1,811 research outputs found
Interventions in health organisations to reduce the impact of adverse events in second and third victims
Background
Adverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims.
Methods
A cross-sectional study was conducted in healthcare organizations assessing: safety culture; health organization crisis management plans for serious AE; actions planned to ensure transparency in communication with patients (and relatives) who experience an AE; support for second victims; and protective measures to safeguard the institutionâs reputation (the third victim).
Results
A total of 406 managers and patient safety coordinators replied to the survey. Deficient provision of support for second victims was acknowledged by 71 and 61 % of the participants from hospitals and primary care respectively; these respondents reported there was no support protocol for second victims in place in their organizations. Regarding third victim initiatives, 35 % of hospital and 43 % of primary care professionals indicated no crisis management plan for serious AE existed in their organization, and in the case of primary care, there was no crisis committee in 34 % of cases. The degree of implementation of second and third victim support interventions was perceived to be greater in hospitals (mean 14.1, SD 3.5) than in primary care (mean 11.8, SD 3.1) (p?<?0.001).
Conclusions
Many Spanish health organizations do not have a second and third victim support or a crisis management plan in place to respond to serious AEs
The aftermath of adverse events in spanish primary care and hospital health professionals
Background
Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims.
Methods
A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals.
Results
A total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio âOR- 1.1, 95% Confidence Interval âCI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o.6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p?=?0.019) and hospital (p?=?0.019) settings.
Conclusions
Adverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon
Medios de comunicaciĂłn y derecho a la informaciĂłn en Jalisco 2013
En el primer apartado, dedicado al sistema de medios
en general, se presentan tres artĂculos: âNuevos medios de comunicaciĂłn en Jaliscoâ, âc7 Âżmedio pĂșblico o vocero del gobierno?â y âRĂ©quiem por un ombudsmanâ. El segundo apartado estĂĄ dedicado al tema de la libertad de expresiĂłn; se presentan aquĂ dos textos: âLa vulnerabilidad en un ambiente de cambio. Los
ataques a los medios de comunicaciĂłn en Jalisco durante
el añoâ y âViolaciones a la libertad de expresiĂłn de periodistas
y trabajadores de medios en Jalisco, 1995-2013â. En el apartado âDerecho a la informaciĂłn, comunicaciĂłn
y polĂticaâ se ofrecen cuatro textos de Ăndole muy
diversa: âLa estrategia de comunicaciĂłn del Gobierno del Estadoâ, âDiĂĄlogos pĂșblicos: la discusiĂłn de una nueva ley de transparencia
para Jaliscoâ, âCuando un niño desaparece, el peor enemigo es el tiempoâŠâ, sobre la alerta Amber, y â2013: un año marcado por
despidos en diversos periĂłdicos de Guadalajaraâ. En la secciĂłn âLos que se fueronâ se presenta la semblanza de Felipe Vicencio. Y en el apartado de âLa investigaciĂłn del observatorio de
mediosâ se comparten los resultados de un trabajo sobre
los columnistas de opiniĂłn jaliscienses que escriben en la
prensa local.ITESO, A.C
Universidad y sociedad: comunicaciĂłn e integraciĂłn en empresas e instituciones pĂșblicas y organizaciones no lucrativas: innovaciĂłn y progreso
Depto. de TeorĂas y AnĂĄlisis de la ComunicaciĂłnFac. de Ciencias de la InformaciĂłnFALSEsubmitte
Interactive Effect of UVR and Phosphorus on the Coastal Phytoplankton Community of the Western Mediterranean Sea: Unravelling Eco- Physiological Mechanisms
VersiĂłn del editor4,411
Graph based study of allergen cross-reactivity of plant lipid transfer proteins (LTPs) using microarray in a multicenter study.
The study of cross-reactivity in allergy is key to both understanding. the allergic response of many patients and providing them with a rational treatment In the present study, protein microarrays and a co-sensitization graph approach were used in conjunction with an allergen microarray immunoassay. This enabled us to include a wide number of proteins and a large number of patients, and to study sensitization profiles among members of the LTP family. Fourteen LTPs from the most frequent plant food-induced allergies in the geographical area studied were printed into a microarray specifically designed for this research. 212 patients with fruit allergy and 117 food-tolerant pollen allergic subjects were recruited from seven regions of Spain with different pollen profiles, and their sera were tested with allergen microarray. This approach has proven itself to be a good tool to study cross-reactivity between members of LTP family, and could become a useful strategy to analyze other families of allergens
Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2
The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality
Radiaciones ionizantes y su impacto Primer Simposio Internacional sobre Medioambiente (ISE 2017)
Son ya varias las dĂ©cadas en las que en AmĂ©rica Latina se ha trabajado arduamente sobre las radiaciones ionizantes; tanto en las ionizantes directas, tales como las partĂculas beta positivas y negativas, las partĂculas alfa, los protones, los mesones cargados, los muones y los iones pesados, asĂ como tambiĂ©n en las ionizantes indirectas (las producidas por partĂculas sin cargas), como las generadas por fotones con energĂas superiores a los 10 keV y los neutrones. Por otro lado, las radiaciones no ionizantes tambiĂ©n han sido objeto de detallados estudios, y muy especialmente las provenientes del Sol, como el factor natural mĂĄs influyente sobre la Tierra.
En esta obra se presentan algunos de los avances en los que han participado reconocidos cientĂficos latinoamericanos, como el Dr. HĂ©ctor Vega Carrillo, Dr. Daniel Palacios, Dra. Patrizia Pereyra, Dra. Sheila Serrano, y el Dr. Manuel Ernesto Delgado, entre otros.
Esta obra puede ser de interĂ©s para profesionales del ĂĄrea de la protecciĂłn radiolĂłgica, la ingenierĂa ambiental, fĂsica de la atmĂłsfera y ĂĄreas afines, asĂ como para estudiantes
La renovaciĂłn de la palabra en el bicentenario de la Argentina : los colores de la mirada lingĂŒĂstica
El libro reĂșne trabajos en los que se exponen resultados de investigaciones presentadas por investigadores de Argentina, Chile, Brasil, España, Italia y Alemania en el XII Congreso de la Sociedad Argentina de LingĂŒĂstica (SAL), Bicentenario: la renovaciĂłn de la palabra, realizado en Mendoza, Argentina, entre el 6 y el 9 de abril de 2010. Las temĂĄticas abordadas en los 167 capĂtulos muestran las grandes lĂneas de investigaciĂłn que se desarrollan fundamentalmente en nuestro paĂs, pero tambiĂ©n en los otros paĂses mencionados arriba, y señalan ademĂĄs las ĂĄreas que reciĂ©n se inician, con poca tradiciĂłn en nuestro paĂs y que deberĂan fomentarse. Los trabajos aquĂ publicados se enmarcan dentro de las siguientes disciplinas y/o campos de investigaciĂłn: FonologĂa, Sintaxis, SemĂĄntica y PragmĂĄtica, LingĂŒĂstica Cognitiva, AnĂĄlisis del Discurso, PsicolingĂŒĂstica, AdquisiciĂłn de la Lengua, SociolingĂŒĂstica y DialectologĂa, DidĂĄctica de la lengua, LingĂŒĂstica Aplicada, LingĂŒĂstica Computacional, Historia de la Lengua y la LingĂŒĂstica, Lenguas AborĂgenes, FilosofĂa del Lenguaje, LexicologĂa y TerminologĂa
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