The document discusses the outpatient department (OPD) services at NIMS Hospital in Jaipur, India. It provides details about the organization and structure of the OPD, including that it is divided into different clinical departments. It also describes the department of surgery in particular, listing the units and special clinics. The document then outlines the research methodology for a study on patient satisfaction with OPD services, including the descriptive research design, target population of patients, sample size of 9, and data collection through questionnaires.
Infection Prevention Practices on the Healthcare Frontier: Emerging Models of...bden129
This document summarizes an educational session on infection prevention in emerging ambulatory care delivery models. It discusses trends driving the shift to outpatient care like declining inpatient volumes and growing outpatient encounters. Emerging models described include micro-hospitals, ambulatory surgery centers, and "hospital at home" programs. These models require new staffing approaches for infection prevention. The document outlines challenges for infection preventionists in these settings and resources available to assist them.
This study evaluated the feasibility and usefulness of geriatric screening and assessment in older cancer patients. Researchers prospectively studied 1,967 patients aged 70+ from 10 Belgian hospitals. They found that geriatric screening detected previously unknown geriatric problems in over half of patients. When physicians were aware of screening results, it led to geriatric interventions in 26% of patients and influenced treatment decisions in 25% of patients. The study demonstrates that large-scale geriatric screening and assessment can significantly impact cancer care for older adults.
Purpose of the call:
•Review current data and state of the SSCL
•Discuss the role of communications and team work in patient safety
•Discuss and define how we can measure the effectiveness of the SSCL.
Read more and watch the webinar recording: http://bit.ly/1sXDqaZ
Implementation manual who surgical safety checklist 2009Paul Mark Pilar
The document is an implementation manual for the WHO Surgical Safety Checklist from 2009. It provides guidance on how to use the checklist to improve safety in the operating room. The checklist divides surgery into three phases - before induction of anesthesia, before skin incision, and before the patient leaves the operating room. It describes the safety steps to be completed in each phase, including confirming the patient's identity and consent, checking for allergies, and making sure counts are correct before the patient leaves the OR. The goal is for teams to consistently follow critical safety steps to minimize risks for surgical patients.
Determinants Of Visual Outcomes After Small Incision Cataract Surgery In Pati...Dr. Jagannath Boramani
This study assessed the best-corrected visual acuity 6 weeks after small incision cataract surgery in 443 patients without ocular comorbidities. The results found that 39.73% of patients had visual acuity less than 6/18, while 60.27% had visual acuity greater than 6/18. The major factors affecting poor visual outcomes were biometric calculations, astigmatism, the grade of cataract, and the experience of the operating surgeon. The study concluded that controlling surgically-induced astigmatism through accurate preoperative measurements and planning incision size and position can help improve visual outcomes after small incision cataract surgery.
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
Infection Prevention Practices on the Healthcare Frontier: Emerging Models of...bden129
This document summarizes an educational session on infection prevention in emerging ambulatory care delivery models. It discusses trends driving the shift to outpatient care like declining inpatient volumes and growing outpatient encounters. Emerging models described include micro-hospitals, ambulatory surgery centers, and "hospital at home" programs. These models require new staffing approaches for infection prevention. The document outlines challenges for infection preventionists in these settings and resources available to assist them.
This study evaluated the feasibility and usefulness of geriatric screening and assessment in older cancer patients. Researchers prospectively studied 1,967 patients aged 70+ from 10 Belgian hospitals. They found that geriatric screening detected previously unknown geriatric problems in over half of patients. When physicians were aware of screening results, it led to geriatric interventions in 26% of patients and influenced treatment decisions in 25% of patients. The study demonstrates that large-scale geriatric screening and assessment can significantly impact cancer care for older adults.
Purpose of the call:
•Review current data and state of the SSCL
•Discuss the role of communications and team work in patient safety
•Discuss and define how we can measure the effectiveness of the SSCL.
Read more and watch the webinar recording: http://bit.ly/1sXDqaZ
Implementation manual who surgical safety checklist 2009Paul Mark Pilar
The document is an implementation manual for the WHO Surgical Safety Checklist from 2009. It provides guidance on how to use the checklist to improve safety in the operating room. The checklist divides surgery into three phases - before induction of anesthesia, before skin incision, and before the patient leaves the operating room. It describes the safety steps to be completed in each phase, including confirming the patient's identity and consent, checking for allergies, and making sure counts are correct before the patient leaves the OR. The goal is for teams to consistently follow critical safety steps to minimize risks for surgical patients.
Determinants Of Visual Outcomes After Small Incision Cataract Surgery In Pati...Dr. Jagannath Boramani
This study assessed the best-corrected visual acuity 6 weeks after small incision cataract surgery in 443 patients without ocular comorbidities. The results found that 39.73% of patients had visual acuity less than 6/18, while 60.27% had visual acuity greater than 6/18. The major factors affecting poor visual outcomes were biometric calculations, astigmatism, the grade of cataract, and the experience of the operating surgeon. The study concluded that controlling surgically-induced astigmatism through accurate preoperative measurements and planning incision size and position can help improve visual outcomes after small incision cataract surgery.
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
This document discusses creating a rapid admit unit to prevent emergency department overcrowding. It defines overcrowding and describes common strategies to address it, such as fast tracks and hallway beds. A rapid admit unit involves creating a separate unit outside the ED to admit patients more quickly. Benefits include reduced boarding times and improved patient safety. The document outlines how to plan and implement a rapid admit unit, including criteria, staffing, supplies, and quality metrics to measure its success in reducing overcrowding.
This document discusses creating a rapid admit unit to prevent emergency department overcrowding. It defines overcrowding and describes common strategies to address it, such as fast tracks and pulling patients to fill inpatient beds. A rapid admit unit can help by moving admitted patients out of the ED quickly. The document outlines how to plan and implement a rapid admit unit, including criteria for patient inclusion, staffing, equipment needs, and metrics to measure its success in reducing boarding times and left without being seen rates.
This randomized clinical trial compared the effectiveness of vision therapy/orthoptics, pencil pushups, and placebo vision therapy/orthoptics for treating convergence insufficiency in adults aged 19-30. 46 participants were randomly assigned to 12 weeks of one of the three treatments. Vision therapy/orthoptics was the only treatment that significantly improved measures of near point of convergence and positive fusional vergence. However, over half of those in the vision therapy group still reported symptoms at the end of treatment, though reduced. All three groups reported statistically significant reductions in symptoms, with the highest percentage meeting the criteria for symptom elimination in the vision therapy group.
8. a randomized clinical trial of vision therapy orthoptics versus pencil pus...Yesenia Castillo Salinas
This randomized clinical trial compared the effectiveness of vision therapy/orthoptics, pencil pushups, and placebo vision therapy/orthoptics for treating convergence insufficiency in adults aged 19-30. 46 patients were randomly assigned to receive one of the three treatments for 12 weeks. Vision therapy/orthoptics was the only treatment that significantly improved near point of convergence and positive fusional vergence. However, over half of patients receiving vision therapy were still symptomatic at the end of treatment, though symptoms were reduced. All treatments significantly improved symptoms, with 42% of vision therapy patients, 31% of placebo patients, and 20% of pencil pushup patients achieving elimination of symptoms.
Patient safety assistantship Professor Vinod PatelVinod0901
This document provides an overview of a lecture on promoting patient safety in the NHS after the Berwick Report. It discusses the four ethical principles of autonomy, beneficence, non-maleficence and justice. It then describes elements of a professional skills suite including reducing inequalities, health promotion, patient safety, consent and more. Key models for understanding medical errors like the Swiss cheese model and human factors are presented. The document summarizes the Berwick Report which examined failings in care and made recommendations to improve patient safety, including being more open, transparent and prioritizing patient needs. It also discusses tools like the surgical safety checklist and their impact in reducing complications and deaths.
Improvement U Adult Mock Code PresentationKim Nelson
This document describes a quality improvement project to improve pediatric residents' competence and confidence in assessing and stabilizing adult patients presenting with chest pain or stroke. It involved implementing mock code simulations with debriefing and distributing learning guides. Results showed pediatric residents demonstrated a 34-46% increase in confidence and a 30-41% increase in medical knowledge regarding adult chest pain and stroke treatment. Adherence to checklist items during simulations also increased. The project concluded educational interventions like simulations can effectively address knowledge gaps pediatric providers have in treating adult patients.
This document outlines a quality improvement project to improve efficiency and patient satisfaction at the emergency room of North Side Hospital. The project aims to decrease length of stay to under 100 minutes, increase patient satisfaction scores to over 75th percentile, and reduce left without being seen rates to under 1%. The document identifies key stakeholders, analyzes current processes and data, and lists interventions to be implemented between July and November 2004 such as new equipment, improved relationships, and enhanced ancillary services. It shows the project achieved significant reductions in length of stay, admissions, and left without being seen rates after initiation.
penetrating ocular trauma,
case series of 60 patient 1 year study,
classification of ocular injury, types & classification of eye injury (BETT Classification ),
investigations
management
Concise explaining of Evidence-Based Medicine and discussing the following: 1-What is Evidence-Based Medicine?
2-Why Evidence-based Medicine?
3-Options for changing clinicians' practice behaviour
4- EBM Process- Five Steps
5-Seven alternatives to evidence-based medicine
POC Breast 1 | 2007 - Systemic Therapy for Metastatic Diseasertp
The document discusses survey results from clinical investigators and practicing oncologists on their treatment recommendations and preferences for various cases of metastatic breast cancer. Key findings include:
- For premenopausal patients with metastatic breast cancer, most recommend monthly injections of leuprolide or goserelin rather than every 3 months.
- For patients progressing after 4+ years of adjuvant anastrozole, fulvestrant and exemestane were the most preferred first-line endocrine therapies.
- Most felt nab-paclitaxel has similar or better efficacy and safety compared to docetaxel-based regimens for metastatic disease.
- Options like bevacizumab, ca
The document contains information about different types of dental studies including descriptive studies like case reports and cross-sectional surveys, analytical observational studies like cohort and case-control studies, and experimental studies like randomized controlled trials. It provides examples of how to analyze data from cohort studies, case-control studies, and randomized controlled trials including calculating measures like incidence rates, relative risk, odds ratios, and number needed to treat.
This study aimed to determine the incidence and types of medical errors in ICU patients. The results found that 20% of patients experienced an adverse event, with 45% deemed preventable. A total of 223 serious medical errors occurred, with medications contributing to 78% of errors. The majority of errors were due to slips or lapses in care. The study suggests system-based changes like computerized order entry and barcoding could help reduce medical errors.
This document provides guidelines for the prevention of intravascular catheter-related infections. It was created by a working group representing various medical professional organizations. The guidelines provide evidence-based recommendations in major areas such as education and training of healthcare personnel, use of maximal sterile barrier precautions during catheter insertion, skin antisepsis using chlorhexidine, and performance improvement efforts such as implementing bundled strategies and reporting compliance benchmarks. The recommendations are categorized based on the strength of scientific evidence supporting them. The guidelines are intended to help reduce rates of catheter-related infections in both adult and pediatric patients.
This survey of radiographers in Australian hospitals investigated their participation in abnormality detection systems for trauma radiographs, their perceptions of the benefits and barriers of radiographer commenting, and their views on radiographer image interpretation services. The results found that most radiographers participated in abnormality detection for less than 20% or more than 80% of examinations. Perceived benefits included assisting patient care, but barriers included limited access to image interpretation education and low confidence. Improving access to education was seen as an enabler for greater participation in detection and commenting systems.
The document discusses using ultrasound in the ICU to assess a 44-year-old patient who presented with a motor vehicle crash. It recommends performing a focused assessment with sonography in trauma (FAST) exam to check for internal bleeding and describes how ultrasound can detect as little as 250cc of total fluid or 100cc in a specific area of the abdomen. The document also discusses using ultrasound to check for signs of increased intracranial pressure like enlarged optic nerve sheath diameter and abnormal pupillary size and reactivity. Overall it promotes ultrasound as a valuable tool in the ICU for rapidly evaluating trauma patients.
ASTUTE: Acute Stroke Telemedicine: Utility Training and Evaluation
Implementing Telemedicine in Acute Stroke and the development of a Standardised Telemedicine Tookit
Lancashire Teaching Hsopitals NHS Foundation Trust
Poster from the 'Delivering NHS services, seven days a week' event held in Birmingham on 16 November 2013
More information about this event can be found at
http://www.nhsiq.nhs.uk/news-events/events/nhs-services-seven-days-a-week.aspx
PRMC Case Study - "No Distress Noted" - One Patient's Perspective on Peterson...Cathy Learoyd
Catherine Learoyd was admitted to Peterson Regional Medical Center (PRMC) experiencing life-threatening respiratory distress from a massive pulmonary embolism. Over the first 24 hours, she experienced delays in diagnosis and treatment, lack of communication between providers, and instances where her distress upon movement went unrecorded. She faced a mortality risk of up to 8% but was ultimately saved after being admitted to the ICU and receiving tPA treatment 22 hours after arriving. Learoyd analyzes her case to recommend improvements in communications, policies/procedures, and technology that could help lower PRMC's mortality rate and make it a top-ranked hospital.
This document presents the design of a study on patient feedback systems at Kasturba Hospital in Manipal, India. The objective of the study was to assess patient satisfaction levels and identify factors influencing satisfaction through analyzing patient feedback. A questionnaire was administered to 198 inpatients and 144 outpatients to collect primary data on demographics, satisfaction with various hospital services, and opinions. Secondary data on the hospital profile was also collected. Preliminary findings show high confidence levels in treatment among most patients. Further analysis through chi-square testing will examine relationships between education, confidence, and recommendation behavior.
The document discusses objectives of determining patient flow and diagnosis times at Rajarajeshwari Medical College and Hospital. It aims to identify factors causing long wait times and recommend solutions. A study analyzed patient responses about doctor explanations, nurse attitudes, hospital hygiene, and free services. Most responses were excellent or good. Recommendations include improving billing services, food costs, pharmaceutical costs, and advertising. The hospital provides quality, affordable care and is preferred for its comprehensive services.
This document summarizes the results of a patient satisfaction survey conducted at the outpatient department of Medanta-The Medicity hospital. Some of the key findings include:
- 83% of patients felt doctors understood their problems completely or mostly.
- Waiting times were as expected or better than expected for 93% of patients.
- Registration services, staff courtesy, and cleanliness received high satisfaction ratings from over 90% of patients.
- However, only 65% were satisfied with pharmacy services and 29% rated them as satisfactory.
- 64-77% of patients expressed overall satisfaction with OPD services and said they would return for future care.
The document provides a quality assessment report for Lacor Hospital covering the period of July-September 2022. It assessed various areas including outpatient and inpatient services, hygiene, laboratories, pharmaceutical management, health information systems, and patient satisfaction. Several best practices were identified, such as confidentiality in consultations and triaging of patients. However, some issues were also found like expired medicines and improper waste segregation. The report concluded with recommendations to improve assessment tools, provide training and PPE for waste handlers, focus support on the medicine ward, and have technical teams follow up on findings.
This document discusses creating a rapid admit unit to prevent emergency department overcrowding. It defines overcrowding and describes common strategies to address it, such as fast tracks and hallway beds. A rapid admit unit involves creating a separate unit outside the ED to admit patients more quickly. Benefits include reduced boarding times and improved patient safety. The document outlines how to plan and implement a rapid admit unit, including criteria, staffing, supplies, and quality metrics to measure its success in reducing overcrowding.
This document discusses creating a rapid admit unit to prevent emergency department overcrowding. It defines overcrowding and describes common strategies to address it, such as fast tracks and pulling patients to fill inpatient beds. A rapid admit unit can help by moving admitted patients out of the ED quickly. The document outlines how to plan and implement a rapid admit unit, including criteria for patient inclusion, staffing, equipment needs, and metrics to measure its success in reducing boarding times and left without being seen rates.
This randomized clinical trial compared the effectiveness of vision therapy/orthoptics, pencil pushups, and placebo vision therapy/orthoptics for treating convergence insufficiency in adults aged 19-30. 46 participants were randomly assigned to 12 weeks of one of the three treatments. Vision therapy/orthoptics was the only treatment that significantly improved measures of near point of convergence and positive fusional vergence. However, over half of those in the vision therapy group still reported symptoms at the end of treatment, though reduced. All three groups reported statistically significant reductions in symptoms, with the highest percentage meeting the criteria for symptom elimination in the vision therapy group.
8. a randomized clinical trial of vision therapy orthoptics versus pencil pus...Yesenia Castillo Salinas
This randomized clinical trial compared the effectiveness of vision therapy/orthoptics, pencil pushups, and placebo vision therapy/orthoptics for treating convergence insufficiency in adults aged 19-30. 46 patients were randomly assigned to receive one of the three treatments for 12 weeks. Vision therapy/orthoptics was the only treatment that significantly improved near point of convergence and positive fusional vergence. However, over half of patients receiving vision therapy were still symptomatic at the end of treatment, though symptoms were reduced. All treatments significantly improved symptoms, with 42% of vision therapy patients, 31% of placebo patients, and 20% of pencil pushup patients achieving elimination of symptoms.
Patient safety assistantship Professor Vinod PatelVinod0901
This document provides an overview of a lecture on promoting patient safety in the NHS after the Berwick Report. It discusses the four ethical principles of autonomy, beneficence, non-maleficence and justice. It then describes elements of a professional skills suite including reducing inequalities, health promotion, patient safety, consent and more. Key models for understanding medical errors like the Swiss cheese model and human factors are presented. The document summarizes the Berwick Report which examined failings in care and made recommendations to improve patient safety, including being more open, transparent and prioritizing patient needs. It also discusses tools like the surgical safety checklist and their impact in reducing complications and deaths.
Improvement U Adult Mock Code PresentationKim Nelson
This document describes a quality improvement project to improve pediatric residents' competence and confidence in assessing and stabilizing adult patients presenting with chest pain or stroke. It involved implementing mock code simulations with debriefing and distributing learning guides. Results showed pediatric residents demonstrated a 34-46% increase in confidence and a 30-41% increase in medical knowledge regarding adult chest pain and stroke treatment. Adherence to checklist items during simulations also increased. The project concluded educational interventions like simulations can effectively address knowledge gaps pediatric providers have in treating adult patients.
This document outlines a quality improvement project to improve efficiency and patient satisfaction at the emergency room of North Side Hospital. The project aims to decrease length of stay to under 100 minutes, increase patient satisfaction scores to over 75th percentile, and reduce left without being seen rates to under 1%. The document identifies key stakeholders, analyzes current processes and data, and lists interventions to be implemented between July and November 2004 such as new equipment, improved relationships, and enhanced ancillary services. It shows the project achieved significant reductions in length of stay, admissions, and left without being seen rates after initiation.
penetrating ocular trauma,
case series of 60 patient 1 year study,
classification of ocular injury, types & classification of eye injury (BETT Classification ),
investigations
management
Concise explaining of Evidence-Based Medicine and discussing the following: 1-What is Evidence-Based Medicine?
2-Why Evidence-based Medicine?
3-Options for changing clinicians' practice behaviour
4- EBM Process- Five Steps
5-Seven alternatives to evidence-based medicine
POC Breast 1 | 2007 - Systemic Therapy for Metastatic Diseasertp
The document discusses survey results from clinical investigators and practicing oncologists on their treatment recommendations and preferences for various cases of metastatic breast cancer. Key findings include:
- For premenopausal patients with metastatic breast cancer, most recommend monthly injections of leuprolide or goserelin rather than every 3 months.
- For patients progressing after 4+ years of adjuvant anastrozole, fulvestrant and exemestane were the most preferred first-line endocrine therapies.
- Most felt nab-paclitaxel has similar or better efficacy and safety compared to docetaxel-based regimens for metastatic disease.
- Options like bevacizumab, ca
The document contains information about different types of dental studies including descriptive studies like case reports and cross-sectional surveys, analytical observational studies like cohort and case-control studies, and experimental studies like randomized controlled trials. It provides examples of how to analyze data from cohort studies, case-control studies, and randomized controlled trials including calculating measures like incidence rates, relative risk, odds ratios, and number needed to treat.
This study aimed to determine the incidence and types of medical errors in ICU patients. The results found that 20% of patients experienced an adverse event, with 45% deemed preventable. A total of 223 serious medical errors occurred, with medications contributing to 78% of errors. The majority of errors were due to slips or lapses in care. The study suggests system-based changes like computerized order entry and barcoding could help reduce medical errors.
This document provides guidelines for the prevention of intravascular catheter-related infections. It was created by a working group representing various medical professional organizations. The guidelines provide evidence-based recommendations in major areas such as education and training of healthcare personnel, use of maximal sterile barrier precautions during catheter insertion, skin antisepsis using chlorhexidine, and performance improvement efforts such as implementing bundled strategies and reporting compliance benchmarks. The recommendations are categorized based on the strength of scientific evidence supporting them. The guidelines are intended to help reduce rates of catheter-related infections in both adult and pediatric patients.
This survey of radiographers in Australian hospitals investigated their participation in abnormality detection systems for trauma radiographs, their perceptions of the benefits and barriers of radiographer commenting, and their views on radiographer image interpretation services. The results found that most radiographers participated in abnormality detection for less than 20% or more than 80% of examinations. Perceived benefits included assisting patient care, but barriers included limited access to image interpretation education and low confidence. Improving access to education was seen as an enabler for greater participation in detection and commenting systems.
The document discusses using ultrasound in the ICU to assess a 44-year-old patient who presented with a motor vehicle crash. It recommends performing a focused assessment with sonography in trauma (FAST) exam to check for internal bleeding and describes how ultrasound can detect as little as 250cc of total fluid or 100cc in a specific area of the abdomen. The document also discusses using ultrasound to check for signs of increased intracranial pressure like enlarged optic nerve sheath diameter and abnormal pupillary size and reactivity. Overall it promotes ultrasound as a valuable tool in the ICU for rapidly evaluating trauma patients.
ASTUTE: Acute Stroke Telemedicine: Utility Training and Evaluation
Implementing Telemedicine in Acute Stroke and the development of a Standardised Telemedicine Tookit
Lancashire Teaching Hsopitals NHS Foundation Trust
Poster from the 'Delivering NHS services, seven days a week' event held in Birmingham on 16 November 2013
More information about this event can be found at
http://www.nhsiq.nhs.uk/news-events/events/nhs-services-seven-days-a-week.aspx
PRMC Case Study - "No Distress Noted" - One Patient's Perspective on Peterson...Cathy Learoyd
Catherine Learoyd was admitted to Peterson Regional Medical Center (PRMC) experiencing life-threatening respiratory distress from a massive pulmonary embolism. Over the first 24 hours, she experienced delays in diagnosis and treatment, lack of communication between providers, and instances where her distress upon movement went unrecorded. She faced a mortality risk of up to 8% but was ultimately saved after being admitted to the ICU and receiving tPA treatment 22 hours after arriving. Learoyd analyzes her case to recommend improvements in communications, policies/procedures, and technology that could help lower PRMC's mortality rate and make it a top-ranked hospital.
This document presents the design of a study on patient feedback systems at Kasturba Hospital in Manipal, India. The objective of the study was to assess patient satisfaction levels and identify factors influencing satisfaction through analyzing patient feedback. A questionnaire was administered to 198 inpatients and 144 outpatients to collect primary data on demographics, satisfaction with various hospital services, and opinions. Secondary data on the hospital profile was also collected. Preliminary findings show high confidence levels in treatment among most patients. Further analysis through chi-square testing will examine relationships between education, confidence, and recommendation behavior.
The document discusses objectives of determining patient flow and diagnosis times at Rajarajeshwari Medical College and Hospital. It aims to identify factors causing long wait times and recommend solutions. A study analyzed patient responses about doctor explanations, nurse attitudes, hospital hygiene, and free services. Most responses were excellent or good. Recommendations include improving billing services, food costs, pharmaceutical costs, and advertising. The hospital provides quality, affordable care and is preferred for its comprehensive services.
This document summarizes the results of a patient satisfaction survey conducted at the outpatient department of Medanta-The Medicity hospital. Some of the key findings include:
- 83% of patients felt doctors understood their problems completely or mostly.
- Waiting times were as expected or better than expected for 93% of patients.
- Registration services, staff courtesy, and cleanliness received high satisfaction ratings from over 90% of patients.
- However, only 65% were satisfied with pharmacy services and 29% rated them as satisfactory.
- 64-77% of patients expressed overall satisfaction with OPD services and said they would return for future care.
The document provides a quality assessment report for Lacor Hospital covering the period of July-September 2022. It assessed various areas including outpatient and inpatient services, hygiene, laboratories, pharmaceutical management, health information systems, and patient satisfaction. Several best practices were identified, such as confidentiality in consultations and triaging of patients. However, some issues were also found like expired medicines and improper waste segregation. The report concluded with recommendations to improve assessment tools, provide training and PPE for waste handlers, focus support on the medicine ward, and have technical teams follow up on findings.
Understand what healthcare analytics is.
Identify the 5-stage Analytics Program Lifecycle (APL).
Understand how data analytics can be used in healthcare.
Check it on Experfy: https://www.experfy.com/training/courses/introduction-to-healthcare-analytics.
Sonia Journal club presentation (2).pptxpalsonia139
Title: Application of Checklist-Based Nursing Care Process in Patients Undergoing Intervention for Coronary Chronic Total Occlusion: A Quasi-Randomized Study
Presenter: Sonia Pal, M.Sc. Nursing 2nd Year
Journal: BMC Nursing (2023)
Authors: Xia Ge, Haiyang Wu, Zhe Zang, and Jiayi Xie
DOI: 10.1186/s12872-023-03627-8
Study Overview:
This presentation focuses on the effectiveness of a checklist-based nursing care process for patients undergoing interventions for coronary chronic total occlusion (CTO). The study employs a quasi-randomized design to assess improvements in patient care outcomes.
Key Points:
Background: CTO interventions are complex, and traditional nursing methods have not been highly effective, necessitating the exploration of new approaches.
Objective: To investigate the effectiveness of a checklist-based nursing care process in improving care quality, reducing patient anxiety, increasing patient satisfaction, and minimizing adverse events.
Methodology:
Design: Quasi-randomized study
Setting: Department of Cardiology, Shengjing Hospital, China Medical University, Shenyang, China
Participants: 120 patients undergoing CTO interventions
Groups: Intervention group (checklist-based care) and control group (standard care)
Tools: Preoperative and postoperative PCI nursing care checklists, Zung Self-Rating Anxiety Scale, satisfaction questionnaires for doctors and patients
Ethical Considerations: The study adhered to the Declaration of Helsinki, with informed consent obtained from all participants.
Results: The study aimed to demonstrate that checklist-based nursing care could enhance nursing efficiency and patient outcomes compared to conventional methods.
Quality Control: A quality control team ensured adherence to the checklist and study protocol, with regular training and supervision of nursing staff.
Conclusion:
The presentation concludes with findings supporting the effectiveness of checklist-based nursing care in CTO interventions, suggesting improvements in patient care processes and outcomes. The study highlights the importance of structured nursing protocols in complex medical procedures.
1) The study aims to analyze patient flow patterns and morbidity at KEM Hospital in Mumbai, a large public hospital, to understand how to decongest tertiary care facilities by strengthening primary care.
2) Preliminary findings show the hospital is overcrowded with 71% of patients presenting conditions that could be managed at primary care centers. Referral pathways also demonstrate patients bypass available primary care.
3) Recommendations include zoning the hospital, limiting daily registrations, issuing color-coded referral cards, and deputing specialists to peripheral centers to strengthen primary care and reduce overreliance on tertiary hospitals.
This document outlines a research study that aims to assess the effectiveness of structured health education on knowledge regarding post-surgical care among cataract patients admitted to Chirayu Hospital in Bhopal, India. The study will use a pre-experimental one group pre-test post-test design with 60 cataract patients. Participants will complete a pre-test questionnaire to assess baseline knowledge, receive a structured health education program, and complete the same questionnaire as a post-test to measure the impact of the education. The study hypothesizes that post-test knowledge scores will be significantly higher than pre-test scores after the education intervention.
The document discusses inefficiency in emergency rooms. It identifies several contributing factors to overcrowding including non-emergency patients, uninsured patients, and patients using the ER for prescription refills or pain management. This inefficiency impacts quality of care, access to care, and wait times, negatively affecting patient satisfaction. An action plan is proposed to improve patient flow, maximize resources, implement education programs, and establish performance metrics to monitor goals. Facilitating change may require addressing challenges like culture shifts or staff resistance through reinforcement, education, and adjustments based on feedback. Both productivity and quality must be balanced for optimal patient treatment and satisfaction.
This document describes a hospital management system project created by Purbita Sen, a final year B.Pharm student at Bengal School of Technology under the supervision of Mr. Soumen Banerjee. The project aims to record patient information, generate bills, keep medical records and immunization records. It also describes the hospital departments visited for research, including ward details and staffing. Limitations of the project and potential enhancements are discussed. Sources consulted in developing the project are also listed.
This document discusses quality improvement in healthcare. It begins by posing questions about defining quality, what quality improvement is, and how quality can be improved. It then discusses the safety paradox in healthcare - that despite highly trained staff and technology, errors are common and patients are frequently harmed. Several studies on adverse event rates in hospitals are summarized. The document discusses concepts for safety and quality improvement like reliability, variation, measurement, and change management. It provides examples of quality improvement tools and approaches like process mapping, care bundles, measurement, and the PDSA (Plan-Do-Study-Act) cycle. Overall, the document provides an overview of key issues and approaches related to quality and safety in healthcare.
The document discusses a study assessing patient satisfaction with outpatient services at a tertiary care teaching hospital in Lucknow, India. It outlines the study objectives to evaluate availability and utilization of services, information sources, waiting times, and reasons for (dis)satisfaction among internal and external patients. The methodology section describes a prospective descriptive study using interviews and record reviews involving 701 patients across departments from January to March 2013. Preliminary findings show most patients were female, from Uttar Pradesh, and utilization increasing over 2008-2012 for both internal and external patients.
This document summarizes a study conducted at Rukmani Birla Hospital to evaluate average waiting times in the outpatient department (OPD). The study found that the average waiting time was 17.04 minutes while the average consultation time was 9 minutes. It identified factors contributing to long wait times like walk-in patients jumping queues, delays in registration, and lack of communication about doctor schedules. Recommendations included improving appointment management, informing patients of doctor schedules, implementing a patient flow system, and providing an OPD help desk. The conclusion was that current OPD wait and consultation times were acceptable but could be further improved.
This document discusses a project to improve patient wait times and satisfaction scores at an ambulatory surgery center. Studies found actual surgery start times ranged from 6 minutes to 2 hours and 50 minutes later than scheduled. The average registration wait was 17 minutes and preparation time was 33 minutes. Recommendations include changing scheduling practices based on average surgeon times, dedicating registration staff, and educating staff on updating patients about delays every 15 minutes. Implementing these measures could increase satisfaction scores and the center's preference among patients.
This document provides an overview of the healthcare industry and its components. It discusses how the industry is divided into sectors like hospital activities, medical and dental practice activities, and other human health activities. The healthcare industry consumes over 10% of GDP in most developed nations. For management purposes, the industry is often divided into healthcare equipment and services, and pharmaceuticals, biotechnology, and related life sciences. Key providers and professionals within the industry include physicians, nurses, dentists, pharmacists, and other allied health workers.
The document discusses NABH Nursing Excellence Standards presented by a Nursing Officer. It covers the vision and scope of NABH, which includes accreditation of healthcare facilities and quality promotion initiatives. Nursing excellence is measured according to 7 standards including nursing resource management, nursing care of patients, management of medication, education/communication, infection control, empowerment/governance, and quality indicators. Key aspects of nursing resource management standards are ensuring adequate staffing levels and ratios according to workload, induction and continuous training of nursing staff, performance management processes, and workplace safety.
The document discusses standards for evaluating nursing services to achieve certification from the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It addresses 7 areas of nursing excellence: nursing resource management, nursing care of patients, management of medication, education and communication, infection control practices, empowerment and governance, and nursing quality indicators. Standards are provided for nursing resource management, including maintaining adequate nurse staffing levels according to guidelines, new nurse orientation processes, and performance management. Maintaining proper nurse staffing levels and skill mix is important to provide quality patient care.
The document describes an interdisciplinary ICU team treating a 75-year-old asthma patient. It outlines the roles of team members including the consulting physician, ICU physician, clinical pharmacist, ICU nurse, nursing aid, and ICU housekeeper. It also discusses tools like daily goals worksheets to improve communication between the team and track the patient's progress. Developing highly skilled teams is aimed at improving patient outcomes through increased care, medical knowledge, communication, and a systems-based approach.
TICCs- Diversifying the skill mix in primary care- PEN 2016RuthEvansPEN
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2. 2
INTRODUCTION:-
What is OPD?
A hospital department where patients receive diagnosis and/or treatment but do
not stay overnight.
Out Patient Department (OPD) Services is one of the important aspects of
Hospital Administration. OPD services otherwise called as Ambulatory Care
Services. It is a shop window for patients, like window-shopping in a super
market where articles are laid down to choseand pick. OPD is the mirror of the
hospital, which reflects the functioning of the hospital being the first point of
contact between the patient and the hospital staff .Patients visit the OPD for
various purposes, like consultation, day care treatment, investigation, referral,
admission and postdischarge follow up. Not only for treatment but also for
preventing and promotive services like, health check up, Immunization, Physio-
therapy and so on.
The Ambulatory Care Services is gaining popularity and is in demand due to
"Day Care Services" and patient need not stay at hospital. This is helping both
the patient and hospital as patient remains at house near the relatives and the
hospital is benefited by less demand on hospital beds there by reducing coston
in patients. Therefore, providing the best OPD Services is one of the primary
goals of Hospital Administrator.
OUT PATIENT DEPARTMENT IN NIMS HOSPITAL
In NIMS hospital outpatient department (OPD) is situated at the basement of
hospital. The infrastructure of OPD is based on modern methods in many
aspects. In NIMS hospital OPD is divided into different functional departments
such as department of surgery, department of orthopaedics, department of
obstetrics gynaecology, department of paediatrics etc. Departmentization of
OPD helps to reduce the crowd in OPD and reduce time. It is more convenient
for patient to get the treatment in their concern department of OPD. The OPD
timing is form 8am to 4pm.
DEPARTMENT OF SURGERY
In OPD of surgery there are two staff nurses and one nursing assistant and six
units which are:-
UNIT-1
Dr. Dev kumar kasliwal- professer& head
Dr. Sunil kumar agrawal- associate professor
3. 3
Dr. Alok kumar maheswari- assistance professor
UNIT-2
Dr. N.K. malpani- professor
Dr. Mohammad abbasli- associate professor
Dr. Jaideep mathur- assistance professor
UNIT-3
Dr.N.S.shekawat- professor
Dr.vineet chaudhary- associate professor
Dr. Mahinderpal kochar- assistance professor
UNIT-4
Dr.jagdish shrma- professor
Dr.G.S.agrawal- associate professor
Dr.O.P. bhandari- assistance professor
UNIT-5
Dr.ashok gupta- professor
Dr.sandeep agrawal- associate professor
Dr.anil nehra- assistance professor
UNIT-6
Dr.ravi kumar mathur- professor
Dr.C.K.paliwal- associate professor
Dr.shyam sing- assistance professor
Department of Surgery has following specialclinics:-
1) Monday- Breast clinic
2) Tuesday- Prostate clinic
3) Wednesday- Thyroid clinic
4) Thursday- Hernia clinic
5) Friday- Colorectal clinic
6) Saturday- Oncology clinic
4. 4
Research Methodology
Research Methodology and design
Introduction
Under this section the chapter will show the methods and techniques that will
be used to collect and analyzedata during research. Areas to be touched on
include research design, target population, types of data, sources of data, tools
to be used to collect data and the sampling design to be used.
Research Methodology:-
A Research Methodology defines the purposeof the research, how it proceeds,
how to measureprogress and whatconstitute success with respect to the
objectives determined for carrying outthe research study.
Researchdesign:-
The research design is descriptivein nature. It is based on data collected
through structured questionnaire from the respondent.
Target Population:-
The study targets the patients of OPD in NIMS hospital Primary data will be
collected through questionnaires which will be the main sourceof data and
SAMPLING DESIGN:-
Sampling is the process ofobtaining about an entire population by examining
only a part of it. Sampling plans calls for three decisions.
a) Sample unit
b) Sample size
c) Sampling procedure
The design to be adopted for the study will be based on convenient sampling.
The population for the study will consist of employees in the NIMS hospital.
5. 5
SAMPLE UNIT
NIMS HOSPITAL
SAMPLE SIZE:- 9
SAMPLING PROCEDURE:-For the study, respondent were selected on the basis
of convenient sampling.
SOURCE OF THE DATA:-The study requires both primary and secondary
data.
PRIMARY SOURCE:-
Questionnaires
SECONDARYSOURCE:-
Indirect observation
Library and research work
Internet, web pages and blogs
Articles
Books
Secondarydata will be used to analyze the primary data in light of real world
situations.
ANALYSIS OF THE DATA:-
The primary data will be analyzed with the help of statistical tools and
techniques.
DATA PRESENATIONTOOLS USED:-
Primary data was collected through the questionnaire by distributing
questionnaires; questionnaires’ with both close ended and open ended questions
have been used as sample respondents. Thefacts are presented in the form of
pie- charts and bars.
LIMITATIONS OF STUDY:-
The study is confined to NIMS hospital, jaipur only.
The study was conducted onthe assumptions that the information is given
by respondent.
Sample size is restricted to 9 respondents.
Time constraints.
6. 6
Data Analysis & Interpretation:-
1. Satisfaction with the treatment of doctors.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 78% patients were satisfied with the treatment of doctors
while 22% patients were undecided.
2. Satisfaction with the environment of hospital.
a) Agree b) disagree c) somewhat agree
Interpretation:-
Figure shows that 89% patients were satisfied with the environment of hospital
and 11% were somewhat agree with the environment of hospital.
3. Satisfaction with getting medical aid in emergency department.
a) Yes b)no c) more or less
Satisfied
78%
Dissatisfi
ed
0%
Undecid
ed
22%
Agree
89%
Disagree
0%
Somewha
t
11%
Yes
56%
No
11%
More or
Less
33%
7. 7
Interpretation:-Figure shows that 56% were satisfied with getting aid
emergency department 33% were more or less and 11% were not satisfied
with medical aid in emergency department.
4. Satisfaction with the amount spent for Medical needs.
a) Yes b) no c) more or less
Interpretation:- Figure shows that 89% patients were satisfied with the
amount spent for medical needs and 11% patients were not satisfied with the
amount spent for medical needs.
5. Time waited by the patient to be seen by doctor.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-Figure shows that 78% patients were satisfied with the time
waited for doctorand 22% were undecided.
6. General interest taken by the doctorin the patient as a person.
a) Yes b) no c) little bit
Interpretation:-Figure shows that 100% patients were satisfied with the
statement.
yes
89%
no
11%
more or
less
0%
satisfied
78%
dissatisfie
d
0%
undecide
d
22%
yes
100%
no
0%
littlebit
0%
8. 8
7. Doubts about the ability of the doctors.
a) Yes b) no c) little bit
Interpretation:-Figure shows that 100% patients had no doubts about the
ability of doctors.
8. More attention to privacy while receiving medical care.
a) Yes b) no c) little bit
Interpretation:-
Figure shows that 100% patients were agree with the statement
9. Thoroughness in treatment and examination.
a) Yes b) no c) little bit
Interpretation:-
Figure shows that 78% patients were agree with the statement and 22%
patients were disagreeing.
yes
0%
no
100%
littlebit
0%
yes
100%
no
0%
littlebit
0%
yes
78%
no
22%
littlebit
0%
9. 9
10.Do doctors listen carefully to what patients say?
a) Yes b) no c) sometime
Interpretation:-Figure shows that 100% patients were agree that doctors listen
carefully to what patients say.
11.Do doctors ignore what patients tell them?
a )Yes b) no c) sometime
Interpretation:-Figure shows that 89% patients were disagree with the
statement and 11%were agree.
12.Admission to this hospital without any trouble.
a) Yes b) no
Interpretation:-Figure shows that 100% patients were agree that they had no
trouble in admission to the hospital.
yes
100%
no
0%
sometim
es
0%
yes
89%
no
11%
sometim
e
0%
yes
100%
no
0%
10. 10
13.Easy access to medical specialists in the hospital.
a) Yes b) no c) more or less
Interpretation:-Figure shows that 67% patients got easy access to medical
specialists in the hospital and 33% did not got the easy access to medical
specialists.
14.Satisfaction with the nursing care in the hospitals.
a) Yes b) no c) more or less
Interpretation:- Figure shows that 56% patients were satisfied with the
nursing care in hospital ,22% more or less and 22% were not satisfied.
15.Nurses in the hospital are discourteous.
a) Yes b) no c) more or less
yes
67%
no
33%
more or
less
0%
yes
11%
no
56%
more
or less
33%
yes
56%
no
22%
more or
less
22%
11. 11
Interpretation:-Figure shows that 56% patients expressed that nurses in the
hospital are not discourteous, 11% expressed yes and 33% more or less.
16.Satisfaction with the services provided in the OPD.
a)Yes b) no c) little bit
Interpretation:-
Figure shows that 78% patients were satisfied with the services provided in
the OPD and 22% were little bit.
17.Amount of time patient had to wait long before having X-rays performed.
a)Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 67% patients were satisfied with the amount of time wait for
X-ray performed., 11% dissatisfied and 22% were undecided.
yes
78%
no
0%
littlebit
22%
satisfied
67%
dissatisfied
11%
undecided
22%
12. 12
18.Satisfaction with the general cleanliness of the hospital.
a)Yes b) no c) not at all
Interpretation:-
Figure shows that 78% patients were satisfied with the general cleanliness of the
hospital, 22% not at all.
19.Maintenance of toilets in the hospital.
a) Yes b) no c) adequate
Interpretation:-
Figure shows that 56% patients were not satisfied with the maintenance of the
toilet in the hospital and 44% were feel that maintenance of the toilet was
adequate.
yes
78%
no
0%
not atall
22%
yes
0%
no
56%
adequate
44%
13. 13
20.Satisfaction with the hospital food.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shows that 45% patients were dissatisfied with the hospital food 11%
were satisfied and 44% were undecided.
21.Satisfaction with the hospital drinking water facility.
a) Satisfied b) dissatisfied c) undecided
Interpretation:-
Figure shoes that 78% patients were satisfied with the drinking water facilities
in the hospital and 22% were undecided.
satisfied
11%
dissatisfied
45%
undecided
44%
satisfied
78%
dissatisfied
0%
undecided
22%
14. 14
Finding & Inferences
The primary data, which is collected with the help of questionnaire,
represent many essentials findings about the OPD of NIMS hospital
78% patients were satisfied with the treatment of the doctors and
89%patients were satisfied with the environment of the hospital.
56% were satisfied with getting aid emergency department and
89% were satisfied with the amount spent for medical needs.
Doctors in NIMS hospital take general interest in the patients as
a person and they listen carefully the problems of the patients.
The health care providers in NIMS hospital provide more
attention to privacy of the patients while receiving medical care
and do not ignore what patients tell them.
NIMS hospital provides thoroughness in treatment and
examination.
Patients can get admission to the hospital without any trouble
and easy access to medical specialist in the hospital.
Nursing staff in the department of surgery are courteous and
most of the patients are satisfied with nursing care.
78% patients were satisfied with the services provided in the
OPD and general cleanness of the hospital.
Patients were dissatisfied with the maintenance of toilets in the
hospital and the maintenance of the drinking water facility.
Patients were dissatisfied with the food quality of the hospital.
15. 15
CONCLUSION:-
NIMS hospital is providing adequate services at reasonable prise
in OPD.
NIMS hospital OPD reduces the crowed and waiting time foe
patient.
NIMS hospital provide clean environment to the patient in OPD
In NIMS hospital doctors are providing considerable services to
the patients in OPD.
Patients are satisfied with the nursing care in the OPD( in
department of surgery)
Patients are not satisfied with the food and maintenance of
toilets in the hospital.
RECOMMANDATIONS:-
NIMS hospital should provide training to the nursing staff.
NIMS hospital should provide good food to the patients.
NIMS hospital should improve the maintenance of toilets in
hospital.
Hospital should provide effective inquiry counters or help desk
of patients.