ABSTRACT
Nurses are one of the most important personnel that plays a major role in ensuring safe and high-quality care to the patients. Their attitudes toward patient safety could affect the patient experience in the hospital setting. Contrasting evidence in the previous study on the relationship between duration of working experience with the attitude toward patient safety warranted further exploration in the current pandemic era. The purpose of this study was to determine the perception of attitude towards patient safety and other associated factors. A cross-sectional study was conducted involving nurses from selected teaching hospitals in Klang Valley, Malaysia during the Covid-19 pandemic period. Data was collected using validated online Safety Attitude Questionnaires (SAQ). The target group was nurses in charge of general medical and surgical wards and was conveniently sampled. A total of 152 nurses participated and had working experience of more than 2 years (93.4%). The majority of positive responses were observed in 4 domains which were the teamwork climate, safety climate, job satisfaction, and stress recognition. The highest positive responses were found for the safety climate domain. In terms of negative responses, it was observed to be highest in the preparation of the unit management domain. However, there was no significant association between any domains with age group, gender, or working experience. In conclusion, the perception of the nurses toward patient safety attitude might be influenced by the managerial style, geographical work setting, and different job scopes. The leaders in a healthcare facility or service delivery should consider focusing on a strategy to ensure adequate management support for the medical personnel that might influence their attitude to patient safety culture in the future.Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
ABSTRACT
This paper describes the emerging role of robots in health care and integrated environments with special concerns related to the management and control of the spread of novel coronavirus 2019. The primary use of such robots is to reduce human interaction and ensure cleanliness, fertility, and support in the hospitals and facilities such as isolation. This will lead to a reduction in the life-threatening risk for medical professionals and physicians who have played a significant role in the management of infectious diseases like coronavirus. The purpose of this work is to highlight the importance of medical robots in general and to link their use in the field of medical assistance so that hospital administrators can use the medical robots for different treatment processes. The work involves the design and development of an AUTONOMOUS and IoT CONTROLLED MEDICAL ASSISTANCE ROBOT (AIMED), which is designed as a potential answer for any irresistible ailment, particularly for Coronaviruses Outbreak. AIMED ROBOT is utilized to limit individual to-individual contact and to guarantee cleaning, sanitization and backing in emergency clinics and comparable offices, for example, food and medication conveyance in isolate emergency clinics/offices. Voice communication can also be established between the control room and patient through a wireless network. This data is sent to the doctor and staff using a communication network that helps in monitoring the patient's condition without human interaction. Hand Sanitization, food delivery and waste collection system are also provided in the robot for quarantine zones. This is despite the popularity of telemedicine, which also applies to similar situations. In fact, the recent success of the Korean and Chinese health sectors in gaining effective control of the coronavirus epidemic would not have been possible without the use of state-of-the-art technology. Background(s): In the quick advancement of innovation, there are numerous sorts of robots with different details and capacities. The AIMED Robots are being developed for hospitals to deliver medicines, food and for taking live data from the patient directly. A few issues are confronted in regards to the limitation of explicit places around and inside the clinic because different robots were utilizing landmark recognition. Moreover, the issues faced when the robot is to convey things to any patient from any place should be taken care of. Objective(s): The objective of this work is to highlight the importance of medical robots in general and to link their use in the field of medical assistance so that hospital administrators can use the medical robots for different treatment processes. Method(s): The work involves the design and development of an AUTONOMOUS and IoT CONTROLLED MEDICAL ASSISTANCE ROBOT (AIMED), which is designed as a potential answer for any irresistible ailment particularly for Coronaviruses Outbreak. Result(s): AIMED Robot goes through three testing stages. In the final stage, one complete embedded system is designed by embedding each tested sub-system and then this final embedded system is tested. All the project goals, which were planned as 'Solution to Problem Statement', have been achieved properly. Conclusion(s): This paper provides an overview of the robotics and therapeutic potential of robotics in specific environments with COVID-19 epidemic control. The AIMED robot introduced in this paper is a piece of emergency clinic and care focus computerization framework. Multiple patients are placed for stop-over and doctor's prescription regarding patient health. It can be very useful to counter infectious diseases like SARS, MERS or Covid-19 etc. This work confirms that the introduction of medical robots has significantly increased the safety and quality of health care systems compared to manual systems due to the digitalization of health care.Copyright © 2021 Bentham Science Publishers.
ABSTRACT
Objective: To investigate the policy barriers leading to hindrance in mass immunization of Covid-19 in Pakistan. Study design: A cross-sectional qualitative study was Duration of study: study was conducted from October 2021 to April 2022 Place of study: was conducted on 106 individuals at 4 vaccination centers of Lahore, including Expo center, Pakistan Kidney and Liver Institute and research center (PKLI), Lahore Developmental Authority (LDA) sports complex, Railway dispensary Model Town. Methodology: It covered interviews, focus group discussions and filling in of semi- structured questionnaires from the general public visiting the vaccination center. Individual interviews of hospital administrators and focused group interviews of general public visiting various hospitals of Lahore, including Jinnah Hospital, Services hospital, Lady Wallington hospital and University of Lahore Teaching Hospital were also included in this study. The data obtained was transcribed and analyzed by using SPSS software version 21. The theme we chose was Politically Informed Views and the subthemes were common hurdles, common myths, different vaccine brands, lack of awareness and conspiracy theories. Result(s): The results were significant (p<0.05) with the levels of different variables as: Common hurdles 41%;Common myth 25%;Religious Aspects 17%;Different brands 7% ;Lack of awareness 10% respectively. Each variable showed a remarkable difference from considered standard SOPs. Conclusion(s): To increase the vaccination drive, proper implementation of the already established government policies, with better surveillance and monitoring of the vaccine centers is required. Awareness among the general population should also be increased to debunk myths and motivate them. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.
ABSTRACT
The editorial board of 'Tijdschrift voor Geneeskunde en Gezondheidszorg' collected a series of opinion papers from a diversity of health care workers in Flanders (Belgium): family doctors and specialists, nurses, pharmacists, students, hospital administrators, health insurance companies, patient organizations and governmental institutions. This combined information allows identifying the weaknesses in the current Belgian health care system, towards translation into opportunities for optimization in the future. The most striking messages are: the prevention of the dehumanization of care for both patients and health care workers, an urgent extension of the network for mental health care, the implementation and integration of digital media and remote care, and the canalization of clinical information and instructions, governed by strong and decisive leadership. The uniformity of these messages, voiced from different angles of the Belgian health care system in the aftermath of the pandemic, makes a strong document of these combined opinion papers, a document that can be considered the clinical manifest of the health care worker in Flanders. Copyright © 2022 The authors.
ABSTRACT
INTRODUCTION: The U.S. healthcare system remains vulnerable to crisis and troubled by resource inequities. Uneven distribution and scarcity of critical care (CC) clinicians is one example: COVID19 overwhelmed many hospitals with critically ill patients forcing some clinicians to provide care beyond their normal scope of practice and level of comfort. METHODS: The National Emergency Tele-Critical Care Network (NETCCN) was developed to address this problem by providing on-demand access to CC experts. NETCCN was funded by the Coronavirus, Aid, Relief, and Economic Security (CARES) Act;as a collaboration between the U.S. Army's Telemedicine and Advanced Technology Research Center (TATRC), the Department of Health and Human Services Assistant Secretary for Preparedness and Response (HHS ASPR), and the Society of Critical Care Medicine (SCCM). NETCCN focused on rapid development and deployment of technology platforms that were simple and user-friendly, cyber-secure, and HIPAA compliant, and only required a cellular connected mobile device. This federally funded resource allowed local non-CC caregivers to consult with CC experts. RESULTS: NETCCN has deployed to six states/territories, eight hospitals and cared for hundreds of patients in locations unfamiliar with managing critically-ill patients. While limited in scope, the NETCCN experience highlights key challenges and successes to address or sustain moving forward. Fear commonly prevented wider acceptance and use of NETCCN support. Clinicians fear judgment when asking questions;hospital administrators fear violating laws or disrupting “normal” practice patterns;and provider groups fear loss of market share. Despite laws that permit expedience during disaster conditions, major policy barriers, particularly local credentialing and privileging processes, hinder the use of tele-CC consultation solutions. Finally, lack of consistent federal, state, and local telehealth policies, especially for in-patient and e-consult services, caused confusion and prevented wider deployment of NETCCN. CONCLUSIONS: A federal capability that provides telemedicine support to hospitals or communities in crisis as part of a disaster response system is feasible, but policy barriers and cultural expectations impede rapid adoption.