The aim of the study was to evaluate the sensitivity and resource efficiency of a partially automated adverse event (AE) surveillance system for routine patient safety efforts in hospitals with limited resources.Methods: Twenty-eight automated triggers from the hospital information system's clinical and administrative databases identified cases that were then filtered by exclusion criteria per trigger and then reviewed by an interdisciplinary team. The system, developed and implemented using in-house resources, was applied for 45 days of surveillance, for all hospital inpatient admissions (N = 1107). Each trigger was evaluated for its positive predictive value (PPV). Furthermore, the sensitivity of the surveillance system (overall and by AE category) was estimated relative to incidence ranges in the literature. Results:The surveillance system identified a total of 123 AEs among 283 reviewed medical records, yielding an overall PPV of 52%. The tool showed variable levels of sensitivity across and within AE categories when compared with the literature, with a relatively low overall sensitivity estimated between 21% and 44%. Adverse events were detected in 23 of the 36 AE categories defined by an established harm classification system. Furthermore, none of the detected AEs were voluntarily reported. Conclusions:The surveillance system showed variable sensitivity levels across a broad range of AE categories with an acceptable PPV, overcoming certain limitations associated with other harm detection methods. The number of cases captured was substantial, and none had been previously detected or voluntarily reported. For hospitals with limited resources, this methodology provides valuable safety information from which interventions for quality improvement can be formulated.
Introduction: Basic Life Support (BLS) is the rapid detection of cardiac arrest and the initial adequate response to maintain adequate ventilation and circulation. Multiple studies around the world have shown that when used infrequently, BLS skills will deteriorate within 3 to 6 months after training, even though the theoretical knowledge was retained longer. We aim to identify differences in training and knowledge among different physician populations according to their age, specialty, and area of practice and provide areas of improvements. Methods: A multi-center prospective cross-sectional study was conducted in 14 institutions around all areas of Lebanon from January 2017 to December 2019. A structured questionnaire adapted from pretest questionnaire that has been previously used in similar studies was implemented. Data Analysis was performed using the R software version 3.5.1. We used graphical boxplot representation of the data to demonstrate the distribution of our results. Results: 201 responses from randomly chosen physicians were collected. Out of these 201 physicians, ten physicians answered all questions correctly and twelve others only answered two questions correctly. Only 39.80% (80) of physicians achieved “sufficient knowledge” level. Conclusion: This present study highlights the need for BLS course to be implemented and given to all physicians and the importance of a refreshment course to all physicians.
Background: In order to assess the health status of the students in Lebanese Universities, an epidemiological study was conducted in 3 Lebanese universities during the year 2014-2015.Methods: A standard anonymous questionnaire was distributed in 3 universities in Lebanon; questions were related to socio demographic characteristics, hygiene and lifestyle, social and behavioral life, and diseases.Results: We have collected 500 questionnaires, with a majority of females. Health status was perceived to be good or very good by most of the respondents. This was seen in the group with better sleeping hours. Most of the students were normally to extremely attentive to their hygiene, these students were found to be living at their parents’ house, and have been at least once this year for a medical check-up. Female sex and academic year differences were found related for stress perception and emotional reactions.Conclusions: This study presents some results that are fairly consistent with other foreign surveys. More research is needed to better evaluate the health determents of the students in order to recommend adequate preventive measures and consider generalization of the results to all the students in the Lebanese universities.
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