health care services are required.Methods:Mass gatherings were defined as public events attended by in excess of 25,000 people. Over a period of 12 months, 201 mass gatherings attended by a combined audience in excess of 12 million people were surveyed through-out Australia. The survey was undertaken by St. John Ambulance Australia personnel. The researchers collected data on the incidence and type of patients presenting for treatment and on the environmental factors that may influence these presentations. A standard reporting format and definition of event geography was employed to overcome the event-specific nature of many previous surveys.Results:There are 11,956 patients in the sample. The patient presentation rate across all event types was 0.992/1,000 attendees, and the transportation-to-hospital rate was 0.027/1,000 persons in attendance. The rates of patient presentations declined slightly as crowd sizes increased. The weather (particularly the relative humidity) was related positively to an increase in the rates of presentations. Other factors that influenced the number and type of patients presenting were the mobility of the crowd, the availability of alcohol, the event being enclosed by a boundary, and the number of patient-care personnel on duty.Three regression models were developed to predict presentation rates at future events.Conclusions:Several features of the event environment influence patient presentation rates, and that the prediction of patient load at these events is complex and multifactorial. The use of regression modeling and close attention to existing historical data for an event can improve planning and the provision of health care services at mass gatherings.
46
Asram AT Jadda. "PERLINDUNGAN HUKUM TERHADAP PASIEN SEBAGAI KONSUMEN JASA PELAYANAN KESEHATAN." Madani Legal Review 1, no. 1 (June 15, 2017): 1–28. http://dx.doi.org/10.31850/malrev.v1i1.38.
Full textAbstract:
This research is about “legal protection for patient as health service consumer”. It belongs ti the juridical normative research, describing the provisions in law and regulation, in relation to the fact in the field, then conducting analysis by comparing the existing ideal values in law and regulation with the fact in the field. Therefore, it conducted library research supported with field research provides knowledge on the difference between as sollen and das sein.The research conducts document study and field research. Document study is data collecting from bibliography such as law and regulation, book, magazine, document, and also articles relevant with this research tipic. Field research collects data by direct observation in the field to look for the relevant information througt direct using interview guideline and questionnaire. Respondents are selected using purposive sampling method.Generally, legal protection for medical patient in Faisal Islamic Medical Centre (RSI Faisal) Ujung Pandang is still low. It can be shown from the fact that medical action which may cause patient’s health hazard or death are still untouched by law. Poor protection can also be seen from the difficulty to ask hospital/doctor/ medical personnel to be responsible for patient heath condition hazard or death because of doctor/medical personnel malpractice. Poor protection to the patien is caused by there is no equality before the law between doctor/medical personnel and patient. Poor protection to the patient also caused by the absence of malpractice act which is supposed to be the base for settling malpractice committed doctor/medical personnel.
47
Melia, Michael, Sarah O'Neill, Sherry Calderon, Sandra Hewitt, Kelly Orlando, Karen Bithell-Taylor, Dieter Affeln, Carolyn Conti, and Sharon B. Wright. "Development of a Flexible, Computerized Database to Prioritize, Record, and Report Influenza Vaccination Rates for Healthcare Personnel." Infection Control & Hospital Epidemiology 30, no. 4 (April 2009): 361–69. http://dx.doi.org/10.1086/596043.
Full textAbstract:
Objective.To describe the method used to develop a flexible, computerized database for recording and reporting rates of influenza vaccination among healthcare personnel who were classified by their individual levels (hereafter, “tiers”) of direct patient contact.Design.Three-year descriptive summary.Setting.Large, academic, tertiary care medical center in the United States.Participants.All of the medical center's healthcare personnel.Methods.The need to develop a computer-based system to record direct patient care tiers and vaccination data for healthcare personnel was identified. A plan that was to be implemented in stages over several seasons was developed.Results.Direct patient care tiers were defined by consensus opinion on the basis of the extent, frequency, and intensity of direct contact with patients. The definitions of these tiers evolved over 3 seasons. Direct patient care classifications were assigned and recorded in a computerized database, and data regarding the receipt of vaccination were tracked by using the same database. Data were extracted to generate reports of individual, departmental, and institutional vaccination rates, both overall and according to direct patient care tiers.Conclusions.Development of a computerized database to record direct patient care tiers for individual healthcare workers is a daunting but manageable task. Widespread use of these direct patient care definitions will facilitate uniform comparisons of vaccination rates between institutions. This computerized database can easily be used by infection control personnel to accomplish several other key tasks, including vaccination triage in the context of shortage or delay, prioritization of personnel to receive interventions in times of crisis, and monitoring the status of other employee health or occupational health measures.
48
Klein, Kelly R., Jenny G. Atas, and Jerry Collins. "Testing Emergency Medical Personnel Response to Patients with Suspected Infectious Disease." Prehospital and Disaster Medicine 19, no. 3 (September 2004): 256–65. http://dx.doi.org/10.1017/s1049023x00001850.
Full textAbstract:
AbstractObjectives:In the United States (US), hospitals are required to have disaster plans and stage drills to test these plans in order to satisfy the Joint Accreditation Commission of Healthcare Organizations. The focus of this drill was to test if emergency response personnel, both prehospital and hospital, would identify a patient with a potentially communicable infectious disease, and activate their respective disaster plan.Methods:Twelve urban/suburban emergency departments (ED) received patients via car and ambulance. Patients were moulaged to imitate a smallpox infection. Observers with checklists recorded what happened. The drill's endpoints were: (1) predetermined end time; (2) identification of the patient and hospital “lock-down”; and (3) breach of drill protocol.Results:None of the ambulance personnel correctly identified their patients. Of the total 13 mock patients assessed in the ED, seven (54%) were identified by the ED staff as possibly being infected with a highly contagious agent and, in turn, the hospital's bio-agent protocol was initiated. Of the correctly identified patients, five (71%) were placed in isolation, and the remaining two (29%), although not isolated, were identified prior to their ED discharge and the appropriate protocol was activated. The six remaining mock patients (46%) were incorrectly diagnosed and discharged. Of the hospitals that had correctly identified their “infected” patients, only two (29%) followed their notification protocol and contacted the local health department.Conclusion:This drill was successful in identifying this area's shortcomings, highlighted positive reactions, and raised some interesting questions about the ability to detect a patient with a possibly highly contagious disease.
49
McMANUS, PETER, NEIL DONNELLY, DAVID HENRY, WAYNE HALL, JOHN PRIMROSE, and JULIE LINDNER. "Prescription Drug Utilization Following Patient Co-Payment Changes in Australia." Pharmacoepidemiology and Drug Safety 5, no. 6 (November 1996): 385–92. http://dx.doi.org/10.1002/(sici)1099-1557(199611)5:6<385::aid-pds246>3.0.co;2-8.
Full text
50
Litvin, Aleksandr Yu, Aleksandr Yu Litvin, Evgeniia M. Elfimova, Oksana O. Mikhailova, Tatiana A. Alekseeva, Olga A. Sivakova, Nikolai M. Danilov, et al. "Сlinical case of successful use of non-invasive ventilation in a patient with a new coronavirus infection." Consilium Medicum 22, no. 10 (2020): 23–28. http://dx.doi.org/10.26442/20751753.2020.10.200291.
Full textAbstract:
The new coronavirus disease COVID-19 (SARS-CoV-2) is a challenge both in terms of optimal patient management and the protection of the medical personnel. We present a clinical case of a 49-year-old patient with bilateral polysegmental pneumonia (COVID-19), complicated by acute respiratory distress syndrome and a cytokine storm, in whom the chosen treatment tactics using non-invasive ventilation allowed avoidance of intubation together with organization of sufficient protection for medical personnel.