scholarly journals World Health Organization Ranking of Antimicrobials According to Their Importance in Human Medicine: A Critical Step for Developing Risk Management Strategies to Control Antimicrobial Resistance From Food Animal Production

2016 ◽  
Vol 63 (8) ◽  
pp. 1087-1093 ◽  
Author(s):  
Peter C. Collignon ◽  
John M. Conly ◽  
Antoine Andremont ◽  
Scott A. McEwen ◽  
Awa Aidara-Kane
Keyword(s):  
Risk Management ◽  
Antimicrobial Resistance ◽  
World Health Organization ◽  
Management Strategies ◽  
Human Medicine ◽  
World Health ◽  
Critical Step ◽  
Food Animal ◽  
Risk Management Strategies ◽  
Health Organization

scholarly journals How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties in Norway

2020 ◽  
Author(s):  
Hilde Valen Wæhle ◽  
Arvid Steinar Haugen ◽  
Siri Wiig ◽  
Eirik Søfteland ◽  
Nick Sevdalis ◽  
...  
Keyword(s):  
Risk Management ◽  
Performance Indicator ◽  
Management Strategies ◽  
Ethnographic Study ◽  
World Health ◽  
Management Tool ◽  
Team Members ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Risk Management Strategies

Abstract Background The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staffʼs perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perioperative clinical risk management remains underexplored – yet likely an impactful factor on how SSC is being used and its potential to improve clinical safety. This study aimed to explore how members of the multidisiplinary perioperative team integrate the SSC within their risk management strategies. Methods An ethnographic case study including observations (40h) in operating theatres and in-depth interviews of 17 perioperative team members was carried out at two hospitals in 2016. Data were analysed using content analysis. Results We identified three themes reflecting the integration of the SSC in daily surgical practice: 1) Perceived usefullness; implying an intuitive advantage assessment of the SSCʼs practical utility in relation to relevant work; 2) Modification of implementation; reflecting performance variability of SSC on confirmation of items due to precence of team members; barriers of performance; and definition of SSC as performance indicator, and 3) Communication outside of the checklist; including formal- and informal micro-team formations where detailed, specific risk communication unfolded. Conclusion When the SSC is not integrated within existing risk management strategies, but perceived as an “add on”, its fidelity is compromised, hence limiting its potential clinical effectiveness. Implementation strategies for the SSC should thus integrate it as a risk-management tool and include it as part of risk-management education and training. This can improve team learning around risk comunication, foster mutual understanding of safety perspectives and enhance SSC implementation.

Pre-conceptual counselling in cardiology patients: still work to do and still missed opportunities. A comparison between 2015 and 2019 in women with cardiac disease attending combined obstetric cardiology clinics. Should the European Guidelines change anything?

2021 ◽  
pp. 1-7
Author(s):  
Chethan R. Kasargod Prabhakar ◽  
Daisy Pamment ◽  
Peter J. Thompson ◽  
Hsu Chong ◽  
Sara A. Thorne ◽  
...  
Keyword(s):  
World Health Organization ◽  
Cardiac Disease ◽  
Management Strategies ◽  
Reproductive Age ◽  
World Health ◽  
Modest Improvement ◽  
Increased Risk ◽  
Adverse Pregnancy ◽  
Health Organization ◽  
The Impact

Abstract Women with underlying cardiac conditions have an increased risk of adverse pregnancy outcomes. Counselling reproductive age women with heart disease is important to assist them in deciding whether to pursue pregnancy, to ensure their best cardiovascular status prior to pregnancy, and that they understand the risks of pregnancy for them and baby. This also provides an opportunity to explore management strategies to reduce risks. For this growing cohort of women, there is a great need for pre-conceptual counselling. This retrospective comparative audit assessed new referrals and pre-conceptual counselling of women attending a joint obstetric–cardiology clinic at a tertiary maternity centre in a 12-month period of 2015–2016 compared with 2018–2019. This reflected the timing of the introduction of a multidisciplinary meeting prior to clinics and assessed the impact on referrals with the introduction of the European Society of Cardiology guidelines. Data were reviewed from 56 and 67 patients in respective audit periods. Patient’s risk was stratified using modified World Health Organization classification. Less than 50% of women with pre-existing cardiac conditions had received pre-conceptual counselling, although half of them had risks clearly documented. The majority of patients had a recent electrocardiograph and echocardiogram performed prior to counselling, and there was a modest improvement in the number of appropriate functional tests performed between time points. One-third of patients in both cohorts were taking cardiac medications during pregnancy. There was a significant increase in the number of pregnant women with cardiac disease and in complexity according to modified World Health Organization risk classification. While there have been improvements, it is clear that further work to improve availability and documentation of pre-pregnancy counselling is needed.

scholarly journals How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialities in Norway

2019 ◽  
Author(s):  
Hilde Valen Wæhle ◽  
Arvid Steinar Haugen ◽  
Siri Wiig ◽  
Eirik Søfteland ◽  
Nick Sevdalis ◽  
...  
Keyword(s):  
Risk Management ◽  
Performance Indicator ◽  
Management Strategies ◽  
Ethnographic Study ◽  
World Health ◽  
Management Tool ◽  
Team Members ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Risk Management Strategies

Abstract Background The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff`s perception of it remain challenging. Precisely how frontline personell integrate the SSC with pre-existing perioperative clinical risk management remains underexplored – yet likely an impactful factor on how SSC is being used and its potential to improve clinical safety. This study aimed to explore how members of the multidisiplinary perioperative team integrate the SSC within their risk management strategies. Methods An ethnographic case study including observations (40h) in operating theatres and in-depth interviews of 17 perioperative team members was carried out at two hospitals in 2016. Data were analysed using content analysis. Results We identified three themes reflecting the integration of the SSC in daily surgical practice: 1) Assessing utility; implying an intuitive advantage assessment of the SSC`s practical utility in relation to relevant work; 2) Customising implementation; reflecting performance variability of SSC on confirmation of items due to precence of team members; barriers of performance; and definition of SSC as performance indicator, and 3) Interactive micro-team communication; including formal- and informal micro-team formations where detailed, specific risk communication unfolded. Conclusion When the SSC is not integrated within existing risk management strategies, but perceived as an “add on”, its fidelity is compromised, hence limiting its potential clinical effectiveness. Implementation strategies for the SSC should thus integrate it as a risk-management tool and include it as part of risk-management education and training. This can improve team learning around risk comunication, foster mutual understanding of safety perspectives and enhance SSC implementation.

Exploiting the Evolutionary Trade-offs of Bacteria Through Phage Therapy and Antibiotics

2020 ◽  
Author(s):  
Jaden Bhogal ◽  
Keyword(s):  
Antimicrobial Resistance ◽  
World Health Organization ◽  
Bacterial Infections ◽  
Phage Therapy ◽  
Difficult Problem ◽  
World Health ◽  
Economic Losses ◽  
Agricultural Industry ◽  
Trade Offs ◽  
Health Organization

Antimicrobial resistance (AMR) is the ability of a microorganism to resist antimicrobial treatments against it, resulting in persisted and oftentimes lethal infection in individuals. The World Health Organization (WHO) predicts that AMR has the potential to skyrocket into one of the largest global health issues humanity has ever faced. In their 2018 fact sheet, they mention how it will cause 10 million deaths annually by 2050, as well as US $100 trillion in economic losses (World Health Organization, 2018). AMR has greatly reduced the efficacy of antibiotics in treating bacterial infections. According to Benno. H. ter Kuile and colleagues from the Department of Molecular Biology and Microbial Food Safety at the University of Amsterdam, most AMR is caused by practices in the agricultural industry, making it an extremely complex and difficult problem to solve regardless of its urgency (ter Kuile, Kraupner & Brul, 2016). However, Kaitlyn Kortright and colleagues from Yale University and the Yale School of Medicine, posit that phage therapy - a novel medical treatment with renewed interest in Western medicine - has large potential as an effective solution for antimicrobial resistance in bacteria (Kortright, Chan, Koff & Turner, 2019).

scholarly journals Reseña técnica sobre el agua, el saneamiento, la higiene y la gestión de aguas residuales para prevenir las infecciones y reducir la propagación de la resistencia a los antimicrobianos

2020 ◽  
Keyword(s):  
Antimicrobial Resistance ◽  
United Nations ◽  
World Health Organization ◽  
Animal Health ◽  
World Health ◽  
Wastewater Management ◽  
Food And Agriculture ◽  
Food And Agriculture Organization ◽  
Health Organization ◽  
World Organisation

El presente informe técnico tiene como objeto sustentar los elementos en materia de agua, saneamiento e higiene (WASH, por su sigla en inglés) y de aguas residuales de los planes de acción nacionales multisectoriales que abordan la resistencia a los antimicrobianos. Comprende un resumen de la evidencia y la fundamentación de los beneficios colaterales derivados de las medidas en cada sector y en él además se presenta una serie de medidas para su consideración y perfeccionamiento en el contexto de cada país. Asimismo, contiene opciones de política específicas para cada sector e información adicional, incluidas las lagunas en el conocimiento y las necesidades en el campo de la investigación, así como los recursos técnicos adicionales para apoyar la planificación y la ejecución. Versión oficial en español de la obra original en inglés. Technical brief on water, sanitation, hygiene and wastewater management to prevent infections and reduce the spread of antimicrobial resistance. © World Health Organization (WHO), Food and Agriculture Organization of the United Nations (FAO) and World Organisation for Animal Health (OIE), 2020

Resistance to change: how much longer will our antibiotics work?

2018 ◽  
Vol 9 (3) ◽  
pp. 103-111 ◽  
Author(s):  
Amy Patrick ◽  
Thayalan Kandiah
Keyword(s):  
Public Health ◽  
Antimicrobial Resistance ◽  
World Health Organization ◽  
Resistance To Change ◽  
World Health ◽  
Major Surgery ◽  
Major Threat ◽  
The World ◽  
Health Organization ◽  
Common Infections

Antimicrobial resistance (AMR) is the ability of bacteria to change, rendering antimicrobials (such as antibiotics, antivirals and antimalarials) ineffective in treating common infections, or as prophylaxis after major surgery or cancer treatment. The World Health Organization (WHO) predicts that these ‘superbugs’ will become a major threat to public health. 1

Sign in / Sign up

Export Citation Format

Share Document