Highest Percentage Of Positive Responses Research Articles

Effects of training module regarding learning management system (LMS) on knowledge and attitude of dental undergraduates toward use of LMS

Objectives: The objective of this study was to evaluate the differences in knowledge and attitude of dental students regarding learning management system (LMS) after receiving a specific training regarding the same. Material and Methods: A questionnaire-based cross-sectional study was done among the 2nd and 3rd-year students of Ranjeet Deshmukh Dental College and Research Centre, Nagpur. Data were collected by a questionnaire containing ten questions. The training module was designed including a didactic session and trouble shooting session for the students. Results: When analyzed, a maximum number of students showed increased knowledge and positive attitude toward LMS after the module. Few students were not using LMS but a maximum number of questions were with a higher percentage of positive responses. There is much awareness and knowledge about LMS after the module. Conclusion: It is critical to train the students regarding various aspects of LMS and its technical details to make navigation easier. The use of information communication technologies in learning involves efforts from not only teachers but also students to make it an effective way of learning. Regular follow-ups and troubleshooting will help maximize students’ active participation in online learning using LMS. Students’ feedback and necessary upgradation of the system are strongly recommended to achieve optimum learning output using LMS.

Assessment of Patient Safety Culture in Midwives

Although there may be different definitions in national and international literature, patient safety, in general terms, encompasses all the precautions taken by healthcare professionals in healthcare institutions to prevent harm to individuals as a result of care delivery. It is an indispensable component of quality healthcare services. Patient safety, crucial in all healthcare services, becomes even more significant during the pivotal period of pregnancy, which is a physiological process but also involves a delicate balance between health and illness. Therefore, it is expected that midwives working in the delivery room, in particular, handle patient safety with utmost care. In recent years, with the increase in studies related to the culture of patient safety, the quality, satisfaction, and safety of care provided by midwives have also become subjects of investigation. This thesis aims to assess the levels of patient safety culture perception among midwives working in the delivery room, as well as to evaluate their opinions regarding patient safety and identify the behaviors influencing these opinions. The population of the study consists of midwives working in the delivery rooms of Muş and Bitlis provinces. The sample selection was not applied; all midwives who wished to participate in the study were included. Data analysis was conducted using the computer-assisted SPSS 22.0 software package. Percentage distributions were used in statistical evaluation, and for group comparisons, the significance was determined by the "Chi-square (X2) test" for categorical variables, the "t-test" for comparing means between two groups, and the "one-way ANOVA test" for evaluating the significance of differences among more than two group means. The level of statistical significance was accepted as p< 0.05 for all tests. Midwives' perceptions of patient safety culture were rated as moderate with 57%, and their patient safety ratings were determined to be "very good" with 44.4%. Within the scope of the hospital survey, among the 12 sub-areas of patient safety culture, "teamwork within units" had the highest positive response rate at 79.7%, while "non-punitive response to error" stood out with the lowest positive response percentage at 27.4%. The highest percentage of positive responses in the hospital survey regarding patient safety culture was determined to belong to the statement 'We work together as a team when there is a lot of work that needs to be done urgently, with 85.6%. The lowest percentage of positive responses was for the statement 'We work in crisis mode when there is a lot of work to be done and it needs to be done very quickly,' which was 12.2%." In the conducted comparisons, a significant relationship was found between midwives' working province, age groups, marital status, duration of employment in the institution, duration of work in the unit, professional experience, weekly working hours, and employment status parameters with the percentages of positive responses given to the sub-areas of the hospital survey on patient safety culture. When evaluating patient safety practices in the delivery room, factors affecting working conditions, adequacy of staff numbers, and patient safety should also be taken into consideration. In order for patient safety practices to be carried out comprehensively, regular training, involvement of midwives in the process, and active participation are required.

Patient safety culture in South America: a cross-sectional study

BackgroundEvery year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may...

Learning and clinical reasoning experience of second-year medical pharmacology students and teachers with virtual patients developed using OpenLabyrinth

<b>Objective: </b>To determine the perceived usefulness of a virtual case scenario developed and delivered through the OpenLabyrinth platform among medical students and teachers.<br /> <b>Methods: </b>20 second-year medical students and 12 teachers of pharmacology were invited to complete a virtual case scenario exercise. The participants accessed the case scenario using their laptops or mobile devices. Participants’ feedback was obtained using the electronic virtual patient consortium-developed questionnaire.<br /> <b>Results: </b>19 students and 12 teachers provided feedback. All the faculty members and 95% of students felt that they had to make the same decisions a doctor would have to make in real life; ‘authenticity of patient encounter’ received the highest percentage of positive responses and ‘the learning effect’ the least.<br /> <b>Conclusions: </b>The feedback obtained suggests that virtual case scenarios are likely to be well received by students and teachers. The availability of open-source software enables the use of this technology in resource-limited settings.

THE ASSESSMENT OF PATIENT SAFETY CULTURE AMONG DOCTORS, NURSES AND PHARMACISTS IN A PUBLIC HOSPITAL IN INDONESIA

Background: Officers who provide health care make it a priority to ensure the safety of their patients. In healthcare, patient safety is a fundamental principle. Understanding the patient safety culture is one step toward improving patient safety. Patient safety culture is the main foundation of patient safety arrangements that aim to improve the quality of service of healthcare facilities by implementing risk management in all service areas.Purpose: This study aimed to determine the cultural picture of patient safety among health workers in a public hospital in East Lombok.Method: This study was observational and cross-sectional using the Hospital Survey of Patient Safety Culture (HSOPSC) questionnaire designed by the Association of Health Care and Research Quality (AHRQ.) The population of this study were healthcare professionals (doctors, pharmacists, pharmaceutical technical personnel, nurses, and midwives) at Dr R. Soedjono Selong Hospital in East Lombok. Descriptive and inferential statistics were used to adjust frequency distribution tables to identify variable relationship differences. The results analysis followed the guidelines from AHRQ, and univariate analysis was carried out.Results: Among the 250 employees invited to participate, 238 (95.2%) completed the surveys. The dimension with the highest percentage of positive responses was organizational learning - continuous improvement (91.3%), and the dimension with the lowest rate of positive responses was staff management (42.5%). Generally, the patient safety culture in health workers at Dr R, Soedjono belongs to the strong category (70.34%).Conclusion: Building a strong patient safety culture is essential to improve service quality.

CULTURA DE SEGURANÇA DO PACIENTE EM SERVIÇOS DE DIÁLISE DURANTE PANDEMIA DA COVID-19: PERSPECTIVA DA ENFERMAGEM

ABSTRACT Objective: to evaluate the patient safety culture from the perspective of nursing staff in dialysis services in the context of the COVID-19 pandemic. Method: cross-sectional study with 56 nursing professionals from three dialysis services in Minas Gerais - Brazil, between March and June 2021. The Hospital Survey on Patient Safety Culture instrument was used. The data were analyzed by descriptive and inferential statistics; chi-square test; and Generalizable Estimating Equations (p≤0.05). Results: Patient safety was rated as good or excellent by 69.6% of participants. The dimension “Expectations and actions of the service management that favor safety” was considered a strength (85.42%). “Non-punitive response to errors” (23.99%) and “Staff sizing” (45.83%) were considered weak. There was a higher percentage of positive responses in public and philanthropic services (p<0.001). Conclusion: few dimensions indicated strengths, and the type of management influenced the percentage of positive responses.

Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: a cross-sectional study

ObjectiveTo assess the baseline level and mean score of every domain of patient safety culture among healthcare professionals at a cluster hospital and identify the determinants associated with patient safety...

Preparing for Pediatrics: Experiential Learning Helps Medical Students Prepare for Their Clinical Placement.

Despite the importance of effective communication skills in pediatrics, clinical placements may inadequately prepare undergraduate students to communicate with children. The integration of non-clinical interactions with healthy children within a pediatric curriculum has the potential to enhance learning. We designed and implemented a novel course involving experiential learning, including video-recorded consultations with simulated parents (SPs), team-based scenarios with a pediatric mannequin, interactions with healthy children through a pre-school visit and medical student led health workshops for primary school children. Medical students at the RCSI University of Medicine and Health Sciences took part in the course. We used a mixed methods approach to assess the impact of the course. We investigated medical students' perspectives through a pre- and post-intervention questionnaire and post-intervention focus group discussions (FGDs). We assessed participating children's health literacy at the start of the course. 144/279 (51.6%) of the fourth year medical student cohort on their pediatric rotation, consented to participate in the study. All 144 (100%) of consenting students completed the pre-intervention questionnaire. 59/144 (40.1%) of consenting students completed the post-intervention questionnaire. Results showed a statistically significant improvement in ratings (p < 0.05) for items related to managing a confrontational situation involving family members, completing a psychosocial assessment with an adolescent and effectiveness using evidence-based medicine (EBM) when motivating patients. There was a statistically significant decrease in how students rated their comfort at using EBM when motivating patients. Four themes relating to how students experienced the intervention were identified from eight FGDs (n = 35 students): Shaping Student Learning; Supporting Student Learning; Developing New Skills and Feeling More Prepared. 39/49 (79.6%) children completed a health literacy assessment. All questions had a high percentage of positive responses. Question 7, understanding your doctor, had the highest proportion of negative responses (27%). Ours is one of the first studies to design an educational intervention to enhance pediatrics teaching by combining interactions with healthy children outside of a clinical setting with more traditional simulation-based approaches. We conclude that this type of intervention supports students' learning of pediatric communication skills and enhances students' perceived preparation for clinical placement.

Patient safety attitude among healthcare workers at different levels of healthcare in Sharqia Governorate, Egypt.

BackgroundPatient safety (PS) has been identified as a significant healthcare challenge. A good safety attitude helps healthcare workers (HCWs) to decrease medical errors.AimThis study aimed to assess the PS attitude and identify its determinants among HCWs.SettingThis study was conducted in Sharqia Governorate at different levels of health care.MethodsThis was a comparative cross-sectional study that involved240 HCWs selected after using a multistage cluster sampling technique from Sharqia Governorate.In ordertto assess the respondents’ attitudes towards PS, the modified Chinese Safety Attitudes Questionnaire (CSAQ) was used.ResultsThe scale with the highest percentage of positive responses, on average, was safety climate (49.59%). The study found a statistically significant association between the level of health care and mean scores of ‘teamwork climate, perception of management, job satisfaction, working conditions, and stress recognition’ and the overall CSAQ score. In regression analysis, the highest degree of education and job type were significant predictors of PS attitude among the HCWs under study (p = 0.031 and 0.011, respectively).ConclusionAccording to the study’s findings, PS is low among HCWs in both healthcare units and hospitals, with a significantly higher score among hospital workers than among primary care workers. All PS composites need improvement starting with regular assessment of PS culture along with continuous monitoring.

A comparative analysis on safety culture in domestic and foreign health care facilities and enterprises of other activities (message 2)

The characteristics of the safety culture of patients and personnel in health care facilities in Ukraine as a whole and separately among doctors-pathologists are analyzed with correlation of the data obtained with similar indicators of the culture of patient safety in medical facilities of other countries and comparison with the safety culture of workers of domestic nuclear power plants. It was confirmed that the weaknesses of the safety culture of the personnel of domestic hospitals is characterized by "Reaction to mistakes", which indicates the prevalence of the culture of blame (unfair culture) in domestic hospitals and, as a result, the absence of real data on medical errors and other incidents of patient safety. The high percentage of positive responses to the safety culture characteristic “Response to mistakes” among the workers of Ukrainian nuclear power plants is an example of the possibility of forming an appropriate safety culture in a separate domestic industry, and the high percentage of positive answers by this characteristic in domestic pathologists is a significant potential for the development of a safe hospital environment for patients. in Ukraine.

Fear of COVID-19 for Individuals and Family Members: Indications from the National Cross-Sectional Study of the EPICOVID19 Web-Based Survey.

The study analyzed the association of the fear of contagion for oneself and for family members (FMs) during the first wave of the COVID-19 pandemic, with demographic and socioeconomic status (SES) and health factors. The study was performed within the EPICOVID19 web-based Italian survey, involving adults from April–June 2020. Out of 207,341 respondents, 95.9% completed the questionnaire (60% women with an average age of 47.3 vs. 48.9 years among men). The association between fear and demographic and SES characteristics, contacts with COVID-19 cases, nasopharyngeal swab, self-perceived health, flu vaccination, chronic diseases and specific symptoms was analyzed by logistic regression model; odds ratios adjusted for sex, age, education and occupation were calculated (aORs). Fear for FMs prevailed over fear for oneself and was higher among women than men. Fear for oneself decreased with higher levels of education and in those who perceived good health. Among those vaccinated for the flu, 40.8% responded they had feelings of fear for themselves vs. 34.2% of the not vaccinated. Fear increased when diseases were declared and it was higher when associated with symptoms such as chest pain, olfactory/taste disorders, heart palpitations (aORs > 1.5), lung or kidney diseases, hypertension, depression and/or anxiety. Trends in fear by region showed the highest percentage of positive responses in the southern regions. The knowledge gained from these results should be used to produce tailored messages and shared public health decisions.

Anatomy dental during the COVID-19

The objective of this study was to evaluate the teaching-learning of dental anatomy e-learning during the Covid-19 pandemic. A cross-sectional investigation was carried out. The teaching-learning of the students of dental anatomy. To do this, a questionnaire was developed that consisted of four dimensions that were, the methodologies used in teaching-learning, evaluations, coexistence and, the virtual classroom space, each of the dimensions mentioned had 5 questions with a total of 20 questions. The evaluation of the teaching-learning of dental anatomy e-learning during the Covid-19 pandemic varied among the participants, when performing the analysis of the four dimensions, the majority of positive responses were in the evaluation dimension, followed by the methodologies dimension of teaching, coexistence in the virtual classroom and virtual classroom. Also, the frequencies of the responses were higher in the evaluations from good and very good, these frequencies being significant (Table 2, p-value &lt;0.01). A statistically significant difference between men and women was found between positive and negative ratings (Table 3, p-value &lt;0.01). The students had more positive than negative responses, the dimension that obtained the highest percentage of positive responses was the evaluation dimension. In general, students evaluate the teaching-learning evaluation of dental anatomy e-learning during the Covid-19 pandemic as very good, showing itself in all dimensions.

Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence

Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. Objective: to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. Methods: A total of 182 persons with FMS agreed to participate in this study. After re-evaluation, 57 fully met inclusion criteria: age 40–70 years and moderate-severe impact of the illness according to the Fibromyalgia Impact Questionnaire (FIQ). All participants underwent a posture control analysis with a stabilometric platform, an evaluation of the perception of verticality and an exploration of the vestibular system via functional tests. Additionally, they self-completed questionnaires about balance confidence, central sensitization, pain catastrophizing, kinesiophobia, dizziness and days with episodes of instability. Results: The FIQ was associated with central sensitization and dizziness, which explained 56% of its variance (AdjR2 = 0.566), while days with instability, kinesiophobia and dizziness also explained more than half of the variance of the balance confidence scale (AdjR2 = 0.527). A high percentage of positive responses was found for functional tests (>50%) and a high dispersion in the stabilometric parameters. Conclusion: the detection of factors susceptible to intervention, such as disability due to dizziness, takes on special relevance in patients with FMS.

EAHP European Statements Survey 2018, focusing on Section 1: Introductory Statements and Governance, Section 3: Production and Compounding, and Section 4: Clinical Pharmacy Services

ObjectivesThe 2018 EAHP European Statements Survey focused on sections 1, 3 and 4 of the European Statements of Hospital Pharmacy. Statistical data on the level of implementation and on the...

Implementation of Situational Awareness in the Pediatric Oncology Setting. Does a ‘huddle’ Work and Is it Sustainable?

BackgroundHuddles are short, regular debriefings that are designed to engage clinical staff in discussions about existing or emerging safety issues. They allow a brief conversation to take place creating a ‘situational awareness’ about the complexities of the healthcare environment for that day. MethodsThe huddle was implemented in a pediatric oncology service as an intervention aimed at improving patient safety and staff communication to enhance situational awareness. To ensure an efficient format for each huddle a huddle observational tool (HOT) was developed.An initial electronic anonymous survey focusing on safety and situational awareness was distributed to all of the multi-disciplinary (MDT) team. A second survey was disseminated 18 months post huddle introduction to scrutinize its effectiveness. Sustainability was assessed using staff attendance and huddle numbers. ResultsFour key areas demonstrated high situational awareness; safety awareness, incident management, communication and teamwork. Positive/negative pooled responses from both survey time points demonstrated a high percentage of positive responses, particularly relating to teamwork enhancement.The overwhelming finding was sustainability of the intervention of the huddle. The pediatric oncology services have now conducted over 700 huddles events over a three-year period. ConclusionThe initiation of the huddle has led to increased situational awareness and promotion of safety. It has been shown to be sustainable in the pediatric oncology setting, with durability and attendance of the huddle being the most significant outcome.

Financial Incentive, in Place of Nonclinical Time, Increases Faculty Involvement and Improves Resident Didactic Evaluation Scores in an Anesthesiology Residency Training Program

Providing clinical faculty to lead high-quality resident didactic sessions remains a challenge for academic departments that host graduate medical education training programs. In an effort to both reduce costs and to continue to recruit faculty to give lectures, our department began to incentivize clinicians with a $500 stipend in place of a nonclinical day to present didactics. Our hypothesis is that with financial incentive, more attendings would present didactics and the quality would improve. Residents routinely evaluate all didactic sessions using a Likert scale of 1 to 5. Residents also answer yes or no to indicate whether the presenter should return. We compared academic year (AY) 2016, in which faculty were incentivized with nonclinical time, with AY 2017 and AY 2018, in which incentive came in the form of a $500 stipend. For each, the mean Likert score and percentage of positive responses for lecturer returning were calculated. A 1-way ANOVA and post hoc t tests were performed to determine significant changes. Comparing AY 2016 (before the incentive switch) with AY 2017 and AY 2018, there was more faculty involvement in resident didactic after implementing the financial incentive. The quality of lectures also improved after the incentive switch, according to resident evaluations. There were higher overall Likert scores in AY 2018 and a higher percentage of positive responses to the question of whether presenters should return in AY 2017 and AY 2018, compared with AY 2016. After implementation of a financial incentive in place of nonclinical time, more faculty became involved in lectures and overall lecture quality improved as measured by resident evaluations.

Compliance to Intraoperative Basic Hygiene and Patient Safety Culture in Mozambique

Background: Surgical site infections are commonly occurring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and prevent infection. However, compliance is often low or insufficient. Objective: To assess intraoperative compliance to basic hygiene in the operating theatre and the staffs’ views on patient safety and to assess whether adherence to hand hygiene is related to patient safety culture in a developing country. Methods: The design was a structured observation in order to gathered information on compliance to basic intraoperative hygiene routines in operating theatres in Mozambique. Theatre staff was also asked to complete a survey on patient safety culture. Results: The study reveals that none of the work elements were performed in complete compliance to WHO’s guidelines at all times. The theatre staff’s views on patient safety culture showed the highest percentage of positive responses was within “Teamwork Within Hospital Units” and the dimensions with the least positive response was “Nonpunitive Response To Error” and “Staffing”. A medium relation was found between compliance to basic hygiene and the results of the patient safety culture survey. Conclusion: This study shows that compliance to basic hygiene during the intraoperative phase in theatre was insufficient. There was a medium relation between the views of the staff on patient safety and their compliance to basic hand hygiene. This implies that working with the attitudes of the staff concerning patient safety could be one way of improving hygiene compliance which would be expected to reduce the number of surgical site infections.

EXAMINATION OF THE MOST COMMON ALLERGENS OF CANINE ATOPIC DERMATITIS - A RETROSPECTIVE STUDY

Canine atopic dermatitis (CAD) is one of the most common skin diseases of dogs. It is estimated that 10-15% of the dogs are showing clinical symptoms of this disease. Canine atopic dermatitis is defi ned as genetically predisposed inflammatory and pruritic allergic skin disease with characteristic clinical symptoms. It is related to the production of IgE antibodies, mostly directed against external allergens. Allergens that can cause canine atopic dermatitis are quite numerous and depend on the geographical characteristics of research location. Th e aim of the study is to determine the most common allergens that can cause canine atopic dermatitis. The research was conducted according to medical records of 100 dogs during a period from the beginning of 2008 to the end of 2012 from the Department for skin diseases of small animals of the Clinic of equine, small animal, poultry and wild animal diseases at the Faculty of Veterinary Medicine, University of Belgrade. According to the clinical documentation, all of the tested dogs had clinically manifested symptoms of CAD. In order to confi rm the diagnosis and detect the causative allergens, intradermal testing has been done. This testing has been performed with a standard set of 24 allergens specifi c to the geographical area of the research, produced in the Institute of Virology, Vaccines and Sera “Torlak”. According to the results, the highest percentage of positive responses was established for the following allergens: house dust mites (Dermatophagoides sp.) 67%, ragweed (Ambrosia artemisiifolia) 61%, household dust 60%, cocks foot (Dactylis sp.) 59%, mix of weed pollen 57%.

Meta‐analysis of avian and small‐mammal response to fire severity and fire surrogate treatments in U.S. fire‐prone forests

Management in fire‐prone ecosystems relies widely upon application of prescribed fire and/or fire surrogate (e.g., forest thinning) treatments to maintain biodiversity and ecosystem function. Recently, published literature examining wildlife response to fire and fire management has increased rapidly. However, none of this literature has been synthesized quantitatively, precluding assessment of consistent patterns of wildlife response among treatment types. Using meta‐analysis, we examined the scientific literature on vertebrate demographic responses to burn severity (low/moderate, high), fire surrogates (forest thinning), and fire and fire surrogate combined treatments in the most extensively studied fire‐prone, forested biome (forests of the United States). Effect sizes (magnitude of response) and their 95% confidence limits (response consistency) were estimated for each species‐by‐treatment combination with two or more observations. We found 41 studies of 119 bird and 17 small‐mammal species that examined short‐term responses (≤4 years) to thinning, low/moderate‐ and high‐severity fire, and thinning plus prescribed fire; data on other taxa and at longer time scales were too sparse to permit quantitative assessment. At the stand scale (<50 ha), thinning and low/moderate‐severity fire demonstrated similar response patterns in these forests. Combined thinning plus prescribed fire produced a higher percentage of positive responses. High‐severity fire provoked stronger responses, with a majority of species possessing higher or lower effect sizes relative to fires of lower severity. In the short term and at fine spatial scales, fire surrogate forest‐thinning treatments appear to effectively mimic low/moderate‐severity fire, whereas low/moderate‐severity fire is not a substitute for high‐severity fire. The varied response of taxa to each of the four conditions considered makes it clear that the full range of fire‐based disturbances (or their surrogates) is necessary to maintain a full complement of vertebrate species, including fire‐sensitive taxa. This is especially true for high‐severity fire, where positive responses from many avian taxa suggest that this disturbance (either as wildfire or prescribed fire) should be included in management plans where it is consistent with historic fire regimes and where maintenance of regional vertebrate biodiversity is a goal.

Assessment of Patient Safety Culture in Saudi Hospitals: A Baseline Study in the Eastern Region

Promoting a culture of safety has become one of the pillars of patient safety movement. There is growing international interest in establishing a culture of safety for healthcare quality. The study objective was to conduct a baseline assessment of the patient safety culture in two hospitals in the Eastern Region of Saudi Arabia; to identify general strengths and recognize the areas for patient safety improvements. Cross-sectional design was adopted utilizing the validated Hospital Survey on Patient Safety Culture questionnaire released by the Agency for Healthcare Research and Quality. The survey evaluated 12 patient safety culture dimensions, and a total of 726 healthcare staff participated giving a 61% response rate. The overall percentage of positive responses among dimensions of patient safety was 58%. The dimensions that received the highest percentage of positive responses, which was considered strengths, were organizational learning and continuous improvement (79%), and teamwork within units (77%); whereas those with the lowest percentage of positive responses, which considered areas for improvements, were non-punitive response to error (22%) and staffing (31%). Having a strong safety culture is associated with having a committed and supportive leadership, encouraging teamwork within units, adequate staff to handle the workload, proper communication mechanisms, systematic reporting, and a blame free environment.