This document provides an overview of quality assurance sensitization for managers and service providers. It discusses key terminology in quality including quality, quality assurance, quality control, and quality improvement. It then outlines the 10 WHO standards for voluntary medical male circumcision and how each standard is assessed through team participation and activities. The standards cover effective management systems, minimum service packages, supplies and equipment, provider competencies, client education and informed consent, client assessment, surgical care guidelines, infection prevention and control, continuity of care, and monitoring and evaluation systems.
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Clinical practice guidelines are “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.”They are intended to offer concise instructions on how to provide healthcare services.The most important benefit of clinical practice guidelines is their potential to improve both the quality or process of care and patient outcomes. Increasingly, clinicians and clinical managers must choose from numerous, sometimes differing, and occasionally contradictory, guidelines.
A standard is a statement of excellence, or an explicit predetermined expectation that defines the key functions, activities, processes and structures required for healthcare facilities to assure the provision of safe and quality care and services.
Standards are developed by peer experts in the field and it is against the standards that conformity of the healthcare facility is evaluated. Simply stated, the standard describes a healthcare facility’s acceptable performance level. Broadly speaking, CBAHI’s standards are of three major types depending on which area they are addressing.
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Clinical practice guidelines are “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.”They are intended to offer concise instructions on how to provide healthcare services.The most important benefit of clinical practice guidelines is their potential to improve both the quality or process of care and patient outcomes. Increasingly, clinicians and clinical managers must choose from numerous, sometimes differing, and occasionally contradictory, guidelines.
A standard is a statement of excellence, or an explicit predetermined expectation that defines the key functions, activities, processes and structures required for healthcare facilities to assure the provision of safe and quality care and services.
Standards are developed by peer experts in the field and it is against the standards that conformity of the healthcare facility is evaluated. Simply stated, the standard describes a healthcare facility’s acceptable performance level. Broadly speaking, CBAHI’s standards are of three major types depending on which area they are addressing.
Credentialing refers to the process of collection and verification of the evidences of credentials of a doctor who is to be given the responsibility of
treating patients in the hospital. The process
ensures the authenticity of the details provided
by the healthcare practitioner or doctor.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
An Orientation to quality and patient safety for new hire in health care faci...kiran
An introduction to quality and patient safety for new employees in health care with basic concepts on quality and patient safety that every new hire must know.
The organization provides care and services that achieve effective outcomes and ensures that the correct consumer /patient receives the correct procedure
Credentialing refers to the process of collection and verification of the evidences of credentials of a doctor who is to be given the responsibility of
treating patients in the hospital. The process
ensures the authenticity of the details provided
by the healthcare practitioner or doctor.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
An Orientation to quality and patient safety for new hire in health care faci...kiran
An introduction to quality and patient safety for new employees in health care with basic concepts on quality and patient safety that every new hire must know.
The organization provides care and services that achieve effective outcomes and ensures that the correct consumer /patient receives the correct procedure
Hospitals in India have a high burden of infection in their Intensive Care Unit and general wards,many of which are resistant to antibiotic treatment.In antibiotic resistant infections are difficult and sometimes impossible to treat.They lead to longer hospital stays,increased treatment cost and in some cases death.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
Quality Assurance Orientation to VMMC Managers and Service Providers
1. 1
CME
Topic : QA SENSITIZATION FOR MANAGERS AND SERVICE PROVIDERS
Presenter : Vincent Aloo
2. An Overview of
1. Terminologies in Quality
2. How Quality Assessment is done
3. 10 WHO Standards of VMMC: How we
achieve Quality through our day to day activities
5. Quality Dimension/Criteria Data/types for identifying, prioritizing, and measuring change in HIV-related QI
projects
Safety:
Avoiding or reducing
• Adverse events and incidents (side effects and toxicity)
to acceptable limits of actual or • Sentinel events (HIV drug resistance/ early warning Indicators)
potential harm from health care • Internal bench marking
management or the environment • Benchmarking against other services or departments
in which healthcare is delivered • Morbidity and mortality meetings or reports
• Accreditation reports
Accessibility:
Obtaining
• Service utilization
healthcare that is timely, geographically
reasonable, and
•
•
Client feedback (e.g. client focus groups, exit surveys)
Waiting times
provided in a setting where skills and
resources are appropriate to medical
need.
• Missed appointments rates
Effectiveness:
Care, intervention
• Clinical indicators, medical file reviews
or action achieves desired • Benchmarking against other services and departments
outcome. • Morbidity and mortality meetings or reports
Efficiency:
Achieving desired
• Service utilization data
results with the most cost-effective • Finance and expenditure data
use of resources • Audits of equipment and resource usage
• Client feedback
• Waiting times
Acceptability or patient- • Service utilization data
centeredness:
Service is • Client feedback
respectful and client orientated; • Accreditation reports
respect for dignity, confidentiality,
participation in choices, promptness,
quality of amenities, access to social
support networks and choice of provider
• Adverse events (side effects and toxicity)
Equity:
Delivering health
• Clinical indicators, medical file reviews
care which does not vary in • Audits against international standards or evidence- based guidelines
quality because of personal • Service utilization data
characteristics such as gender, race, • Service mapping
7. 1. Observation: assess attitudes, knowledge and skills in
clinical practice, including client-provider interaction, client
management and surgical practice.
2. Formal and informal interviews: One-on-one interviews
with managers, staff and clients.
3. Focus group discussions: to understand attitudes,
beliefs and perceptions
4. Inventory
5. Review of documents:
9. Standard Team Participation What is Assessed Result?
Effective management
system to oversee
provision of VMMC
services
Health rights
policies are
available & known
Staff roles and
responsibilities
Services provided in
an organized and
efficient manner
barriers to
accessing care are
identified and
minimized
systems for
continuous
Ensure all protocols and
checklists are available and
strictly adhered to
Promote integration of
VMMC/EIMC services in the
facility and smooth MC
services
Ensures team work,
discipline and operation
schedules are maintained
within the team and across
facilities
Adhere to the weekly
facilities coverage schedule
Comply with the VMMC
team rotational schedule
Health rights and
policies
SOPs, Guidelines
Protocols
JDs file
Weekly rotation
workplan
Client flow
Barriers to services
Supervision book
10. Standard Team Participation What is Assessed Result?
Minimum package
of MC
services is provided
HTS services
Syndromic mgt
of STIs
RR & safer sex
counseling
Male and female
condoms
Minimum
package of
services
integrated and
linkages made
Others?
Provide quality and safe
male circumcision services
to clients
Provide STI screening and
treatment
Screen and manage STIs
Provide RR counseling
Consenting to clients
Provide HTS services to
clients
Refer, link and track all
VMMC clients who test HIV
positive
Adhere to national guideline on
HTS and VMMC counseling
Dorsal slit SOP/Pack
SOPs & Job Aids
Observed practice
Competency
Assessment
Syndromic STI chart
& drugs
HTS/Linkage register
Male & female
condoms/
distribution log
11. Standard Team Participation What is Assessed Result?
Medicines, supplies,
equipment and
environment for
providing safe
VMMC services of
good quality
Essential medicines
Supplies and
equipment
Emergency
equipment, supplies
and medications
Infection prevention
supplies
Environment-
adequate for
Efficiently manage
consumables and drugs
stock cards and equipment
inventory
Stock Mgt Book
Inventory
Completeness of
emergency box
No. of dorsal slit
packs
IPC supplies
12. Standard Team Participation What is Assessed Result?
Providers are
qualified and
competent
Qualifications and
competences of
staff for their
assigned tasks
Periodic assessment
of staff
competencies
Ongoing in-service
education and
training
Participation and skills
development of facility
healthcare workers
Ensure participation in
CMEs and documentation of
the same
Providing surgical skills
mentorship
Participate in CMEs
Academic
certificate/license
VMMC certificate
EIMC certificate
ShangRing
Prepex
Also; BLS, ACLS,
EPALS
HND, BSc/N…
CME roster
CME minutes
Competency
assessments
List of trained
13. Standard Team Participation What is Assessed Result?
Information and
education on HIV
prevention and
VMMC
Information is
provided to clients
on VMMC, STIs and
HIV prevention
Appropriate
reinforcing IEC
materials
Informed consenting
Educate clients on the
benefits, risks and
procedure of male
circumcision
Ensure proper consenting
Job Aids
Assorted IEC
materials
Properly filled
consent forms
14. Standard Team Participation What is Assessed Result?
Assessment of
clients condition
for surgery
Initial client
history is taken
Initial physical
examinations
are performed
Screen patients and ensure
that they are fit for surgery
Screen clients to ensure they
are fit for surgery
Documented client
file
Documented vital
signs
*Documented
VMMC Safe surgery
Checklist
15.
16.
17.
18. Standard Team Participation What is Assessed Result?
MC surgical care
delivered
according to
guidelines
Dorsal slit/EIMC by
guidelines
SOPs for
assessment and
management of
AEs
Immediate
postoperative care
by guideline
Ensure patient safety is
guaranteed before surgery,
during surgery and
immediately after surgery
Document and manage
circumcision related
adverse events accordingly
and promptly notifies the
in-charge and program
officer
Assist surgeon to
circumcise clients
Manage & report adverse
events and according to
the national guidelines
Dorsal slit SOP
Observed practice
on Dorsal slit
SOP for classifying
AEs during and
post circumcision
Immediate post
op SOP/care per
guideline
19. Standard Team Participation What is Assessed Result?
Infection prevention
and control
IPC
policies/procedures
IPC measures
practised according
to policy and
procedures
Individuals are
designated to be
accountable for IPC
activities
-Maintain high hygiene
standards
-Cleaning, packing and
sterilization of
instruments
-Disinfects and cleans the
theatre, linens and
instruments after every
surgery
-Adherence to IPC
guidelines
-Timely servicing of
autoclaves
-Instruments and linen
maintenance
-Autoclave machines
maintenance
IPC SOPs
Adherence to IPC
policies
Procedure for diluting
JIK/DISINFECTANTS
Instrument and linen
processing
Documentation of
autoclaving log
Autoclave service
reports
20. Standard Team Participation What is Assessed Result?
Continuity of
care
Effective
referral system
client/family
given discharge
instructions
A well-
established
mechanism for
follow-up of
clients
Review all circumcised
clients conduct active follow
ups
Monitor health process of
the clients and ensure that
the national standards are
strictly adhered to by the
team
Ensure patient safety is
guaranteed before, during
and after surgery
Review clients and
conducts active follow ups
Referral protocol
Client follow ups
Active follow up SOP/
book
Post op instructions
System of performing
and documenting
follow ups
21. Standard Team Participation What is Assessed Result?
A system for
monitoring and
evaluation
Data collected
on the services
provided
Evaluation data
used for the
planning and
improvement of
service delivery
System for
prompt
reporting and
review of
adverse events
Data collection
is thorough and
Ensure timely and proper
documentation of client
files and registers
Keep information about
clients in strict confidence
Promptly fill registers, files
and reporting documents
Keep information about
clients in strict confidence
Participate in regular data
auditing and
documentation of best
practices
Promptly fill the registers
and reporting documents
Support VMMC data quality
audit
Maintain confidentiality and
Completeness,
accuracy & legibility
of files/ registers
SI: Data driven
decision making
QA/AE review
meetings
DQA
Monthly data
reviews/feedbacks
Storage of registers &
files
AE documentation/
follow ups