Global journal on quality and safety in healthcare最新文献

Transforming Hospital Quality Improvement Through Harnessing the Power of Artificial Intelligence. 通过利用人工智能的力量改进医院质量。

Global journal on quality and safety in healthcare Pub Date : 2024-08-01 DOI: 10.36401/JQSH-24-4

Hana J Abukhadijah, Abdulqadir J Nashwan

引用次数: 0

Exploration of Mental Health and Well-Being of Healthcare Professionals During the COVID-19 Pandemic. 探讨 COVID-19 大流行期间医疗保健专业人员的心理健康和幸福感。

Global journal on quality and safety in healthcare Pub Date : 2024-08-01 DOI: 10.36401/JQSH-23-47

Taurzhan K Aldabergenova, Anthony Abiodun Eniola, Bibi-Aisha Sh Orynbayeva, Feruza S Sarsenbayeva, Nurzhamal S Askarova, Sidikat Shitu

{"title":"Exploration of Mental Health and Well-Being of Healthcare Professionals During the COVID-19 Pandemic.","authors":"Taurzhan K Aldabergenova, Anthony Abiodun Eniola, Bibi-Aisha Sh Orynbayeva, Feruza S Sarsenbayeva, Nurzhamal S Askarova, Sidikat Shitu","doi":"10.36401/JQSH-23-47","DOIUrl":"10.36401/JQSH-23-47","url":null,"abstract":"Introduction: In response to curbing the spread of SARS-CoV-2, healthcare professionals (HCPs) encounter a multitude of mental stresses. The primary intent was to explore the mental health and well-being experienced by HCPs in Ekiti State, Nigeria, amid the COVID-19 pandemic.Methods: Data were analyzed using inductive qualitative methodology. The study was undertaken among HCPs in two teaching hospitals in Ekiti State during the SARS-CoV-2 outbreak. Convenience sampling techniques were employed to select participants for this study. A comprehensive interview ranging from 30 to 50 minutes per participant was administered to a sample of 14 HCPs (doctors and nurses) representing various departments within the hospital. The interviews were conducted between March 2020 and May 2020. COVID-19 stressful situations, the physiological consequences of stress, personality, disposition, stress management techniques, and coping mechanisms were evaluated.Results: The study outcomes indicate that a significant proportion of HCPs currently face mental well-being. The primary sources of stress identified in this study included heavy workloads and pressure from social media platforms and government agencies. The outbreak crisis significantly influenced on their lives and work, with the fear of catching diseases and their anxiety about spreading infections to their loved ones.Conclusions: HCPs require a secure working environment during the current circumstances, along with an enhanced support system to alleviate stressors. This study contributes to a significant proportion of HCPs currently facing stress.","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming Hospital Housekeeping: The Kayakalp Journey 改造医院内务：Kayakalp 之旅

Global journal on quality and safety in healthcare Pub Date : 2024-07-22 DOI: 10.36401/jqsh-23-54

J. Pillai, Biswajeevan Sahoo, M. C. Sahoo, B. Behera, R. Baby, Mariamma V. George, Jyotirmayee Rath, Chandramani Sahoo, Ashoka Mohapatra, Gaurav Chhabra, B. Behera, Arvind Kumar Singh, B. Patro, Ashok Kumar Jena

{"title":"Transforming Hospital Housekeeping: The Kayakalp Journey","authors":"J. Pillai, Biswajeevan Sahoo, M. C. Sahoo, B. Behera, R. Baby, Mariamma V. George, Jyotirmayee Rath, Chandramani Sahoo, Ashoka Mohapatra, Gaurav Chhabra, B. Behera, Arvind Kumar Singh, B. Patro, Ashok Kumar Jena","doi":"10.36401/jqsh-23-54","DOIUrl":"https://doi.org/10.36401/jqsh-23-54","url":null,"abstract":"\u0000 \u0000 The Kayakalp guidelines for public healthcare facilities under the Swachh Bharat Abhiyan (Clean India Mission) focus on improving sanitation, cleanliness, and infection control at public hospitals in India. This study was conducted in a 960-bed tertiary-level teaching hospital in eastern India. Housekeeping has been a challenge in public institutions, with factors like overcrowding and resource constraints. Tobacco and betel nut chewing, spitting, poor sanitation practices, and open urination are major challenges in ensuring sanitation at the hospital. The research objective was to study the implementation of the Kayakalp guidelines for quality improvement in housekeeping services at the institution.\u0000 \u0000 \u0000 \u0000 A pre- and post-interventional study was conducted using the Plan-Do-Check-Act (PDCA) quality tool. Plan phases included the gap assessment using the Kayakalp checklist with numerical scoring. Necessary interventions were done under three headings: structure, processes, and outcomes in the “Do” phase. The “Check” phase included monitoring of the activities followed by the “Act” phase, which included a review of the action plan. External experts nominated by the government conducted the final assessments and recommended it as one of the cleanest hospitals.\u0000 \u0000 \u0000 \u0000 A 360-degree improvement was observed in hospital services, with assessment score improvement from 73.68% to 95.0%. The institution received the first prize in 2020 and 2021 and runners-up Kayakalp National Award under category “B” (Institute of National Importance) Hospitals in 2019.\u0000 \u0000 \u0000 \u0000 The implementation of Kayakalp guidelines of the Government of India proved to be efficient in the improvement of housekeeping and infection control practices in the institution.\u0000","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141817503","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

Reply to Blom: Drugs Do Not Work in Patients Who Cannot Tolerate Them 回复布洛姆：药物对不能耐受药物的患者不起作用

Global journal on quality and safety in healthcare Pub Date : 2024-07-10 DOI: 10.36401/jqsh-24-x1

Laila Carolina Abu Esba, Hani Alharbi

引用次数: 0

Patient-Centered Healthcare: From Patient Experience to Human Experience 以患者为中心的医疗保健：从患者体验到人类体验

Global journal on quality and safety in healthcare Pub Date : 2024-07-10 DOI: 10.36401/jqsh-24-x2

Muhammad Hasan Abid, Augustine Kumah, Ahmed Newera, Passant Hafez

引用次数: 0

Using the Failure Mode and Effect Analysis Tool to Improve the Automatic Stop Order Process 使用故障模式和影响分析工具改进自动停止命令流程

Global journal on quality and safety in healthcare Pub Date : 2024-07-10 DOI: 10.36401/jqsh-24-9

Ghada Hussain Al Mardawi, R. Rajendram, Arwa Balharith, Abdulaziz Alomaim

{"title":"Using the Failure Mode and Effect Analysis Tool to Improve the Automatic Stop Order Process","authors":"Ghada Hussain Al Mardawi, R. Rajendram, Arwa Balharith, Abdulaziz Alomaim","doi":"10.36401/jqsh-24-9","DOIUrl":"https://doi.org/10.36401/jqsh-24-9","url":null,"abstract":"\u0000 \u0000 Automatic stop orders (ASOs) in computerized prescription order entry (CPOE) systems predefine the length of treatment. This can improve resource use for select therapies (e.g., empirical antibiotics). However, root cause analysis of dose omission errors identified inappropriate ASO-directed termination of medications without prescriber notification. This quality improvement initiative aimed to identify potential failures of the medication ASO processes to develop a new workflow and anticipate issues that may arise after implementation.\u0000 \u0000 \u0000 \u0000 A failure mode and effect analysis (FMEA) was conducted following Institute of Healthcare Improvement guidance. A multidisciplinary ASO-FMEA team reviewed the existing workflow. Failure modes, risk priority numbers (RPNs), and interventions were identified and assessed. The RPNs calculated for the proposed new workflow (assuming all recommendations were implemented) were compared with those of the existing workflow.\u0000 \u0000 \u0000 \u0000 Eight failure modes, 17 effects, and 31 causes were identified in the five workflow steps (mean RPN 365.4; median 280). Specific, measurable, achievable, realistic, and time-bound interventions were proposed. Assuming successful implementation of all recommendations, the RPNs of the proposed workflow (mean 117.6; median 112) were significantly lower (p < 0.05).\u0000 \u0000 \u0000 \u0000 When modifying existing CPOE systems, FMEA may identify possible failures that can be addressed before the implementation of a new process. This may prevent errors, improving medication safety. Regardless, continuous audit and monitoring are required to ensure the effectiveness of implemented changes.\u0000","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141661644","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

Letter in Response to “Lomitapide: A Medication Use Evaluation and a Formulary Perspective” by Esba and Alharbi 回应 Esba 和 Alharbi 所著《洛米他匹：Esba 和 Alharbi 撰写的 "洛米他匹：用药评估和处方集视角 "的回复

Global journal on quality and safety in healthcare Pub Date : 2024-07-10 DOI: 10.36401/jqsh-24-17

Dirk J. Blom

引用次数: 0

Practical Application for the Theory of Profound Knowledge in a Quality Improvement Project 深奥知识理论在质量改进项目中的实际应用

Global journal on quality and safety in healthcare Pub Date : 2024-05-06 DOI: 10.36401/jqsh-23-45

Hakem Alomani, F. A. Mostafa, Basim Felemban, Hani Redwan, Khaled Masaud, Khadijah Alshanqiti, Claudine Neff, Matea Vidovic

引用次数: 0

Evaluation of a Risk Screening Checklist for Venous Thromboembolism Prophylaxis in a Women and Newborn Hospital 评估一家妇女和新生儿医院的静脉血栓栓塞预防风险筛查清单

Global journal on quality and safety in healthcare Pub Date : 2024-05-03 DOI: 10.36401/jqsh-23-51

Rebecca Lewis, Deborah Gordon, Julie Lam, S. Teoh, T. Lebedevs

{"title":"Evaluation of a Risk Screening Checklist for Venous Thromboembolism Prophylaxis in a Women and Newborn Hospital","authors":"Rebecca Lewis, Deborah Gordon, Julie Lam, S. Teoh, T. Lebedevs","doi":"10.36401/jqsh-23-51","DOIUrl":"https://doi.org/10.36401/jqsh-23-51","url":null,"abstract":"\u0000 \u0000 \u0000 The venous thromboembolism (VTE) risk screening forms were developed to allow for recording identified risk factors for VTE including thrombophilia, history of VTE, postpartum hemorrhage, and cesarean delivery, and documentation of specific actions taken to mitigate these risks and reduce complications due to VTE.\u0000 \u0000 \u0000 \u0000 Compliance with hospital guidelines in assessing VTE risk and appropriate prescribing of thromboprophylaxis was evaluated prior to the introduction of VTE risk screening forms (March 2022). Efficacy of the new VTE risk screening forms was also assessed (April 2023). Patient discharge summaries and patient medical records including medication charts were used to review the documentation of VTE risk assessments and details of thromboprophylaxis prescribing.\u0000 \u0000 \u0000 \u0000 Of 74 postnatal patients, 37.8% had VTE risk assessment documented prior to the introduction of VTE risk screening forms. Of 37 patients identified to be at moderate to high risk of VTE requiring pharmacological prophylaxis, 70.3% (n = 26) were appropriately prescribed pharmacological prophylaxis. After the risk screening forms were introduced, a total of 67 antenatal, postnatal, and gynecologic patients were studied. Of these, 32.8% (n = 22) of patients had all required fields completed appropriately. When using the forms, 26.9% (n = 7) of postnatal and 88% (n = 22) of gynecological patients were rated as medium or high risk, and all received medical review within 24 hours. Pharmacological prophylaxis was indicated in 88% (n = 22) of gynecological, 43.8% (n = 7) of antenatal, and 38.5% (n = 10) of postnatal patients, and all were appropriately prescribed.\u0000 \u0000 \u0000 \u0000 The guideline review and introduction of VTE risk screening forms was valuable to provide guidance in the risk assessment for VTE and to identify patients requiring prophylaxis.\u0000","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141016084","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

Adherence to Infection Prevention Practice Standard Protocol and Associated Factors Among Healthcare Workers. 医护人员对《预防感染操作标准协议》的遵守情况及相关因素。

Global journal on quality and safety in healthcare Pub Date : 2024-05-02 eCollection Date: 2024-05-01 DOI: 10.36401/JQSH-23-14

Getachew Ossabo Babore, Yaregal Eyesu, Daniel Mengistu, Sisay Foga, Asnakech Zekiwos Heliso, Taye Mezgebu Ashine

{"title":"Adherence to Infection Prevention Practice Standard Protocol and Associated Factors Among Healthcare Workers.","authors":"Getachew Ossabo Babore, Yaregal Eyesu, Daniel Mengistu, Sisay Foga, Asnakech Zekiwos Heliso, Taye Mezgebu Ashine","doi":"10.36401/JQSH-23-14","DOIUrl":"10.36401/JQSH-23-14","url":null,"abstract":"Introduction: Healthcare-associated infection affects more than 100 million patients annually. Healthcare workers' poor adherence to standard infection prevention and control procedures can result in many negative consequences, ranging from disability to death.Methods: A facility-based, cross-sectional study was conducted in June 2021 among 379 healthcare workers selected using a stratified random sampling technique. All types of healthcare providers except pharmacy professionals were included in the study. Standardization and validation of the study tool were performed ahead of data collection. Multivariable regression was used to assess the variables associated with adherence.Results: The study found that 60.2% of healthcare workers (95% CI, 55.1-65.2) had good adherence to infection prevention practices, and 68.7% and good knowledge of infection prevention practices. Training on infection prevention methods (adjusted odds ratio [AOR] = 1.68; 95% CI, 1.04-2.72), availability of water supply at hand washing station (AOR = 2.90; 95% CI, 1.62-5.31), and attitude toward infection prevention (AOR = 2.64; 95% CI, 1.65-4.24) were identified as predictors of adherence to infection prevention and control procedures.Conclusion: More than half of the participants had good adherence to infection prevention guideline practices. In-service infection prevention training, a consistent water supply at the hand washing station, and a positive attitude of participants were associated with good adherence to infection prevention practices.","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11077518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0