Journal articles on the topic 'Medical personnel and patient Victoria'
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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.
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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.
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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.
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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.
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Thompson, Sandra C., and Maureen Norris. "Hepatitis B Vaccination of Personnel Employed in Victorian Hospitals: Are Those at Risk Adequately Protected?" Infection Control & Hospital Epidemiology 20, no. 01 (January 1999): 51–54. http://dx.doi.org/10.1086/501552.
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AbstractObjective:To examine the policies and practices in hospitals within the state of Victoria, Australia, with respect to vaccination of staff against hepatitis B infection.Design:A written self-administered questionnaire to be completed by the infection control officer (or designated officer for hepatitis B vaccination) within each hospital.Setting:Public (teaching and nonteaching) and private hospitals, including metropolitan and rural institutions in Victoria.Participants:A random sample of 30% of Victorian hospitals were asked to participate in the survey. Of 78 eligible institutions, 69 (88%) completed and returned questionnaires.Results:There was no consistent hepatitis B prevention policy in place across Victoria. Of the 69 responding hospitals, 63 (91%) offered hepatitis B vaccination to staff, and 58 (84%) of these also paid all costs of vaccination. Of the 63 hospitals offering vaccination to staff, 39 offered vaccination to all staff, 23 offered vaccination based on job title, and one offered vaccination based on anticipated exposure. In many institutions, postexposure protocols were recalled more readily than preexposure vaccination guidelines. Numerous respondents indicated a need for clear guidelines on policy and clarification on practical matters of management, such as acceptable immune levels, management of nonresponders to the primary series, and the need for, and timing of, booster doses of vaccine. Eleven (18%) of the 63 hospitals offering hepatitis B vaccination to staff undertook routine prevaccination screening, a practice not generally regarded as cost-effective in Australia. Fifty-five of these hospitals (91%) also undertook postvaccination screening.Conclusions:It is evident from this study that a considerable number of potentially susceptible healthcare personnel in Victorian hospitals remain unprotected against hepatitis B infection. A more reliable and consistent approach to preexposure hepatitis B vaccination is recommended
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Boyle, Malcolm J., M. ClinEpi, Erin C. Smith, and Frank L. Archer. "Trauma Incidents Attended by Emergency Medical Services in Victoria, Australia." Prehospital and Disaster Medicine 23, no. 1 (February 2008): 20–28. http://dx.doi.org/10.1017/s1049023x00005501.
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AbstractIntroduction:International literature describing the profile of trauma patients attended by a statewide emergency medical services (EMS) system is lacking. Most literature is limited to descriptions of trauma responses for a single emergency medical service, or to patients transported to a specific Level-1 trauma hospital. There is no Victorian or Australian literature describing the type of trauma patients transported by a state emergency medical service.Purpose:The purpose of this study was to define a profile of all trauma incidents attended by statewide EMS.Methods:A retrospective cohort study of all patient care records (PCR) for trauma responses attended by Victorian Ambulance Services for 2002 was conducted. Criteria for trauma categories were defined previously, and data were extracted from the PCRs and entered into a secure data repository for descriptive analysis to determine the trauma profile. Ethics committee approval was obtained.Results:There were 53,039 trauma incidents attended by emergency ambulances during the 12-month period. Of these, 1,566 patients were in physiological distress, 11,086 had a significant pattern of injury, and a further 8,931 had an identifiable mechanism of injury. The profile includes minor trauma (n = 9,342), standing falls (n = 20,511), no patient transported (n = 3,687), and deceased patients (n = 459).Conclusions:This is a unique analysis of prehospital trauma. It provides a baseline dataset that may be utilized in future studies of prehospital trauma care. Additionally, this dataset identifies a ten-fold difference in major trauma between the prehospital and the hospital assessments.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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.
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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.
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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.
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Anderson, Ian, Harriet Young, Milica Markovic, and Lenore Manderson. "Koori Primary Health Care in Victoria: Developments in Service Planning." Australian Journal of Primary Health 6, no. 4 (2000): 24. http://dx.doi.org/10.1071/py00031.
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The Alma Ata 1978 Declaration on primary health care has conventionally been applied in developing countries, where medically trained personnel and other highly skilled health professionals and medical infrastructure are limited. Although such concepts have salience in relatively resource rich countries such as Australia, it is in Aboriginal and Torres Strait Islander health policy that they have become pivotal. A growing national focus on the development of Aboriginal primary health care capacity followed the release of the National Aboriginal Health Strategy (NAHS) in 1989 (Anderson, 1997). This focus consolidated further, following the evaluation of the National Aboriginal Health Strategy implementation in 1994 which preceded the transfer of administrative responsibility for the Commonwealth Aboriginal health program from the Aboriginal and Torres Strait Islander Commission (ATSIC) to the Commonwealth Health portfolio (DHFS, 1994). Within the strategic framework provided by federal state agreements, the development of primary health care services is a priority. In the current national policy framework domains of policy and strategy development have been identified as key developmental themes.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Palocaren, Jeeji, Renjith Raj Puthuparampil, and Celine Mathew Thalappillil. "Two monologues do not make a dialogue: the need for medical specialty–specific communication workshops: population-based study." BMJ Leader 3, no. 1 (January 21, 2019): 15–18. http://dx.doi.org/10.1136/leader-2018-000083.
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AimIncreasing attacks on healthcare personnel in India have highlighted the need for improved communication between staff and patients. Currently, communication skill workshops target doctors and nurses, overlooking a key player relevant to patient satisfaction—allied health professionals (henceforth, AHPs). This study evaluates the impact of communication skills training for diagnostic laboratory and blood bank personnel on patient satisfaction scores.MethodThe impact of communication workshop for AHPs was tested through pre-workshop and post-workshop questionnaires to participants that tested how they handle communication with patients. Additionally, participants were also administered the questionnaire 4 months after the workshop to test knowledge retention. In parallel, the change in patient satisfaction towards AHPs was assessed by a pre-workshop and post-workshop patient survey.ResultsParticipants experienced a statistically significant improvement in communication skills, as measured by the pre-workshop and post-workshop questionnaires. This coincided with a significant increase in patient satisfaction scores after the workshop, as indicated by the patient satisfaction survey. The difference in communication skills scores between experienced and inexperienced personnel showed a marked decrease after the workshop, suggesting that such workshops can help inexperienced workers ‘catch up’ with more experienced workers. However, scores of all participants showed a statistically significant decrease after 4 months, suggesting that the use of such workshops can be enhanced through periodic refresher courses.ConclusionCommunication workshops for AHPs can play a crucial role in improving patient–hospital relations. These workshops can also help standardise services by bridging communication skill differences between experienced and inexperienced staff.
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Redmond, Sarah, Jennifer Cadnum, Basya Pearlmutter, Natalia Pinto Herrera, and Curtis Donskey. "Timing and Route of Contamination of Patient Rooms With Healthcare-Associated Pathogens." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s412. http://dx.doi.org/10.1017/ice.2020.1066.
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Background: Transmission of healthcare-associated pathogens such as Clostridioides difficile and methicillin-resistant Staphylococcus aureus (MRSA) is a persistent problem in healthcare facilities despite current control measures. A better understanding of the routes of pathogen transmission is needed to develop effective control measures. Methods: We conducted an observational cohort study in an acute-care hospital to identify the timing and route of transfer of pathogens to rooms of newly admitted patients with negative MRSA nares results and no known carriage of other healthcare-associated pathogens. Rooms were thoroughly cleaned and disinfected prior to patient admission. Interactions of patients with personnel and portable equipment were observed, and serial cultures for pathogens were collected from the skin of patients and from surfaces, including those observed to come in contact with personnel and equipment. For MRSA, spa typing was used to determine relatedness of patient and environmental isolates. Results: For the 17 patients enrolled, 1 or more environmental cultures became positive for MRSA in rooms of 10 patients (59%), for C. difficile in rooms of 2 patients (12%) and for vancomycin-resistant enterococci (VRE) in rooms of 2 patients (12%). The patients interacted with an average of 2.4 personnel and 0.6 portable devices per hour of observation. As shown in Figure 1, MRSA contamination of the floor occurred rapidly as personnel entered the room. In a subset of patients, MRSA was subsequently recovered from patients’ socks and bedding and ultimately from the high-touch surfaces in the room (tray table, call button, bedrail). For several patients, MRSA isolates recovered from the floor had the same spa type as isolates subsequently recovered from other sites (eg, socks, bedding, and/or high touch surfaces). The direct transfer of healthcare-associated pathogens from personnel or equipment to high-touch surfaces was not detected. Conclusions: Healthcare-associated pathogens rapidly accumulate on the floor of patient rooms and can be transferred to the socks and bedding of patients and to high-touch surfaces. Healthcare facility floors may be an underappreciated source of pathogen dissemination not addressed by current infection control measures.Funding: NoneDisclosures: None
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Moore, Brian A., Willie J. Hale, Jason L. Judkins, Cynthia L. Lancaster, Monty T. Baker, William C. Isler, and Alan L. Peterson. "Air Force Medical Personnel: Perspectives Across Deployment." Military Medicine 185, no. 9-10 (June 30, 2020): e1632-e1639. http://dx.doi.org/10.1093/milmed/usaa115.
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Abstract Introduction Contingency operations during the past 18 years have exposed millions of U.S. military service members to numerous combat and operational stressors. Despite this, a relative dearth of literature has focused on the experiences of deployed military medical personnel. As such, the present study aimed to address this gap in the literature by conducting individual and small group interviews with Air Force medical personnel who had recently returned from a deployment to Iraq. Interviews targeted self-reported factors related to psychological risk and resiliency across the deployment cycle, while also seeking recommendations for future military medical personnel preparing for medical deployments. Materials and Methods Inductive thematic analyses were conducted on transcripts from 12 individual and structured group interviews conducted with recently deployed U.S. Air Force medical personnel (N = 28). An interview script consisting of 18 prompts was carefully developed based on the experiences of study personnel. Two team members (n = 1 research psychologist; n = 1 military medical provider) coded exemplars from interview transcripts. A third team member (research psychologist) reviewed coded exemplars for consistency and retained themes when saturation was reached. Results In total we report on 6 primary themes. Participants reported feeling prepared to conduct their mission while deployed but often felt unprepared for the positions they assumed and the traumas they commonly experienced. Most participants reported deployment to be a rewarding experience, citing leader engagement, and social support as key protective factors against deployment-related stressors. Finally, following deployment, participants largely reported positive experiences reintegrating with their families but struggled to reintegrate into their workplace. Conclusion Findings from the present study indicate that the military is largely doing a good job preparing Air Force medical providers to deploy. Results of the present study indicate that military medical personnel would benefit from: (1) increased predictability surrounding deployment timelines, (2) improved cross-cultural training, (3) advanced training for atypical injuries in unconventional patient populations, and (4) improvements in postdeployment workplace reintegration. The present research has the potential to positively impact the overall quality of life for deploying military service members and their families; while simultaneously highlighting the successes and shortfalls in the deployment process for U.S. military medical personnel.
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Franchuk, Valentyn, Mykola Melnik, and Vitalii Zozulia. "Forensic-medical evaluation of improper medical care, provided by the nursing personnel." Forensic-medical examination, no. 2 (December 17, 2017): 40–46. http://dx.doi.org/10.24061/2707-8728.2.2017.10.
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A retrospective review of all alleged medical malpractice cases between 2007 and 2016 handled at Ternopil, Zhytomir and Chernivtsi Regional Bureaus of Forensic medical Examination, was performed. Peculiarities of improper medical care provided by nursing staff were studied on the base of the reports of Commission Forensic medical Examination. Lacks of health care provision committed by nurses were detected in 11,7% of the cases. The study showed that unjustifiable medical care occurred as usual in policlinics and ambulatories. 8 types of nursing mistakes were determined. Unintentional medical care was confirmed by forensic medical expert commission as a rule in diagnostics, medical procedures or medical treatment. Insufficient or incomplete medical care provided by nursing personnel seemed more frequently. Nursing errors were caused by subjective reasons in almost 44,8% of the alleged medical malpractice cases. All these reasons were stipulated by poor quality of medical staff. Dereliction of duty by the nursing personnel that was strongly connected with causal relationship between the damage claimed by the patient and unskilful medical care was revealed in 13,8% of the cases.
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Blain, Colin, Margaret Mackay, and Judith Tanner. "Informed Consent the Global Picture." British Journal of Perioperative Nursing (United Kingdom) 12, no. 11 (November 2002): 402–7. http://dx.doi.org/10.1177/175045890201201101.
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Live surgery beams patient images around the world in seconds … What did your patient consent to? The incidence of misuse of medical images taken without patient consent has challenged existing hospital standards and policies. Based on responses from senior theatre nurses, practitioners and medical industry personnel, this article explores the misuse of medical images taken without patient consent.
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Khankeh, Hamid Reza, Razieh Froutan, Masoud Fallahi-Khoshknab, Fazlollah Ahmadi, and Kian Norouzi. "Challenges of Transferring Burn Victims to Hospitals: Experiences of Emergency Medical Services Personnel." Global Journal of Health Science 8, no. 11 (March 23, 2016): 206. http://dx.doi.org/10.5539/gjhs.v8n11p206.
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<p>A thorough understanding of experiences of Emergency Medical Services (EMS) personnel related to the field transfer of burn victims can be used as a prerequisite of quality improvement of pre-hospital clinical care for these kinds of victims. The aim of the present study was to explore the experiences of EMS personnel during transferring burn victims. In this qualitative research, content analysis was performed to explore the experiences and perceptions of a purposeful sample of Iranian EMS personnel (n = 32). Data collection continued until a point of saturation was reached. Data was collected using in-depth semi-structured interview and field observations and analyzed by qualitative inductive content analysis.</p><p>After data analyzing from experiences of pre-hospital emergency personnel during transferring burn victims 7 subcategories were developed and classified into three main categories as challenges of transferring burn victim including; risks during patient transfer, restrictions in the admission of burn victims and uncertainties about patient referral. This study showed that different factors affect the quality of pre-hospital clinical services to the field transfer of burn victims that should be considered to improve the quality of pre-hospital clinical care of burn victims in dynamic programs. Further investigation is needed to explore the process of these crucial services.</p>
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Bremer, Anders, Karin Dahlberg, and Lars Sandman. "Balancing Between Closeness and Distance: Emergency Medical Services Personnel’s Experiences of Caring for Families at Out-of-Hospital Cardiac Arrest and Sudden Death." Prehospital and Disaster Medicine 27, no. 1 (February 2012): 42–52. http://dx.doi.org/10.1017/s1049023x12000167.
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AbstractIntroduction: Out-of-hospital cardiac arrest (OHCA) is a lethal health problem that affects between 236,000 and 325,000 people in the United States each year. As resuscitation attempts are unsuccessful in 70-98% of OHCA cases, Emergency Medical Services (EMS) personnel often face the needs of bereaved family members.Problem: Decisions to continue or terminate resuscitation at OHCA are influenced by factors other than patient clinical characteristics, such as EMS personnel’s knowledge, attitudes, and beliefs regarding family emotional preparedness. However, there is little research exploring how EMS personnel care for bereaved family members, or how they are affected by family dynamics and the emotional contexts. The aim of this study is to analyze EMS personnel’s experiences of caring for families when patients suffer cardiac arrest and sudden death.Methods: The study is based on a hermeneutic lifeworld approach. Qualitative interviews were conducted with 10 EMS personnel from an EMS agency in southern Sweden.Results: The EMS personnel interviewed felt responsible for both patient care and family care, and sometimes failed to prioritize these responsibilities as a result of their own perceptions, feelings and reactions. Moving from patient care to family care implied a movement from well-structured guidance to a situational response, where the personnel were forced to balance between interpretive reasoning and a more direct emotional response, at their own discretion. With such affective responses in decision-making, the personnel risked erroneous conclusions and care relationships with elements of dishonesty, misguided benevolence and false hopes. The ability to recognize and respond to people’s existential questions and needs was essential. It was dependent on the EMS personnel’s balance between closeness and distance, and on their courage in facing the emotional expressions of the families, as well as the personnel’s own vulnerability. The presence of family members placed great demands on mobility (moving from patient care to family care) in the decision-making process, invoking a need for ethical competence.Conclusion: Ethical caring competence is needed in the care of bereaved family members to avoid additional suffering. Opportunities to reflect on these situations within a framework of care ethics, continuous moral education, and clinical ethics training are needed. Support in dealing with personal discomfort and clear guidelines on family support could benefit EMS personnel.
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Jia, Huanhuan, Peng Cao, Jianxing Yu, Jingru Zhang, Hairui Jiang, Qize Zhao, and Xihe Yu. "A New Perspective for Improving the Human Resource Development of Primary Medical and Health Care Institutions: A Structural Equation Model Study." International Journal of Environmental Research and Public Health 18, no. 5 (March 4, 2021): 2560. http://dx.doi.org/10.3390/ijerph18052560.
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In some countries, including China, primary health care is rarely utilized because of medical personnel shortages at primary medical and health care institutions (PMHCIs). Several studies suggest that the most effective solution is to guide qualified doctors and medical graduates to work in PMHCIs, but the studies and measures have been formulated only from the perspective of the government and PMHCIs; few have considered the subjective willingness of medical personnel. Therefore, it is necessary to explore the measures to develop human resources of PMHCIs from the guiding object. This research was divided into two parts based on implicit theory and a lexical approach. The first part collected the factors affecting their choosing PMHCIs for employment, and the second part used exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and structural equation modeling (SEM) to explore the dimensions and paths of the influencing factors. At last, seven factors were obtained from the EFA, and the SEM hypothesis fit the data well. Internal Organization Development, Patient Factor, Remuneration and Development, and Family Support had a significantly positive effect on the Sense of Gain of medical personnel seeking employment at PMHCIs, whereas both Job Responsibilities and Condition of the City Where the PMHCI Is Located had no significant effect. In addition, the indirect effects of Internal Organization Development and Condition of the City Where the PMHCI Is Located on the Sense of Gain were significant. The Patient Factor, Family Support, and Remuneration and Development significantly mediated the relationship between the internal and external environment of the institution and the Sense of Gain, whereas the mediating effect of Job Responsibilities was not significant. The improvement of family support, remuneration and development, and patient factors increase the willingness of medical personnel to seek employment at PMHCIs. In addition, the internal and external environments of a PMHCI play a vital role in guiding medical personnel to PMHCIs for employment. This research provides theoretical support for improving the development of human resources, guiding medical personnel to work in PMHCIs, and promoting the use of primary care services.
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Soetanto, Hari, Sri Hartati, Retyanto Wardoyo, and Samekto Wibowo. "Hypertension Drug Suitability Evaluation Based On Patient Condition with Improved Profile Matching." Indonesian Journal of Electrical Engineering and Computer Science 11, no. 2 (August 1, 2018): 453. http://dx.doi.org/10.11591/ijeecs.v11.i2.pp453-461.
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<p>The accuracy of the type or dosage of drugs by doctors is important. The types and doses of medicines given by the doctors should match the illness suffered by the patient as well as consider the patient's health condition. In hypertension disease, the error rate of drug dosage by medical personnel is quite high, reaching 34%. Meanwhile, the administration of the type and dosage of drugs appropriate to the patient's condition required the knowledge of high medical personnel and experienced medical personnel. In this research, we developed the model of drug suitability evaluation with hypertension patient's health condition using Profile Matching method. The proposed model evaluates the patient's health condition based on the parameters provided by the expert and produces recommendations on the type of drug. To optimize the Profile Matching method, in this research we applied interpolation weighting method which calculates the proximity level of the patient profile with drug profile more accurately. Based on the experiment, the proposed model has an accuracy value of 87%, precision 87.11% and recall of 85.44%. It proves that the proposed method can provide recommendations on the right type of hypertension medication. Also, the interpolation weighting method is proven to increase the accuracy. </p>
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Al hadri, Cecilia Farrona, and Ahmad Sunandar. "Information System for Calculating Medical Record Personnel in the Industrial Revolution Era 4.0." Jurnal AKSI (Akuntansi dan Sistem Informasi) 6, no. 1 (June 4, 2021): 78–85. http://dx.doi.org/10.32486/aksi.v6i1.651.
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Medical recorders and health information are some of the health workers who are included in the "medical technical" group where the task of medical recorders and health information is to manage patient data into health information that is useful for decision making. Planning for the needs of health personnel must be following the needs in the field in terms of type, qualification, quantity, and procurement. Excess health personnel will result in unproductive use of work time, while a shortage of health workers will result in excessive workloads so that in planning the needs of health workers an analysis of the workload is required. This study was conducted to obtain information on the ideal number of medical record health personnel using workload calculations. This research method is based on the calculation method of Work Load Indicator Staff Need (WISN) through the implementation of a website-based information system at XYZ Hospital. Based on the results of this study, it shows that the ratio of <1 HR in the unit is not sufficient and not following the workload, namely the number of human resources in the Old Patient TPPRJ with a ratio value of 0.33; RJ coding ratio value 0.41; and Analysis with a ratio value of 0.38. Lack of officers at TPPRJ for Old Patients, RJ Coding, and Analysis resulted in poor service, so it is necessary to add medical personnel to that section when conditions are crowded.
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Greenfield, Elisabeth. "The pivotal role of nursing personnel in burn care." Indian Journal of Plastic Surgery 43, S 01 (September 2010): S94—S100. http://dx.doi.org/10.1055/s-0039-1699466.
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ABSTRACTThe nurses play an important role in the overall management of a burn patient. They must be well versed with the various protocols available that can be used to rationally manage a given situation. The management not only involves medical care but also a psychological assessment of the victim and the family. The process uses a scientific method to combine systems theory with the art of nursing, entailing both problem solving techniques and a decision making process. It involves assessment of the patient to arrive at a diagnosis and then determining the patient goals. An action plan is implemented and is evaluated in the context of patient response. The article discusses many such scenarios in burn patients and outlines the nursing care plans.
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Ali, Mohammad, Mushtaq Ahmad, Latifa Rahman, Sharmeen Sultana, and Md Abdus Samad Al-Azad. "Problem evaluation of service recipient and service provider at out patient departments of a tertiary level hospital." Journal of Armed Forces Medical College, Bangladesh 9, no. 2 (February 2, 2015): 26–31. http://dx.doi.org/10.3329/jafmc.v9i2.21822.
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Introduction: It is easier to evaluate the patients satisfaction towards the service than to evaluate the quality of medical services that they receive. Therefore, a probe into patient satisfaction can provide an important tool to improve the quality of services. Patient satisfaction is a multi-dimensional healthcare issue affected by many factors. Healthcare quality affects patient satisfaction and results in positive influences on patient behaviour such as confidence in hospital care. Objectives: The objective of the study was to evaluate the problems of recipients and service providers during service delivery at out patient departments of a tertiary level hospital. Materials and Methods: This cross sectional descriptive study was conducted on the patients attending the medical out patient departments along with the service providers, administrative personnel and supportive staffs of a government hospital during the period of February 2007 to June 2007. Results: A total of 299 patients, 5 service providers, 8 administrative personnel and 11 supporting staffs were purposively selected in the study. Among 299 respondents,169 (56%) identified patient overload as the most common problem. As many as, 70(24%) patients experienced more than 4 hours delay in the hospital. Less than half 117(39%) of the patients experienced the problem of not getting proper consultancy due to absence 26 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 of physician in their chambers. Although 117(39%) patients faced multiple problems during undergoing investigation in the hospital, 21% patients were satisfied partially with hospital staff support. Out of 5 service providers 3(60%) worked in a congested space. As many as 20% service providers reported that patients were not satisfied by the service of MOPD. Monthly pay and allowances were not sufficient (as observed by 80% of respondents). The study also revealed that lack of co-operation amongst the staffs and inadequate pay and salary were the main problems in 75% of the administrative personnel. Moreover, 55% supportive staff faced patient overload. All the service providers opined that improvement of medical outpatient service requires adequate manpower. Conclusion: Most of the service providers, administrative personnel and supportive staffs are facing hardship with the present pay and allowances leading to extra work after office hour. Most common suggestions of the patients, service providers, administrative personnel and supportive staffs were to employ more health personnel. They also suggested strengthening of supervisory system to ensure strict discipline at all levels. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21822 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013
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Pawlikowska - Łagód, Katarzyna, and Magdalena Suchodolska. "Perception of Own Illness and Trust in Medical Personnel among Chronically Ill People." Global Journal of Health Science 13, no. 8 (June 25, 2021): 34. http://dx.doi.org/10.5539/gjhs.v13n8p34.
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Appropriate perceptions of own disease by chronically ill person significantly affects the success of the diagnostic and therapeutic process. It depends on the existential situation of the patient, the adopted strategy of coping with the disease, received social support, as well as on the way the patient is treated by medical personnel. The aim of the conducted research was to assess the relationship between the perception of the disease by chronically ill people and their trust in medical staff.
The study involved 511 people receiving treatment for chronic diseases. The diagnostic survey method was used in the study, the research tools were: the Imagination and Perception of Illness Scale (IPIS), the Brief Illness Perception Questionnaire (Brief IPQ), the Trust in Physician scale by L.A. Anderson and R.F. Dedrick, and a self-authorship questionnaire.
Among the studied population, statistically significant relationships were observed between the perception of own disease by the patient, measured with the IPIS scale, and the trust in medical personnel calculated with the Trust in Physician. In the study group, there are statistically significant differences between the belief of the respondents in the effectiveness of treating their own disease and the overall result of trust in medical personnel.
The perception of own disease by chronically ill people affects the level of trust in medical staff. The way the patients will perceive their illness depends, among other things, on the relationship between them and the doctor.
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Murphy, Ellen K. "Unsubstantiated assumptions about unlicensed assistive personnel obscure the challenge of delivering quality patient care." AORN Journal 62, no. 1 (July 1995): 8–10. http://dx.doi.org/10.1016/s0001-2092(06)63674-0.
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Peter, Klaus, and Hans Jurgen Dieterich. "Medical equipment ordinance and lack of personnel: Two contrary factors influencing anesthesia patient safety." Journal of Clinical Anesthesia 3, no. 3 (May 1991): 259–62. http://dx.doi.org/10.1016/0952-8180(91)90171-i.
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Weigel, Wade Anthony, Michael Gluck, Andrew S. Ross, Otto S. Lin, Barbara L. Williams, and Craig C. Blackmore. "Process improvement for a complex dual medical procedure." BMJ Open Quality 7, no. 3 (August 2018): e000273. http://dx.doi.org/10.1136/bmjoq-2017-000273.
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Pancreatic extracorporeal shock wave lithotripsy followed by endoscopic retrograde cholangiopancreatography is accepted worldwide as a treatment for a large, symptomatic, obstructing pancreatic stones. However, timely completion of the combined process requires coordination of equipment and personnel from two different complex procedures.We used Lean management tools in a week-long event to redesign the process around the patient. Using idea-generated Plan Do Study Act cycles to refine the process, from scheduling to postprocedure recovery, equipment and personnel were aligned to allow these two procedures to occur in immediate succession.The redesigned process resulted in all patients receiving both procedures without delay. This eliminated over 8 hours of wait time. Standard work and a newly created complex scheduler improved flow. We reduced the number of anaesthetics for patients without prolonging the procedure length.
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Miller, Anastasia. "Emergency medical service personnel injury and fatality in the United States." Journal of Epidemiological Research 4, no. 2 (May 23, 2018): 9. http://dx.doi.org/10.5430/jer.v4n2p9.
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Introduction: Emergency Medical Services (EMS) personnel comprise an intricate part of the public safety net in the US. The purpose of this study was to synthesize data sources to understand the major workplace dangers facing EMS providers. Methods: This study examined four data sources: The BLS Census of Fatal Occupational Injuries (CFOI), BLS Survey of Occupational Injuries and Illnesses (SOII), Firefighter Fatalities and Statistics from USFA, and the EMS Voluntary Event Notification Tool (E.V.E.N.T.). Characteristics of the most common causes of injury and fatalities were described and compared. Results: SOII reports covered 13 years and 64,780 nonfatal reported cases. COFI covered 12 years and 149 fatalities. 111 fatalities from the USFA dataset who had been identified as EMS in some manner in their rank between 2003-2016 were inspected. 21 cases where a firefighter died in the course of providing EMS/patient care were also identified and discussed. All events submitted to E.V.E.N.T. were read and categorized. 214 events were identified as near-miss EMS provider injuries and included in the study. Conclusions: The biggest mortal threat to private EMS personnel is vehicular incidents. Among firefighters/EMTs Heart Attacks was the most common nature of death. The biggest nonfatal concerns are violence, slips, trips, and falls, and overexertion in addition to vehicular incidents. Most violent events were the result of a patient with a Temporarily Altered Mental Status. There is clearly a need for further research to develop evidence-based methods and policies to reduce injury and death in EMS personnel from an agency level.
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Goldblatt, Joseph Gil, Iris Krief, Tal Klonsky, Daniel Haller, Victor Milloul, Diane M. Sixsmith, Isaac Srugo, and Israel Potasman. "Use of Cellular Telephones and Transmission of Pathogens by Medical Staff in New York and Israel." Infection Control & Hospital Epidemiology 28, no. 4 (April 2007): 500–503. http://dx.doi.org/10.1086/513446.
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Hands and instruments used by healthcare workers may serve as vectors for the nosocomial transmission of microorganisms. The use of cellular telephones by medical personnel and the associated nosocomial transmission of pathogens have not been thoroughly examined. Findings from our study show that cellular telephones are commonly used by hospital personnel, even during patient contact. One-fifth of the cellular telephones examined in this study were found to harbor pathogenic microorganisms, showing that these devices may serve as vectors for transmission to patients.
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Kram, Bridgette L., Morgan A. Trammel, Shawn J. Kram, Sandy E. Wheeley, Ben G. Mancheril, Lindsey D. Burgess, and Jennifer M. Schultheis. "Medication Histories in Critically Ill Patients Completed by Pharmacy Personnel." Annals of Pharmacotherapy 53, no. 6 (January 17, 2019): 596–602. http://dx.doi.org/10.1177/1060028018825483.
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Background: Although critically ill adults often have extended hospital lengths of stay and are at high risk of having medication-related adverse events, the value of medication histories in these patients remains underreported. Objective: To assess the feasibility of performing medication histories in critically ill adults and to establish the frequency of and characterize identified discrepancies. Methods: This prospective study included patients admitted to 4 intensive care units (ICUs) in a large academic medical center and was conducted in 2 phases. In phase 1, medication histories were conducted over a 5-week period by clinical pharmacists to assess feasibility. In phase 2, medication histories were conducted over a 3-week period by a pharmacy technician. Medication discrepancies, defined as any difference between the documented and pharmacy personnel–identified home medication list, were aggregated in both phases and adjudicated for severity. Results: In phase 1, 127 medication histories were completed (42.3% of admitted patients). Impaired cognition was the most common barrier encountered; however, 76% of patients were able to have a history completed if an attempt was made. In phase 2, a medication history was completed for 176 patients (58.9% of admitted patients). In aggregate, 1155 discrepancies were identified, with 78.2% of patients having a discrepancy. The median number of discrepancies per patient was 3 (interquartile range = 1-5); 11 life-threatening, 101 serious, and 326 significant discrepancies were identified. Conclusion and Relevance: A pharmacy personnel–based medication history program in the ICU is feasible and assists in the discovery of medication discrepancies with the potential for patient harm.
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Priambodo, Raditya, Elsye Maria Rosa, and Sri Sundari. "Kepatuhan dan Ketepatan Tenaga Medis dalam Pengisian Assessment Pre Dialisis di Klinik Hemodialisis Nitipuran Health Center." Jurnal Ilmiah Universitas Batanghari Jambi 20, no. 1 (February 5, 2020): 268. http://dx.doi.org/10.33087/jiubj.v20i1.775.
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Background: The National Hospital Accreditation Standards (SNARS) state that one of the key indicators in patient-focused service standards is patient assessment. The purpose of this study was to analyze the level of compliance and accuracy of medical personnel in pre dialysis assessments at NHC. Subjects and Method: This study uses a mixed method with the Cohort Study approach. Research subjects were medical records for quantitative data and doctors, nurses and head nurses for qualitative data. Quantitative data analysis with descriptive analysis, and qualitative analysis with in-depth interviews. Result: The level of compliance and accuracy of medical personnel in filling the pre dialysis assessment at the Nitipuran Hemodialysis Clinic is not quite good. The implementation of pre dialysis assessment at the NHC includes physical status, medical history, history of drug allergy, assessment of pain, risk of falls, and educational needs. Constraints include time constraints, assessments are filled in immediately without checking in detailly, there are gaps in the hourly monitoring records. Conclusion: compliance and accuracy of medical personnel in filling out assessments must be improved.
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Blumberga, Solveiga, and Aleksandra Safonova. "STRESS, COPING, ADAPTATION AND CULTURAL DIVERSITY OF HEALTHCARE PERSONNEL." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 1 (May 26, 2016): 299. http://dx.doi.org/10.17770/sie2016vol1.1519.
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The top priority of medical institutions is to provide quality patient care services. Considering that healthcare personnel are to work with colleagues from various cultures, important are medical personnel training, in-service training, improvement of professional knowledge and skills, ability to adapt to working in a diverse team. The planning of employee training and in-service training is based on the strategic targets and personnel training needs of each institution. Qualification support programmes are organised for medical personnel to improve their professional knowledge and the knowledge and skills of medical nurses in the areas primarily related to patient care, but there is lack of training in stress management and development of stress resistance, as well as facilitation of collaboration with individuals of various cultures. The aim of the research study is to assess the work stress levels of healthcare personnel, the applied work stress management strategies, the levels of social and psychological adaptation of personnel, the ability to adapt to cultural diversity, and their mutual correlations. Research questions: What are the levels of work stress of healthcare personnel? What are the work stress management strategies applied by healthcare personnel? What are the levels of social and psychological adaption of healthcare personnel? What is the ability of healthcare personnel to adapt to cultural diversity? Are there statistically significant correlations between personnel work stress, the applied work stress management strategies, the levels of social and psychological adaptation, the ability to adapt to cultural diversity of the personnel? What exactly should be included in the personnel training plan while preparing the personnel for work in a multicultural environment? The respondents in the research study are healthcare personnel carrying out their duties in Latvia and Scandinavia simultaneously. The following surveys were used for data collection: A Work Stress Scale, a Stress Management Survey, a survey regarding social and psychological adaptation and a Cultural Diversity Self-evaluation Survey. The results of the research study suggest that most of the respondents have low levels of work stress, the active and pro-social management strategies are most frequently used to manage stress, the social and psychological adaptation score corresponds to a medium level. As a result of the research study, the authors prepared recommendations for the Human Resources Department regarding the organisation of training in stress management and development of stress resistance, as well as in the fundamentals of collaboration with individuals of various cultures in order to improve their professional and personal competences.
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Applebaum, David. "Patient Selection for Advanced Prehospital Care in a Two-Level Emergency Medical System." Prehospital and Disaster Medicine 4, no. 1 (September 1989): 36–38. http://dx.doi.org/10.1017/s1049023x00038528.
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In Jerusalem, the Emergency Medical Service is the sole prehospital provider for a population of 450,000 residents. Ambulances are dispatched from a centrally located first-aid center. Separate basic and advanced life support (MICU) ambulances are provided. Basic life support units are staffed by Emergency Medical Technicians (EMTs) trained to provide first aid and cardiopulmonary resuscitation (CPR). These units are dispatched to service persons in whom advanced life support (ALS) services are not likely to be required. The MICU is staffed by paramedical personnel plus a qualified physician. In order to maximize the efficiency of the service an attempt was made to use the MICU only for patients who may benefit from ALS interventions.Selection of patients for whom the ALS unit may be required is accomplished by switchboard operators. These personnel routinely dispatch the MICU for definite emergencies such as unconsciousness or absence of breathing. All other cases have been reported first to an on-call physician who ultimately decides whether or not to dispatch the MICU. This method of determining priority for dispatch is called the Consultation-Dispatch System (CDS). This method of determining priority seemed inefficient, so an alternative system was implemented that did not require prior physician consultation. This brief report details the impact of this change on system operation and MICU activity.
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Alazzam, Malik Bader, Husam Al Khatib, Walid Theib Mohammad, and Fawaz Alassery. "E-Health System Characteristics, Medical Performance, and Healthcare Quality at Jordan’s Health Centers." Journal of Healthcare Engineering 2021 (November 26, 2021): 1–7. http://dx.doi.org/10.1155/2021/5887911.
Full textAbstract:
This research explores how e-health systems’ features (information quality, quality of the system, usability perceived, and perceived usefulness) contribute to improving medical personnel performance in medical centers, patient care, and physician-patient interactions in Jordan. The objective is to evaluate a single integrated model consisting of the technology acceptance model. This study used the logical research method and approach. A collection of data from 212 medical personnel working in 19 healthcare facilities throughout Jordan were gathered. To analyze the data collected and test the hypotheses of the research, a partially square/structural equation modeling method has been employed. The study found that the health information system (HIS) information quality has a direct and indirect beneficial effect on the performance of the staff, beneficial effects on patient care alone, and only favorable, indirect effects on the doctor-patient relationship. On the contrary, system quality was shown to influence directly and indirectly and to have a direct and indirect beneficial effect both on the connection between doctors and patients. Remember that the HIS has accessibility, speed, and mistake detection and avoids error issues. These shortcomings are suggested to be rectified in conjunction with improved user perception towards easy usage and utilization of the system.