High alert medications administration errors in neonatal intensive care unit: A pediatric tertiary hospital experience

This is a hospital-based descriptive cross sectional study, implemented in the NICU, at Cairo University Pediatric hospital. A convenient sample of 33 bedside NICU nurses, who agreed to participate was recruited. A valid, reliable questionnaire was used to measure NICU nurses' general and specific knowledge regarding five therapeutic HAM. An observational checklist was used to assess nurses' administration practices. Both revealed that the mean percentage score of the nurses' knowledge (76.2±11.6) was higher than the mean percentage score of their total practice (69.1±13.3). Analysis of types of nurses' errors, showed that the most common error type was the wrong dose (15%), followed by wrong drug type (13.6%). Nurses' knowledge and training are not mandatorily interpreted into improved implementation practices. Interventions highlighted for preventing HAM errors were developing specific training on HAM for nurses and establishing neonate centered, multidisciplinary teams formed of physicians, nurses, and pharmacists

Knowledge, Attitude, and Behavior of Egyptian Medical Students Toward the Novel Coronavirus Disease-19: A Cross-Sectional Study

BACKGROUND: People in times of pandemics, crave after any medical field member (including medical students) to gain their knowledge and correct their behaviors. AIM: We aimed to assess medical students’ coronavirus disease (COVID)-19 related knowledge, attitude, and behavior (KAB). METHODS: The study is an exploratory cross-sectional study, conducted among medical students using an online survey. Medical students were classified according to their current academic year into either early year’s group (first 3 years in the medical school) or final year’s group (past 3 years in the medical school). RESULTS: A total of 2255 students completed the questionnaire. Regarding their COVID-19 related knowledge; 63.4% gave unsatisfactory responses (answered <75% of the questionnaire items correctly). Most of males (62.9%) and females (64.1%) gave unsatisfactory responses. CONCLUSION: Most of students had unsatisfactory responses of the current pandemic; however, the final year’s group had a significantly higher score in nearly all questionnaire (KAB) subsections than the early year’s group. The majority of both groups significantly believed that there are undeclared numbers in Egypt. Facebook and other platforms were the most common sources of information

World Health Organization Surgical Safety Checklist with Addition of Infection Control Items: Intervention Study in Egypt

BACKGROUND: Surgical team is in command of the operating room (OR) and takes decisions regarding various patient care procedures. Educational programs directed to them, should be creative, provocative and tailored to their specific needs and the expected outcomes. AIM: This study aims to design and conduct an educational program of patient safety and infection control for the OR team based on the WHO surgical safety checklist and to assess their post-intervention knowledge and practices. METHODS: This interventional study was conducted at the ORs of Port-said general hospital. It passed through three stages; baseline assessment of knowledge and practice regarding patient safety and infection control among OR team (surgeons, anaesthetists and nurses), intervention stage in which an educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items was conducted, then re-assessment of their post-intervention knowledge and practices. RESULTS: All the studied participants showed improvement in both knowledge and practices of patient safety and infection control after the educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items and including not only practices but also knowledge as well, than before. CONCLUSION: The modification of the WHO surgical safety checklist to fit local knowledge and practices created a comprehensive tool that led to an improvement in both knowledge and practices of patient safety and infection control among the OR team

Improving Performance in Surgical department through Communicating Information to Decision Makers: Intervention Study in a tertiary Hospital

Hospital performance evaluation is crucial for early detection of pitfalls, and problem-solving. Data shouldn’t be passively collected. They must be measured and understood through an underlying conceptual framework. Purpose: The General Surgical Department in collaboration with the Public Health Department had the objective of developing a module for periodic monitoring and evaluation of the eight general surgical units based on calculated key performance indicators (KPIs), Composite Indices (CIs) and communication of growing out information through policy briefs directed to the heads of units for better resources allocation and evidence based decision making. Methodology: An operations research using pre-post intervention design. The exploratory component was completed in six  months in the 8 units of the department. Pretest service statistical data analyzed KPIs derived from hospital bed and surgical room utilization. Data were utilized for the calculation of 5 CIs for each unit. Study intervention included the development of policy briefs (PB) that were submitted to the head of the department. Informed decisions were made guided by the info-graph data in the form of traffic color coded ranking matrix to promote various services and to improve performance in the department units particularly lower ranked units. The post-test included reanalyzing of the service statistical data. Findings: Comparing pre-posttest figures revealed improvement in the calculated KPIs and CIs. Originality and practical implications: Bringing up a novel, feasible monitoring and evaluation model using refitted tools would support surgical unit heads in evidence-based decision-making and eventually improve performance efficiency

Genotypic variability in salt tolerance of Vicia faba during germination and early seedling growth

Salt tolerance of four Egyptian Vicia faba L. cultivars – Nubaria 1, Nubaria 2, Sakha 1 and Giza 3 – was investigated at germination in relation to seed size. The variability in seed size was wide as seed index of Giza 3 was about half that of Nubaria 1. The four investigated cultivars can withstand up to 150 mM NaCl; with marginal reductions in germination capacity but with marked reductions in speed of germination and embryo growth. The vague genotypic variability among the four cultivars in germination parameters emerged more clearly under salt stress. The response of early emergence of the embryo to salt stress seems to differ from that of the subsequent extension of embryonic axis; since based on magnitude and speed of germination Nubaria 1 was the most salt sensitive cultivar but exhibited relatively high salt tolerance on the basis of embryo growth. The salt-sensitive Nubaria 1 produced smaller embryo, with shorter and thicker radicles than the other three cultivars. Germination speed and embryo growth were maximum but lag period was minimum for the medium-sized seeds. Length and thickness of the emerging radicles were affected more by the genotype than by salinity stress and nutrient supply during germination. The beneficial effects of nutrients on seed germination and embryo growth were more evident in the salt-tolerant Nubaria 2 than in the salt-sensitive Nubaria 1. Keywords: Embryo growth, Germination speed, Salinity, Seed index, Vicia fab