Incidence Of Medical Disputes Research Articles

Views of young dentists on choosing oral pathology specialist as their lifelong career

Background/purposeCurrently, very few young dentists in Taiwan are willing to choose oral pathology specialist as their lifelong career. This study reported the views of young dentists on the profession of oral pathology. Materials and methodsThis study exploited the observational method and the questionnaire survey to collect the views of young dentists on the profession of oral pathology in Taiwan. ResultsThirty-five dental trainees or residents filled out the questionnaires. They agreed that the life quality or workload, interest, incidence of medical disputes, accomplishment, future job opportunities, salary level, and possibility to become a clinic owner were important factors that were considered to choose a dental specialist training program. Most (33, 94.3%) of them were sure that they would not choose oral pathology specialists as their lifelong career. The important reasons for not choosing oral pathology specialists as their lifelong career were learning characteristics, insufficient understanding of the work that an oral pathology specialist has to do, poor life quality or heavy workload, lower accomplishment, fewer job opportunities, and a relatively lower salary. The important factors that could increase the young dentists’ willingness to consider oral pathology specialist as the lifelong career included increased income, life quality, and future job opportunities and reduced workload for the oral pathology residents and specialists. ConclusionWe suggest that the government should build a long-term budget to subsidize oral pathology residents and specialists to further solve the serious oral pathology specialist shortage problem in Taiwan.

Influence of improvement of pharmacy service quality on the doctor-patient relationship

Objective To study and explore the influence of pharmacy service quality improvement on the relationship between doctors and patients. Methods Our hospital began to implement the improvement measures of quality in pharmaceutical service since January 2016, 200 patients' families were randomly selected as the observation group by using cluster sampling method during 12 months of 2016.The other 200 cases' families in the 12 months of 2015 before the implementation of pharmacy services quality improvement measures were randomly selected as control group by using cluster sampling method.The waiting time to get the medicine, the incidence of pharmacy service satisfaction, error event, the quality of pharmaceutical service score, complaint rate, incidence of medical disputes (this should be clear and concise) of the two groups were compared by conducting a questionnaire survey. Results The waiting time to get the medicine of the observation group was (7.75±3.29)min, which was significantly shorter than (11.87±4.16)min of the control group (t=10.986, P<0.05). The satisfaction rates for pharmacy pharmacist environment, attitude, patients in the observation group were 97.50%, 96.00%, 94.50%, respectively, which were significantly higher than 84.50%, 82.50%, 82% in the control group (χ2=26.635, 18.996, 15.068, all P<0.05). The pharmacy service quality score of the observation group was (89.65±14.52)points, which was significantly higher than (74.93±10.24)points of the control group (t=11.716, P<0.05). The pharmacy service error event rate of the observation group was significantly lower than that of the control group(χ2=9.225, P<0.05), and the rate of complaints, the incidence rate of medical dispute cases in the observation group were significantly lower than those in the control group (χ2=4.737, 4.592, all P<0.05). Conclusion Application of pharmacy quality improvement measures is effective in shortening the waiting time and improving the quality of pharmaceutical care, and it is helpful to improve the family members' evaluation to pharmacy environment, pharmacists' service attitude and their visits, thereby improving the relationship between doctors and patients and reducing the disputes between doctors and patients. Key words: Pharmacy service, hospital; Pharmaceutical service; Relationship between doctors and patients

Study on safety management and risk response measures of prehospital emergency care in patients with cerebral hemorrhage

Objective To study the safety management and risk response of preoperative emergency in patients with cerebral hemorrhage. Methods 92 patients with intracerebral hemorrhage were divided into two groups.The conventional group was treated with routine care in prehospital first aid.The prehospital intervention group used transport safety management and risk comprehensive response measures.The incidence of first aid consciousness, rapid response score, safe transshipment score, medical care score and the success rate of rescue and the incidence of medical disputes were compared between the two groups.The satisfaction of the family members of the patients with first aid treatment was analyzed. Results The score of first aid consciousness, rapid response score, safe transfer score, medical care score of the prehospital intervention group were (96.24±3.91)points, (93.98±2.72)points, (95.26±3.57)points and (95.72±3.02)points, respectively, which were significantly better than those of the conventional group [(83.12±3.15)points, (82.02±1.53)pointss, (83.52±2.92)points, (83.14±2.15)points, t=8.629, 8.826, 8.042, 8.514, all P<0.05]. The success rate of hospitalization of the prehospital intervention group was 95.65%, which was higher than 78.26% of the conventional group(χ2=6.133, P<0.05). The incidence rate of medical disputes in the prehospital intervention group was significantly lower than that in the conventional group(χ2=5.145, P<0.05). Among them, there were 9 cases of medical disputes in the conventional group, the incidence rate was 19.57%.In the prehospital intervention group, there was 1 case of medical disputes, the incidence rate was 2.17%.The satisfaction rate of prehospital emergency treatment in the prehospital intervention group was 95.65%, which was significantly higher than 78.26% in the conventional group (χ2=6.133, P<0.05). Conclusion The safety management and risk response measures of preoperative emergency in patients with intracerebral hemorrhage are effective, which can effectively improve the success rate of cerebral hemorrhage rescue, improve nursing staff first aid consciousness and rapid response ability, improve medical care and transport safety, it is worthy of promotion. Key words: Cerebral hemorrhage; Emergency medical services; Safety management

Effect of failure mode and effect analysis on service quality for imaging department patients

Objective To explore the effects of failure mode and effect analysis on nursing satisfaction of patients in Department of Imaging. Methods From March 2012 to February 2014, totals of 1 159 cases underwent CT examination in imaging department were selected as the control group, and received routine nursing management. From March 2014 to February 2016, totals of 1 163 patients underwent CT examination in imaging department were chosen as observation group, and received failure mode and effect analysis of nursing management based on the control group. Before and after interventions, the consistent degree of imaging auxiliary results and clinical diagnosis, medical disputes, nursing satisfaction and the crisis were compared. Results After the failure mode and effect analysis interventions, the crisis value of ten failure modes were significantly lower than that before the implementation (P<0.01) . The consistent degree of assisted imaging results and clinical diagnosis in the observation group were 99.83%, and 98.53% in the control group, so the observation group was significantly higher than the control group (P<0.01) ; the incidence of medical disputes was 0.26% in the observation group and 1.81% in the control group, and the observation group were significantly lower than that of the control group (P<0.01) . The satisfactions to health education, service attitude, environmental management, communication and care and job ability in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.01) . Conclusions After failure mode and effect analysis of intervention is implemented in radiology department patients, failure modes′ crisis value is decreased, auxiliary results of image with the clinical diagnosis is improved, the incidence of medical disputes is induced, and the satisfaction degree of patients is improved. Key words: Nursing care; Service quality; Imaging department; Satisfaction; Failure mode and effect analysis

Application effects of ACMMM falling prevention management model in geriatric wards

Objective To explore the effect of ACMMM management model in preventing the elderly inpatients from falling. Methods Patients hospitalized in geriatric ward in a certain comprehensive third-level grade-A hospital from January 2014 to December 2015 were selected as objects, with those hospitalized from January to December 2014 as control group, and others as intervention group. ACMMM falling prevention management model was carried out from January 2015, including falling risk assessment at admission of the patients, strengthening communication between medical workers and patients and their relatives, monitoring safety risk of the patients, improving patients′ condition, improving environment and maintaining facilities in the ward. Incidence rates of falling were compared between the two groups. Results Incidence rate of falling in the intervention group was 0.45% (6/1 316), which was significantly lower than that of the control group 1.99% (24/1 204)(χ2 =12.634, P<0.05). Conclusions The implementation of ACMMM falling prevention management model can drop the incidence rate of falling, promote continuous improvement of nursing quality and reduce incidence of medical disputes. Key words: Falling; Elderly; ACMMM management model

Application of safety training and observation program in nursing student＇s teaching

Objective To compare the effect of reducing unsafe acts and medical disputes before and after implementing nursing students management via safety training and observation program （STOP） in Department of Urological Surgery. Methods Chose 21 students who participated in clinical nursing practice in March, 2012 and April, 2012 in the department of urological surgery in our hospital. We carried out the conventional management methods to the students in first group and STOP methods to the students in second group. Then the incidence of unsafe acts and medical disputes between two groups were compared. Results The incidence of unsafe acts in the first and second group was 91.6% and 4.2%. The incidence of medical disputes in the first and second group was 4.2% and 0.2%. The differences were significant （x2 = 18. 800,6. 100, respectively ;P 〈 0. 05 ）. Conclusions STOP management has significant effect on the management of clinical teaching to nursing students and can reduce the incidence of medical disputes because unsafe nursing acts. Key words: Education, nursing; Safety training and observation program; Clinical teaching

Evaluation of the application of medical humanities care at three clinical departments of the hospital

By means of literature review,expert interviews and experts sorting,the authors identified three approaches of medical humanities care,and applied them to three clinical departments of top ten incidence of medical disputes of the hospital in 2012.These departments have similar number of beds,and covered both internal medicine and surgery departments.The purposes of the study are to evaluate the effects of medical humanities care measures in clinical departments,and to make relevant thoughts and suggestions. Key words: Medical humanities care; Department; Wards; Application; Evaluation

Evaluation of the application effect of nurse-patient communication management flow and health education in emergency observation room

Objective To explore the application effect of nurse-patient communication management flow and health education in emergency observation room .Methods Two hundred and six patients from January to March 2013 were chosen and randomly divided into the control group and the observation group in emergency observation room, each with 103 cases.The control group received the conventional nursing , and the observation group received the nurse-patient communication management flow and health education on the basis of control group .The application effect was compared between the two groups .Results The score of basic quality of nursing was （93.7 ±4.5） in the observation group, and was higher than （80.4 ±5.8） in the control group, and the difference was statistically significant （t=3.15, P〈0.05）.The rates of psychological mood improvement, health knowledge popularization and patient satisfaction were respectively 83.49%, 88.34%, 85.43% in the observation group, and were higher than 52.42%, 59.22%, 65.05%in the control group;the incidence rate of complications was 5.83%in the observation group, and was lower than 22.33% in the control group, and the differences were statistically significant （χ2 =4.71, 4.65, 4.03, 6.87, respectively; P 〈0.05）.Conclusions Scientific and reasonable nurse-patient communication management flow can reduce the incidence of medical disputes , and improve the quality of nursing . Key words: Health education; Nurse-patient communication; Management flow; Emergency observation room