scholarly journals Patients' falls and injuries during hospitalization as quality indicators of work in hospitals

2009 ◽  
Vol 62 (5-6) ◽  
pp. 249-257 ◽  
Author(s):  
Dragana Milutinovic ◽  
Mirjana Martinov-Cvejin ◽  
Svetlana Simic
Keyword(s):  
Health Care ◽  
Hospital Treatment ◽  
Extrinsic Factors ◽  
Patient Falls ◽  
Education Of Patients ◽  
Visual Identification ◽  
Number Of Patients ◽  
Prevention Interventions ◽  
Specific Health

The number of patients' falls and injuries happening during their hospital treatment is a good quality indicator of safety of in-patients. A fall is of multifactorial etiology, and its causes are usually classified into intrinsic and extrinsic factors. According to Jenise Morse there are three categories of falls among inpatients: accidental, non-anticipated physiologic and anticipated physiologic fall. Fall induced injuries in clinical and hospital settings are mostly categorized into five groups: no injury, minor injury, moderate injury, severe injury and lethal injury. The number of in-patient falls can be reduced by implementing a prevention programme in order to improve the quality of the specific health care and health care in general. The key preventive strategies aimed at safe and efficient health care include: a regular assessment of the risk for falls using predictive scales, visual identification of patients at high risk for falls, communication with patients and education of patients, their family members and staff about fall prevention interventions.

scholarly journals Formation of a Market Model in the Financing of Health Care in the Kyrgyz Republic

2019 ◽  
Author(s):  
Damira Japarova
Keyword(s):  
Health Care ◽  
State Regulation ◽  
Market Mechanism ◽  
Market Model ◽  
Medical Services ◽  
Hospital Treatment ◽  
Kyrgyz Republic ◽  
Number Of Patients ◽  
Care Costs

Due to the collapse of the Union, there was a reduction in funding for health care costs, as well as deterioration in the infrastructure and quality of medical services. The transitional economy in the Kyrgyz Republic has identified additional features in the health system. The main ones are the low level of funding, the presence of the shadow market of medical services, inefficient structure and the prevalence of high-cost hospital treatment. The market mechanism is developing, however, without state regulation. The Kyrgyz Republic continues to reform its health-care system. The task was to improve the methods of their financing. New mechanisms for financing medical services have been introduced. Despite the reduction in the number of hospitals, the number of patients treated in hospitals has increased.

scholarly journals Home Mechanical Ventilation: A Patient’s Perspective Survey Study

2021 ◽  
Vol 18 (8) ◽  
pp. 4048
Author(s):  
Magdalena Kwiatosz-Muc ◽  
Bożena Kopacz
Keyword(s):  
Health Care ◽  
Mechanical Ventilation ◽  
Alternative Methods ◽  
Survey Study ◽  
Home Mechanical Ventilation ◽  
Patient’S Satisfaction ◽  
Satisfaction Index ◽  
Number Of Patients ◽  
The Difference

Background: An increasing number of patients included in home mechanical ventilation (HMV) care has been under observation for many years. The study aimed to assess the patients opinion concerning the expected and perceived quality of care in an HMV system and a patient’s satisfaction with care. Methods: In 2017, patients treated with HMV were surveyed in Poland with the modified SERVQUAL questionnaire. Results: One hundred correctly completed surveys were analyzed. Patient Satisfaction Index was high. In every examined area, the expectations were statistically significant larger than the perception of the services. The biggest gap was in the tangibility dimension and the smallest gap was in the empathy dimension. Perceived respect and understanding for a patient’s needs are close to the expectations. Conclusions: The level of satisfaction with health care among patients treated with HMV in majority of investigated components is high. Moreover, the difference between perceived and expected quality of health care in the HMV system was relatively small in the opinion of the patients themselves. Further investigations with alternative methods are needed.

scholarly journals Quality of Life in Hidradenitis Suppurativa: An Update

2021 ◽  
Vol 18 (11) ◽  
pp. 6131
Author(s):  
Pavel V. Chernyshov ◽  
Andrew Y. Finlay ◽  
Lucia Tomas-Aragones ◽  
Francoise Poot ◽  
Francesca Sampogna ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hidradenitis Suppurativa ◽  
Acne Inversa ◽  
Health Related Quality ◽  
Number Of Patients ◽  
Related Quality ◽  
Health Related ◽  
Positive Effect ◽  
Specific Health

Knowledge on hidradenitis suppurativa/acne inversa (HS) is rapidly increasing. HS has a profound impact on patients and their family life. Several factors, such as comorbidities, unemployment and HS severity, make this impact even more severe. The most widely used instrument to measure this impact is the dermatology-specific DLQI. We also identified six HS-specific health-related quality of life (HRQoL) instruments. Of them, HIDRAdisk, HSIA, HiSQOL and HSQoL-24 are better validated but there is still lack of experience of its use. Several treatment methods showed positive effect on patients’ HRQoL. Surgery remains a method with a substantial positive effect on HRQoL. Several studies confirming a positive effect of adalimumab on the HRQoL of patients with HS were published during the last three years. Data on the influence of several other biologics on HRQoL of HS patients are controversial or based on studies with a small number of patients.

Patient Response Toward a Change in the System of Health Care Delivery

PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 289-293
Author(s):  
Kathleen J. Motil ◽  
W. John Siar
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Poor Quality ◽  
Emergency Rooms ◽  
Patient Response ◽  
Number Of Patients ◽  
Comprehensive Health ◽  
Crisis Care

With the emphasis being placed on comprehensive health care, outpatient clinics in major city hospitals have found it necessary to reevaluate their methods of health care delivery. An increasing number of patients who fail to schedule or keep medical appointments appear for crisis care, resulting in a higher cost of hospital operation due to unnecessary utilization of emergency rooms and the wasting of time of clerical and professional personnel, as well as poor quality of health care due to See the Table in PDF File sporadic clinic attendance. When comparing behavior patterns and attitudes of clinic patients under different methods of health care delivery, patient preferences become apparent.

scholarly journals CURING HEMOGLOBINOPATHIES: CHALLENGES AND ADVANCES OF CONVENTIONAL AND NEW GENE THERAPY APPROACHES.

2019 ◽  
Vol 11 (1) ◽  
pp. e2019067 ◽  
Author(s):  
Irene Motta ◽  
Valentina Ghiaccio ◽  
Andrea Cosentino ◽  
Laura Breda
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Gene Therapy ◽  
Bone Marrow ◽  
Iron Chelation ◽  
Beta Thalassemia ◽  
Allogenic Bone ◽  
Number Of Patients ◽  
Monogenic Diseases

Inherited hemoglobin disorders, including beta-thalassemia (BT) and sickle-cell disease (SCD) are the most common monogenic diseases worldwide, with a global carrier frequency of over 5%. With migration they are becoming more common worldwide, making their management and care an increasing concern for health care systems. BT is characterized by an imbalance in the α/β-globin chain ratio, ineffective erythropoiesis, chronic hemolytic anemia, and compensatory haemopoietic expansion. Globally, there are over 25,000 births each year with transfusion-dependent thalassemia (TDT). The current available treatment for TDT is lifelong transfusions and iron chelation therapy or allogenic bone marrow as curative option. SCD affects 300 million people worldwide  and severely impacts the quality of life of patients, who experience unpredictable, recurrent acute and chronic severe pain, stroke, infections, pulmonary disease, kidney disease, retinopathy, and other complications. While survival has been dramatically extended, quality of life is markedly reduced by disease- and treatment-associated morbidity. The development of safe, tissue specific and efficient vectors, and efficient gene editing technologies have led to the development of several gene therapy trials for BT and SCD. Yet, the complexity of the approach presents its hurdles. Fundamental factors at play include the requirement for myeloablation on a patient with a benign disease, the age of the patient and consequent bone marrow microenvironment. A successful path from proof-of-concept studies to commercialization must render gene therapy a sustainable and accessible approach for a large number of patients. Furthermore, the cost of these therapies is a considerable challenge for the health care system. While new promising therapeutic options are emerging and many others are on the pipeline5, gene therapy can potentially cure patients. We herein provide an overview of the most recent potentially curative therapies for hemoglobinopathies and a summary of the challenges that these approaches entail.

scholarly journals EDUCATION TO IMPROVE QUALITY OF LIFE OF PATIETS WITH STOMA: A LITERATURE REVIEW

2021 ◽  
Vol 5 (1) ◽  
pp. 30-39
Author(s):  
Arifin Triyanto
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Literature Review ◽  
Improve Quality ◽  
Review Of The Literature ◽  
Education Of Patients ◽  
Life Education ◽  
Positive Effect

Several conditions or disease may necessitate the formation of stoma as a treatment. However, stomas has a negatif effect on physical, psychological, social and spiritual aspects that can reduce the quality of life. Education is an effort to improve the quality of life of patients with stoma. The aim of this study was to describe the education of patients with stoma to improve quality of life. A review of the literature by searching in sciencedirect, EBSCO, and pubmed. Four relevant articles include in syntesis. Three studies conclude that education can improve quality of life and one study did not show significant results, but there were positive changes in the quality of life value. Education is provided through a variety of methods, the topic covers various aspects of life, delivered by a team of health care, given at least 2 sessions. Education in patients with stomas can improve quality of life. Although each article has a different method of education, it has a positive effect on improving the quality of life.

scholarly journals Assessment of health care quality in the tertiary level pediatric hospitals in Serbia

2011 ◽  
Vol 68 (1) ◽  
pp. 21-27
Author(s):  
Nina Kuburovic ◽  
Slavisa Djuricic ◽  
Andjelija Neskovic ◽  
Velimir Dedic ◽  
Vladimir Kuburovic
Keyword(s):  
Health Care ◽  
Quality Indicators ◽  
Pediatric Surgery ◽  
Quality Data ◽  
Tertiary Level ◽  
Autopsy Rate ◽  
Quality Of Work ◽  
Number Of Patients ◽  
Significant Difference

Background/Aim. It is necessary to improve the quality of health care for children. Assessment data would provide new insights into better treatment outcomes. The aim of this descriptive study was to estimate and to compare applied quality indicators in five pediatric inpatient tertiary level institutions in Serbia during the period from January 1st to December 31st 2008. Methods. Quality data and indicators were collected in the Institute for Public Health of Serbia ?Dr. Milan Jovanovic Batut?. Descriptive statistics and chisquare test were used for data analysis. Results. The average length of stay (ALOS) in pediatric departments was 7.51 ? 1.30 days (5.88-8.91 days). In the same period, ALOS in pediatric surgery departments was 5.85 ? 1.50 days (3.58-7.57 days). The average number of nurses per occupied bed was 0.76 ? 0.20 and 1.09 ? 0.36 in pediatric and in pediatric surgery departments, respectively. The number of operated patients per surgeon was in the range 51.0-160.5. The annual case fatality rate in pediatric departments was estimated to 0.72% ? 0.20%, whereas in pediatric surgery departments it was 0.34% ? 0.25%. The autopsy rate was estimated to 0.00%-63.16% in pediatric departments, and 37.14%-80.00% in pediatric surgery departments. There was statistically significant difference among the five hospitals regarding the following indicators of quality of work: total annual mortality rate of patients, autopsy rate, number of rate of patients, autopsy rate, number of patients referred to other institutions, both in pediatric and pediatric surgery departments. Conclusion. There is a significant difference among the five hospitals regarding indicators of quality of work. Obligatory set of quality indicators on the basis of legislative acts are the indicators of general quality of work in hospital. It is necessary to establish specific pediatric quality indicators and to define national standards related to these indicators.

For early diagnosis of prostate cancer in the Voronezh region

10.12737/6530 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Кочетов ◽  
M. Kochetov ◽  
Мадыкин ◽  
Yu. Madykin ◽  
Золотухин ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Medical Intervention ◽  
Successful Implementation ◽  
Actual Problem ◽  
Screening Programs ◽  
Number Of Patients ◽  
Tier System ◽  
Voronezh Region

Prostate cancer (PCa) is one of the most common cancers in men and the actual problem of modern oncology. Based on the results of worldwide research, the expected number of patients with prostate cancer in the city of Voronezh and the Voronezh region was calculated. This calculation shows, how the volume of patients requiring medical intervention, will have to face health care, not only in the Voronezh region, but in other regions of the Russian Federation. Existing health care system, where the systematic and standardized approaches to medical care didn’t available, calls into question the successful implementation undoubtedly important and necessary screening. The way out of this situation is to create a system based on the existing urological care to the population of the Voronezh region , « three-tier system of health care ,» which implies an increase in the number and volume of services at the outpatient phase , as well as the division of hospital care on the technological principle according to the principles of prevention and standardization, transfer of care from the principle of « negotiability « to the principle of « detection «, the organization of control of quality of care, established urology service of the Voronezh region is ready to run, and the decision of screening programs.

scholarly journals PENGARUH PENINGKATAN MUTU TERHADAP KUALITAS PELAYANAN LABORATORIUM

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Destu Satya Widyaningsih ◽  
Irma Susilowati
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Service Quality ◽  
Quality Level ◽  
Laboratory Unit ◽  
Cross Sectional ◽  
Laboratory Staff ◽  
Primary Health ◽  
Number Of Patients

Puskesmas Kotagede II Yogyakarta selalu menjaga keramahan dan kepercayaan yang baik kepada pasien untuk meningkatkan dan menjaga kualitas pelayanan sesuai dengan harapan pasien. Hal ini dibuktikan dengan jurnal tahun 2017 dengan hasil bahwa terdapat pengaruh kualitas pelayanan terhadap kepuasan pasien. Studi pendahuluan yang juga dilakukan oleh peneliti pada tanggal 13 Januari 2018 dan didapatkan hasil bahwa petugas laboratorium di Puskesmas Kotagede  II  memiliki  suatu  kendala  dalam  menangani  pasien,  hal  ini  dikarenakan  hanya  ada  satu  petugas  di laboratorium dengan  jumlah pasien  yang  banyak.  Akan tetapi data kunjungan pasien ke  laboratorium Puskesmas Kotagede II Yogyakarta bulan November 2017 sebanyak 335 pasien, dan pada bulan Desember 2017 sebanyak 341 pasien,  maka  terjadi  kenaikan  sekitar  1,76%.  Kenaikan  tersebut  salah  satunya  berasal  dari  mutu  yang  diukur sebelumnya. Jenis penelitian ini termasuk penelitian kuantitatif dengan pendekatan cross sectional. Populasi penelitian sebanyak  341  pasien  dan  sampel  penelitian  berjumlah  78  responden.  Metode  pengumpulan  data  dengan  teknik wawancara dan instrument yang digunakan adalah kuesioner. Analisa data menggunakan uji data kuantitatif yaitu uji statistik regresi linier sederhana yang ditinjau dari lima dimensi yaitu: tampilan fisik (tangible), kehandalan (realibility), daya tanggap (responsiviness), jaminan (assurance), dan empati (emphaty). Hasil penelitian didapatkan bahwa Ha diterima dan Ho ditolak yang berarti ada pengaruh peningkatan mutu terhadap kualitas pelayanan laboratorium di UPT Puskesmas Kotagede II Yogyakarta yang dapat ditunjukkan dengan nilai signifikansi sebesar 0,000. Semakin meningkatnya peningkatan mutu maka semakin meningkat pula kualitas pelayanan di laboratorium UPT Puskesmas Kotagede II Yogyakarta.Kata Kunci: Mutu, Kualitas Pelayanan, Laboratorium, Puskesmas. ABSTRACTThe Kotagede II Primary Health Care (PHC) of Yogyakarta has always been providing hospitality and keeping patients’ trust in order to maintain standard quality of service, as previous study demonstrated that the level of service quality was associated with patient satisfaction. Another study showed that there was a problem in the laboratory unit of Kotagede II PHC in providing service to patients mainly due to huge number of patients with limited number of laboratory staff. An increase in number of patients seeking services in the laboratory unit of Kotagede II PHC (335 to 341; 1.76%) was reported from November 2017 to December 2017, and such increase might be due to increasing quality of services provided by the laboratory staff. Current study aimed to identify association of quality improvement and service quality in the laboratory unit of Kotagede II PHC of Yogyakarta. The quantitative study implemented a cross-sectional design,  including a total of 78 patients as respondents.  Methods of collecting data with interview techniques and the instruments used were questionnaires.   Data analysis was performed by using linear regression, analyzed from five aspects: reliability, responsiveness, assurance, empathy, and tangible. Current study results demonstrated that quality improvement is associated with service quality level (P<0.001). In conclusion, improvements in  quality  is  followed  by  improvements  in  service  quality  level  in  the  laboratory  unit  of  Kotagede  II  PHC  of Yogyakarta.Keywords: quality improvement, service quality, laboratory unit, primary health care

scholarly journals Principal characteristics of patients acutely poisoned by ethanol in the region of Belgrade (Serbia)

2020 ◽  
Vol 77 (5) ◽  
pp. 500-507
Author(s):  
Zoran Segrt ◽  
Slavica Vucinic ◽  
Nemanja Rancic ◽  
Natasa Vukcevic-Perkovic ◽  
Gordana Vukovic-Ercegovic ◽  
...  
Keyword(s):  
Health Care ◽  
Severity Score ◽  
Acute Poisoning ◽  
Significant Part ◽  
Hospital Treatment ◽  
Principal Characteristics ◽  
Alcohol Poisoning ◽  
Number Of Patients ◽  
Acute Ethanol ◽  
Ethanol Poisoning

Background/Aim. Acute intoxication by ethanol constitutes a significant part of the acute pathology caused by toxic chemicals, which require medical care in specialized health care institutions. The aim of the study was to determine some principal characteristics of the patients treated after acute ethanol poisoning, such as: participation in the total number of patients treated after acute poisoning by all chemical agents, age, sex, severity of poisoning and capacities for ambulatory or hospital treatment. Methods. A five-year retrospective case study was conducted on 20,891 acute poisoned patients, of which 10,731 were treated after acute ethanol poisoning during the period 2011?2015. All the subjects satisfied the diagnostic criteria of poisoning according to the World Health Organization International Classification of Diseases-10 and standardized Poison Severity Score scale. Results. Monitored parameters were analyzed in 10,731 patients acutely poisoned by ethanol, and their average number during one study year was 2146.2 ? 437.95. The average number of treated patients due to poisoning by ethanol (51.47 ? 2.86%) was statistically significantly higher than that of other causes of acute poisoning (p < 0.001). The majority of poisoned patients were men, aged 19 to 65 years, with mild to moderate symptoms of acute ethanol intoxication. The highest number of patients poisoned by ethanol had Poison Severity Score 1 (70.25 ? 5.04%, p < 0.001). Very few acute poisoned with ethanol required hospital treatment (1.05%). Anticipated number of patients acutely poisoned by ethanol had high percentage of increase for the period 2016?2020 (slightly more than 20%), which is worrying, primarily due to their high absolute number. Conclusion. Acute alcohol poisoning represents a significant part of the pathology in the total number of patients treated due to acute poisoning with various chemical substances. The results of this analysis showed that certain populations are particularly vulnerable to abuse of alcohol to the level requiring health care (male population, age 19?65 years). Only a small number of patients (1% of all patients treated for acute alcohol poisoning) required clinical treatment. The obtained data provided the basis for a more targeted preventive action in certain population groups, as well as the adequate planning of professional medical staff engagement, material, spatial and other capacities. These data, also, provided the basis for additional detailed social, economic, health and other researches in this area as well as a more detailed registration of this type of poisoning and establishing a monitoring system and database.

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