Journal of patient safety and quality improvement最新文献

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The effect of cardiovascular training courses for clinical toxicology residents and other specialists in toxicology ward 心血管培训课程对临床毒理学住院医师及毒理学病房其他专科医师的效果
Journal of patient safety and quality improvement Pub Date : 2019-10-01 DOI: 10.22038/PSJ.2019.44961.1258
Z. Ataee, B. Dadpour, M. Ziaee, M. Jalalyazdi
{"title":"The effect of cardiovascular training courses for clinical toxicology residents and other specialists in toxicology ward","authors":"Z. Ataee, B. Dadpour, M. Ziaee, M. Jalalyazdi","doi":"10.22038/PSJ.2019.44961.1258","DOIUrl":"https://doi.org/10.22038/PSJ.2019.44961.1258","url":null,"abstract":"Introduction: Nowadays, patients referring to emergency department due to poisoning and its complications, make up most of the patients in emergency wards. One of the major complications of these poisonings is heart problems. With this in mind, we decided on training courses to repeat the topics and cardiovascular emergencies for toxicology assistants and other toxicology specialists. \u0000Materials and Methods: For this study invited of clinical toxicology residents and toxicologists and forensic specialists and other specialists in toxicology ward to attend ECG training classes and cardiac emergencies. Ten people attended classes. Pre-test training with eight items was taken before the start of training. It was explained that individuals should score from 1(very poor) to 5(very strong) based on Likert. And after the end of the course, the post- test was done with the same condition. \u0000Results: According to the results obtained from the table and questions, we came to the conclusion that the training courses have improved results in all items and courses are required at least once a year. \u0000Conclusion: It seems that cardiovascular training is repeated annually for toxicology assistants and other toxicology specialists can be helpful in remembering previous material and better treating patients in toxicology emergency.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"61 1","pages":"177-179"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80587789","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}
引用次数: 0
Warfarin interactions: a letter to editor 华法林的相互作用:给编辑的一封信
Journal of patient safety and quality improvement Pub Date : 2019-10-01 DOI: 10.22038/PSJ.2019.44292.1250
S. Sadrzadeh, E. Moradi, S. Mousavi, B. Kakhki, S. Rahmani
{"title":"Warfarin interactions: a letter to editor","authors":"S. Sadrzadeh, E. Moradi, S. Mousavi, B. Kakhki, S. Rahmani","doi":"10.22038/PSJ.2019.44292.1250","DOIUrl":"https://doi.org/10.22038/PSJ.2019.44292.1250","url":null,"abstract":"Today, with the advances in the treatment of cardiovascular patients such as intravascular stents, cardiac valves and intraventricular pacing and heart transplantation, many patients require the use of anticoagulants such as warfarin, sprain, Plavix, osvix, Ticlopidine and other drugs. Drugs that cause warfarin toxicity can also disrupt patients' hemodynamic conditions and can be dangerous in older people with underlying diseases. This review study examines some of the most common drug interactions with warfarin. Considering the increasing use of herbal medicine by patients, the importance of educating patients on warfarin is crucial, as many of these drug interactions are dangerous and life-threatening. Due to widespread drug interactions with warfarin and comprehensive use of non-prescription drugs in our country, accurate education and training of warfarin users is of paramount importance. Today, with the advances in the treatment of cardiovascular patients such as intravascular stents, cardiac valves and intraventricular pacing and heart transplantation, many patients require the use of anticoagulants such as warfarin, sprain, Plavix, osvix, Ticlopidine and other drugs. Drugs that cause warfarin toxicity can also disrupt patients' hemodynamic conditions and can be dangerous in older people with underlying diseases. This review study examines some of the most common drug interactions with warfarin. Considering the increasing use of herbal medicine by patients, the importance of educating patients on warfarin is crucial, as many of these drug interactions are dangerous and life-threatening.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"306 1","pages":"181-183"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77361237","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}
引用次数: 1
Incidence of medication administration errors in Ethiopia: A systematic review and meta-analysis of observational studies 埃塞俄比亚药物管理错误的发生率:观察性研究的系统回顾和荟萃分析
Journal of patient safety and quality improvement Pub Date : 2019-10-01 DOI: 10.22038/PSJ.2019.41804.1237
Berhanu Boru Bifftu, Abebe Woldesellassie Tewolde
{"title":"Incidence of medication administration errors in Ethiopia: A systematic review and meta-analysis of observational studies","authors":"Berhanu Boru Bifftu, Abebe Woldesellassie Tewolde","doi":"10.22038/PSJ.2019.41804.1237","DOIUrl":"https://doi.org/10.22038/PSJ.2019.41804.1237","url":null,"abstract":"Abstract Introduction: In Ethiopia, the overall incidence of medication administration errors (MAEs) has been variously estimated within the range of 16% to 99%; a wide range and difficult to conclude. Thus, this study aimed to assess the pooled incidence of MAEs in Ethiopia. Materials and methods: A systematic literature search in the databases of Pub-Med, Cochrane, and Google Scholar were performed. The quality of study was assessed using criteria adopted from similar studies. Heterogeneity test and evidence of publication bias were assessed. Sensitivity test and trim and fill analysis was also performed. Pooled incidence of MAE was calculated using random effects model. Results: A total of nine studies, including a total of 46,426 medication administrations interventions, were included in this systematic review and meta-analysis. The frequently reported MAEs were wrong dose, wrong time, and wrong route. The reported error was ranged from 0.1% for wrong medication to 95.8% for omitted drug error. Overall the pooled incidence of MAE was found to be 37.9% (95% CI, 34%-41.9%). It has no evidence of significant heterogeneity (I2 = 0%, p <0.820) and publication bias from the visual inspection of funnel plot and Egger’s test (P =0.481). Conclusion: The incidence of MAE was high. Wrong dose, wrong time, and wrong route were the frequently reported errors. Omission error was the most incident errors. Authors suggested to give more attentions to the rights of medication administration guide, particularly to prevent omission error.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"24 1","pages":"167-175"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74137642","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}
引用次数: 1
Evaluation of the quality of family planning services from the perspective of service users using the SERVQUAL model in Sanandaj comprehensive health centers in 2018 基于SERVQUAL模型的2018年Sanandaj综合卫生中心计划生育服务质量评价——以服务使用者为视角
Journal of patient safety and quality improvement Pub Date : 2019-10-01 DOI: 10.22038/PSJ.2019.38492.1215
Rahil Gholipour, Roonak Shahoei, Golbahar Ghaderkhani
{"title":"Evaluation of the quality of family planning services from the perspective of service users using the SERVQUAL model in Sanandaj comprehensive health centers in 2018","authors":"Rahil Gholipour, Roonak Shahoei, Golbahar Ghaderkhani","doi":"10.22038/PSJ.2019.38492.1215","DOIUrl":"https://doi.org/10.22038/PSJ.2019.38492.1215","url":null,"abstract":"Introduction: Family planning is aimed at improving the health and well-being of women, children and the family and affecting the quality of life and sexual health. Today, the quality of services has a profound effect on the economic situation. Knowing the expectations of service providers and checking the status of existing weaknesses and strength is revealed. The purpose of this study was to determine the quality of family planning services from the viewpoint of service recipients using the SERVQUAL model in Sanandaj comprehensive health centers in 2018. Methods: In this descriptive-analytical study, 384 women who received family planning services in Sanandaj comprehensive health centers were evaluated. Sampling was done by stratified random sampling. The data was collected by a SERVQUAL Questionnaire 22 pair questions with five dimensions. Data were analyzed by SPSS-23 software and descriptive statistics, t-test and ANOVA. P Results: The results of the study showed a negative gap in all aspects of quality. The highest gap was in the dimension of empathy (-1.84) and the lowest gap in the responsiveness dimension (-1.61). There was also no significant relationship between quality gap and demographic characteristics. Conclusion: The existence of a gap in the five dimensions of service quality suggests that at all levels, average expectations exceeded perceptions, requiring serious efforts to improve the quality of service gap.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"201 1","pages":"155-161"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86996211","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}
引用次数: 1
The Association between Clinical Outcomes and Experienced Quality of Outpatient Care among Patients Treated for Atrial Fibrillation 心房颤动患者的临床结果与门诊护理质量的关系
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.37955.1210
H. Cremers, D. V. Veghel, Cassandra Hoorn, L. Theunissen, P. H. Voort, P. Polak, S. D. Jong, A. Snoeijen, G. Smits, Annelies E M Lucas, L. Dekker
{"title":"The Association between Clinical Outcomes and Experienced Quality of Outpatient Care among Patients Treated for Atrial Fibrillation","authors":"H. Cremers, D. V. Veghel, Cassandra Hoorn, L. Theunissen, P. H. Voort, P. Polak, S. D. Jong, A. Snoeijen, G. Smits, Annelies E M Lucas, L. Dekker","doi":"10.22038/PSJ.2019.37955.1210","DOIUrl":"https://doi.org/10.22038/PSJ.2019.37955.1210","url":null,"abstract":"Introduction: Patient-Reported Experience Measures (PREMs) are commonly used to indicate patients’ experiences in atrial fibrillation (AF) care. As outcomes are the primary goal in Value-Based Health Care, questions are raised regarding whether those experiences represent AF patients’ relevant outcomes. Therefore, this study aims to assess whether a questionnaire concerning AF patients’ experienced quality of care is correlated with AF patients’ clinical outcomes. Materials and Methods: Data of the present study originated from a prospective cohort study performed among outpatient AF patients in the Netherlands. In October 2015, all patients were asked to complete the Consumer Quality Index (CQI) to assess their experiences with the outpatient AF clinic. Analyses are performed to assess the association between patients’ experiences and clinical outcomes of AF patients (i.e. EHRA score) after three and six months of follow-up. Results: A total of 242 AF patients (68.7 years) met the inclusion criteria. Regarding the eight domains of the CQI, only provided information (B=3.10; p=0.01) and the physicians’ communication (B=-3.13; p=0.03) were associated with improved EHRA scores at three months. After six months, EHRA score improvements were associated with only one out of eight CQI indicators, namely the information AF patients received from other healthcare providers (B=-5.15; p<0.01). Conclusion: An inconsistent correlation between AF patients’ clinical outcomes and AF patients’ PREMs was found. Although PREMs are relevant in healthcare, they cannot replace outcomes as a measure of medical care quality. For healthcare organizations, it is crucial to identify the required strategy for assessing the various aspects of the quality of services provided.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"457 1","pages":"95-104"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75105028","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}
引用次数: 1
A 51-Year-Old Man with Icter, Oliguria and Epigastric Pain 51岁男性,尿少,上腹痛
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.39856.1225
Vahideh Mohammadzadeh, B. Dadpour, A. Esmaeili
{"title":"A 51-Year-Old Man with Icter, Oliguria and Epigastric Pain","authors":"Vahideh Mohammadzadeh, B. Dadpour, A. Esmaeili","doi":"10.22038/PSJ.2019.39856.1225","DOIUrl":"https://doi.org/10.22038/PSJ.2019.39856.1225","url":null,"abstract":"Introduction: Exposure to Paraquat is usually fatal. Paraquat causes several organ failure and respiratory failure with pulmonary fibrosis. Therefore, doctors should get familiar with the approach to treatment and the prognosis of this type of poisoning.Case report: An average age-old man admitted to Sabzevar Emergency Department after taking half a cup of herbicide during suicide attempt. He was fully alert and awake at the time of admission, complaining of epigastric pain. Significance of BP: 115/80 RR: 14 PR: 85 T: 37urin, the quality of urine was positive for paraquat. Hemodialysis was performed and continued due to the positive urine test for paraquat, and, in addition, the increase of urea, creatinine and oliguria that occurred on the second day after bursts. Increases in icteric and transaminases on the fifth day were observed. Abdominal ultrasound was normal. Respiratory distress developed on day 5 and deteriorated over time until it was intubated on the 11th day after admission. Prescribing cyclophosphamide and prednisolone was carried out on days 2 to 5 after reception.Conclusion: The toxicity of paraquat remains with the use of hepatitis and immunosuppressive therapy. The doctor should be aware of the symptoms of this toxicity, the prognosis and treatment recommended is the goal of this study.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"13 1","pages":"119-123"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77691714","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}
引用次数: 0
Adoption of a single-page best practice algorithm improves outcomes in patients with acute atrial fibrillation: a multi-disciplinary quality improvement project 采用单页最佳实践算法改善急性心房颤动患者的预后:一个多学科质量改进项目
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.39546.1220
E. Maclean, Daniella de Block Golding, S. Maden, Shreena Patel, Olaminposi Joseph, M. Denning, Jesca Boot, R. Rear
{"title":"Adoption of a single-page best practice algorithm improves outcomes in patients with acute atrial fibrillation: a multi-disciplinary quality improvement project","authors":"E. Maclean, Daniella de Block Golding, S. Maden, Shreena Patel, Olaminposi Joseph, M. Denning, Jesca Boot, R. Rear","doi":"10.22038/PSJ.2019.39546.1220","DOIUrl":"https://doi.org/10.22038/PSJ.2019.39546.1220","url":null,"abstract":"Introduction: In response to a serious incident involving an atrial fibrillation (AF) associated stroke, a quality improvement project was established to examine and improve all aspects of patient care for individuals presenting with acute AF to London’s North Middlesex University Hospital (NMUH).Materials and Methods: The presenting complaint was examined for 2,105 consecutive medical admissions to identify 100 patients (4.7%) with acute AF. For each patient, 36 indices and performance indicators were collected and analysed against international standards. Deficiencies were identified in documentation, risk stratification, anticoagulation and arrhythmia management decisions. With cross-specialty collaboration, a single-page AF management algorithm was established using sequential PDSA methodology, and a further 100 consecutive patients with acute AF were analysed prospectively. A composite end-point of adverse outcomes (AF-associated readmission, stroke, cardiac death or major bleeding) was examined.Results: Algorithm implementation significantly reduced the proportion of patients exposed to unnecessary stroke risk (30% vs 4%, p<0.0001); improved identification and documentation of thromboembolic potential (50% vs 88%, p<0.0001), reduced incorrect drug decisions (12% vs 2%, p=0.01), reduced contraindicated rhythm control (8% vs 0%, p=0.007), and increased direct oral anticoagulant (DOAC) prescribing (38% vs 86%, p<0.0001) over warfarin. After a mean follow-up of 248 +/- 91 days, there was a significant reduction in composite adverse outcomes (22% vs 6%, p=0.0018).Conclusion: Using established quality improvement methodology and cost-neutral multi-disciplinary expertise, this novel management algorithm has significantly improved the quality and safety of care for patients with acute AF at NMUH.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"46 18","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91398938","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}
引用次数: 0
Patient safety and error reporting in obstetrics departments: Exploring nurses knowledge, attitude, and skills 产科患者安全和错误报告:探讨护士的知识、态度和技能
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.44590.1253
Mohammad M. Suliman, Mean Aljezawi, F. Alshaar
{"title":"Patient safety and error reporting in obstetrics departments: Exploring nurses knowledge, attitude, and skills","authors":"Mohammad M. Suliman, Mean Aljezawi, F. Alshaar","doi":"10.22038/PSJ.2019.44590.1253","DOIUrl":"https://doi.org/10.22038/PSJ.2019.44590.1253","url":null,"abstract":"Objective: This study aims to evaluate the patient safety attitudes, skills, knowledge and barriers related to reporting a medical error from a nursing perspective in obstetric departments. Martials and Methods: A cross-sectional and descriptive study was conducted on a sample of 200 nurses and midwives. Patient safety attitudes, skills, and knowledge (PS-ASK) Scale was used to collect data from nurses. Results: Nurses had good knowledge and a positive attitude toward patient safety. However, the participants had higher scores in attitude than knowledge and skills. No significant difference was found between nurses and midwives regarding patient safety knowledge, attitude, and skills (p> 0.05). There are significant positive relationships between nurses' knowledge and a variety of safety attitude and skills (p < 0.05). The top three errors reported were: error during medication preparation and administration, failing to regularly monitoring of fetus's heart rate, and patient falls from beds or while walking without adequate supervision. Conclusion: Patient safety is considered one of the important areas in the health care industry. In the current study, the overall safety knowledge and skills could be described as good but not sufficient. This could be attributed to a lack of sufficient training and education. Reporting errors is still a problem due to fear of consequences.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"58 1","pages":"129-135"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73869515","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}
引用次数: 1
Anthropometric measurements and postural evaluation of Nurse's aide in Selected Hospitals of Shahid Beheshti University of Medical Sciences 沙希德·贝赫什蒂医科大学选定医院护士助理的人体测量和体位评估
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.39851.1224
Somayeh Farhang Dehghan, R. F. Madvari, Elham Akhlaghi Pirposhte, H. Ebrahimi, Fatemeh Golrokh, F. Laal
{"title":"Anthropometric measurements and postural evaluation of Nurse's aide in Selected Hospitals of Shahid Beheshti University of Medical Sciences","authors":"Somayeh Farhang Dehghan, R. F. Madvari, Elham Akhlaghi Pirposhte, H. Ebrahimi, Fatemeh Golrokh, F. Laal","doi":"10.22038/PSJ.2019.39851.1224","DOIUrl":"https://doi.org/10.22038/PSJ.2019.39851.1224","url":null,"abstract":"Introduction: The lack of anthropometric data in the design of work stations and equipment can lead to injuries associated with work musculoskeletal disorders (WMSDs). Therefore, the aim of this study was to investigate anthropometric and postural evaluation of Nurse's aide in Selected Hospitals of Shahid Beheshti University of Medical Sciences.Materials and Methods: This descriptive-analytic study was performed on the Nurse's aide working in the selected hospitals of Shahid Beheshti University of Medical Sciences. In this study the Body Map questionnaire was used to assess musculoskeletal disorders (MSDs) and discomfort, and QEC (Quick Exposure Check) software was used to evaluate posture. Finally, the data were analyzed using SPSS software version 21 using descriptive statistics, independent T test and Pearson correlation with 95% confidence level.Results: The mean age and work experience of the two groups of men and women were (38.17±9.48 and 37.44±9.51) and (14.27±9.51 and 12.06±8.34) respectively. The QEC score was unacceptable and the results showed that men are more at risk than women, although this was not significant (P = 0.082). In the majority of anthropometric dimensions, there was a significant difference between men and women (p<0.05). Also, the results showed that the highest and lowest incidence of discomfort was in the waist and hips areas respectively.Conclusion: Significant anthropometric differences were observed among men and women. Establishing anthropometric database of Nurse's aide in two groups of women and men and designing a work station suitable for anthropometric dimensions can reduce MSDs.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"41 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90871466","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}
引用次数: 0
Successful Treatment of An unusual case of suicide by sharp force. 成功治疗一个不寻常的锐器自杀案例。
Journal of patient safety and quality improvement Pub Date : 2019-07-01 DOI: 10.22038/PSJ.2019.44291.1249
S. Sadrzadeh, Enaz Vafadar Moradi, S. Mousavi, B. Kakhki, Vajiheh Shayesteh Bilandi, S. Rahmani
{"title":"Successful Treatment of An unusual case of suicide by sharp force.","authors":"S. Sadrzadeh, Enaz Vafadar Moradi, S. Mousavi, B. Kakhki, Vajiheh Shayesteh Bilandi, S. Rahmani","doi":"10.22038/PSJ.2019.44291.1249","DOIUrl":"https://doi.org/10.22038/PSJ.2019.44291.1249","url":null,"abstract":"Introduction: In this article, we report a case of penetrating chest trauma as a suicide attempt. Case introduction: A 40-year-old man complained of chest pain following a fall from a height (about three days ago). The patient refused to provide a complete history. After obtaining new and detailed patient's history from his father and reviewing his psychiatric file, it was determined that he performed trauma with the intention of committing suicide to his chest with a metal wire. There were two points of injury in his left hemithorax with infected crusts. Radiologic evaluation showed two foreign bodies in left hemithorax and hemothorax. Patient underwent surgery and finally was transferred to psychiatry unit. Conclusion: It is important to get a detailed history of patients, especially those with mental disabilities and psychiatric disorders. Careful examination of these patients is recommended, even with the initial examinations. Key words: trauma, suicide, hemothorax, medical error","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"62 1","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80711350","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}
引用次数: 0
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