ISSN (Print): 2327-669X

ISSN (Online): 2327-6703

Editor-in-Chief: Jing Sun

Website: http://www.sciepub.com/journal/AJPHR

   

Article

The Impact of Inpatient Electronic Sign-out on Quality and Patient Safety

1Internal Medicine Conemaugh Health System, Johnstown, PA


American Journal of Public Health Research. 2016, 4(4), 149-153
doi: 10.12691/ajphr-4-4-5
Copyright © 2016 Science and Education Publishing

Cite this paper:
Mohammad U. Malik, Amibahen Gandhi, Hassan Tahir, Jhanavi Sagi, Sandhya Narukonda, Thomas Simunich, Saba Waseem, Medha Joshi. The Impact of Inpatient Electronic Sign-out on Quality and Patient Safety. American Journal of Public Health Research. 2016; 4(4):149-153. doi: 10.12691/ajphr-4-4-5.

Correspondence to: Mohammad  U. Malik, Internal Medicine Conemaugh Health System, Johnstown, PA. Email: mmalik@conemaugh.org

Abstract

Introduction: The transition of patient care to the resident on call during the sign-out/hand off is an integral part of residency training and is a time vulnerable to medical errors. Methods: Authors conducted the study from July 28th to December 14th 2014. Residents (n=26) were required to sign-out via the electronically via the SBAR (Situation-Background-Assessment-Recommendation) based electronic template. The quality of sign-out was assessed by night float questionnaire. The quality of the sign-out (scale 1 to 5), preventable morbidities, LOS, mortalities and readmissions were compared pre and post intervention for the admitted patients (pre= 184, post=172). Results: Improvement in the mean quality (Likert scale 1-5) of both the written sign-out, 3.0 to 3.8 (p<0.001), and verbal sign-out, 3.0 to 3.6 (p=0.002) (n=22 pre and post), was found. The preventable morbidities decreased from 10% to 5% (p=0.047). No statistically significant difference was noted for lethal morbidities, length of stay or readmissions. Conclusion: Implementation of electronic sign-out in addition to verbal sign-out improved the quality of sign-out with trend towards reduction in morbidities. The electronic sign-out may provide key information and help the on call team to make better decisions regarding the patient care.

Keywords

References

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Article

Early Mobilization and Physical Activity Improve Stroke Recovery: A Cohort Study of Stroke Inpatients in Kisumu County Referral Hospitals, Kenya

1Faculty of Health Sciences, Great Lakes University of Kisumu, Kisumu, Kenya

2Department of Physiotherapy, Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya

3Faculty of Health Science, Kibabii University, Bungoma, Kenya

4School of Public Health, Capital Medical University, Beijing, PR China


American Journal of Public Health Research. 2016, 4(4), 154-158
doi: 10.12691/ajphr-4-4-6
Copyright © 2016 Science and Education Publishing

Cite this paper:
Maurice Mike Ogolla, Damian Otieno Opemo, Collins Otieno Asweto. Early Mobilization and Physical Activity Improve Stroke Recovery: A Cohort Study of Stroke Inpatients in Kisumu County Referral Hospitals, Kenya. American Journal of Public Health Research. 2016; 4(4):154-158. doi: 10.12691/ajphr-4-4-6.

Correspondence to: Collins  Otieno Asweto, School of Public Health, Capital Medical University, Beijing, PR China. Email: asweto_collins@yahoo.com

Abstract

Early mobilization in acute stroke care is highly recommended in a range of developed countries policy; however, in developing countries like Kenya, lack of evidence seems to hinder formulation and implementation of policy guideline on early mobilization in acute stroke care. Therefore, to estimate the safe optimal time for early mobilization of stroke patients in Kenya, we conducted a prospective cohort study in two purposively selected health facilities in Kisumu County, Kenya. About 100 stroke patients admitted in medical wards (mean age 59.1±2.3 years, females 61%) were recruited. Barthel Index’ tool was used to assess recovery and physical activity levels. It comprised of scoring scale ranging from 0-100. The participants were categorized as follows: Patients who score between 0 – 30 were considered as mildly recovered, 31 - 60 as moderately recovered and patients who score from 61 – 100 were regarded as fully recovered. Multiple logistic regression model was used to compute adjusted ORs (AOR) of early mobilization and Barthel Index variable, adjusting for age, gender and type of stroke. Early mobilization improves patient recovery. Participants in early mobilization group were more like to independently feed, groom, dress, use toilet, use wheel chair and climb stairs with help compared to late mobilization (p <0.05). Most (76%) participants who were exposed to high physical activity had full recovery than the (5%) bones in low physical activity (p< 0.001). This study provides evidence that early mobilization and high physical activity improves stroke patient recovery.

Keywords

References

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Article

Health and Socio-economic Impacts of Livelihoods Programs among People Living with HIV in Cambodia: A Case-Control Study

1KHANA Center for Population Health Research, Cambodia

2Royal University of Phnom Penh, Cambodia

3Department of Community and Global Health, Graduate School of Medicine, the University of Tokyo, Japan

4KHANA Social Enterprise, Cambodia

5Center for Global Health Research, Public Health Program, Touro University California, USA


American Journal of Public Health Research. 2016, 4(5), 159-169
doi: 10.12691/ajphr-4-5-1
Copyright © 2016 Science and Education Publishing

Cite this paper:
Sovannary Tuot, Kouland Thin, Mayumi Shimizu, Samedy Suong, Samrithea Sron, Pheak Chhoun, Khuondyla Pal, Chanrith Ngin, Siyan Yi. Health and Socio-economic Impacts of Livelihoods Programs among People Living with HIV in Cambodia: A Case-Control Study. American Journal of Public Health Research. 2016; 4(5):159-169. doi: 10.12691/ajphr-4-5-1.

Correspondence to: Siyan  Yi, KHANA Center for Population Health Research, Cambodia. Email: siyan@doctor.com

Abstract

Background: In Cambodia, the circumstances surrounding people living with HIV (PLHIV) remain serious conditions. To ameliorate these situations, KHANA has implemented livelihoods programs since 2010, including village saving and loans (VSL), skill trainings, and cash grants with on-going technical support. This study aims to evaluate the impacts of the programs in improving socio-economic conditions, health, and psychological well-being of PLHIV in Cambodia. Methods: In August 2014, a case-control study was conducted in six selected provinces. The cases were defined as PLHIV who lived in the selected operational districts where KHANA has implemented the livelihoods programs, and have participated in the programs for at least one year. Several indicators in socio-economic situations, food security, health conditions, and psychological well-being of the cases (n= 358) and the controls (n= 329) were compared. Results: The mean of monthly income of the cases who attended the programs for three years or more was 13.6% higher than that of the controls. A significantly higher proportion of the cases reported having three meals per day, while a significantly lower proportion of them received food assistance in the past 12 months. The mean total score for frequency of occurrence also indicated less severity of food insecurity among the cases. Regarding child education, the cases reported a significantly lower rate of out-of-school children. The proportion of the cases who rated their quality of life as good was significantly higher, and they were significantly less likely to report that they felt guilty being HIV-positive persons. Regarding psychological well-being, the mean total score of depressive symptoms for the cases was significantly lower than that for the controls, and the proportion of the cases with a cut-off score smaller than 1.75, which indicated less depressive symptoms, was also significantly higher than that of the controls. Conclusions: Findings from this study portray the positive impacts of KHANA’s livelihoods programs in maintaining and upgrading the livelihoods and quality of life of PLHIV in Cambodia. With these noticeable impacts, the programs should be scaled up to support PLHIV and vulnerable households across the country.

Keywords

References

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