Correct Administration Research Articles

The Influence of Monitoring, Evaluation, And Teamwork Effectiveness on Principle 7 Correct Implementation of Drug Administration in Non-Covid-19 Inpatient in Hospitals

Errors in drug administration were ranked first (24.8%) of the top 10 incidents reported in hospitals. The types of errors that caused death in patients included 40.9%, wrong dose, 16% wrong drug, and 9.5% wrong route of administration. The purpose of this study was to analyze the influence of monitoring, evaluation, and teamwork effectiveness on the implementation of the 7 correct principles of drug administration. This research is a quantitative analysis with a cross-sectional approach. The research was conducted at Hospital Pematang Siantar. The study population was 103 people and all of them were used as samples (total sampling). Data were analyzed using univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (a=0.05). The results showed that the implementation of the 7 correct principles of drug administration at the non-Covid-19 Inpatient Installation at Hospital in Pematang Siantar was influenced by monitoring variables (p=0.000), evaluation (p=0.036), teamwork effectiveness (p=0.042). The monitoring variable has a greater influence on the implementation of the 7 right principles of drug administration with a value of OR = 10.643 meaning that nurses who say monitoring is good have the opportunity to implement the 7 right principles of drug administration properly by 10.6 times higher than nurses who say monitoring is not good. The conclusion of the study is that monitoring, evaluation and teamwork effectiveness affect the implementation of the 7 principles of correct drug administration. It is recommended that the hospital can carry out continuous monitoring and evaluation regarding the procedures that have been established as a benchmark for achieving SOPs that are applied in implementing the 7 correct principles of drug administration. Nurses need to increase the effectiveness of teamwork (teamwork) so as to minimize the adverse impact on the patients served.

Abstract B067: Trend and factors associated with mothers’ refusal of HBV birth dose to their infants, 2018-2020, Washington metropolitan areas

Abstract Background. Vertical transmission of HBV is the leading mode of acquisition of the infection worldwide. Prevention of vertical transmission is possible in the majority of cases through the correct administration of the birth dose of HBV vaccine to the neonate. The purpose of this study to examine the trend and factors associated with mothers’ refusal of HBV birth dose to their infants in 2018-2020 in the targeted region. Methods. We performed a retrospective analysis of electronic birth dose vaccination of newborns in the 2018-2020. Six birthing facilities and home delivery records sent the birth dose data to the DC Health Department, representing 40,269 newborns. This data from the DC health department has mother’s race and ethnicity, health insurance type, birthing facilities, and mother’s refusal to give her newborn birth dose. Descriptive analysis and multivariable logistic regression analysis were conducted. Results. A total of 34,509 (85.7%) received hepatitis B birth dose within 12 hours or discharge from the facility. Mother’s refusal rate to give her newborn has been significantly decreased from 2018 to 2020 (11.5% in 2018, 8.6% in 2019, and 4.2% in 2020, p<.001). There were racial/ethnic differences in the HepB birth dose rates: Asian newborns (90.4%) had the highest vaccination rate followed by Hispanics (88.7%), Whites (86.1%), and African Americans (84.4%). In multivariate logistic regression analysis, race, birthing facility, and health insurance were associated with mother’s refusal. African American mothers (aOR=1.26, 95% CI: 1.15-1.39) and those with home birth (aOR=4.12, 95% CI: 2.96-5.74) had high likelihood to refuse having birth dose. Those with Medicaid were less likely to refuse than those with private insurance (aOR=0.90; 95% CI: 0.82-0.99). Discussion. Our study indicated that the overall mother’s refusal to give HepB birth dose vaccination rate has decreased in the past 3 years. A policy for universal vaccination of all newborns (regardless of mother’s HBsAg status) should be implemented to prevent unrecognized perinatal transmission. Citation Format: Hee-Soon Juon, Donna Sheler, Jane Pan, Daisy Le, Tony Yang. Trend and factors associated with mothers’ refusal of HBV birth dose to their infants, 2018-2020, Washington metropolitan areas [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B067.

Nursing Poster Award Abstracts from the 18th Emirates Critical Care Conference

These abstracts represent the nursing poster award abstracts from the 2022 18th Emirates Critical Care Conference. Topics include the effectiveness of prehabilitation on improving the emotional recovery of patients undergoing open heart surgeries, shifting metaphysical paradigms in nursing, experience and the challenge of emergency and critical care nurses in identifying and managing arrhythmia at the Emergency Department of Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia, and critical care nurses’ knowledge of correct administration line types for common intravenous medications. 

전자 발찌 훼손 충동 요인 연구

Recently, the Electronic Monitoring has been expanded and applied as a way to increase the efficiency of correctional administration. Therefore, in order to operate the system more stably and effectively, based on the theory of deterrence and resistance among criminology theories, we would like to explore what factors affect the impulse to damage the Electronic Tagging. This study analyzed statistical data from the “Survey on the Operation of the Electronic Monitoring System of Sexual Offenders, 2013” conducted by the Korean Institute of Criminology and Justice. As a result of analysis, the statistically significant results are as follows. Low awareness of “certainty of punishment” based on the theory of deterrence increased the impulse to damage the Electronic Tagging. In addition, the more 'stigmatized perception of punishment' based on the theory of resistance, the more impulse to damage the Electronic Tagging. And the more 'recognition of shame', the more the impulse to damage the Electronic Tagging increased. Through these research results, it can be confirmed that measures to emphasize 'certainty of punishment' and induce a criminal's responsibility and attitude of reflection should be combined rather than simply strengthening the sentence.

HUBUNGAN PENGETAHUAN DAN SUPERVISI DENGAN PENERAPAN PRINSIP ENAM BENAR DALAM PEMBERIAN OBAT OLEH PERAWAT PELAKSANA DI RUANG RAWAT INAP RSI SITI RAHMAH PADANG

Nurses as part of the health care system is responsible for the provision of safe drugs. In order to achieve safe administration, nurses should pay attention to the six principles of client really is true, right drug, right dose, right time, right route, and right documentation. The phenomenon of the field obtained 30% of the drugs that are given are not documented, 15% of the drug is administered in a way that is not right, 23% of the drug is given at a wrong time, 2% of drugs are not given, 12% of the drug is administered at a dose yag right. Factors that affect the application of the principle of six true in drug delivery including knowledge and supervision. The aim of research to determine the relationship of knowledge and supervision with the correct application of the six principles of drug administration by nurses in inpatient unit RSI Siti Rahmah Padang.
 This type of research is analytic survey design using cross sectional study. The population around the nurses in the inpatient unit of 52 people, with a sampling technique using total sampling. Processing the data through the editing stage, coding, entry, and cleaning. Results were analyzed using univariate and bivariate chi square test with 95% confidence level α = 0.05.
 Based on the results, the application of the principle of six true in poor drug delivery (51.9%), while good (48.1%), 53.8% lower nurse's knowledge, while the less well supervised as much as 53.8%. There is a significant relationship between knowledge (p = 0.000) and supervision (0.027) with the correct application of the six principles in drug delivery.To perform an increase in drug administration services, health services should provide training and refresher on the principle of six correct drug administration. This can be done by organizing seminars / symposia and training regarding the professionalism of the administration of drugs and increase overall service.

A Review of Inmate Litigation Challenging the Constitutionality of Solitary Confinement

ABSTRACT Since the 1960s, inmate litigation has continually evolved by challenging conditions of confinement, lack of due process, and treatment by correctional administrators. One such condition of confinement that has received judicial scrutiny is solitary confinement, but there is sparse research examining solitary confinement practices and conditions through what has been one of the predominant forms of correctional change – inmate litigation and judicial intervention. In the current study, we examined Section 1983 lawsuits across six states, that were decided from 2015 to 2020, in which inmates alleged they experienced constitutional violation(s) during their time spent in solitary confinement. The findings showed that most lawsuits were unsuccessful due to failure to establish a constitutional claim or provide sufficient evidence to overcome a defendant’s qualified immunity.

Aiming too high: Shoulder injury related to vaccine administration (SIRVA): A case series

PurposeShoulder injury directly related to vaccination (SIRVA) occurs when a vaccine is administered too high in the shoulder. The primary aim of this study was to accurately detail the occurrence, symptoms, diagnosis, management and long-term outcomes of SIRVA cases in Victoria, Australia. Principal resultsThe study identified 102 SIRVA cases from 2007 to 2020 from the Surveillance of Adverse Events Following Vaccination in the Community (SAEFVIC) database. The majority [73/85; (86 %)] of cases resolved completely with a median time to resolution of 8 weeks and no statistically significant difference in recovery by immunisation provider type or baseline imaging. Major conclusionsThis large case series includes long-term clinical progress in SIRVA, allowing accurate evaluation and analysis. Further evaluation is required to establish if other risk factors contribute to SIRVA, which may help with targeted, tailored education for providers on correct vaccine administration technique, including in large and rapid vaccine rollouts.

Knowledge of Drug-Food Interactions Among Healthcare Professionals Working in Public Hospitals in Ethiopia.

Drug-food interactions can result in unfavorable outcomes during the treatment of patients. Healthcare professionals (HCPs) should advise patients on drug-food interactions. Knowledge of such interactions is crucial to avoid their occurrence. However, there is no information regarding the knowledge of HCPs about drug-food interactions in Harari Regional State. To assess knowledge of drug-food interactions and associated factors among HCPs working in public hospitals in Harari Regional State, Eastern Ethiopia from April 15 to May 15, 2022. A cross-sectional study was conducted in public hospitals in Harari Regional State, Eastern Ethiopia, among 251 HCPs. After stratification was done based on profession (pharmacists, nurses, and doctors), the sample size was proportionally allocated for the respective groups. Data were collected using a standardized self-administered questionnaire, entered into Epi-Data 3.1 and analyzed using Statistical Package for Social Sciences 26.0. Descriptive statistics were used to summarize variables. Multivariable logistic regression was done to determine factors associated with knowledge of drug-food interactions. P < 0.05 was used to declare significant association. Among the HCPs who completed the questionnaire, 56 (22.3%), 36 (14.3%), and 159 (63.3%) were doctors, pharmacists, and nurses, respectively. The majority of the HCPs were males (174 (69.3%)). The mean age of the HCPs was 27.6±3.8. The mean knowledge score±SD of the HCPs was 28.6±6.6 out of an overall score of 59. The HCPs poorly identified drug-food interactions and the correct administration time of drugs relative to meals. Being a pharmacist (AOR: 2.8, CI: 1.3-6.4, p-value=0.012), and working at a tertiary hospital (AOR: 3.9, CI: 2.1-7.3, p-value <0.001), were associated with higher knowledge of drug-food interactions. The HCPs in this study had inadequate knowledge of drug-food interactions. Thus, additional educational courses and training should be provided in order to improve knowledge regarding drug-food interaction.

Rehabilitative progress in prison: Some challenges and possibilities

The reduction of dynamic risk is typically considered the key mechanism by which rehabilitation of people in prison occurs. However, there is insufficient evidence to confidently assert that change in dynamic risk over the course of a custodial sentence is reliably associated with reduced re-offending post-release. This narrative review identifies the need to develop new approaches to conceptualizing rehabilitative progress, proposing three proximal indicators of change that have the potential to be measured in prison settings. The arguments are conceptual and require empirical validation if reliable methods of assessing change across the course of a sentence are to be implemented. Nonetheless the assessment of rehabilitative change is identified as a key concern for correctional administrations around the world if they are to demonstrate the rehabilitative impact of their services and programs and optimize release decision-making and reintegration planning. • Change in dynamic risk is hypothesized to be the main mechanism through which prison rehabilitation works. • There is limited evidence to suggest that change in dynamic risk is associated with rehabilitation success. • The assessment of progress indicators in the prison setting may offer more promise in determining change.

통일대비 남·북한 교정 처우 제도 비교분석 및 북한지역 교정 정책에 대한 연구

The integration of the correctional administration field of the unified state should be promoted in the direction of achieving a smooth return to society of prisoners, which is the ultimate execution purpose of correctional policies. Currently, the Ministry of Justice recognizes the necessity of research on correction treatment and human rights issues in North Korea after unification, and is making efforts to prepare for the integration of correction policies in earnest in preparation for future inter-Korean relations.Under the rational assumption that South Korea's democracy will be transplanted into North Korea's collapsed socialism, internal conflicts and psychological conflicts between new and old generations are expected to appear in North Korea. As a way to overcome this, the North Korean correctional officer will immediately accept the correctional system.As a requirement for promotion of the right person to be reappointed among the existing management personnel in North Korea, it is judged that the “working training dispatch period” will be required to provide delivery training to local managers after completing practical training at South Korean correctional facilities. Through this, it is believed that the rationality of facility operation in North Korea and the efficiency of vocational education can be improved after unification.

Studi Rasionalitas Penggunaan Obat Favipiravir pada Pasien Covid-19 di RSUD Harapan Insan Sendawar Kabupaten Kutai Barat Tahun 2021

Corona Virus Disease 2019 (COVID-19) is an infectious disease caused by the SARS COV-2 virus. One of the antiviral groups that are often used worldwide for the treatment of COVID-19 is Favipiravir. Favipiravir use should be monitored because the accuracy of the drug will maximize the effect of therapy on the patient. Evaluation of Drug Use (EPO) of Favipiravir in terms of rationality needs to be done. Drugs that are not used rationally can cause side effects, the length of treatment will be longer, and even cause death effects in patients. The purpose of this study was to describe the characteristics of COVID-19 patients based on age, gender, and comorbidities and to find out the rationale for using Favipiravir inpatients at the HIS Hospital based on the criteria for the right diagnosis, the right patient, the right drug, the right dose, the right time interval for administration, appropriate duration of administration and clinical outcomes of COVID-19 patients (PCR, TCM, and antigen). This research is a type of nonexperimental research, the research was carried out in a descriptive evaluative way, and the data was collected retrospectively by looking at the medical record data. Determination of the rationale for using Favipiravir was carried out using the literature of the Indonesian COVID-19 Drug Informatorium edition 3, 100% correct patient, 100% correct drug, 100% correct diagnosis, correct dose 50.84%, correct duration of administration 61.01%, correct time interval administration of 81.35% and clinical outcomes (PCR (-) 74.57% %, TCM (-) 16.94%, and Antigen (-) 6.77%.

교정시설의 화상접견실 기능개선 리모델링 방법론 연구

After the millennium, the digitalization of society as a whole proceeded rapidly due to the fast change to a digital society, one of the major changes in correctional administration is the development of online civil service in response to the demands of the times. It can be said that Online Visitation is activated along with the high needs of deposit and Internet correspondence. In correctional administration, an visitation is an important correctional element that can bring positive effects to improve the treatment of prisoners and the correctional effect. However, although the demand for online visitation is increasing explosively due to the expansion of digital devices and the increase in needs, the system, manpower and space of the correctional facility are still showing various problems. The purpose of this study is to analyze the remodeling methodology for improving the function of the online visitation room in current correctional facilities in Korea and to suggest alternatives for the practical remodeling method. The need for horizontal extension and the case for it should be integrated with this spatial structure in consideration when constructiong new buildings in the future. In the case of an existing correctional facility, there is a need to improve the spatial structure as an example of horizontal extension.

Prosedur Administrasi Pengangkutan Limbah Bahan Berbahaya dan Beracun Pada PT XX Jakarta

This research was conducted to find out how the administrative procedures for transporting B3 waste at PT Global Mandiri Marine, the purpose of this study was to find out the description of the procedures and constraints and alternative solutions in solving the problem. This research method is descriptive qualitative with data collection techniques through literature, interviews and observation, namely direct observation of the object under study. The obstacles that occurred in the Administration Procedure for the Transport of B3 Waste at PT Global Mandiri Marine, there were errors in inputting the weight and type of waste, errors in providing documents, and leaks of B3 waste. The solutions implemented are still not effective because several alternatives sometimes still use estimates of the weight and type of B3 waste, raising awareness among parties regarding the correct administration of B3 waste transportation in accordance with applicable regulations is to calculate the weight of the waste directly using a scale. and the provision of festronic data or manifests is given truthfully, and uses good quality for B3 waste packaging, so that the transportation of B3 waste can run properly and according to company procedures.

Appropriate Human Serum Albumin Fluid Therapy and the Alleviation of COVID-19 Vulnerabilities: An Explanation of the HSA Lymphatic Nutrient Pump

COVID-19 and long COVID-19 vulnerabilities may be caused indirectly by albumin binding deficiency (ABD), which can be corrected by the correct administration of human serum albumin (HSA). The liver is the primary site of nutrient regulation and fluid volume maintenance; control of both is by changes to albumin concentration. In healthy subjects, the HSA lymphatic nutrient pump (HSALNP) ensures continual pumping of nutrients from the liver and that nutrients are appropriately distributed to organs. Nutrients are delivered to cells according to the availability of binding to HSA. The HSALNP, therefore, maintains the correct nutrient and colloidal pressure balance in all tissues independently. In unhealthy tissues, following COVID-19 infection, the passage of HSA/nutrients through the interstitial spaces and lymph will be impeded. Fluid therapy into the periphery leads to the dilution of essential nutrients attached to the protein carriers such as albumin. The levels of albumin being charged by the liver with nutrients is critical in maintaining immune stability by maintaining nutrient support and colloidal pressure of the cellular structures. The site of HSA binding by the liver is of great importance, and direct infusion of albumin into the hepatic portal vein is the most appropriate method of maintaining colloid pressure and cellular nutrient levels.

Gear Up for Fall: Coding for Immunization Against Respiratory Viral Illnesses

This article guides readers through Selecting the correct vaccine product and administration codes Determining whether an evaluation and management (E/M) service should be separately reported

Plasma extracellular DNA and neutrophilic leukocyte activity in patients with rheumatoid arthritis

Neutrophilic leukocytes play a key role for the joint damage in development of rheumatoid arthritis (RA). The specific death mode of these cells (netosis) may be an important reason of increase of cell-free DNA (cfDNA) in peripheral blood of the RA patients. Of great interest would be studies of alleged relationships between the of blood cfDNA contents being able of playing the role of an auto-antigen participating in the initiation of autoimmune reactions, and indices of neutrophil activation in this immunopathological disorder. The aim of the present study was to determine the levels of cfDNA in blood plasma of patients with RA depending on the clinical course of the disease, and to evaluate possible relationships between this index and activation of neutrophilic leukocytes. The study was conducted on 28 conditionally healthy donors and 63 patients with RA from the Rheumatology Department at the Clinic of Immunopathology (Novosibirsk). The level of cfDNA was determined using PicoGreen fluorescent dye. Neutrophils from the peripheral blood of donors and patients with rheumatoid arthritis were isolated in a Ficoll-Urografin density gradient. Neutrophilic leukocytes accounted for more than 98% of the fraction of isolated cells, and their viability was 99%. A portion of freshly isolated neutrophils was stimulated by phorbol myristate acetate. Concentration of myeloperoxidase in blood plasma of donors and patients with RA was determined using the Human MPO ELISA kit. It has been shown that the increased concentration of extracellular DNA in blood plasma of RA patients correlates with an higher degree of disease activity, and this parameter may serve as a relatively independent indicator of the disease intensity. A correlation was found between the level of cfDNA and common biochemical markers used to assess the activity of disease, i.e., DAS-28 and C-reactive protein levels in serum (p 0.05). Decrease of cfDNA concentrations is detected during treatment of the RA patients. This is due to the expected prognosis, i.e., a decreased manifestation of the disease, which also means correct administration of therapy. A relationship was found between the level of cfDNA and blood myeloperoxidase concentration in RA patients. The data obtained during the study suggest a possible connection between increased concentration of extracellular DNA, and activation of neutrophilic leukocytes in rheumatoid arthritis, with increased netosis in the affected joints.

Benefit of educational intervention on Autoinjector Technique for caregivers and paediatric patients with food allergies: A literature review.

The incidence of food allergy among children is on the rise. Children who are diagnosed with a food allergy receive long-term treatment for allergy management from allergy specialists, nurses and dieticians. This management may include the prescription of an adrenaline autoinjector (AAI) if the child is at risk of a severe allergic reaction (anaphylaxis). Therefore, it is important that parents of children with allergies are trained in the recognition of anaphylaxis and in the correct administration of an AAI. However, many parents are unable to correctly administer an AAI when assessed. The aim of this study is to review the current literature on caregiver's and paediatric patients' ability to use an AAI. An electronic search to evaluate AAI technique in caregivers and children with food allergy was conducted. A total of 323 articles were screened in which 10 studies were reviewed. Seventy-eight percent of parents who had never been trained in the use of an AAI were unable to trigger it. In studies where paediatric patients' ability to use an AAI was assessed, a mean score of 7.78/9 was derived for AAI knowledge among adolescents. Caregivers and patient's ability to use an AAI was inconclusive, and further research should address the validation of an assessment tool for AAI use. A significant improvement in AAI use was found after an educational intervention. This highlights the need for improved education for allergic individuals and their caregivers, and further study should explore what are the best educational methods to meet these needs.

Dry or wet? Fluid therapy in upper gastrointestinal surgery patients.

A correct perioperative fluid administration represents one of the most important items proposed by the Enhanced Recovery After Surgery Society. Upper gastrointestinal (UGI) surgery patients undergoing major oncological procedures are often elderly and frail. Should we prefer a wet or a dry patient? Both conditions should probably be avoided in this surgical setting. We present a narrative review on perioperative fluid administration in UGI patients undergoing major surgery, also analyzing the role of Goal Directed therapy.

Summary of the evidence on responses and adaptations derived from crossfit training. A systematic review.

Objective: The present review aims to describe the state of the scientific evidence that exists about acute and chronic adaptations of CrossFit training. Method: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement (PRISMA). Original research articles published until 7 June 2020, were searched using five databases. A total of 994 original publications were found. A total of 62 papers matched the inclusion criteria. Results: Short-term effects: CrossFit training results in higher physiological demands than other training modalities. Different work of the day analysed by the studies have shown specific performance demand profiles. Besides psychological and mechanical acute effects have been found after CrossFit sessions. So, the negative moods perception appears to reduce after a CrossFit training session. Long-term effects: maximum oxygen consumption improves after CrossFit programmes, in which experienced athletes seem to achieve a higher gain than recreational athletes. Important changes in body composition have been reported by several studies included in this review. From a psychological perspective, CrossFit practitioners obtain a higher adherence to training than occurs in other training methodologies. Prospects and projects: Specific requirements of every work of the day should be studied for the correct administration to participants. Accumulative fatigue indexes should be explored as an overtraining syndrome in CrossFit athletes because several authors have reported psychological variables related to training addiction. Conclusion: CrossFit-based training drives several physiological changes that could be influenced by the athlete’s expertise. Moreover, this type of training requires a high physiological demand, which is perceived by athletes. Nevertheless, participants achieve adherence to CrossFit regardless of their objectives. In the case of high-performance athletes, addictive exercise behaviours have been identified.

El funcionario y servidor como circunstancia de agravación de pena y como protección especial en el Código Penal Peruano

&nbsp;The prerogative of being a public official or servant entails a responsibility to carry out a correct public administration, on many occasions various criminal types consider having the status of a state worker an aggravating situation; and, in others, they provide them with a degree of protection if they are passive subjects of a crime. In this article we will address a definition from a national and international perspective of the civil servant and public servant. In addition, we will conceptualize and treat the crime of embezzlement by extension as it is a criminal type siu generis in its kind. In this sense, this article aims to analyze the various criminal types provided for in our Penal Code where being an official and public servant constitutes a circumstance of greater aggravation of the sentence and in others where it stands as a special protection or guarantee, explaining the reason why which either aggravates the sentence or protects the public official. After that, we will conclude that the special condition of being a public official has its benefits within the framework of criminal law because it gives you greater protection; in but, it could also harm as an aggravating circumstance and would increase the penalty.