An automated, electronic, client-centred results delivery system saves time and improves workflow

Sexual Health ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 88 ◽  
Author(s):  
Vickie Knight ◽  
Colleen Nugent ◽  
Rebecca Houghton ◽  
Kelly O'Reilly ◽  
Elizabeth Scally ◽  
...  
Keyword(s):  
Short Message ◽  
Efficiency Gain ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Negative Results ◽  
Client Preference ◽  
Message Service ◽  
Return Visits ◽  
Telephone Calls ◽  
Positive Results

Background Traditional result notification methods, such as telephone calls, return visits and individualised emails or Short Message Service (SMS) texts, can be time consuming and may not align with client preference. We conducted a cross-sectional survey of our clients that showed that many clients prefer negative results by SMS or email, with the option to call or attend in person for positive results. Methods: We developed an innovative result-robot module in the electronic medical record that reads the electronic result and, using predefined algorithms, determines which SMS or email result template to send to the client. Results and Conclusion: Delivering automated negative results resulted in a 41% decrease in the number of clients calling for their results, demonstrating a significant efficiency gain.

Clients’ preferred methods of obtaining sexually transmissable infection or HIV results from Sydney Sexual Health Centre

Sexual Health ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 91 ◽  
Author(s):  
Lynne Martin ◽  
Vickie Knight ◽  
Phillip J. Read ◽  
Anna McNulty
Keyword(s):  
Sexual Health ◽  
Text Messaging ◽  
Health Centre ◽  
Text Messages ◽  
Phone Call ◽  
Short Message ◽  
Test Results ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Message Service

Given the documented benefits of using text messaging (short message service; SMS), the internet and email to deliver sexually transmissible infection (STI) test results, including high acceptability among clients, Sydney Sexual Health Centre (SSHC) aimed to identify which methods our clients preferred for receiving their results, using a cross-sectional survey. There was a preference for SMS (32%) for negative STI results, and for SMS (27%), phone call (27%) and in-person (26%) for negative HIV results. An in-person preference was shown for receiving positive STI results (40%) and positive HIV results (56%, P < 0.001). While many clients would prefer to receive STI test results via text messages or phone call, many also still prefer a return visit, with this preference is dependent on the type and nature of the results. Our study suggests that, ideally, several options for obtaining results should be available.

scholarly journals P050: Unplanned return visits to the paediatric emergency department: Caregiver and physician perspectives

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S81
Author(s):  
K. Gardner ◽  
B. Taylor
Keyword(s):  
Emergency Department ◽  
Family Physician ◽  
Health Centre ◽  
Final Analysis ◽  
Primary Outcome Measure ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Return Visit ◽  
Return Visits

Introduction: Unplanned return visits to the pediatric emergency department contribute to overcrowding and are used as a quality measure. They have not been well characterized in the literature making it difficult to design interventions to reduce unnecessary return visits. The aim of this study was to understand the reasons for return from the caregiver and physician perspective. Methods: This was a cross sectional survey performed on a convenience sample of unplanned return visits within 72 hours at the IWK Health Centre ED between February and October 2016. Exclusion criteria were: planned return visit, admission during the index visit, or triaged as Canadian Triage and Acuity Score (CTAS) 1 on return visit. Caregiver and physician surveys were developed based on themes identified in published literature. The caregiver was approached to complete a survey after triage and the most responsible physician from the return visit was asked to complete a survey immediately after discharge of the patient from their care. Demographic and clinical data were collected from the ED record from the index and return visits. The primary outcome measure was most important reason for return from the caregiver perspective. Results: There were 461 return visits during the study period and 67 caregivers (14.5%) were included in the final analysis. The response rate for the physician survey was 71%. Caregivers and physicians reported that the most important reason for return was a perceived progression of illness requiring reassessment (79.1% and 66.7% respectively). The majority of caregivers had a family physician on record (95%) but a minority attempted to access their family physician (19.4%) or a walk-in clinic (11.9%). Of those who contacted their family physician only 3 (23%) were offered an appointment within 48 hours and of those who did not contact their family physician 21 (38.2%) stated they would not be able to get an appointment in a reasonable amount of time. Despite this 97% would have trusted their family physician to manage their child's illness. Physicians surveyed stated that the return visit was necessary in 64.6% of cases. Conclusion: Caregivers returned to the ED due to a perceived progression of disease. While some cases may have been appropriate for management in a primary care setting, perceived difficulty with timely access was a barrier. Improved caregiver education about the natural history of disease and the urgency of follow up may reduce return ED visits.

scholarly journals The use of short message service and an online survey to recruit low back pain patients and collect outcomes in the emergency department: Observational study (Preprint)

2020 ◽  
Author(s):  
Anita Barros Amorim ◽  
Danielle Coombs ◽  
Bethan Richards ◽  
Chris G Maher ◽  
Gustavo C Machado
Keyword(s):  
Emergency Department ◽  
Low Back Pain ◽  
Online Survey ◽  
Short Message Service ◽  
Response Rate ◽  
Short Message ◽  
Low Back ◽  
Message Service ◽  
Survey System ◽  
Telephone Calls

BACKGROUND Low back pain (LBP) is a frequent reason for emergency department (ED) presentations with a global prevalence of 4.4%. Despite being common, the number of clinical trials investigating LBP in the ED is low. Recruitment of patients in EDs can be challenging due to the fast-paced and demanding ED environment. OBJECTIVE To describe the recruitment and response rates using a short message service (SMS) and an online survey system supplemented by telephone calls to recruit LBP patients and collect health outcomes in the ED. METHODS An automated SMS system was integrated into REDCap and used to collect patient-reported outcomes for an implementation trial in Sydney, Australia. We invited patients with non-serious LBP who presented to participating EDs at one, two and four weeks after ED discharge. Patients who did not respond to the initial SMS invitation were sent a reminder SMS or contacted via telephone. Recruitment rate was measured as the proportion of patients who agreed to participate and response rate as the proportion of participants completing the follow-up surveys at weeks two and four. Regression analyses were used to explore factors associated with response rates. RESULTS In total, 807 patients with non-serious LBP were invited to participate and 425 (53%) agreed to participate. The week-1 survey was completed by 416 (52%) participants. At week-2, the response rate was 87% (360/416) and at week-4 was 84% (351/416). Overall, 60% of the surveys were completed via SMS/online and 40% via telephone. Younger participants and those from less socioeconomically disadvantaged areas were more likely to respond to the survey via the SMS/online system. CONCLUSIONS Using an SMS/online survey system supplemented by telephone calls is a viable method to recruit patients with LBP and collect health outcomes in the ED. This hybrid system could potentially reduce the costs of using traditional recruitment and data collection methods (e.g. face-to-face, telephone calls only). CLINICALTRIAL

scholarly journals DETECCIÓN DE CHLAMYDIA TRACHOMATIS POR PCR EN TIEMPO REAL, EN RECIÉN NACIDOS EN EL HOSPITAL ISIDRO AYORA, QUITO-ECUADOR.

2020 ◽  
Vol 5 (3) ◽  
pp. 46
Author(s):  
Ana Maritza Felicita Mena ◽  
Nidian Judith Torres Noboa ◽  
Mishell Cristina Achig Godoy
Keyword(s):  
Chlamydia Trachomatis ◽  
Cross Sectional Study ◽  
Nucleic Acid Amplification ◽  
Chain Reaction ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Negative Results ◽  
Asymptomatic Patients ◽  
Transmisión Vertical ◽  
Positive Results

Introducción: La transmisión vertical de Chlamydia trachomatis se presenta del 60% -70% en los hijos de madres infectadas y el riesgo de adquirir conjuntivitis por Chlamydia trachomatis en estos neonatos varía entre el 18% al 70%. Objetivo: detectar la Chlamydia trachomatis por medio de qPCR (Reacción en Cadena de la Polimerasa por Tiempo Real) en los sacos conjuntivales en recién nacidos por parto normal. Métodos: Se realizó un estudio no experimental, transversal, analizando muestras procedentes de 178 niños nacidos vivos, en el Hospital Gíneco-obstétrico Isidro Ayora, se determinó la presencia de Chlamydia trachomatis en muestras de saco conjuntival, por medio de la reacción en cadena de la polimerasa los laboratorios de Biología Molecular de la Pontificia Universidad Católica del Ecuador. Resultados: la edad gestacional de los neonatos más frecuente es a término 75.29% que corresponde a 124 pacientes, resultados positivos para Chlamydia trachomatis por qPCR fueron 19 que corresponde al 10.7% y los resultados negativos 159 que corresponde al 89.3% de pacientes, el grupo de edad materna de los neonatos con resultados positivos para Chlamydia trachomatis por qPCR, más frecuente es el de 14 -19 años con 31.5%. Conclusiones: La conjuntivitis neonatal por Chlamydia trachomatis es una entidad de subdiagnósticada, que no responde al tratamiento con antibióticos tópicos habituales, donde  la amplificación de ácidos nucleicos por medio de la qPCR ha sido un importante avance en el diagnóstico, debido a que la amplificación es extremadamente sensible (capaz de detectar una sola copia genómica) y altamente específica, inclusive en pacientes asintomáticos.   Abstract Introduction: The vertical transmission of Chlamydia trachomatis occurs in 60% -70% in the children of infected mothers and the risk of contracting Chlamydia trachomatis conjunctivitis in these affected neonates between 18% and 70%. Objective: to detect Chlamydia trachomatis by means of qPCR (Real Time Polymerase Chain Reaction) in the conjunctival sacs in newborns by normal delivery. Methods: A non-experimental, cross-sectional study was carried out, analyzing analyzed samples of 178 live-born children, at the Gyneco-obstetric Hospital Isidro Ayora, the presence of Chlamydia trachomatis in conjunctival sac samples was determined by means of the chain reaction of polymerase molecular biology laboratories of the Pontifical Catholic University of Ecuador. Results: the most frequent gestational age of the neonates is at term 75.29% corresponding to 124 patients, positive results for Chlamydia trachomatis by qPCR were 19 corresponding to 10.7% and negative results 159 corresponding to 89.3% of patients, the group of maternal age of neonates with positive results for Chlamydia trachomatis by qPCR, more frequent is that of 14-19 years with 31.5%. Conclusions: Chlamydia trachomatis neonatal conjunctivitis is an underdiagnosed entity, which does not respond to treatment with usual topical antibiotics, where nucleic acid amplification by means of qPCR has been an important advance in diagnosis, due to extremely sensitive amplification. (capable of detecting a single genomic copy) and highly specific, including in asymptomatic patients

scholarly journals MO1051KNOWLEDGE, ATTITUDE AND ACCEPTANCE OF TELENEPHROLOGY SERVICES AMONG PATIENTS IN NEPHROLOGY: A STUDY FROM INDIA

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Arunkumar Subbiah ◽  
Kristin George ◽  
Sanjay Kumar Agarwal
Keyword(s):  
Developing Countries ◽  
Public Sector ◽  
Kidney Diseases ◽  
Study Cohort ◽  
Specialist Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frequency Distributions ◽  
Message Service ◽  
Digital Development

Abstract Background and Aims There is an increasing burden of kidney diseases in developing countries like India where access to specialist care is available only to a small proportion of patients. Telemedicine, has been relatively less used in India especially in public sector hospitals. The current study was designed to assess the patient’s knowledge, attitude and acceptance of telenephrology services at our institute, a public sector hospital in a developing country. Method This study is a cross-sectional survey carried out among patients who had availed our telenephrology services during the preceding three months. A total of 150 patients were selected by stratified random sampling from the list of attendees of telenephrology consultation in the past 3 months. The questionnaire was administered in local language by telephone interview method. The frequency distributions and average and median values for each of the questionnaire variables were calculated using SPSS software. Results The average age of the study cohort was 42.52 ± 15.1 years (17 – 83yrs). 68% of the patients were males. The questionnaire was answered by the patient himself/herself in 56% cases, spouse in 14.0% and children in 20.7% cases. 51.3% patients were graduates or post graduates. 40.7% patients belonged to the upper middle and 39.3% belonged to the lower middle socioeconomic class. 54.6% patients were residing in towns, 28.7% in cities and 16.7% in villages. Prior to the telenephrology service, the median distance travelled to attend our OPD was 113.5 (3 – 2249 km). Attendees incurred loss of work in 54.7% cases. Information about availability of telenephrology services was obtained from institutional helpline number by 59 (39.3%) patients while 50 (33.3%) patients obtained it from the internet. Others got information from friends, television or short message service (SMS). The average number of teleconsultations was 2 per patient. A large majority of patients (99.3%) felt that Telenephrology service was a right approach during the COVID-19 pandemic. On asking how they felt regarding Telenephrology experience, 70.67% said they were very happy, 25.3% were happy and 4.0% said they were apprehensive or doubtful. 96.6% patients said that they were confident discussing their complaints over phone. 92.6% patients were comfortable sharing reports over phone while 7.3% needed help from caretakers. Regarding the problems faced during teleconsultation, 36% patients responded that they wish to see the doctor in person to feel satisfied while 3.3% found difficulty in understanding drug dosages. 86% patients felt that Telenephrology services should continue even after the COVID pandemic. Conclusion In developing countries like India, with the majority of the population residing outside major cities, wherein the accessibility to a specialist is limited and the digital development outscores the physical infrastructure, Telenephrology has huge potential to provide quality nephrology care to the remotest parts of the country.

scholarly journals Unexplained Increase in Death Rate during COVID19 Pandemic Mistakenly Attributed to Malaria

2020 ◽  
Vol 2 (6) ◽  
Author(s):  
Ibrahim Abdelrhim Ali ◽  
Alaaeldeen Mohammed Ahmed Abdeldafia ◽  
Abrar Bakry Elmalik ◽  
Mohamed Eltayieb Elawad
Keyword(s):  
Health Care ◽  
Recovery Period ◽  
Cross Sectional Study ◽  
Blood Film ◽  
Cross Sectional ◽  
Seek Health Care ◽  
Negative Results ◽  
Peripheral Blood Film ◽  
Males And Females ◽  
Positive Results

Background: Since the emergence of COVID-19 pandemic, the world has faced many challenges. In Sudan, Gizera state has shown mysterious symptoms to the residents of a village and has been diagnosed with malaria. Aim: The study was aimed to disprove the diagnosis of malaria, and to find another more convincing explanation that fits with the general features of the disease. Method: A descriptive cross-sectional study was conducted using an electronic questionnaire designed by Google form. Result: The respondents was 402, the distribution of males and females was 51.7% and 48.3%, respectively. 83% were suffered the symptoms in May and June. The most common symptoms were headache, fever, fatigue and joint pain, back pain, sore throat and anosmia, at 60.7%, 49.8%, 47.3%, 33.3%, 37.3%, and 23.3%, respectively. 61.4% seeked health care, 99.9% performed peripheral blood film for malaria and 83% were positive. 77% of those with positive result, 72% of those with negative results, 62% of those who did not seek health care suffered similar symptoms, mainly headache. Also, anosmia is 30%, and 25% for those who have seeked and have not seeked health care, respectively. The recovery period was less than a week in 49% of those with positive results, 57% of those with negative results, and 63% of those who did not seek health care. It was more than two weeks in 9%, 12%, and 4% in the positive, negative, and uncaring, respectively. 56.5% did not notice the mosquitoes in that period, 31% and 11.7% noticed that and did not know, respectively. Conclusion: The most likely diagnosis of these mysterious symptoms is COVID-19.

scholarly journals The Influence of Social Support on the Relationship between Emotional Demands and Health of Hospital Nurses: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 115
Author(s):  
Hyoung Eun Chang ◽  
Sung-Hyun Cho
Keyword(s):  
Social Support ◽  
Emotional Labor ◽  
Cross Sectional Study ◽  
Hospital Nurses ◽  
Negative Effects ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Negative Results ◽  
Tertiary Hospitals ◽  
Emotional Demands

Social support reduces the negative results of emotional labor. A more detailed analysis should be performed to facilitate adequate social support for nurses. Therefore, this study was conducted to examine the relationships among nurses’ emotional demands, social support, and health. A cross-sectional survey was conducted at two tertiary hospitals in South Korea. A sample of 117 nurses from eight units participated. Between-group differences in the main variables were analyzed using the t-test or Mann–Whitney test, and analysis of variance or the Kruskal–Wallis test. Nurses were classified into eight groups according to emotional demands and type of social support, and the effects of social support were analyzed based on mean scores. Greater social support from colleagues was associated with better health on all measures. However, greater social support from supervisors was associated with a higher incidence of burnout, stress, and sleeping troubles. Nurses’ high emotional demands must be managed actively by hospitals to maintain and promote their health. Providing appropriate social support with consideration of the nurse’s unit experience would help decrease the effects of emotional demands. Enhancing social support from nursing colleagues is a powerful way to manage the negative effects of nurses’ emotional demands.

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