We assessed the impact of completion and feedback of discharge summary scorecards on the quality of discharge summaries written by interns in a general medicine service of a tertiary hospital. The scorecards significantly improved summary quality in the first three rotations of the intern year and could be readily adopted by other units as a quality improvement intervention for optimizing clinical handover to primary care providers.
A nova pandemia que se agrava na atualidade coloca em xeque as formas de ocupação do espaço, os padrões de consumo e o próprio modelo de produção e exploração do meio ambiente. Apesar das multivariáveis que envolvem a questão do surgimento da pandemia, o vírus vem se espalhando pelos mercados financeiros da economia global e nos mercados locais. As interações espaciais globais orientadas pelas verticalidades em detrimento das horizontalidades tencionam e desorientam as ordens e desordens que chegam aos lugares, geram incertezas na implementação de políticas públicas de inclusão das camadas mais vulneráveis socialmente diante do espraiamento espacial do novo coronavírus, principalmente em redutos mais isolados como Paraty-RJ, onde se encontram instaladas comunidades tradicionais pesqueiras em lugares de difícil acesso. Em se tratando da chegada do vírus em Paraty, a pandemia já causa pandemônio entre as comunidades costeiras e com o aviltamento nos preços do principal meio de subsistência dessas famílias, o cenário que se apresenta é o de aprofundamento da crise sanitária e social nessas comunidades. O objetivo deste ensaio é discutir a espacialidade da Covid-19 nas comunidades tradicionais caiçaras e pesqueiras de Cajaíba (Paraty) e analisar suas consequências na pesca artesanal e nos modos de vida.
BackgroundBasic concepts of quality assurance (QA) are often applied to hospital pharmacy practice, and among these concepts satisfaction surveys could be a very useful tool in ensuring the proper functioning of the system.PurposeThe purpose of this study was to show how a satisfaction survey properly conducted could be a meaningful source of information to identify gaps and to develop an effective action plan for quality improvement in the hospital pharmacy.Material and methodsA satisfaction survey in the form of a questionnaire was carefully designed by our hospital pharmacists’ team. Pharmacy technicians were also asked for their remarks and proposals. It included close-ended and open-ended questions about medicines and availability of medical devices, quality of reception, staff services and communication between the pharmacy and other departments. The members of the hospital staff attending the pharmacy were given copies of the survey questionnaire to complete anonymously. In total, 85 forms were distributed. Patients were not surveyed since, in our context, they do not receive their treatments directly at the pharmacy. Responses to open-ended questions were used to identify the main expectations.ResultsFifty responses were received and included nine physicians (18%), 29 nurses (58%) and 12 other paramedics. Sixty-four per cent of the participants were globally satisfied with the hospital pharmacy services. The most positive appreciations were about the quality of reception at the pharmacy (36% very satisfied and 40% satisfied) and the pharmacists and pharmacy technicians services (29% very satisfied and 43% satisfied). The main parameters rated negatively were the availability of some medicines and medical devices all over the year (42% moderately satisfied and 28% unsatisfied), the lack of a good traceability system and the inadequacy of the information system. The participants also indicated that the most important area to improve primarily was a real-time communication between the pharmacy and the hospital departments about the availability but also the possibilities of substitution and scientific information on pharmaceutical products.ConclusionThis work demonstrated the interest in using such satisfaction surveys as reliable and robust tools to improve the hospital pharmacy practice.References and/or AcknowledgementsWe would like to thank all the hospital staff who participated in this surveyNo conflict of interest
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