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Factors Affecting Pregnancy Complications in Ghana 影响加纳妊娠并发症的因素
Pub Date : 2024-04-23 DOI: 10.36401/jqsh-23-28
Yaw K. Wiafe, Andrews Asamoah, P. Akweongo, Augustine Kumah
The prevalence of maternal mortality continues to be a significant health concern across the world. In Ghana, pregnancy-related complications in the previous 5 years account for 12% of all deaths among women 15 to 49 years. More than half of these deaths were avoidable if early assessment had been done. However, assessment of the pooled prevalence of pregnancy-related complications among pregnant women to inform policy is limited. This study sought to determine the factors contributing to pregnancy complications in Ghana. Methods: Using a systematic sampling technique, a facility-based cross-sectional study was conducted among 415 pregnant women who attended antenatal care (ANC) services at Mamprobi Hospital. Bivariate and multiple logistics regression analyses were conducted to test significant factors determining pregnancy complications. The results of regression analysis are reported in odds ratio. Statistical significance was set at p < 0.05. Results: The mean age of the participants was 31.6 ± 6.6 years. The incidence of pregnancy complications among the pregnant women was 51.8% (95% CI, 0.47–0.56) The incidence of pregnancy complications among the women was significantly determined by age (adjusted odds ratio [AOR], 6.1; CI, 1.19–30.76), record of pregnancy complication (AOR, 2.5; CI, 1.35–4.49), ANC visit (AOR, 6.1; CI, 2.14–17.70), and family history of pregnancy complication (AOR, 3.6; CI, 1.25–10.40). Other significant factors included a record of abortion (AOR, 7.8; CI, 4.21–14.32), knowledge about obstetric danger signs (AOR, 2.4; CI, 1.21–4.88), and experiencing at least one obstetric danger sign during pregnancy (AOR, 6.6; CI, 3.30–13.29). Conclusion: The incidence of pregnancy complications was comparatively high among the women who used ANC services at Mamprobi Hospital. Early initiation of ANC services for pregnant women is an essential tool for addressing some of the challenges of early onset of some pregnancy complications, including anemia in pregnancy and preeclampsia. Midwives and other health workers who engage pregnant women should encourage their clients to initiate ANC visits at an early stage.
孕产妇死亡率仍然是全世界关注的一个重大健康问题。在加纳,15 至 49 岁妇女的所有死亡病例中,有 12% 是在过去 5 年中死于与妊娠有关的并发症。如果及早进行评估,其中一半以上的死亡是可以避免的。然而,对孕妇妊娠相关并发症的总体发病率进行评估,以便为制定政策提供依据的工作十分有限。本研究旨在确定导致加纳妊娠并发症的因素。研究方法采用系统抽样技术,对在 Mamprobi 医院接受产前保健(ANC)服务的 415 名孕妇进行了基于设施的横断面研究。对决定妊娠并发症的重要因素进行了二元和多元物流回归分析。回归分析的结果以几率比来报告。统计显著性以 p < 0.05 为标准。结果参与者的平均年龄为(31.6 ± 6.6)岁。孕妇妊娠并发症的发生率为 51.8% (95% CI, 0.47-0.56) 孕妇妊娠并发症的发生率显著取决于年龄(调整后的几率比 [AOR],6.1;CI,1.19-30.76)、妊娠并发症记录(AOR,2.5;CI,1.35-4.49)、产前检查(AOR,6.1;CI,2.14-17.70)和妊娠并发症家族史(AOR,3.6;CI,1.25-10.40)。其他重要因素包括流产记录(AOR,7.8;CI,4.21-14.32)、对产科危险征兆的了解(AOR,2.4;CI,1.21-4.88)以及孕期至少经历过一次产科危险征兆(AOR,6.6;CI,3.30-13.29)。结论在使用过曼普罗比医院产前保健服务的妇女中,妊娠并发症的发生率相对较高。尽早为孕妇提供产前检查服务是应对某些妊娠并发症(包括妊娠贫血和子痫前期)早期发病挑战的重要手段。助产士和其他为孕妇提供服务的卫生工作者应鼓励她们的客户尽早开始产前检查。
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引用次数: 0
Impact Assessment of Patient Experience Capacity-Building Program Using Kirkpatrick Model for Program Evaluation at a Regional Healthcare System 使用 Kirkpatrick 模型对区域医疗系统的患者体验能力建设项目进行影响评估
Pub Date : 2024-04-23 DOI: 10.36401/jqsh-23-4
Muhammad Hasan Abid, Nada Al Shehri, S. S. Din, Mahmood Mir, Jamal Al Nofeye
The patient experience (PX) is central to improving the quality of healthcare services. We launched a PX capacity- and capability-building program at the Armed Forces Hospitals Taif Region, which is integral to our regional healthcare cluster transformation plans and is an initial step toward developing a culture of improvement in human experience in healthcare. A multidisciplinary PX committee recruited five frontline interprofessional PX heads, one from each of our regional healthcare hospitals. The Kirkpatrick model for program evaluation was used to assess the impact on four key levels: reaction, learning, behavior, and results. A pre-program competency assessment was conducted to evaluate the level of expertise across various PX competencies, and a program curriculum was developed accordingly. Participants underwent an intensive workshop-based PX capacity-building training program. A post-program competency assessment was performed along with a post-program survey. The PX-related activities led by interprofessional frontline PX heads at their respective hospitals’ post-programs were tracked. The impact on the regional PX mean score across various settings, including inpatient, outpatient, and emergency settings, was measured using Press Ganey PX surveys. Our work is reported in accordance with the SQUIRE-EDU guidelines of the EQUATOR network. The PX capacity-building program led to a significant improvement in participants’ expertise across various PX competencies. Significant improvements beyond the strategic targets were observed in the PX mean score in inpatient departments pre-program (83.31) vs. post-program (86.34), with a p-value of < 0.001 across the regional healthcare system. The PX capacity-building program is a first step toward major cultural change amid the healthcare cluster transformation in our regional healthcare system. The Kirkpatrick model helps evaluate the impact of PX capacity- and capability-building training programs comprehensively through an organizational approach. Sustainable improvements in PX over a long period through a capacity-building program alone remain challenging.
患者体验 (PX) 是提高医疗服务质量的核心。我们在塔伊夫地区的武装部队医院启动了一项患者体验能力建设计划,该计划是我们地区医疗保健集群转型计划的组成部分,也是发展改善患者医疗保健体验文化的第一步。 一个多学科 PX 委员会招募了五名一线跨专业 PX 负责人,每个地区医疗保健医院各一名。项目评估采用柯克帕特里克模型,以评估对四个关键层面的影响:反应、学习、行为和结果。计划前进行了能力评估,以评估 PX 各项能力的专业水平,并据此制定了计划课程。学员们参加了以工作坊为基础的 PX 能力建设强化培训项目。项目结束后,还进行了能力评估和项目结束后调查。对跨专业的 PX 一线负责人在各自医院开展的 PX 相关活动进行了跟踪调查。通过 Press Ganey PX 调查,衡量了不同环境(包括住院、门诊和急诊环境)对地区 PX 平均分的影响。我们的工作按照 EQUATOR 网络的 SQUIRE-EDU 指南进行报告。 PX 能力建设项目显著提高了参与者在各种 PX 能力方面的专业知识。在整个地区医疗保健系统中,住院部的 PX 平均得分在计划前(83.31)与计划后(86.34)之间有了显著提高,P 值小于 0.001,超出了战略目标。 PX 能力建设计划是我们地区医疗系统在医疗集群转型过程中迈向重大文化变革的第一步。柯克帕特里克模型有助于通过组织方法全面评估 PX 能力建设培训计划的影响。仅通过能力建设项目来长期持续改进 PX 仍具有挑战性。
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引用次数: 0
Mapping of Health Resources in Lower Manya Krobo Municipality in the Eastern Region of Ghana 加纳东部地区下马尼亚克罗博市卫生资源分布图
Pub Date : 2024-03-18 DOI: 10.36401/jqsh-23-23
Ansoumane Berete, Juliana Enos, Karinkan Berete, Augustine Kumah, G. Acheampong, Aissata Camara
Spatial disparities impact population health and are linked to social and health disparities. Understanding the scope, nature, and trends of regional inequalities can help create policies, strategies, and interventions that affect the morbidity and mortality of various disease control. The variations in the distribution of health facilities have resulted in differences in health outcomes within Ghana’s administrative districts, of which the Lower Manya Krobo Municipality (LMKM) is no exception. The primary objective of this study was to examine the distribution of healthcare resources in the LMKM in the Eastern Region of Ghana. A single case study approach involving all health resources, facilities, and supporting service centers in the LMKM was adopted. All functional health facilities in the municipality during the study were included. The study partly used records of generated coordinates using the global positioning system of other resources and services. The Municipality had 16 health facilities and 29 supporting centers. There were 285 clinical health workers in the municipality. Odumase and Akuse had higher percentages of clinical health personnel. The municipality’s population per single health worker ratio was 13,201:1. Agomanya had the highest number of facilities and support centers. The population per health facility ratio was 15,086 per facility. The study demonstrated disparities in the distribution of health facilities across the municipality. There is a need to ensure that all health resources are allocated to the population size and the health needs of the LMKM.
空间差异影响人口健康,并与社会和健康差异相关联。了解地区不平等的范围、性质和趋势有助于制定政策、战略和干预措施,从而影响各种疾病控制的发病率和死亡率。医疗设施分布的差异导致了加纳行政区域内健康结果的不同,下马尼亚克罗博市(LMKM)也不例外。本研究的主要目的是考察加纳东部地区下马尼亚克罗博市的医疗资源分布情况。 本研究采用单一案例研究方法,涉及 LMKM 市的所有医疗资源、设施和支持服务中心。研究期间,该市的所有功能性医疗设施均被纳入研究范围。研究部分使用了其他资源和服务的全球定位系统生成的坐标记录。 该市共有 16 家医疗机构和 29 家辅助中心。该市共有 285 名临床医护人员。Odumase和Akuse的临床医务人员比例较高。该市的人口与卫生工作者的比例为 13 201:1。阿戈曼亚的医疗设施和支持中心数量最多。每个卫生机构的人口比例为 15 086:1。 研究表明,整个城市的医疗设施分布存在差异。有必要确保所有卫生资源都能根据人口数量和 LMKM 的卫生需求进行分配。
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引用次数: 0
Obstetric Assistant Pharmacist: Innovative Workforce Solution During Surges in Workforce Shortage and Demand 产科助理药剂师:劳动力短缺和需求激增时的创新劳动力解决方案
Pub Date : 2024-03-15 DOI: 10.36401/jqsh-23-43
Nabeelah Mukadam, Michell-Felicia Ferenti, S. Teoh, Monica Banka
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引用次数: 0
Rapid Implementation of the Virtual Clinic Concept in an Oncology Department to Minimize the Exposure of Patients with Cancer to COVID-19 在肿瘤科快速实施虚拟诊所概念,尽量减少癌症患者接触 COVID-19 的机会
Pub Date : 2024-03-15 DOI: 10.36401/jqsh-23-24
N. Almutairi, M. Alkaiyat, Mona Alshami, Thamer Alotaibi, H. Shehata, Mohamad Alharbi, Fawaz Alrabeeah, Giaml Gmati, Abdul-Rahman Jazieh
The global pandemic was an emerging challenge that significantly impacted healthcare systems and the delivery of care. Prompt actions and adaptive techniques, such as the virtual clinic, were implemented to ensure the quality and continuity of the care provided. The aim of this quality improvement project was to ensure the smooth implementation and effectiveness of the virtual clinic during the COVID-19 crisis. A specialized team of multidisciplinary healthcare providers was established to systematically ensure the implementation of the virtual clinic within the Department of Oncology. The team used multiple Plan-Do-Study-Act (PDSA) cycles of the quality improvement model to achieve the final goal and facilitate the transition to the virtual clinic. A total of 29 weekly virtual clinic sessions were conducted, covering various oncology services. From March to December 2020, 81% of the scheduled patients (3888) responded to virtual clinic calls. Physicians initiated 234 unplanned virtual clinic calls to follow up on a patient’s condition. In addition, 916 medications were shipped to patients as needed. A patient satisfaction survey in May 2020 indicated an overall satisfaction rate of 92% with the virtual clinic process. Staff satisfaction was also high (91%), and 88% of the physicians believed that the virtual clinic would continue beyond the pandemic. Implementing the virtual clinic is achievable through following systematic steps and effectively addressing emerging challenges as required. The concept of the virtual clinic was well accepted by patients and staff.
全球大流行是一个新出现的挑战,对医疗保健系统和医疗服务的提供产生了重大影响。为确保医疗服务的质量和连续性,我们采取了迅速行动和适应性技术,如虚拟诊所。本质量改进项目旨在确保虚拟诊所在 COVID-19 危机期间的顺利实施和有效性。 我们成立了一个由多学科医疗服务提供者组成的专业团队,以系统地确保虚拟诊所在肿瘤科的实施。该团队采用质量改进模式的多个 "计划-实施-研究-行动"(PDSA)循环来实现最终目标,并促进向虚拟诊所的过渡。 共开展了 29 次每周虚拟门诊,涵盖各种肿瘤服务。从 2020 年 3 月到 12 月,81% 的预约患者(3888 人)对虚拟门诊电话做出了回应。医生发起了 234 次计划外虚拟诊所呼叫,以跟进患者病情。此外,还根据需要向患者运送了 916 种药物。2020 年 5 月进行的患者满意度调查显示,患者对虚拟诊所流程的总体满意度为 92%。员工的满意度也很高(91%),88% 的医生认为虚拟诊所将在大流行后继续使用。 通过遵循系统性步骤和有效应对新出现的挑战,虚拟诊所是可以实现的。虚拟诊所的概念得到了患者和员工的广泛认可。
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引用次数: 0
Assessment of Healthcare Quality Provided to Children with Malaria in Ghana 加纳疟疾患儿医疗质量评估
Pub Date : 2024-02-28 DOI: 10.36401/jqsh-23-18
Haphsheitu Yahaya, Queen Esther Adeyemo, Priscilla Aboagye-Mensah, Kojo Ahor-Essel, Augustine Kumah
There is a growing concern regarding the quality of care received by patients with malaria. However, the quality of care provided to children under the age of five who have contracted the disease has yet to receive sufficient attention. Accordingly, we evaluated the quality of care provided to children under five diagnosed with malaria at Princess Marie Louis (PML) Children’s Hospital in Accra, Ghana. The objective of this study was to evaluate the quality of care provided to children under 5 years of age diagnosed with malaria through a quantitative approach via a cross-sectional survey. The study randomly selected 74 staff members and 301 parents whose children received malaria treatment at the PML Children’s Hospital. This research encompassed a descriptive statistical summary and regression analysis. Healthcare professionals exhibited a relatively high adherence to standard protocols for malaria management. Patient satisfaction was moderate and lower than the national average. To improve patient satisfaction, an in-depth investigation of innovative and customer-oriented approaches should be conducted.
人们越来越关注疟疾患者所接受的治疗质量。然而,为五岁以下感染疟疾的儿童提供的护理质量尚未得到足够的重视。因此,我们对加纳阿克拉玛丽-路易公主(PML)儿童医院为确诊感染疟疾的五岁以下儿童提供的护理质量进行了评估。 本研究的目的是通过横断面调查,以定量方法评估为确诊患有疟疾的五岁以下儿童提供的护理质量。研究随机抽取了 74 名工作人员和 301 名家长,他们的孩子都在 PML 儿童医院接受了疟疾治疗。这项研究包括描述性统计摘要和回归分析。 医护人员对疟疾治疗标准方案的依从性相对较高。患者满意度一般,低于全国平均水平。 为提高患者满意度,应深入调查以客户为导向的创新方法。
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引用次数: 0
The Nexus of Healthcare Professionals’ Conduct and Curtailing the Utilization of Unskilled Maternity Care 医护人员的行为与减少使用非熟练产妇护理的联系
Pub Date : 2024-02-28 DOI: 10.36401/jqsh-24-3
Yahaya Jafaru
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引用次数: 0
Using Incident Reporting Systems to Improve Patient Safety and Quality of Care 利用事故报告系统改善患者安全和医疗质量
Pub Date : 2024-02-28 DOI: 10.36401/jqsh-23-39
Augustine Kumah, Juliet Zon, Emmanuel Obot, Tarsicius Kumih Yaw, Esther Nketsiah, Shelter Agbeko Bobie
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引用次数: 0
Quality Health Services for Adolescents: Assessing Awareness and Use of Adolescent Sexual Reproductive Health Services in Keta, Ghana 为青少年提供优质保健服务:评估加纳凯塔青少年对性健康和生殖健康服务的认识和使用情况
Pub Date : 2024-02-26 DOI: 10.36401/jqsh-23-19
E. Akakpo, Christoph Sah, Augustine Kumah, Patrick L. Fianu, Dora Asantewaa Oppong, Matilda Mawusi Kodjo
Although adolescents have access to sexual and reproductive health services, they encounter a variety of obstacles, including limited access to safe abortion and contraceptives, early pregnancy and parenthood, and a high occurrence of sexually transmitted infections. This research assessed the awareness and use of adolescent sexual reproductive health services in the Keta Sub-district of Ghana. A cross-sectional study using a quantitative method of analysis and the administration of a structured questionnaire to 350 adolescents between the ages of 14 and 19 in the Keta Sub-district was conducted. Of the 10 services covering adolescent sexual and reproductive health, 75% of participants were aware only of comprehensive sex education. Only 27% were aware of sexually transmitted infection prevention and care services. Awareness was 13% or lower for the remaining eight services. Only 24% had used an adolescent sexual reproductive health service. Awareness of adolescent sexual reproductive health services and their use is low in the Keta Sub-district. To improve access to sexual and reproductive health information, sub-district health services should create school-based satellite clinics for adolescents. Adolescents’ ambassadors should be created to educate peers on adolescent issues, especially sexual and reproductive health.
虽然青少年可以获得性健康和生殖健康服务,但他们也遇到了各种障碍,包括获得安全堕胎和避孕药具的机会有限、早孕和早育以及性传播感染的高发率。本研究评估了加纳凯塔分区青少年对性生殖健康服务的认识和使用情况。 研究采用定量分析方法,对凯塔分区 350 名 14 至 19 岁的青少年进行了结构化问卷调查。 在涵盖青少年性健康和生殖健康的 10 项服务中,75% 的参与者只了解全面性教育。只有 27% 的人了解性传播感染预防和护理服务。其余八项服务的知晓率为 13%或更低。只有 24% 的人使用过青少年性生殖健康服务。 在凯塔分区,青少年对性与生殖健康服务的认知度和使用率都很低。为了让更多人获得性与生殖健康信息,分区卫生服务机构应为青少年建立以学校为基础的卫星诊所。应设立青少年大使,就青少年问题,特别是性健康和生殖健康问题对同龄人进行教育。
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引用次数: 0
A Formulary Management Group Consensus 处方管理小组共识
Pub Date : 2024-02-15 DOI: 10.36401/jqsh-23-26
L. A. Abu Esba, Hind Almodaimegh, Mansoor Ahmed Khan, C. Yousef, H. Al-Abdulkarim, Ali A. Al Aklabi, Mohammed Al Harbi
{"title":"A Formulary Management Group Consensus","authors":"L. A. Abu Esba, Hind Almodaimegh, Mansoor Ahmed Khan, C. Yousef, H. Al-Abdulkarim, Ali A. Al Aklabi, Mohammed Al Harbi","doi":"10.36401/jqsh-23-26","DOIUrl":"https://doi.org/10.36401/jqsh-23-26","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Global journal on quality and safety in healthcare
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