Global journal on quality and safety in healthcare最新文献

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 3","pages":"106-114"},"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}

{"title":"Obstacles and Challenges Affecting Quality Indicators in a Complex Tertiary Emergency Center.","authors":"Mohammad J Jaber, Alanoud A Bindahmsh, Mohammad A Abu Dawwas, Susanna E du Preez, Abeer M Alshodukhi, Ismail S Alateeq, Norah S Binti Abd Rahman","doi":"10.36401/JQSH-24-10","DOIUrl":"https://doi.org/10.36401/JQSH-24-10","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital performance is significantly affected by external factors (political and economic) rather than internal factors (effectiveness and efficiency). Emergency department (ED) overcrowding is a significant issue for emergency care services globally, characterized by a rising number of visits and persistent unsolved issues, resulting in increased challenges faced by ED staff and decreased patient satisfaction. This study aimed to explore the obstacles and challenges that cause variation in ED quality indicators (QIs) based on five domains: infrastructure, population, workflow, workforce, and administration.</p><p><strong>Methods: </strong>A tertiary emergency center in Saudi Arabia administered a questionnaire with standardized measures to 180 nurses, using a cross-sectional descriptive design.</p><p><strong>Results: </strong>Most nurses (75.5%) believed that crowded waiting rooms in the ED were the most influential factor affecting QIs. Many other challenges were identified, including bed capacity, triage area/workflow, increased volume during peak periods, demand for nonemergency visits, staff and shortages. Significant differences in nurses' responses were found on the basis of education level (for infrastructure only, <i>p</i> = 0.004), specialty (for nursing administration only, <i>p</i> = 0.052), and ED experience (for all variables, <i>p</i> = 0.008-0.039).</p><p><strong>Conclusion: </strong>The analysis uncovered various critical aspects of infrastructure, workflow, population, workforce, and nursing administration that have a major effect on patient flow in the ED. Comprehending these aspects will greatly affect the quality measures of ED performance and assist policymakers in formulating strategic plans to enhance ED performance. Therefore, successful implementation and optimization of ED resources depend greatly on considering the right decision variables and resource restrictions.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"162-174"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634126","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}

{"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":"78 1","pages":""},"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}

{"title":"Reply to Blom: Drugs Do Not Work in Patients Who Cannot Tolerate Them","authors":"Laila Carolina Abu Esba, Hani Alharbi","doi":"10.36401/jqsh-24-x1","DOIUrl":"https://doi.org/10.36401/jqsh-24-x1","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"51 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660071","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-Centered Healthcare: From Patient Experience to Human Experience","authors":"Muhammad Hasan Abid, Augustine Kumah, Ahmed Newera, Passant Hafez","doi":"10.36401/jqsh-24-x2","DOIUrl":"https://doi.org/10.36401/jqsh-24-x2","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"28 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659485","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":"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":"7 11","pages":""},"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}

{"title":"Letter in Response to “Lomitapide: A Medication Use Evaluation and a Formulary Perspective” by Esba and Alharbi","authors":"Dirk J. Blom","doi":"10.36401/jqsh-24-17","DOIUrl":"https://doi.org/10.36401/jqsh-24-17","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"3 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141661549","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":"Adopting the \"TDODAR\" Model to Improve Clinical Decision-Making in Acute and Critical Care Settings.","authors":"Isaac K S Ng","doi":"10.36401/JQSH-24-14","DOIUrl":"10.36401/JQSH-24-14","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400794","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}

{"title":"Factors Associated with Antidiabetic Medications and Dietary Recommendation Adherence Among Patients with Type 2 Diabetes.","authors":"Godwin Gideon Kwaku Dorvlo, Augustine Kumah, Samuel Kwabena Ofosu, Stephen Henry Afakorzi, Yvette Eyram Avorgbedor, Emmanuel Obot, Chinwe Nnenna Nwogu, Malik Abdul Rahman, Henry Okorie Ugorji, Lawrencia Antoinette Aidoo, Anthony Bless Dogbedo, Abdul-Razak Issah, Abigail Abiba Fuseini, Deborah Terkperkie Kanamitie, Gustav Boni","doi":"10.36401/JQSH-23-52","DOIUrl":"10.36401/JQSH-23-52","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus is a global noncommunicable disease epidemic of public concern. Adherence poses a challenge to patients due to the long-term management of type 2 diabetes. This study assessed the factors associated with antidiabetic medications and dietary recommendation adherence among patients with type 2 diabetes in Ghana.</p><p><strong>Methods: </strong>A hospital-based, cross-sectional study design was used to assess self-reported factors associated with antidiabetic medications and dietary recommendation adherence among 165 recruited type 2 diabetes patients who visited diabetic clinics of two selected municipal hospitals in the Volta region of Ghana. A structured questionnaire consisting of closed-ended questions was used. Phone calls were used to collect responses from participants using the structured questionnaire, which included the United Kingdom Diabetes Diet Questionnaire and Morisky Adherence Scale. Data collected were entered into a Microsoft Excel sheet and exported to STATA software (version 15) to analyze variables. Binary logistic regression was run to determine the association between the level of adherence (outcome variable) and the independent variables. A CI of 95% with a <i>p</i>-value of < 0.05 was statistically significant.</p><p><strong>Results: </strong>Self-reported factors were as follows: forgetfulness (<i>p</i> = 0.0001), taking medication (<i>p</i> = 0.006), difficulty remembering to take medication (<i>p</i> = 0.001), worry about long-term intake of drugs (<i>p</i> = 0.0001), choice of high-fiber diet (<i>p</i> = 0.037), intake of processed or refined carbohydrate (<i>p</i> = 0.049) alcohol intake (<i>p</i> = 0.033), age (<i>p</i> = 0.015), occupation (<i>p</i> = 0.009), and patient waiting time (<i>p</i> = 0.020) were found to have contributed to medication/dietary nonadherence among the participants.</p><p><strong>Conclusion: </strong>Patient adherence was low. Health authorities in the two selected hospitals should develop strategies to reduce the problem of poor adherence.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400845","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}

{"title":"Practical Application for the Theory of Profound Knowledge in a Quality Improvement Project","authors":"Hakem Alomani, F. A. Mostafa, Basim Felemban, Hani Redwan, Khaled Masaud, Khadijah Alshanqiti, Claudine Neff, Matea Vidovic","doi":"10.36401/jqsh-23-45","DOIUrl":"https://doi.org/10.36401/jqsh-23-45","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"49 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141010128","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}