RESUMO
This study aimed to evaluate perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers’ perceptions of preparedness, safety, and their willingness to care for COVID-19 patients were measured before and after they attended a simulation-based training course to prepare them to care for COVID-19 patients at Combined Military Hospital Landi Kotal Cantt, from March 1 to April 30, 2020. The participants’ perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low, but increased after completing it (P<0.05). They felt confident and were significantly more willing to care for patients with COVID-19 or other infections requiring strict isolation. Simulation-based training is an effective tool to improve perceptions of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.
RESUMO
This study aimed to evaluate perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers’ perceptions of preparedness, safety, and their willingness to care for COVID-19 patients were measured before and after they attended a simulation-based training course to prepare them to care for COVID-19 patients at Combined Military Hospital Landi Kotal Cantt, from March 1 to April 30, 2020. The participants’ perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low, but increased after completing it (P<0.05). They felt confident and were significantly more willing to care for patients with COVID-19 or other infections requiring strict isolation. Simulation-based training is an effective tool to improve perceptions of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.
RESUMO
To determine the frequency of various factors of delayed arrival of patients with acute MI to the hospital. Descriptive. Armed Forces Institute of Cardiology/ National Institute of Heart Disease [AFIC/ NIHD], Rawalpindi, from October 2006 to January 2007. one hundred patients with acute MI were interviewed for information about the time of onset of symptoms and past medical history. The demographic data and the time of arrival to Emergency Room [ER] were noted from the hospital records. The nature of symptoms and the subsequent events up to the arrival at the ER of AFIC/ NIHD were inquired about and the cause of delayed arrival determined. All the data obtained was analyzed using SPSS version 10.0. Misinterpretation of symptoms was the chief factor for delayed hospital arrival [49%] followed by consulting a local medical practitioner [25%], living in an area far away from any hospital [10%], waiting for the symptoms to subside with treatment at home [8%], lack of transport [4%] and having no attendant to bring the patient to the hospital [4%]. Lack of awareness of ischemic symptoms, wasting time by going to local clinics and logistic difficulties are the chief factors causing delayed hospital arrival in patients of acute MI