Journal of patient safety and quality improvement最新文献

{"title":"Diagnosis of Lophomonas blattarum in bronchoalveolar lavage samples","authors":"F. Berenji, B. R. H. Farash, Mona Talebi, M. Amini, J. Sayedi, S. A. Shamsian, M. Afzalaghaee, M. Parian, Ghodratollah Salehi Sangani","doi":"10.22038/PSJ.2021.60597.1340","DOIUrl":"https://doi.org/10.22038/PSJ.2021.60597.1340","url":null,"abstract":"Lophomonas blattarum is a multi-flagellate protozoan which causes bronchopulmonary infection in human. As the culture and molecular diagnosis of Lophomonas blattarum have not yet been developed, direct slide examination from Bronchoalveolar lavage (BAL) or sputum is the best method for diagnosis of Lophomonas with morphological features.\u0000In the present study, in order to achieve quick and easy identification of Lophomonas, the sensitivity of different staining techniques has been investigated in comparison with the direct wet slide as the gold standard. Giemsa, Trichrome, and Papanicolaou stained-slides have been examined in patients who had lophomoniasis. \u0000Material &Methods\u0000BAL samples of patients suspected to lophomoniasis were collected. After confirmation of Lophomonas blattarum by observation in the direct test, the slides were prepared using Geimsa, Trichrome, and Papanicolaou staining for each patient.\u0000Results\u0000Among 158 BAL specimens sent to Imam Reza hospital lab, 50 samples were positive by direct microscopic examination which was stained by Giemsa, Trichrome, and Papanicolaou techniques.\u0000The highest sensitivity was seen for Papanicolaou staining with 16% and then Geimsa and Trichrome staining with 12% and 8%, respectively. \u0000Conclusion\u0000The results of this study show the Papanicolaou staining method had the best sensitivity compared to Giemsa, Trichrome stained-slides for differential diagnosis of this protozoan from epithelial cells.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77038978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"comparison of Social adjustment, school satisfaction and mental health in girls with and without precocious puberty","authors":"Firouzeh Sepehrianazar, Marziye Eskandaripour","doi":"10.22038/PSJ.2021.54881.1305","DOIUrl":"https://doi.org/10.22038/PSJ.2021.54881.1305","url":null,"abstract":"Introduction: The purpose of this study was to compare social adjustment, school satisfaction and mental health in girls with and without precocious puberty of female secondary school students. \u0000Materials and Methods: The statistical population of this study was female high school students in Urmia city, Iran (1225 students). To achieve our aim, Samples of 204 students (102 girls with precocious puberty and 102 girls with normal puberty) were selected by multi-stage cluster sampling method from this statistical population. All participants were asked to complete social adjustment, school satisfaction and mental health questionnaires. The research method was a causal-comparative type. The data were analyzed using descriptive and inferential statistics such as mean, variance, standard deviation and multivariate analysis of variance (MANOVA). \u0000Results: The result of multivariate analysis (MANOVA) revealed that, there is a significant difference between 2 groups of girl’s social adjustment, mental health and school satisfaction (P≤ 0.05). \u0000Conclusion: This study revealed that there is more social adjustment, mental health and school satisfaction among girls with normal puberty. So, which indicates earlier intervention of specialists will prevent later problems of these girls.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88031378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Critical Analysis Study of Pharmacological and Clinical Information Provided in Drug Package Inserts Based on Drugs and Cosmetics Rules Guidelines","authors":"J. Jeyasudha, G. Rajeshkumar","doi":"10.22038/PSJ.2021.58640.1332","DOIUrl":"https://doi.org/10.22038/PSJ.2021.58640.1332","url":null,"abstract":"Introduction:Drug package inserts are officially approved documents provided along with the drugs by the drug marketing company. They act as an important source of information about the drug for both patients and physicians, which helps in proper administration and improving the safe use of medications. The pharmacological and clinical information presented in them for its consistency and completeness were analyzed in this study.Materials and Methods: The drug package inserts were collected and analyzed for the pharmacological and clinical information, based on the headings under Section 6.2 & Section 6.3 mentioned in Schedule D of Drugs and Cosmetics Act and Rules, 1945. The drug package inserts that were analyzed in this study included different drug formulations and drugs belonging to different systems.Results: This study shows that the generic name, the brand name of the drug, its active ingredient, therapeutic uses, dosage form, and manufacturer details are present in all the package inserts (100%). But details about safety and precautions are given only in about 90%. Information about pharmacokinetics, pharmacodynamics, pharmaceutical particulars, and the antidote for drug overdose are missing in many package inserts.Conclusion:From our study, we conclude that a majority of the package inserts provide adequate details regarding key information. However, we recommend mentioning the approximate cost of the drug, references for the information provided in it, along with the Toll-free number of the Pharmacovigilance Programme of India (PVPI) for reporting adverse drug effects.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"331 1","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77138092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Symptoms of Anxiety Disorders and Related Transdiagnostic Factors in Cancer Patients and Healthy Individuals","authors":"A. Mansouri, Vajihe Zardoshtian Moghadam","doi":"10.22038/PSJ.2021.57539.1324","DOIUrl":"https://doi.org/10.22038/PSJ.2021.57539.1324","url":null,"abstract":"Introduction:This study aimed to compare symptoms of anxiety disorders and related transdiagnostic factors in cancer patients and healthy individuals. \u0000Materials and Methods: In this causal-comparative study, 30 patients with cancer and 30 healthy individuals were selected by the convenience sampling method. The groups were matched in demographic characteristics with each other. The participates completed the Generalized Anxiety Disorder Scale-7 (2006), Severity Measure for Panic Disorder-Adult (2013), Social Phobia Inventory (2000), Cognitive Avoidance Questionnaire (2008), Intolerance of Uncertainty Scale (1994), Metacognition Questionnaire (2004), Acceptance and Action Questionnaire-II (2011), and Cognitive Emotion Regulation Questionnaire (2006). Data were analyzed by SPSS software (version 24), using a one-way analysis of variance. The significance level was 0.05. \u0000Results: The results showed that there was a significant difference between the two groups in symptoms of generalized anxiety (GAD) and panic disorders (PD) (P 0.05). In addition, there was a significant difference between the two groups in all transdiagnostic factors (P<0.05). \u0000Conclusion: Individuals with cancer were reported more symptoms of GAD and PD and related transdiagnostic factors than those in the control group.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"1 1","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90892009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Frequency of Stimulant and Opioid Abuse in the Poisoned Cases Referred To Hospitals in Ardabil, Iran","authors":"E. Farzaneh, Yousef Bashkooh, F. Amani, Franaz Nasl-Seraji, Omid Mehrpoor","doi":"10.22038/PSJ.2021.57184.1320","DOIUrl":"https://doi.org/10.22038/PSJ.2021.57184.1320","url":null,"abstract":"Introduction: \u0000Poisoning with acute opioids and stimulant is the most common causes of emergency visits, and its early detection and treatment is of utmost importance. The present study aimed to evaluate the frequency of opioid and stimulant use in poisoned cases. \u0000Materials and Methods: \u0000This cross-sectional descriptive study was conducted on 255 cases with acute opioids and stimulant poisoning. \u0000Results: \u0000Out of all patients, 7(2.7%) patients died due to severe complications. Moreover, 72.2% of patients were male, and the majority of cases (86.87%) were urban residents. The leading cause of poisoning was suicide (65.1%), and 34.9% of patients had accidental poisoning. The mean age of patients was 36.26 years. Tramadol, methadone, and opium with 29.4%, 23.9%, and 23.5% were the most used opioids for poisoning, respectively. \u0000Conclusion: \u0000As evidenced by the obtained results, tramadol poisoning is the most common poisoning in patients referring to hospital emergence. Nevertheless, tramadol use and availability need to be prevented and controlled; moreover, the awareness of health system providers should be raised about the care of these patients.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"19 1","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78909435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Safety Reporting and Implementation during the Pandemic Covid 19","authors":"Putu Sudarmika, Ni Nyoman Gunahariati, I. Sutajaya, I. B. Arnyana, Gede Sudirtha","doi":"10.22038/PSJ.2021.58685.1333","DOIUrl":"https://doi.org/10.22038/PSJ.2021.58685.1333","url":null,"abstract":"Introduction:The goal of this research was to determine the recording and implementation of patient safety during a pandemic.Materials and Methods: This study was conducted through in 2 phases. In the first phase, the design used is pre and post-design. The researchers analyzed patient safety reports from each treatment room. The data collected retrospectively were patient safety data in the patient safety recording 2019 and data in the 2020 report. The second part consisted of conducting structured interviews through focus group discussions held in two sessions, with five respondents in each session.Results: A total of 33 patient care units were included in this study. There were differences in the recording and reporting of patient safety before the pandemic and during the pandemic (P=0.001), there were differences in the implementation of patient identification (P= 0.026), there was a difference in effective communication (P= 0.040), while drug alertness was not significantly different (P= 0.970); there was a difference in the accuracy of surgical procedures (P= 0.016), there was a difference in infection prevention (P= 0.011), and prevention of falling risk (P= 0.001).Conclusion:There was a decrease in the number of recordings and reporting on patient safety because officers serving patients are more focused on the condition of patients with Covid-19. Nurses are faced with a new disease that raises concerns about transmission and the use of complete PPE so that voices are not heard. Recommendations for using research results as learning materials in policymaking.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"39 1","pages":"141-153"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80183775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Turkish Version of the World Health Organization Quality of Life Instrument-Older Adults’ Module (WHOQOL-OLD)","authors":"Gonul Duzgun, Asiye Durmaz-Akyol","doi":"10.22038/PSJ.2021.58413.1330","DOIUrl":"https://doi.org/10.22038/PSJ.2021.58413.1330","url":null,"abstract":"Introduction:In recent years, the quality of life has become an important final health status indicator. Thus, increasing the quality of life in the growing population of the elderly is one of the most important goals in healthcare. The purpose of this study was to determine the quality of life of the elderly staying in nursing homes.Materials and Methods: The research was carried out at the Gurcesme Zubeyde Hanim Nursing Home, date between 1 July-30 August 2011, in Izmir. 103 elderly individuals, who met the inclusion criteria, constituted the research sample. Researcher collected data in face to face with the elderly participants.Results: 52% of the participants are in 75-84 age group. 58% of the elderly were female; 56,3% were widowed; 61.2% were not literate; 39% have been staying in a nursing home because of no one to look after them; 41.7% had lived in a nursing home longer than seven years. 68.9% had at least one chronic disease, 58.3% of the elderly expressed their quality of life as good. WHOQOL-OLD total score was between 52-86 points (mean 70). The lowest scale mean score was sensory abilities and death and dying, sub-dimension group.Conclusion:The quality of life in elderly people was affected directly by variables such as age, educational level, marital status, social capacity, chronic illnesses, income status, and length of staying in a nursing home. We suggest that improving the social activities and facilities of the institution in line with the results obtained.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"1 1","pages":"189-197"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83114358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Self-Reported Practices and Perceived Barriers of Medication Administration Safety in State Hospitals in Northern Nigeria","authors":"Yahaya Jafaru, M. Hassan","doi":"10.22038/PSJ.2021.57610.1325","DOIUrl":"https://doi.org/10.22038/PSJ.2021.57610.1325","url":null,"abstract":"Introduction:Administering medication is a vital aspect of patients’ treatment and nurses play an essential role in it, with the responsibility of safety during the procedure. Nurse administrators are showing concern about patient safety, and one of the first steps to reduce medication administration errors is assessing the factors contributing to those errors.Materials and Methods: The study was descriptive and adopted cross-sectional design. The Medication Administration Safety Assessment Tool and instrument for assessing barriers to medication administration safety were used for data collection. Proportionate and systematic samplings were used in selecting the respondents. Data collected were analysed using SPSS version 26. Chi-square and ANOVA statistical tools were used for inferential analysis.Results: The majority (40.7%) of the respondents were having Good medication administration safety practices, but 19.1% had poor medication administration safety practices. Majority (41.6%) of the respondents had very low perceived barriers to medication administration safety. There was no significant association between hospital working experience and medication administration safety practices, P>0.05. The professional qualification of the respondents was associated with perceived barriers to medication administration safety, P<0.05.Conclusion:The medication administration safety practices range from good to very good practices, and there was a considerable number of respondents with poor practices. Moreover, a significant number of respondents perceived the barriers to medication administration safety practices as moderate, high or very high. These call for the need for frequent knowledge update through conferences, workshops and educational forums among nurses. Frequent investigation and mitigation of factors aggravating hospitals’ medication administration errors should be given more emphasis.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"14 1","pages":"155-162"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74506099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human Reliability Analysis for Cardiopulmonary Resuscitation Process in Emergency Medicine Using a Modified Hybrid Method Based on the Markov Model and Fault Tree Analysis","authors":"Shiva Rasouli, Katayoon Eshkofti, S. Hosseini, E. Pishbin","doi":"10.22038/PSJ.2021.57504.1326","DOIUrl":"https://doi.org/10.22038/PSJ.2021.57504.1326","url":null,"abstract":"Introduction:In emergency departments (ED), human reliability assessment is essential for improving the quality of treatment and preventing medical accidents. A medical accident is expressed as an injury to a patient caused by the negligence of a doctor or nurse who is providing medical care. This study aimed to assess the human reliability in the cardiopulmonary resuscitation (CPR) process and recommend some comments to minimize human errors and improve patient safety.Materials and Methods: The main factors in the CPR process (such as rate and depth of chest compression and rate of ventilation) are identified based on the American heart association (AHA) roles. Data were recorded during three months in the evening shifts in the ED and CPR room of Imam Reza Hospital in Mashhad, Iran. In total, 42 samples were collected, and a modified hybrid approach according to the fault tree analysis and Markov method was proposed for the analysis of CPR team (including emergency medicine, medical interns, and nurses) reliability in the resuscitation process. Finally, the important basic events (errors) were selected using the Boruta algorithm by R software.Results: An FTA-Markov-based hybrid method is considered to compute the human reliability in the CPR process. The obtained results from human reliability analysis using the sensitivity analysis via Boruta algorithm and the proposed hybrid method show that an interrupt between chest compression process for rhythm control, the cycle of CPR, the depth of chest compression, and the discussion about reversible causes are the most effective factors in the human reliability of CPR process.Conclusion:The human reliability of the CPR process in the ED has been assessed using a hybrid method based on the FTA and Markov method for the first time. To improve the quality of treatment and prevent medical accidents during the CPR process, the main factors in the process are identified, and then, the proposed hybrid method is used to calculate human reliability.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"117 1","pages":"163-175"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80458228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing an Evidence-Based Protocol to Reduce and Prevent Fall Events among Elderly Hospice Patients","authors":"Lydia S Chowa","doi":"10.22038/PSJ.2021.49691.1277","DOIUrl":"https://doi.org/10.22038/PSJ.2021.49691.1277","url":null,"abstract":"Introduction: To examine the effectiveness of a multifactorial intervention to reduce falls for elderly hospice patients who live at home and in skilled nursing facilities. Materials and Methods: This pre--post intervention study was conducted in a local agency of a healthcare organization for hospice patients in California. The study included 51 hospice patients who did not object to the intervention at the local agency. The multifactorial intervention consisted of four components: (1) fall risk assessment, (2) post-fall huddle session, (3) universal fall precautions education, and (4) the 5 Ps to reduce falls for elderly hospice patients. The primary outcome was the fall rates (falls per 1,000 occupied bed days). Other outcomes included patient fall risk scores, post-fall huddle compliance, and compliance of universal fall precautions and the 5 Ps. Results: The multifactorial intervention reduced the fall rates for hospice patients from 6.9 in 2017 (baseline period) to 1.7 in 2019 (implementation period) per 1,000 occupied bed days. There was 100% compliance with fall risk assessment, post-fall huddle administration, universal fall prevention documentation, 5 Ps education, and care plan initiation and modification. Conclusion: The finding of this study indicated a significantly positive effect of a nurse-led multifactorial intervention on fall prevention of hospice patients cared for at home or at skilled nursing facilities. The intervention was easy to implement, cost effective, and took a very short time to complete, which would allow nursing leadership to initiate such interventions to prioritize fall prevention in every hospice healthcare organization.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"146 1","pages":"109-119"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77722305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}