scholarly journals Clinical Audit on Current Practice of Anesthesia Machine Check and Equipment Preparedness Before Use in Debre Berhan Comprehensive Specialized Hospital, North Shewa, Ethiopia, 2020

2021 ◽  
Vol Volume 13 ◽  
pp. 9-13
Author(s):  
Samuel Debas Bayable ◽  
Melaku Bantie Fetene ◽  
Molla Amsalu Tadesse
Keyword(s):  
Current Practice ◽  
Clinical Audit ◽  
Anesthesia Machine ◽  
Specialized Hospital ◽  
Debre Berhan

Imaging yield in restaging patients with a PSA rise post-prostatectomy: A clinical audit of current practice

2021 ◽  
Vol 12 (8) ◽  
pp. S73-S74
Author(s):  
H. Briody ◽  
M. Sheehan ◽  
R. Dunne ◽  
M. Morrin ◽  
M.J. Lee
Keyword(s):  
Current Practice ◽  
Clinical Audit

scholarly journals Current Practice and Barriers to an Early Antimicrobial Conversion from Intravenous to Oral among Hospitalized Patients at Jimma University Specialized Hospital: Prospective Observational Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Alemseged Beyene Berha ◽  
Gizat Molla Kassie
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Current Practice ◽  
Significant Proportion ◽  
Severe Infection ◽  
Hospitalized Patients ◽  
P Values ◽  
Specialized Hospital ◽  
Jimma University ◽  
Clinical Stability

Objective. The aim of the present study was to explore the current practice and its barriers to an early antimicrobial conversion from intravenous (IV) to oral (PO) therapy among hospitalized patients.Method. Hospital based prospective observational study was conducted to assess the practice of an early antimicrobial IV to PO conversion and its barriers using medical chart and case-specific physicians’ interviews, respectively, from February to September, 2014. Patient charts and medication records were reviewed for appropriateness of IV to PO conversion program every 24hrs using a pretested data collection abstraction format. Independent samplest-test was used to compare the duration of therapy and time to clinical stability between converted and nonconverted patients. Two-tailed P values of < 0.05 were regarded as statistically significant.Results. One hundred forty-two patients were included in the study, of whom two-thirds (67.6%) of the patients were eligible for IV to PO antimicrobial conversion. However, only 20.9% of patients’ timely conversion was made. A shorter duration of IV therapy was recorded for converted (2.80±1.87) versus nonconverted patients (8.50±6.32), (P=0.009). The most important barriers of not converting IV to PO in clinically stable patients were presence of comorbidity; clinicians perceived that the patient should always complete IV course of antimicrobials as a standard practice.Conclusion. Conversion from IV to PO antimicrobials was found to be unnecessarily delayed in a significant proportion of patients hospitalized with moderate to severe infection due to a range of different barriers. Addressing these issues has the potential to reduce inappropriate antimicrobial use and resistance.

scholarly journals Clinical audit of management of smear positive adult pulmonary tuberculosis in PR1 tuberculosis clinic, KK Bandar Miri

2021 ◽  
Vol 16 (2) ◽  
pp. 50-57
Author(s):  
Rubini Cumarasamy ◽  
Fatimah Shahidah Dato’ Azmi ◽  
Norafini Salamon
Keyword(s):  
Medical Records ◽  
Current Practice ◽  
Clinical Audit ◽  
Primary Care Providers ◽  
Care Providers ◽  
Exclusion Criteria ◽  
Pulmonary Tb ◽  
Medication Side ◽  
Areas Of Concern

Introduction: Malaysian tuberculosis (TB) clinical practice guideline (CPG) standardises the management of TB to improve the quality of care for TB patients. Not all primary care providers adhere to this guideline, however. This audit aims to improve the management of smear positive adult pulmonary TB by identifying areas of concern and developing action plans. Methods: Data for the audit were gathered from August 2018 to August 2019 from medical records of diagnosed smear positive pulmonary TB patients. Patients were included based on inclusion and exclusion criteria. Results: Forty-eight smear positive pulmonary TB patients were recruited. The majority of patients were male (54.2%) and Malay (33.2%). TB symptoms were assessed for 29.2% of patients at two weeks and then in 81.3% at one month, 97.9% at two months, 16.7% at three months, 95.8% at four months, 22.9% at five months and 95.8% at six months. Medication side effects were assessed at two weeks for only 2.1% of patients, then for 8.3% of patients at one month, 2.1% at two months and 0% at subsequent months. At diagnosis, 25% and 4.2% of patients had their visual acuity and colour vision, respectively, assessed. Only 6.3% of patients were referred to pre-pregnancy counselling. Weights were recorded for 87.5% of patients at diagnosis, then for 27.1% at two weeks, 81.3% at one month, 91.7% at two months, 77.1% at three months, 97.9% at four months, 79.2% at five months and 93.8% at six months. Baseline investigations and Mycobacterium tuberculosis culture and sensitivity were conducted for all patients, but only 81.3% of patients were traced. No patients were referred to pharmacy for medication counselling. Conclusion: This audit shows that there is a difference between current practice and the national guideline. There are some downfalls in management and proper documentation, so interventions should be carried out to improve those aspects.

scholarly journals Fasciotomy wound closure-clinical audit and review of current practice

Injury Extra ◽  
2010 ◽  
Vol 41 (12) ◽  
pp. 205
Author(s):  
A. Kumar ◽  
S. Mukhopadhyay ◽  
A. Khurana ◽  
C. Wilson
Keyword(s):  
Wound Closure ◽  
Current Practice ◽  
Clinical Audit

TP3-9 Assessment of seizures in over 75-year olds: a clinical audit

2019 ◽  
Vol 90 (3) ◽  
pp. e20.3-e21
Author(s):  
ZT Ahmed ◽  
A Rather
Keyword(s):  
Current Practice ◽  
Clinical Audit ◽  
Data Entry ◽  
Integrated Approach ◽  
Initial Assessment ◽  
National Audit ◽  
Retrospective Audit ◽  
Specialist Referral ◽  
Nice Guidance

ObjectivesThis audit evaluates the assessment of first seizures in over 75-year-olds within our centre using NICE guidance (CG137) as our standard. This is in response to the National Audit of Seizure management in Hospitals which revealed significant deficits in current practice.DesignA retrospective audit design was used.SubjectsWe reviewed patient records of 74 patients over the age of 75 who presented to A+E with their first seizure between 1 st January and 30th April 2017.MethodsData entry took place between 14th November and 22nd January when follow-up information should have been available. A proforma based on current NICE guidance was used to evaluate initial assessment, investigations and specialist review.Results38 females and 36 males were assessed with an average age of 83 years (range 76–95). NICE recommends that all patients are seen by a specialist within 2 weeks, however only 38% of our patients met this standard. Only 65% of patients indicated for an EEG had one and 34% waited longer than the recommended 4 weeks. Neuroimaging was optimal with 95% of patients receiving an MRI within 4 weeks. In contrast, blood glucose was only measured in 47% of patients and only 51% had a 12-lead ECG despite recommendations that these investigations should be performed routinely.ConclusionsThere is a lack of comprehensive A+E assessments and specialist referral for older people both within our centre and nationally. A more thorough and integrated approach is needed to improve outcomes and optimise care.

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