15 research outputs found

    Patient safety with special reference to adverse events taking place in the cases discussed in mortality and morbidity meets

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    Background: There is an increasing belief that an institution’s ability to avoid patient harm will be realized when it creates a culture of safety among its staff members. Aims to study the cases discussed in mortality meets.Methods: Critical analysis of cases discussed in mortality and morbidity meet were done for one year by using WHO Structured questionnaire on patient safety (RF-1 & RF-2 forms) along with their record review and interview to the concerned staff.Results: 62 mortality and morbidity meetings were conducted during the study period of one year. Cardiac/ Respiratory arrest was the most common adverse event studied (67.7%) followed by unexpected death (48.4%). 52.7% of studied adverse events showed signs of healthcare team responsible for causing adverse events, mainly related to the therapeutic care (64.8%). 47% of adverse events were categorized preventable.Conclusions: Mortality and Morbidity Meets should be made mandatory in all hospitals

    Patient safety with reference to the occurrence of adverse events in admitted patients on the basis of incident reporting in a tertiary care hospital in North India

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    Background: A good quality report should lend itself for detailed analysis of the chain of events that lead to the incident. This knowledge can then be used to consider what interventions, and at what level in the chain, can prevent the incident from occurring again. Aim was to study the occurrence of adverse events on the basis of incident reporting.Methods: Critical analysis of incident reporting of adverse events taking place in admitted patients for one year by using WHO Structured questionnaire on patient safety (RF-1 & RF-2 forms) along with their record review and interview to the concerned staff.Results: 253 incidents of adverse events were reported during the study period of one year. Most common screening criteria being, Patient/family dissatisfaction with care received, documented or expressed during the current (221 incidents i.e. 87.35%), followed by hospital acquired infection/sepsis (29 incidents i.e. 11.46%). 13 incidents (5.13%) were reported for unexpected deaths due to adverse events. 38.9% of reported adverse events studied showed signs of health care team responsible for causing adverse events. 39% of adverse events were found preventable and 61% of adverse event was found non-preventable.Conclusions: Incident reporting of adverse events should be encouraged in all hospitals. 

    A comparative study on patient safety with reference to methods of detection of adverse events in a tertiary care hospital in North India

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    Background:Considerable investments have been made to devise methods to detect actual and potential adverse events in health care in order to address risk and improve patient safety. Objective of the study was to compare the methods of detection of number of adverse events taking place in admitted patients.Method: A prospective study for a period of one year. Three adverse events detection modules were studied, i.e. current record review, Incident reporting and cases discussed in Mortality Meets. A World Health Organization structured questionnaire on patient safety Review form-1 (RF-1) and Review form-2 (RF-2) was used. RF-1 form was used to screen adverse events. Screened positive patients were subjected to RF-2 form to calculate preventability of adverse events. Adverse events as well as preventability were compared to detect the preferred module of detection of errors in care.Results: Current record review was able to detect 15.5% of adverse events with 71.33% preventability. Incident reporting module was able to detect only 0.73% of adverse events with 39% of preventability and mortality meets were able to study only 0.17% of adverse events with 47% of preventability.Conclusion: Current record review was found to be preferred module of detection of adverse events.

    Patient safety with special reference to adverse events taking place in the cases discussed in mortality and morbidity meets

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    Background: There is an increasing belief that an institution’s ability to avoid patient harm will be realized when it creates a culture of safety among its staff members. Aims to study the cases discussed in mortality meets.Methods: Critical analysis of cases discussed in mortality and morbidity meet were done for one year by using WHO Structured questionnaire on patient safety (RF-1 & RF-2 forms) along with their record review and interview to the concerned staff.Results: 62 mortality and morbidity meetings were conducted during the study period of one year. Cardiac/ Respiratory arrest was the most common adverse event studied (67.7%) followed by unexpected death (48.4%). 52.7% of studied adverse events showed signs of healthcare team responsible for causing adverse events, mainly related to the therapeutic care (64.8%). 47% of adverse events were categorized preventable.Conclusions: Mortality and Morbidity Meets should be made mandatory in all hospitals

    Patient safety with reference to the occurrence of adverse events in admitted patients on the basis of incident reporting in a tertiary care hospital in North India

    No full text
    Background: A good quality report should lend itself for detailed analysis of the chain of events that lead to the incident. This knowledge can then be used to consider what interventions, and at what level in the chain, can prevent the incident from occurring again. Aim was to study the occurrence of adverse events on the basis of incident reporting.Methods: Critical analysis of incident reporting of adverse events taking place in admitted patients for one year by using WHO Structured questionnaire on patient safety (RF-1 & RF-2 forms) along with their record review and interview to the concerned staff.Results: 253 incidents of adverse events were reported during the study period of one year. Most common screening criteria being, Patient/family dissatisfaction with care received, documented or expressed during the current (221 incidents i.e. 87.35%), followed by hospital acquired infection/sepsis (29 incidents i.e. 11.46%). 13 incidents (5.13%) were reported for unexpected deaths due to adverse events. 38.9% of reported adverse events studied showed signs of health care team responsible for causing adverse events. 39% of adverse events were found preventable and 61% of adverse event was found non-preventable.Conclusions: Incident reporting of adverse events should be encouraged in all hospitals. 

    India's multi-sectoral response to oxygen surge demand during COVID-19 pandemic: A scoping review

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    Oxygen support became one of the rate-limiting steps for medical care during COVID-19 pandemic in India. The primary aim of this study was to appraise the manufacturing, supply, and distribution of medical oxygen during the pandemic. The secondary objectives were to highlight the coordination of various stakeholders to mitigate the oxygen surge and to present a critical analysis of India's response to the emergent situation. Using an analytic approach, we have delineated India's response to mitigate the medical oxygen surge during the distressing second peak between March–May 2021. In the pre-COVID-19 era, of the total 6900 MT of oxygen produced in India, only 1000 MT was available for medical usage, which was increased up to 19940 MT through the strengthening of in-house oxygen manufacturing, low-cost innovations, and enhanced storage facilities. High-burden states were identified, and transport was facilitated through departments of railways, defence and civil aviation. Real-time scrutiny of the oxygen supply was provided. Essential customs duties on importing oxygen and vital equipment were exempted, along with other swift decisions. National Oxygen Stewardship Program' was initiated to build the capacity of health care workers in oxygen therapy and rational use of surplus oxygen. The pandemic overwhelmed the health system. But a coordinated multi-stakeholder approach facilitated the fight against oxygen surge. However, a comprehensive pandemic response will need more than just oxygen. This resourceful utilization offers a silver lining and facilitates the improvement of health systems and health outcomes in the long term

    Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990–2021: findings from the Global Burden of Disease Study 2021

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    Background: Anaemia is a major health problem worldwide. Global estimates of anaemia burden are crucial for developing appropriate interventions to meet current international targets for disease mitigation. We describe the prevalence, years lived with disability, and trends of anaemia and its underlying causes in 204 countries and territories. Methods: We estimated population-level distributions of haemoglobin concentration by age and sex for each location from 1990 to 2021. We then calculated anaemia burden by severity and associated years lived with disability (YLDs). With data on prevalence of the causes of anaemia and associated cause-specific shifts in haemoglobin concentrations, we modelled the proportion of anaemia attributed to 37 underlying causes for all locations, years, and demographics in the Global Burden of Disease Study 2021. Findings: In 2021, the global prevalence of anaemia across all ages was 24·3% (95% uncertainty interval [UI] 23·9–24·7), corresponding to 1·92 billion (1·89–1·95) prevalent cases, compared with a prevalence of 28·2% (27·8–28·5) and 1·50 billion (1·48–1·52) prevalent cases in 1990. Large variations were observed in anaemia burden by age, sex, and geography, with children younger than 5 years, women, and countries in sub-Saharan Africa and south Asia being particularly affected. Anaemia caused 52·0 million (35·1–75·1) YLDs in 2021, and the YLD rate due to anaemia declined with increasing Socio-demographic Index. The most common causes of anaemia YLDs in 2021 were dietary iron deficiency (cause-specific anaemia YLD rate per 100 000 population: 422·4 [95% UI 286·1–612·9]), haemoglobinopathies and haemolytic anaemias (89·0 [58·2–123·7]), and other neglected tropical diseases (36·3 [24·4–52·8]), collectively accounting for 84·7% (84·1–85·2) of anaemia YLDs. Interpretation: Anaemia remains a substantial global health challenge, with persistent disparities according to age, sex, and geography. Estimates of cause-specific anaemia burden can be used to design locally relevant health interventions aimed at improving anaemia management and prevention. Funding: Bill & Melinda Gates Foundation

    Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

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    Background Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10-24 years during the past three decades. Methods Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10-14, 15-19, and 20-24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings In 2019, 369 061 deaths (of which 214337 [58%] were transport related) and 31.1 million DALYs (of which 16.2 million [52%] were transport related) among adolescents aged 10-24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34.4% (from 17.5 to 11.5 per 100 000) for transport injuries, and by 47.7% (from 15.9 to 8.3 per 100000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80.5% to 42 774 for transport injuries and by 39.4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010-19, the rate per 100 000 of transport injury DALYs was reduced by 16.7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48.5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0.2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010-19. Interpretation As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low-middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury
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