scholarly journals Audit: prescription of ‘as required’ (p.r.n.) medication in an in-patient setting

1999 ◽  
Vol 23 (7) ◽  
pp. 413-416 ◽  
Author(s):  
M. F. Bowden
Keyword(s):  
Standard Setting ◽  
Clinical Implications ◽  
Before And After ◽  
High Doses

Aims and methodThis audit examines the quality of ‘as required’ (p.r.n.) prescribing for in-patients before and after standard setting.ResultsThere were improvements in writing oral/intramuscular prescriptions and in the use of different drugs regularly and p.r.n. There was a trend for improvement in completion of guidelines for those on high doses but completion was not influenced by hidden p.r.n. prescribing. Writing p.r.n. prescriptions as a ranged dose was common and did not improve significantly.Clinical implicationsBy using some simple measures, improvements in some aspects of potentially problematic p.r.n. medication can be achieved.

scholarly journals Quality of referrals to old age psychiatry following introduction of the single assessment process

2006 ◽  
Vol 30 (12) ◽  
pp. 452-453 ◽  
Author(s):  
Kathleen Ferriter ◽  
Partha Gangopadhyay ◽  
Ramin Nilforooshan ◽  
Mark Ardern ◽  
James Warner
Keyword(s):  
Patient Care ◽  
Old Age ◽  
Clinical Utility ◽  
Assessment Process ◽  
Clinical Implications ◽  
Quality Of Information ◽  
Clinical Communication ◽  
Before And After ◽  
Old Age Psychiatry

Aims and MethodWe sought to identify changes in the quality of information in referrals to an old age psychiatry service before and after the introduction of the single assessment process. Referrals were compared in terms of length, legibility, information and clinical utility.ResultsCompared with letters before the introduction of the single assessment process, referrals made on the new forms took longer to read (mean 96 v. 124 s, P=0.001), had more illegible sections (P=0.011), contained less information (P=0.026) and were judged to be less clinically useful (P=0.001).Clinical ImplicationsThe introduction of the single assessment process has impaired clinical communication between general practitioners and psychiatrists, and might be prejudicial to patient care.

scholarly journals Pharmacological management of alcohol withdrawal in a general hospital

2008 ◽  
Vol 32 (12) ◽  
pp. 452-454
Author(s):  
Siobhain Quinn ◽  
Rani Samuel ◽  
Jim Bolton ◽  
Borislav Iankov ◽  
Anna Stout
Keyword(s):  
General Hospital ◽  
Brain Damage ◽  
Alcohol Withdrawal ◽  
Clinical Implications ◽  
National Guidelines ◽  
Pharmacological Management ◽  
Before And After ◽  
Alcohol Detoxification ◽  
Alcohol Dependent

Aims and MethodTo assess the quality of prescriptions for alcohol detoxification and vitamin prophylaxis for in-patients who were alcohol-dependent in a general hospital, before and after the introduction of prescribing guidelines. We assessed 27 prescription charts before and 22 after intervention against standards based on national guidelines.ResultsThere was an increase of 43% (95% CI 20–65%) in the proportion of alcohol detoxification prescriptions that met the guidelines. for vitamin prophylaxis there was an increase of 64% (95% CI 42–85%).Clinical ImplicationsThe pharmacological management of alcohol withdrawal in the general hospital can be significantly improved by promoting and making readily available a prescribing guideline. In turn, this may reduce alcohol-related brain damage.

scholarly journals Impact of additional intravenous methylprednisolone pulse therapy on the quality of life in patients with dysthyroid optic neuropathy

2021 ◽  
pp. e519
Author(s):  
Maryla Pelewicz ◽  
Joanna Rymuza ◽  
Katarzyna Pelewicz ◽  
Piotr Miśkiewicz
Keyword(s):  
Quality Of Life ◽  
Optic Neuropathy ◽  
Additional Treatment ◽  
Weekly Schedule ◽  
Intravenous Methylprednisolone ◽  
Dysthyroid Optic Neuropathy ◽  
Before And After ◽  
High Doses ◽  
Very High

Introduction. Dysthyroid optic neuropathy (DON) is a severe complication of Graves’ orbitopathy (GO). Treatment of DON should involve immediate administration of intravenous methylprednisolone (ivMP) in very high doses. It is recommended to include additional 12 pulses of ivMP according to a weekly schedule as a further step of the treatment process. The purpose of this study was to evaluate the influence of a 12-week ivMP treatment on the quality of life (QoL) in DON patients. Material and Methods. A retrospective study was conducted on 6 patients (the tests involved 8 individual eyes) with DON and treated with ivMP in very high doses, followed by orbital decompression in one patient. All patients were qualified for additional treatment with ivMP in a 12-week protocol and completed the Polish version of the GOQoL questionnaire before and after the therapy. Visual acuity (VA) and diplopia were examined prior to the administration of ivMP pulses for DON, as well as before and after the additional ivMP treatment. Results. A minimal clinically important difference in QoL was observed in four patients at the end of the additional ivMP therapy. A significant increase in VA was observed following additional pulses of ivMP compared to the evaluation at the time of the DON diagnosis (p=0.04). Conclusions. Applying additional 12 pulses of ivMP following DON therapy may impact QoL. Performing QoL assessment throughout the entire therapy in patients with DON is particularly important in the clinical practice. Final evaluation of QoL should be performed after completing the entire therapeutic process, which involves surgical treatment to correct diplopia.

scholarly journals Standardised patients with intellectual disabilities in training tomorrow's doctors

2014 ◽  
Vol 38 (3) ◽  
pp. 132-136 ◽  
Author(s):  
Bini Thomas ◽  
Ken Courtenay ◽  
Angela Hassiotis ◽  
Andre Strydom ◽  
Khadija Rantell
Keyword(s):  
Medical Students ◽  
Intellectual Disabilities ◽  
Simulated Patients ◽  
Clinical Implications ◽  
Clinical Approach ◽  
Undergraduate Medical Students ◽  
Before And After ◽  
People With Intellectual Disabilities ◽  
Standardised Patients

Aims and methodTo develop a programme to help undergraduate medical students and postgraduate trainees to improve their skills in communicating with people with intellectual disabilities through teaching sessions that had input from simulated patients with intellectual disabilities. We conducted four sessions of training for 47 undergraduate 4th-year medical students. The training involved a multiprofessional taught session followed by a clinical scenario role-play with simulated patients who were people with intellectual disabilities. The training was assessed by completing the healthcare provider questionnaire before and after the training.ResultsThere were improvements in the students' perceived skill, comfort and the type of clinical approach across all three scenarios.Clinical implicationsBy involving people with intellectual disabilities in training medical students there has been a significant improvement in students' communication skills in areas of perceived skills, comfort and type of clinical approach which will raise the quality of care provided by them in the future.

Kepuasan Masyarakat Terhadap Pelayanan Kelurahan Setelah Pemekaran Di Tangerang Selatan

Liquidity ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 151-159
Author(s):  
Pitri Yandri
Keyword(s):  
Public Perception ◽  
Service Personnel ◽  
Urban Services ◽  
Hospitality Workers ◽  
Care Workers ◽  
Before And After ◽  
Cartesian Diagram ◽  
Better Than

The purpose of this study is (1) to analyze public perception on urban services before and after the expansion of the region, (2) analyze the level of people's satisfaction with urban services, and (3) analyze the determinants of the variables that determine what level of people's satisfaction urban services. This study concluded that first, after the expansion, the quality of urban services in South Tangerang City is better than before. Secondly, however, public satisfaction with the services only reached 48.53% (poor scale). Third, by using a Cartesian Diagram, the second priority that must be addressed are: (1) clarity of service personnel, (2) the discipline of service personnel, (3) responsibility for care workers; (4) the speed of service, (5) the ability of officers services, (6) obtain justice services, and (7) the courtesy and hospitality workers.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

Feasibility and Clinical Implications of Remotely Guided Ultrasound Examinations

2020 ◽  
Vol 91 (7) ◽  
pp. 592-596
Author(s):  
Quinn Dufurrena ◽  
Kazi Imran Ullah ◽  
Erin Taub ◽  
Connor Leszczuk ◽  
Sahar Ahmad
Keyword(s):  
Clinical Utility ◽  
Regional Wall Motion ◽  
Subjective Assessment ◽  
Clinical Implications ◽  
Pilot Studies ◽  
Objective Quality ◽  
The Us ◽  
Regional Wall Motion Abnormalities ◽  
Wall Motion Abnormalities

BACKGROUND: Remotely guided ultrasound (US) examinations carried out by nonmedical personnel (novices) have been shown to produce clinically useful examinations, at least in small pilot studies. Comparison of the quality of such exams to those carried out by trained medical professionals is lacking in the literature. This study compared the objective quality and clinical utility of cardiac and pulmonary US examinations carried out by novices and trained physicians.METHODS: Cardiac and pulmonary US examinations were carried out by novices under remote guidance by an US expert and independently by US trained physicians. Exams were blindly evaluated by US experts for both a task-based objective score as well as a subjective assessment of clinical utility.RESULTS: Participating in the study were 16 novices and 9 physicians. Novices took longer to complete the US exams (median 641.5 s vs. 256 s). For the objective component, novices scored higher in exams evaluating for pneumothorax (100% vs. 87.5%). For the subjective component, novices more often obtained clinically useful exams in the assessment of cardiac regional wall motion abnormalities (56.3% vs. 11.1%). No other comparisons yielded statistically significant differences between the two groups. Both groups had generally higher scores for pulmonary examinations compared to cardiac. There was variability in the quality of exams carried out by novices depending on their expert guide.CONCLUSION: Remotely guided novices are able to carry out cardiac and pulmonary US examinations with similar, if not better, technical proficiency and clinical utility as US trained physicians, though they take longer to do so.Dufurrena Q, Ullah KI, Taub E, Leszczuk C, Ahmad S. Feasibility and clinical implications of remotely guided ultrasound examinations. Aerosp Med Hum Perform. 2020; 91(7):592–596.

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