scholarly journals Effective Communication and Conflict Management Workshop for Nursing Interns: Experience at a Tertiary Care Hospital of Delhi, India

2021 ◽  
Vol 07 (3&4) ◽  
pp. 6-10
Author(s):  
Alka Mishra ◽  
Keyword(s):  
Conflict Management ◽  
Tertiary Care ◽  
Real Life ◽  
Student Nurses ◽  
Effective Communication ◽  
Professional Communication ◽  
Care Hospital ◽  
Good Communication ◽  
Challenging Environment ◽  
Management Workshop

Introduction: Communication is an important skill required in health care settings to deal with many problems including conflict management. Nurse serves patients in challenging environment with limited infrastructure, overcrowded wards and OPD, which poses the challenge of conflict and its management. Method: Two workshops on the topic of communication and conflict management for nursing interns were conducted, these included various methods of teaching such as lecture and role-plays and interactive activities based on real-life situations. Data were collected on a pretested feedback forms and responses were obtained on 5-point Likert scale and also by open-ended questions. Result: Majority of the nurse interns strongly agreed/ agreed that the topics were appropriate, increased their knowledge and they would recommend the workshop to their peers in future. They had learnt how to overcome barriers (93.61%), professional communication (87.23%), and good communication skills (72.34%). Other take home messages, were, be a good listener, simple and precise message and empathy. They had also learnt various styles to solve conflict (95.48%). Conclusion: Student nurses were keen to learn about the effective communication and conflict management and were willing to implement learning at workplace.

Psychotropic drug utilization in psychiatric outpatient department of a tertiary care teaching hospital in India

2017 ◽  
Vol 5 (4) ◽  
pp. 1612
Author(s):  
Mohanraj Rathinavelu Mudhaliar ◽  
Ishrar Shaik Mohammad Ghouse ◽  
Priyanka Sadubugga ◽  
Swaroop Reddy Narala ◽  
Vidyasagar Chinnakotla ◽  
...  
Keyword(s):  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Psychiatric Illness ◽  
Tertiary Care ◽  
Real Life ◽  
Psychotropic Medications ◽  
World Health ◽  
Fixed Dose ◽  
Care Hospital ◽  
Prescribing Pattern

Background: Although psychotropic medications have had a remarkable impact on psychiatric practice that legitimately can be called revolutionary, their utilization and consequences on real life effectiveness and safety in actual clinical practice need continuous study.Methods: The current retrospective study of six months’ duration was designed to assess the utilization of antipsychotics and its prescribing pattern in a tertiary care hospital of south India, which included prescriptions of patients suffering from a psychiatric illness with at least one psychotropic drug of all ages and both sexes.Results: Out of 150 cases reviewed, 46% were of schizophrenia, where male (60.67%) at higher incidence of psychiatric illness, and maximum patients were under the age group of 29-39 years (54.67%). In present study of 355 prescribed drugs 72.67% were psychotropic medications. As per World Health Organization/International Network for Rational Use of Drugs (INRUD) drug use indicators average number of drugs per prescription (2.37%), average number of psychotropic drugs per prescription (1.72%), psychotropic drugs prescribed as Fixed Dose Combinations (FDCs) was 26.36%, and percentage of drugs prescribed by generic name (91.08%). In our study, 48.09% of psychotropic drugs were utilized in the treatment of schizophrenia, diazepam (17.06%) was the only psychotropic medication distributed in the management of all three observed psychiatric disorders and the study showed a higher utilization of psychotropic drugs as FDCs (25.98%) in the management of schizophrenia.Conclusions: The study advocated an overall rational utilization of psychotropic drugs with a fewer deviations due to socio-economic status of patients and prescription practices of healthcare providers. 

scholarly journals Combination pretest probability assessment and D-dimer did not reduce outpatient imaging for venous thromboembolism in a tertiary care hospital emergency department

CJEM ◽  
2014 ◽  
Vol 16 (01) ◽  
pp. 53-62 ◽  
Author(s):  
Sarah Ingber ◽  
Rita Selby ◽  
Jacques Lee ◽  
William Geerts ◽  
Elena Brnjac
Keyword(s):  
Emergency Department ◽  
Venous Thromboembolism ◽  
False Positive Rate ◽  
Tertiary Care ◽  
Real Life ◽  
Pretest Probability ◽  
Care Hospital ◽  
Ed Visits ◽  
The Impact ◽  
D Dimer

ABSTRACTIntroduction:Venous thromboembolism (VTE) is difficult to diagnose yet potentially life threatening. A low-risk pretest probability (PTP) assessment combined with a negative Ddimer can rule out VTE in two-thirds of outpatients, reducing the need for imaging. Real-life implementation of this strategy is associated with several challenges.Methods:We evaluated the impact of introducing a standardized diagnostic algorithm including a mandatory PTP assessment and D-dimer on radiologic test use for VTE in our emergency department (ED). A retrospective review of all ED visits for suspected VTE in the year prior to and following the introduction of this algorithm was conducted. VTE diagnosis was based on imaging. Guideline compliance was also assessed.Results:ED visits were investigated for suspected VTE in the pre- and postintervention periods (n 5 1,785). Most D-dimers (95%) ordered were associated with a PTP assessment, and 50% of visits assigned a low PTP had a negative D-dimer. The proportion of imaging tests ordered for VTE in all ED visits was unchanged postintervention (1.9% v. 2.0%). The proportion of patients with suspected VTE in whom VTE was confirmed on imaging decreased postintervention (10.2% v. 14.1%).Conclusion:In spite of excellent compliance with our algorithm, we were unable to reduce imaging for VTE. This may be due to a lower threshold for suspecting VTE and an increase in investigation for VTE combined with a high false positive rate of our D-dimer assay in low–pretest probability patients. This study highlights two common real-life challenges with adopting this strategy for VTE investigation.

scholarly journals Real-life evaluation of the Sofia SARS-CoV-2 antigen assay in a large tertiary care hospital

2021 ◽  
pp. 104854
Author(s):  
Linus Bornemann ◽  
Olaf Kaup ◽  
Johannes Kleideiter ◽  
Marcus Panning ◽  
Bertram Ruprecht ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Real Life ◽  
Care Hospital ◽  
Life Evaluation ◽  
Large Tertiary Care ◽  
Antigen Assay

scholarly journals UTILISATION STUDY OF ORAL HYPOGLYCAEMIC MEDICINES AT A TERTIARY CARE HOSPITAL

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Abubaker Siddiq ◽  
Bharathi DR
Keyword(s):  
Glycemic Control ◽  
Drug Utilization ◽  
Past History ◽  
Tertiary Care ◽  
Current Trend ◽  
Real Life ◽  
Diabetic Patients ◽  
Key Words Diabetes ◽  
Care Hospital ◽  
Diabetic Population

Drug utilization research establishes the current trend in the use of antidiabetic drugs including the new drug and to identify irrational prescription. India has a sizeable Diabetic Population with more than 72 million type-2 diabetic patients. Glycemic control remains the major goal for prevention of complications arising from diabetes. Poor glycemic control can be prevented by using rational & safe use of anti-diabetic drugs. A prospective observational study was carried out for a period of three years with the aim to study drug utilization evaluation of Oral Hypoglycaemic Medicines. A total of 468 patients were enrolled with the inclusion criteria of patients with past history of diabetes as well as newly diagnosed cases. The study showed that diabetes is more prevalent in females than males and also found a higher prevalence of the disease among elderly patients. The study revealed the use of Metformin as the most commonly utilized drug among diabetic population. Glimeperide and Metformin were the most commonly prescribed anti-diabetic combination. The results of this study provide real-life data, which will help to formulate newer strategies to improve delivery of diabetes care. Key words: Diabetes, Drug Utilisation, Prospective, Prevalence

Case series and mini review on Elizabethkingia meningoseptica a high alert organism causing meningitis in premature neonates from a tertiary care hospital of Western Rajasthan.

2021 ◽  
Vol 20 ◽  
Author(s):  
Kumar S Abhishek ◽  
Sarika P. Kombade ◽  
Neeraj Gupta ◽  
Vibhor Tak ◽  
Vijaya Lakshmi Nag ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Case Series ◽  
Neonatal Intensive Care Units ◽  
Care Hospital ◽  
Premature Neonates ◽  
Good Communication ◽  
Elizabethkingia Meningoseptica ◽  
High Degree

Background: Elizabethkingia meningoseptica is a ubiquitous organism rarely associated with human diseases, but its association especially among hospitalized premature neonates and immunocompromised individuals are not so common. Case: We report two cases of neonatal bacteraemia and meningitis among low birth weight premature neonates admitted in neonatal intensive care units (NICU) by E. meningoseptica, a high alert organism associated with such conditions. Conclusions: E. meningoseptica, a high alert organism associated with meningitis among premature underweight neonates. High degree of resistant to most of the broad-spectrum antibiotics makes its management a challenging task. A good communication between the clinician and the microbiologist becomes very important for the proper management of the patients.

scholarly journals P102: TeamSTEPPS: promoting a culture of safety

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S112-S112
Author(s):  
A. Webb ◽  
D. Lussier ◽  
M. Ngo ◽  
J. Klassen ◽  
R. Steigerwald ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Social Media ◽  
Patient Safety ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Real Life ◽  
Aviation Industry ◽  
Care Hospital ◽  
On Line

Introduction / Innovation Concept: Adverse events due to medical error are a significant source of preventable morbidity and mortality in Canada’s emergency departments. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) was introduced in 2006 as a strategy to minimize these errors. Although these strategies have been available and widely implemented in hospitals over the last decade, the optimal method of teaching these tools and strategies has not been elucidated. Methods: We endeavoured to introduce a twelve month longitudinal TeamSTEPPS program to physicians, nurses, and allied health care professionals in a busy tertiary care hospital via a multi-pronged approach consisting of group huddles, props in the department, and several social media strategies. Dedicated observers in the emergency department recorded the use of the strategies by staff members to identify improved and sustained use of TeamSTEPPS behaviours after they were introduced. Curriculum, Tool, or Material: The program that consists of five modules to improve patient safety outcomes: Team structure; Leadership; Situation Monitoring; Mutual support; and Communication. Each module consisted of educational tools including posters in the department explaining the concepts, twice weekly department huddles to discuss the importance of the monthly topic and promote team sharing with real life examples, as well as stimulating and generating discussions around the monthly theme on social media (Facebook, Twitter, and an on-line blog). For several modules, extra prompts, such as I PASS the BATON handover cards were also provided to act as reminder visual cues. The first two modules were rolled out with on-line music videos rewritten to promote the significance of the modules. A team performance observation tool was adopted from the TeamSTEPPS program, and behaviors were evaluated and recorded under the five domains. Conclusion: Although unable to detect a meaningful difference in our pre and post-implementation observations, we present a novel approach to educating a multi-disciplinary team about TeamSTEPPS in a busy emergency department, along with the challenges encountered in this unique area of research, and recommendations for further study to interested parties. The TeamSTEPPS program likely could offer as much to the emergency department as similar programs have to the aviation industry yet it requires extensive investigation within this health care venue.

scholarly journals Real-life experience with ceftobiprole in a tertiary-care hospital

2020 ◽  
Vol 22 ◽  
pp. 386-390 ◽  
Author(s):  
Emanuele Durante-Mangoni ◽  
Roberto Andini ◽  
Maria Civita Mazza ◽  
Francesco Sangiovanni ◽  
Lorenzo Bertolino ◽  
...  
Keyword(s):  
Life Experience ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Real Life ◽  
Care Hospital

scholarly journals A study to assess effectiveness of video assisted teaching programme on gastro intestinal tract assessment among student nurses of tertiary care hospital: a statistical approach

2019 ◽  
Vol 7 (7) ◽  
pp. 2764
Author(s):  
Trupti S. Bhosale ◽  
Sagar B. Bhosale ◽  
Tukaram B. Zagade ◽  
Satish V. Kakade
Keyword(s):  
Intestinal Tract ◽  
Tertiary Care ◽  
Student Nurses ◽  
Care Hospital ◽  
Knowledge Level ◽  
Teaching Programme ◽  
Video Assisted ◽  
Significant Difference ◽  
Post Test ◽  
Gastro Intestinal Tract

Background: The gastro intestinal is important system in the human body. Many times it is found that its uneasy for student nurses to check the patient. So, there is need to improve the available learning programmes regarding gastro intestinal tract assessment.So, it was necessary to conduct this study for educating student nurses regarding the gastro intestinal tract assessment to improve their knowledge. The objectives of this study were to assess the knowledge of student nurses regarding gastro-intestinal tract assessment and to evaluate the effectiveness of video assisted teaching programme on knowledge regarding gastro intestinal tract assessment.Methods: Material and methods used for the study is the evaluative approach; one group pre test, post test design was used. Study was conducted on sample of 70 student nurses by using convenient sampling technique. The data were collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics.Results: The mean knowledge score of student nurses during the pre-test was 39.89% where as it had raised up to 72% during the post-test regarding gastro intestinal tract assessment as effectiveness of video assisted teaching programme. Therefore, the difference assessed was 32.11% between pre-test and post-test.Conclusions: There was significant difference between the pre-test knowledge level and post-test knowledge level of student nurses on gastro intestinal tract assessment. Hence health education programs and on-going teaching both can further improve the knowledge of student nurses.

Retrospective study of the evaluation and management of febrile neutropenia in cancer patients in a tertiary center.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19100-e19100
Author(s):  
Megan Emmich ◽  
Prarthna V Bhardwaj ◽  
Jackson Clark ◽  
Arthi Sridhar ◽  
Fatima Ali ◽  
...  
Keyword(s):  
Febrile Neutropenia ◽  
Cancer Diagnosis ◽  
Tertiary Care ◽  
Stage Iv ◽  
Hematologic Malignancies ◽  
Medical Emergency ◽  
Care Hospital ◽  
Good Communication ◽  
Mascc Score ◽  
Tertiary Center

e19100 Background: Febrile neutropenia is a medical emergency often managed by internists, but adherence to guidelines has not been well-described. We aimed to describe care and outcomes of a retrospective cohort of patients hospitalized with febrile neutropenia at a single tertiary care hospital. Methods: We included adults ≥18 years old who had a cancer diagnosis and required hospital admission for a principal diagnosis of fever and neutropenia (ANC < 500) from October 2015 - April 2019. We reviewed records to identify demographics, cancer diagnosis and stage, and outcomes, including death. Results: We included 193 patients; all were cared for by hospitalists. About half (52%) were classified as high risk [ < 21 Multinational Association of Supportive Care in Cancer (MASCC)score], but only 1 patient had a documented MASCC score in hospital progress notes. The majority of patients were female (55%) and white (84%). Twenty-three percent had a stage IV diagnosis. Most (89.1%) patients were within their first chemotherapy cycle, and 23% received GCSF. Approximately half (47%) had solid tumors; the remainder had hematologic malignancies. About one quarter (27%) had positive blood cultures (of these, 43.4 % were gram positive cocci (GPC); 49.1% were gram negative rods (GNR)). Most patients received empiric coverage for GPC and GNR: 82% received cefepime and 42% received empiric MRSA coverage. Few patients had cultures positive for resistant organisms such as MRSA (n = 3) or pseudomonas (n = 4). Hematology/Oncology was consulted for most (82%) cases. Inpatient mortality occurred in 12% of patients. Compared to those who survived, patients who died had lower MASCC score 13.9 (vs. 19.1) and were more likely to receive critical care therapies during hospitalization (70% vs. 14%). Few patients (n = 24, 12%) had documented goals of care (GOC) discussions. Conclusions: Although MASCC is predictive of outcomes, internists caring for patients with fever and neutropenia do not document this score. Hospitalist-focused education efforts about MASCC score could improve care. Few patients had documented GOC discussions. Oncologists should maintain good communication with internal medicine colleagues, who may be hesitant to address GOC in patients receiving chemotherapy.

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