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Tytuł:
Nurses’ COVID-19 fears and patient safety attitudes in the pandemic
Autorzy:
Efil, Sevda
Turen, Sevda
Demir, Elif
Powiązania:
https://bibliotekanauki.pl/articles/2208175.pdf
Data publikacji:
2023-03-25
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
COVID-19
nurses
patient safety
Opis:
Introduction and aim. The fear experienced by nurses during the COVID-19 pandemic may threaten patient safety. This study was conducted with the aim of examining nurses’ COVID-19 fears and attitudes to patient safety in the pandemic. Material and methods. The research had a descriptive and cross-sectional design. The research sample consisted of 245 nurses working at a teaching and research hospital in Istanbul, Turkey’s most populous province. Research data were collected in June–July 2021. A Nurse Characteristics Form, the Fear of COVID-19 Scale (FCV-19S) and the Patient Safety Attitude Questionnaire were used to collect data. The data evaluation was performed using descriptive statistics, Student t test, one-way variance (ANOVA), and Pearson correlation analysis. Results. The nurses’ mean score for fear of COVID-19 was 16.67±6.88, and their mean score for patient safety attitude was 141.70±27.78. Their COVID-19 fear levels and mean patient safety attitude scores were found to differ according to their intention to leave the job, their education on COVID-19 and their age. Conclusion. Nurses’ experiencing of physical, social and psychological problems relating to the COVID-19 pandemic should be followed up in the long term.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 1; 19-26
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Utilization and Effectiveness of Surgical Safety Checklist in European Region
Autorzy:
Gołębiowska, Maria
Gołębiowska, Beata
Chudzik, Robert
Jasiński, Mirosław
Dubelt, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1177813.pdf
Data publikacji:
2018
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
patient safety
surgical safety
surgical safety checklist
Opis:
Year 2018 marks as the decade of introduction of WHO Surgical Safety Checklist into the world of modern surgery. Surgical safety checklist, a set of items vital within the perioperative patient’s safety checkup, easy to be performed in any of the operating theatres and under any circumstances, is proven to be an effective tool in fight against preventable adverse events in surgical care. The aim of our study was to present the results of implementation of the SSC to surgical wards in European Region -in terms of utilization and effectiveness. We analyzed substantial articles on implementation and challenges of surgical checklist in European centres from period 2008-2017. Within 308 articles of PubMED database, 8 substantial articles on utilization and effectiveness of SSC were identified and reviewed. 50% of research was performed in Central Europe. 75% of articles measured the effectiveness with one method, either documents/checklist evaluation or questionnaires among health care professionals. Presented research showed significant changes in patient safety, decrease in post-surgical complications and mortality rates. The utilization of the checklist did not reach the ideal 100% in all procedures, ranging between 55-95%, with maximum compliance of 80% of all items. Main challenges in completion and participation of professionals in the studies were lack of training and audit options, as well as limited financial resources towards ensuring patient safety in surgical wards. Despite 10 years of introduction to the surgical field, the data on utilization and effectiveness of SSC is still insufficient among countries of the European region. Potential ways of improvement, such as training, monitoring and financial resources could result in further reduction of complication rates and mortality.
Źródło:
World Scientific News; 2018, 99; 169-180
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Surgical safety checklist in pediatric surgery
Autorzy:
Gołębiowska, Maria
Gołębiowska, Beata
Powiązania:
https://bibliotekanauki.pl/articles/1177803.pdf
Data publikacji:
2018
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
Pediatric surgery
patient safety
surgical safety
surgical safety checklist
Opis:
Patient safety still remains as one of the biggest challenges for healthcare professionals. Surgical adverse events comprise 8% of all iatrogenic complications, half of them being easily preventable with simple checkup methods. Especially in pediatric surgery, where not only meaningful differences in anatomy or treatment response lie, but more importantly limited communication with the patient occurs, additional precautions have to be undertaken. In 2008, as a result of Safe Surgery Saves Lives campaign, Surgical Safety Checklist was introduced. A standardized checklist of all crucial perioperative steps is meant to be performed in every operating theater, ideally under all circumstances. The aim of our study was to present the current views and effectiveness of implementation of surgical safety checklists in pediatric surgery settings. We analyzed substantial articles on implementation and challenges of surgical checklist in pediatric surgery from period 2008-2018. Within 310 articles of PubMED database, 10 substantial articles on pediatric surgery safety were identified and reviewed. 70% of articles discussed the implementation of the checklist and post-implementation improvements, 20% included healthcare and parents attitude towards safety checklists. One article presented the variation of the surgical safety checklist in pediatric surgical and ambulatory settings. Most of the articles noted the prevention of adverse events correlated with the usage of the checklist, as well as positive attitude of healthcare providers and patients family towards checklist implementation was noted. Main challenge was the fidelity of the completion, especially in emergency settings. The Surgical Safety Checklist unifies the process of avoiding human error in surgery at all costs. Reviewed research presents improvements in prevention of adverse events in pediatric surgery, as well as innovative solutions for issues related mainly to pediatric patients, such as inclusion of guardians or even patients in safety check process, or implementing procedural or bedside safety checklists.
Źródło:
World Scientific News; 2018, 99; 107-118
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Self-reported medication administration errors in clinical practice of nurses: a descriptive correlation study
Autorzy:
Červený, Martin
Hajduchová, Hana
Brabcová, Iva
Chloubová, Ivana
Prokešová, Radka
Malý, Josef
Malá-Ládová, Kateřina
Doseděl, Martin
Tesař, Ondřej
Vlček, Jiří
Tóthová, Valérie
Powiązania:
https://bibliotekanauki.pl/articles/2203024.pdf
Data publikacji:
2023-05-19
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
nursing
patient safety
drug
safety management
errors
medication administration
Opis:
Background Medication administration errors (MAE) are a worldwide issue affecting the safety of hospitalized patients. Through the early identification of potential causes, it is possible to increase the safety of medication administration (MA) in clinical nursing. The study aimed to identify potential risk factors affecting drug administration in inpatient wards in the Czech Republic. Material and Methods A descriptive correlation study through a non-standardized questionnaire was used. Data were collected from September 29 to October 15, 2021, from nurses in the Czech Republic. For statistical analysis, the authors used SPSS vers. 28 (IBM Corp., Armonk, NY, USA). Results The research sample consisted of 1205 nurses. The authors found that there was a statistically significant relationship between nurse education (p = 0.05), interruptions, preparation of medicines outside the patient rooms (p < 0.001), inadequate patient identification (p < 0.01), large numbers of patients assigned per nurse (p < 0.001), use of team nursing care and administration of generic substitution and an MAE. Conclusions The results of the study point to the weaknesses of medication administration in selected clinical departments in hospitals. The authors found that several factors, such as high patient ratio per nurse, lack of patient identification, and interruption during medication preparation of nurses, can increase the prevalence of MAE. Nurses who have completed MSc and PhD education have a lower incidence of MAE. More research is needed to identify other causes of medication administration errors. Improving the safety culture is the most critical challenge for today’s healthcare industry. Education for nurses can be an effective way to reduce MAEs by enhancing their knowledge and skills, mainly focusing on increasing adherence to safe medication preparation and administration and a better understanding of medication pharmacodynamics. Med Pr. 2023;74(2):85–92
Źródło:
Medycyna Pracy; 2023, 74, 2; 85-92
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occurrence of adverse events in the activity of hospital wards in the opinions of doctors and nursing management staff
Autorzy:
Mikos, M.
Banaszewska, A.
Kutaj-Wąsikowska, H.
Kutryba, B.
Czerw, A.
Badowska-Kozakiewicz, A.M.
Wójtowicz, E.
Powiązania:
https://bibliotekanauki.pl/articles/2085677.pdf
Data publikacji:
2020
Wydawca:
Instytut Medycyny Wsi
Tematy:
adverse events
patient safety
quality of health care
Opis:
Introduction. An adverse event is an incident induced while providing health care services or resulting from it, not related to the natural course of a given disease or health condition, which causes or is likely to cause negative consequences for the patient, including their death, a threat to life, the necessity of hospitalisation or its prolongation, permanent or considerable health detriment; or is a foetal disease, congenital defect or the result of foetal damage. Objective. The aim of this analysis is to explore the problem of the occurrence of adverse events from the perspective of doctors and ward nurses who manage wards. Materials and method. The research on the occurrence of adverse events among doctors and nurses (the management staff) was conducted with the use of a postal survey. Results. It was ascertained that 86.5% of the medical personnel had taken part in an adverse event, of which 20.2% took part in an occurrence associated with pharmacotherapy, 16.2% – in an event related to diagnostics and diagnosis, or an infection – 15.7%. 14.2% of respondents were involved in an occurrence linked to a medical device malfunction, and 14.1% – in an adverse event related to an operation. Conclusions. The adverse events most often identified in the nursing professional group are occurrences associated with pharmacotherapy, and in the doctors’ professional group – occurrences related to diagnostics and diagnosis. The research established that the most frequent reason for not informing patients about the occurrence of an adverse event is fear of their filing a complaint. Medical management staff show high acceptance of an adverse event reporting system as a tool for improving patient safety.
Źródło:
Annals of Agricultural and Environmental Medicine; 2020, 27, 2; 306-309
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Classification of the appropriate behaviors of Patients for Patient Safety against the Chinese cultural background, based on grounded theory
Autorzy:
Wang, Yaohui
Liu, Quanlong
He, Lina
Li, Xinchun
Powiązania:
https://bibliotekanauki.pl/articles/2116601.pdf
Data publikacji:
2020-04-30
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
behavior
classification
grounded theory
Patient for Patient Safety
medical safety
theoretical guidance
Opis:
ObjectivesThe purpose of this research is to explore the appropriate behaviors and characteristics of Patients for Patient Safety (PFPS) against the Chinese cultural background, especially the types and internal logical relationships of behaviors of PFPS.Material and MethodsIn this research, Glazer’s methodology principle of the traditional grounded theory was adopted, and the methods of objective sampling, theoretical sampling and snowball sampling were employed. Considering the diversity of the interviewed subjects’ gender, age, professional title, qualification and demographic characteristics, representatives of hospital management staff, doctors, nurses, patients and their family members from different provinces and cities across the country were selected for semi-structured in-depth interviews to assess the behaviors of PFPS against the Chinese cultural background. In addition, some PFPS reports were collected from network media to supplement the interview data. All interviews were recorded and collated into Word text documents. Qualitative research data analysis software Nvivo 12 was used to sort out the collected data, and the theme was separated out through the strategy of substantive coding and theoretical coding.ResultsIn this research, the appropriate behaviors of PFPS were taken as the research content; 6 categories of appropriate behaviors of PFPS were separated out; and a model diagram of PFPS was constructed accordingly.ConclusionsA model diagram of the appropriate behaviors of PFPS against the Chinese cultural background was constructed to provide theoretical guidance for relevant research and practice.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 3; 263-272
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Utilization of Surgical Safety Checklist in Low – and Middle Income Countries
Autorzy:
Gołębiowska, Maria
Gołębiowska, Beata
Chudzik, Robert
Jarosz-Chudzik, Katarzyna
Jasiński, Mirosław
Powiązania:
https://bibliotekanauki.pl/articles/1166217.pdf
Data publikacji:
2018
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
low and middle income countries
patient safety
surgical safety checklist
Opis:
Despite successful introduction of rules of asepsis, antisepsis, antibiotic treatment, medicine still fights with human errors in medicine. One of the crucial and sensitive to miscommunication are surgical situations, where plenty of multidisciplinary team members are involved in successful provision of the treatment. That is why starting from 2008 a useful tool supporting provision of safe surgery - Surgical Safety Checklist (SSC) - was introduced by World Health Organization. In single worldwide studies in beginning of implementation, SSC was proven to be effective in many both high- and low income settings. The aim of our study was to review the effectiveness of the SSC based on the review of research in low- and middle income countries in years 2008-2017. Within 302 articles of PubMed Medline database, 12 articles were chosen for further analysis, with majority research held in Sub-Saharan Africa (42%), and Upper Middle Income Countries group (42%). The review proved the effectiveness of implementation of SSC in all income groups, especially in terms of reduction of surgical site infection, postoperative sepsis and improvement of communication in healthcare. Promising results of the few studies should encourage more research in this field, which may be difficult to conduct due to the lack of necessary resources in the LMIC.
Źródło:
World Scientific News; 2018, 106; 214-225
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Just culture maturity questionnaire validation in a Polish hospital
Autorzy:
Wiśniewska, Małgorzata
Marjańska, Ewa
Grudowski, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/27313718.pdf
Data publikacji:
2022
Wydawca:
Politechnika Śląska. Wydawnictwo Politechniki Śląskiej
Tematy:
patient safety
nurses
just culture assessment
bezpieczeństwo pacjenta
pielęgniarki
Opis:
Purpose: (To present the results of the statistical validation of just culture maturity questionnaire (JCMQ), used to recognize the maturity level of JC among nurses in the hospital in Poland. Methodology: (The case study and 5-stage research with the use of a 5-point Likert scale questionnaire with 28 statements, distributed among nurses. The results were statistically processed with Statistica 13.1 software. Findings: We confirmed the reliability of JCMQ what helped to recognize the level of JC maturity as “wisdom”. The improvement actions were proposed. The priority in this respect seems to be education and constant, undistorted communication and knowledge exchange. Originality: To the best knowledge of the authors, this is the first article in Central Europe and Eastern Countries referring to JC maturity assessment in a hospital setting, and addressed to nurses. The results allow indicating the level of JC maturity concerning Ph. Crosby maturity grid.
Źródło:
Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska; 2022, 157; 649--665
1641-3466
Pojawia się w:
Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Biological Medicinal Therapy in terms of Respecting Patients’ Rights – Assessment of the Present Legal Status in Poland
Autorzy:
Zimmermann, Agnieszka E.
Susłowska, Natalia
Powiązania:
https://bibliotekanauki.pl/articles/895517.pdf
Data publikacji:
2020-04-29
Wydawca:
Polskie Towarzystwo Farmaceutyczne
Tematy:
patient safety
patients’ rights
biological medicinal product
informed consent
Opis:
Introduction: Patients’ rights must be respected at every stage of therapy, including during biological drug therapy. For clinicians, it is key to be involved in the decision-making process with regard to the choices of medication and possible drug substitution. In Poland, the law encourages automatic drug substitution and does not recognise disparities in biological drugs. Aim: The main aim of the paper is to describe the present legal situation depicting the scope of autonomy of a hospitalised patient. Methods: An analysis was conducted of the Polish regulations, the doctrine and administrative decisions and European Medicines Agency guidance documents. Results: In Poland, patients who require therapy with advanced technologies such as biopharmaceuticals, may obtain access to a medicine within a special drug reimbursement programme in a hospital. Hospitals are supplied with the drugs necessary for drug therapy programmes via public procurement. This means that hospital procurement procedures decide which drug a patient will receive. It is not the decision of the health care provider. In view of this, the Polish Patient Ombudsman, in a decision confirmed by the Provincial Administrative Courts, pointed out that the selection of a drug for therapy should depend on current medical knowledge rather than on the result of a tender carried out by a hospital. Conclusions: Polish solutions based on the lack of an obligatory requirement to consult a substitution with a treating physician deviate from the standard practices followed in numerous EU countries and the US.
Źródło:
Acta Poloniae Pharmaceutica - Drug Research; 2020, 77, 2; 373-379
0001-6837
2353-5288
Pojawia się w:
Acta Poloniae Pharmaceutica - Drug Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Experiences of a Slovak PhD pioneer
Autorzy:
Bendova, J.
Powiązania:
https://bibliotekanauki.pl/articles/1659.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
chronic obstructive pulmonary disease
spirometry
general practice
research
patient safety
rural area
Opis:
It has all started 10 years ago, at my first WON CA Europe conference in Istanbul in 2008, where I became amazed by so many general practitioners, who performed and presented their scientific work there. However it took me 7 years since the idea to start my PhD studies until it´s final completion in 2017. My PhD journey wasn´t straight, but rather twisty, with 2 interruptions. In 2011 I started to earn my basic research skills at 2 courses. The first one was the European General Practice Research Network (EGPRN) course in Nice and the second University of Crete´s research workshop in Slovakia lead by Professor Christos Lionis. The easiest part of my PhD studies was the clinical one – administering questionnaire and performing spirometry with my patients at my rural general practice. I also enjoyed teaching medical students at undergraduate as well as postgraduate level. I gave lectures at national conferences and published articles about general medicine in Slovak scientific journals, focusing on prevention, patient safety and respiratory diseases, especially COPD. I also contributed to two medical text books. My research was presented as posters or oral presentations at 3 WONCA Europe conferences, where I found a great space for sharing research ideas and results. Final results of my PhD thesis are going to be presented at Krakow conference. Even though I was a fruitful author of publications, reaching the goal of an international publication was the most difficult part for me, not achievable without a help of experienced colleague, Austrian general practitioner, Professor Gustav Kamenski.
Źródło:
Medical Science Pulse; 2018, 12, 1
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Bacteria contamination of touch surfaces in Polish hospital wards
Autorzy:
Różańska, Anna
Romaniszyn, Dorota
Chmielarczyk, Agnieszka
Bulanda, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2164081.pdf
Data publikacji:
2017-06-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
patient safety
hand hygiene
occupational exposure to biological agents
safety and health at work
touch surfaces
hospital hygiene
Opis:
Background The objective of the study has been to evaluate the pathogenic bacteria contamination of touch surfaces in hospital wards. Material and Methods Samples were taken from frequently touched surfaces in the hospital environment in 13 units of various types. Culturing was carried out on solid blood agar and in growth broth (tryptic soy broth – TSB). Species identification was performed using the analytical profile index (API) biochemical testing and confirmed with matrix assisted laser desorption ionization time-flight mass spectrometry (MALDI-TOF-MS) system. Results The total of 161 samples were taken for the study. Fifty-two of them, after 24 h of culture on a solid medium, demonstrated bacterial growth and further 60 samples had growth after prior multiplication in TSB. Overall, 69.6% of samples exhibited growth of 19 bacterial species. Pathogenic species – representing indicator organisms of efficiency of hospital cleaning – was demonstrated by 21.4% of samples. Among them Acinetobacter spp., Enterocococci spp. and Staphylococcus aureus were identified. Coagulase-negative staphylococci (CNS) were predominant. The proportion of various groups of bacteria significantly varied in respective hospitals, and in various types of wards. Disturbing observation is a large proportion of resistance of isolated CNS strains as a potential reservoir of resistance genes. Conclusions The results show that touch surfaces in hospital units are contaminated by both potentially pathogenic and pathogenic bacterial species. In connection with the reported, also in Poland, frequent omission or incorrect execution of hand hygiene by hospital staff, and probably patients, touch surfaces still constitute important reservoir of pathogenic bacteria. Improving hand hygiene compliance of health-care workers with recommendations is necessary for increasing biological safety of hospital environment. Med Pr 2017;68(3):459–467
Źródło:
Medycyna Pracy; 2017, 68, 4; 459-467
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Zalety łączenia sonotopogramu z indykacją i fiksacją w ultrasonografii zabiegowej
The advantages of combining sonotopogram with indication and fixation in invasive ultrasound
Autorzy:
Pilecki, Zbigniew
Pilecki, Grzegorz
Ciekalski, Jacek
Dzielicki, Józef
Jakubowski, Wiesław
Powiązania:
https://bibliotekanauki.pl/articles/1061412.pdf
Data publikacji:
2012
Wydawca:
Medical Communications
Tematy:
fixation
indication
invasive ultrasound
patient safety
puncture techniques
bezpieczeństwo pacjenta
fiksacja
indykacja
sonotopogram
techniki punkcyjne
ultrasonografia zabiegowa
Opis:
The usefulness of sonotopogram, that is mapping of the operated area basing on ultrasound, is obvious and currently unquestionable. It is performed in order to improve safety level of a patient treated by means of invasive techniques. It constitutes an excellent complement of the Perioperative Control Card. At the beginning it was used in sonosurgical procedures, with time it has become an element of all surgical techniques. It undergoes multiple changes depending on the surgeon’s needs. A particularly interesting phenomenon is the combination of the invasive techniques in order to facilitate the performance of medical procedures. Because of some relationship we are going to present the combination of sonotopogram with fixation and indication techniques. They are puncture techniques which are relatively rarely used in invasive ultrasound and surgical procedures. It seems that this results from the ignorance of their potential and the technique of their performance. Great simplicity makes them universal and allows to combine them freely. This simple combinations can be extended practically endlessly – similarly to domino bricks. For example, the next element of the technique combining can be the removal of an indicated and fixated element or a nailing. It is an excellent example of the complementarity rule – it should facilitate the understanding of Allin1 techniques and sonosurgery and also help in everyday practice of doctors performing invasive procedures. The use of these methods should be propagated not only in ultrasound but also in everyday medical practice in all the specialties. The presentation of the examples of particular techniques and their combination enables to bring closer their practical use.
Przydatność sonotopogramu, czyli mapowania operowanej okolicy w oparciu o badanie ultrasonograficzne, jest oczywista i obecnie niekwestionowana. Jest on wykonywany w celu poprawienia poziomu bezpieczeństwa pacjenta leczonego technikami inwazyjnymi. Stanowi doskonałe uzupełnienie Okołooperacyjnej Karty Kontrolnej. Początkowo był stosowany w procedurach sonochirurgicznych, z czasem stał się składową wszystkich technik operacyjnych. Podlega licznym przemianom w zależności od potrzeb operatora. Szczególnie ciekawym zjawiskiem jest łączenie technik inwazyjnych w celu ułatwienia wykonywania procedur medycznych. Z racji pewnego pokrewieństwa przedstawiamy połączenie sonotopogramu z technikami fiksacyjnymi i indykacyjnymi. Są one technikami punkcyjnymi, które stosunkowo rzadko wykorzystuje się w ultrasonografii zabiegowej i procedurach operacyjnych. Wydaje się, że wynika to z nieznajomości potencjału oraz technik ich wykonywania. Duża prostota tych technik czyni je uniwersalnymi i pozwala swobodnie łączyć ze sobą. Te proste połączenia mogą być dalej rozszerzane praktycznie w nieskończoność – na podobieństwo klocków domina. Przykładowo kolejnym elementem łączenia technik może być usunięcie zaznaczonego lub ufiksowanego elementu lub też zespolenie. Jest to doskonały przykład zasady komplementarności – powinien ułatwić zrozumienie technik Allin1 oraz sonochirurgii, a także pomóc w codziennej praktyce lekarzy wykonujących procedury inwazyjne. Należy propagować wykorzystywanie tych metod nie tylko w ultrasonografii, ale również w codziennej praktyce medycznej we wszystkich specjalnościach. Przedstawienie przykładów poszczególnych technik oraz ich łączenia pozwoli przybliżyć praktyczne ich zastosowanie.
Źródło:
Journal of Ultrasonography; 2012, 12, 50; 299-306
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena przydatności karty kwalifikacyjnej na przykładzie zabiegów artroskopowych u dzieci
The assessment of usefulness of the qualification card and ultrasonographic consultation
Autorzy:
Pilecki, Zbigniew
Pilecki, Grzegorz
Dzielicki, Józef
Jakubowski, Wiesław
Powiązania:
https://bibliotekanauki.pl/articles/1061383.pdf
Data publikacji:
2012
Wydawca:
Medical Communications
Tematy:
cascade of errors
consultation
patient safety
qualification card
therapeutic team
bezpieczeństwo pacjenta
karta kwalifikacyjna
kaskada błędów
konsylium
zespół terapeutyczny
Opis:
The result of therapeutic success is always the effect of medical professionals cooperation. The creation of adequate mechanisms of cooperation of these teams demands time and appropriate examples. In the understanding of differentiated behaviors in the line patient – diagnostician – surgeon, particularly the mechanism of the cascade of errors formation, giving simple examples may help – their awareness will facilitate the formation of an adequate pattern of diagnostic‑therapeutic chain. The therapeutic team formed in this way provides optimal forms of cooperation and positive result. One of the elements of the cooperation is the surgical procedure qualification card which is an example of the communication between surgeon and diagnostician. The propagation of proven examples seems to be justified by practical reasons. The introduction of the surgical procedure qualification card enabled maintaining of the preoperative and postoperative diagnoses in the range from 88.4% to 89.29%, the barrier of 90% however is still not achieved. The diagnoses discrepancy is still the most often occurring patient safety incident and our results should head towards its mineralization. In particularly complicated cases we come back to a well‑known form of medical consultation, that is the form of examination and treatment establishment basing on simultaneous physical and ultrasound examination – hence the colloquial name of ultrasound consultation. The universality of medical consultation makes out of it an excellent tool, particularly in cases of significant discrepancy between physical and ultrasound examination. This is excellent form of the experience exchange and learning about mutual possibilities. We believe that the mechanisms presented will influence the improvement of patient security.
Wynik procesu leczniczego jest zawsze efektem pracy zespołu profesjonalistów medycznych. Zbudowanie prawidłowych mechanizmów pracy takich zespołów wymaga czasu i odpowiednich wzorców. W zrozumieniu zróżnicowanych zachowań na liniach pacjent – diagnosta – chirurg, zwłaszcza mechanizmu tworzenia się kaskad błędów, może pomóc przedstawienie prostych przykładów – ich świadomość ułatwi tworzenie prawidłowego wzorca łańcucha diagnostyczno‑leczniczego. Powstały w ten sposób zespół terapeutyczny zapewnia optymalne formy współpracy i korzystny wynik. Jednym z elementów tej współpracy jest karta kwalifikacyjna do zabiegu operacyjnego, będąca przykładem komunikacji chirurga i diagnosty. Propagowanie sprawdzonych wzorców wydaje się w pełni uzasadnione względami praktycznymi. Wprowadzenie karty kwalifikacyjnej do leczenia operacyjnego pozwoliło na utrzymanie zgodności rozpoznań przedoperacyjnych i pooperacyjnych w granicach od 88,44% do 89,29%, wciąż jednak nie udaje się przekroczyć bariery 90%. Rozbieżność diagnoz jest nadal najczęściej występującym zdarzeniem niepożądanym i nasze wysiłki powinny iść w kierunku jego minimalizacji. W przypadkach szczególnie skomplikowanych wracamy do sprawdzonej formuły konsylium lekarskiego, czyli formy badania i ustalania rozpoznania w oparciu o jednoczasowe badanie fizykalne i ultrasonograficzne – stąd potocznie funkcjonująca nazwa konsylium ultrasonograficznego. Uniwersalność konsylium lekarskiego czyni z niego doskonałe narzędzie, zwłaszcza w przypadkach dużej niezgodności badania fizykalnego i ultrasonograficznego. To znakomita forma wymiany doświadczeń i poznania wzajemnych możliwości. Ufamy, że przedstawione mechanizmy wpłyną na poprawę bezpieczeństwa pacjenta.
Źródło:
Journal of Ultrasonography; 2012, 12, 50; 276-285
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Human Factors in Matching Images to Standards: Assimilation and Time Order Error
Autorzy:
Elfering, A.
Powiązania:
https://bibliotekanauki.pl/articles/90916.pdf
Data publikacji:
2005
Wydawca:
Centralny Instytut Ochrony Pracy
Tematy:
image reading
context
time-order error
patient safety
psychologia pracy
rozpoznanie
psychologia profilaktyki lekarskiej
czynnik ludzki
bezpieczeństwo pacjenta
diagnoza medyczna
Opis:
Objectives: This study examines recognition performance to depend on image context and time order error. Recognition of standard images is a basic process in medical image analysis. Methods: After the presentation of a standard square, 20 subjects identified the standard within a variety of 7 squares. The choice was between the standard and either 3 smaller and 3 larger squares, 5 smaller and 1 larger square, or 5 larger and 1 smaller square (context conditions). Results: Multilevel regression analysis showed large individual differences in judgments (P < .001). Context induced assimilation of judgments to the medium-sized square within response options (P < .001). Negative time order error in rapid judgments caused an underestimation of the standard (P < .001). Conclusions: Assimilation of judgments and time order error might be a threat to the reliability of medical image analysis. Some procedural recommendations are derived to reduce bias and increase patient safety in radiology.
Źródło:
International Journal of Occupational Safety and Ergonomics; 2005, 11, 4; 399-407
1080-3548
Pojawia się w:
International Journal of Occupational Safety and Ergonomics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Improving transportation safety of injured persons by taking into account the biomechanical characteristics of the human body
Autorzy:
Gogiashvili, Phridon
Lekveishvili, Revaz
LekveishvilI, Gocha
Powiązania:
https://bibliotekanauki.pl/articles/2098178.pdf
Data publikacji:
2021
Wydawca:
Politechnika Śląska. Wydawnictwo Politechniki Śląskiej
Tematy:
vibrations
vibration suppression
vibration analysis
ambulance
tolerance criteria
injured patient
health deterioration level
patient safety
incident monitoring
drgania
tłumienie drgań
analiza drgań
ambulans
kryteria tolerancji
ranny pacjent
poziom pogorszenia zdrowia
bezpieczeństwo pacjenta
monitorowanie zdarzeń
Opis:
Ambulance vehicles play a vital role in sustaining the life of injured persons and should a provide safe transportation route to the medical institution. Transportation of injured patients in severe/critical conditions should be carried out with high caution, as there is no guarantee that patients’ health will not be harmed. The goal of this study is to minimize exposure to the external factors such as random shocks, sharp jumps, vibrations caused by irregular roads, speed breakers, weather, etc., that could influence the tasking ability of the medical team and further threaten the life of the already injured patient. This topic has not been widely researched and still requires implementation of novel standards that should improve the safety of the patient. This article aims to define the biomechanics of cabin occupant safety, introduce ways of collecting live data and develop new mechanisms that would allow safer transportation of patients without any meaningful health deterioration causing by the above-mentioned external factors. This study will identify safety hazards in the ambulance environment and determine the effectiveness of suggested countermeasures to mitigate any further injury or deterioration of the patient’s health.
Źródło:
Transport Problems; 2021, 16, 4; 107--119
1896-0596
2300-861X
Pojawia się w:
Transport Problems
Dostawca treści:
Biblioteka Nauki
Artykuł
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