Introduction:Patient safety culture is believed to be the first step toward improvement in quality of health-care delivery which will impact patient satisfaction.Objective:To assess the effect of patient safety culture on patient satisfaction in radiodiagnostic practice.Method:Two validated questionnaires via Hospital Survey on Patient Safety Culture by Agency of Health Research and Quality and patient satisfaction questionnaire by Hays were administered to radiodiagnostic staff and patients who came for diagnostic care, respectively. These questionnaires were based on 5-point Likert scale. Questionnaires on patient safety culture and patient satisfaction were administered to 80 radiology health workers and 376 patients of radiology, respectively. Simple random sampling was used to enlist the participants for patient satisfaction while a population study was carried out to enlist patient safety culture participants. Data were analyzed using SPSS version 17.Results:Response rate for patient safety culture questionnaires was 94.6%, while that of patient satisfaction was 62.8%. Among the survey items of patient safety, teamwork has the highest positive response of 76.5%, while staffing has the least, 30%. Overall patient safety culture was 53.7%. The survey item with highest positive response in patient satisfaction survey was patient-provider relationship (80%), while service cost-effectiveness has the least of 59%. Overall patient satisfaction with radiological services was 72.6%. There is no correlation between patient safety culture and patient satisfaction.Conclusion:Even though there is an excellent level of patient satisfaction in this study, it is not related to the practice of patient safety culture in radiodiagnostic unit.
Although inspection and palpation are traditionally used to classify a goiter, the sensitivity and specificity have been rated poorly. This technique has been shown to be imprecise, with relatively high interobserver variation, when evaluating a low to moderate goiter. 1-3 Evaluation of thyroid volume using sonography was reported to be accurate and precise. 4 It is noninvasive, rapid, inexpensive, and without discomfort to the patient and the examiner. It presents a prompt and cost-efficient means of assessing the thyroid gland for the purposes of monitoring the progress of a clinical condition and treatment outcome. 5,6 The use of portable ultrasound equipment has made the use of sonographic evaluations very feasible, even in remote areas. 7 An ultrasound transducer frequency of 6.5 to 10 MHz is desirable for detailed sonographic textural evaluation and volume assessment of the thyroid gland. 4,7,8 A previous study among a Nigerian population used 3.5-MHz transducers with a stand-off pad and therefore have image quality limitations. 9 793859J DMXXX10.
Background: Accurate pregnancy dating is essential for guiding patients about the option of termination of pregnancy or in analysis of biochemical serum screening test and to ensure adequate management of pregnant women with the intention to reduce maternal morbidity and mortality, especially when considering the best parameter for estimating gestational age, it is important that the structure has little biological variation, and can be measured with high degree of reproducibility. This study was designed to evaluate the use of fetal tibia length as a tool for the estimation of gestational age among the Nigerian population. Materials and Methods: This was a cross-sectional study, which involved 215 pregnant women selected using convenient sampling technique based on the inclusion criteria in a single private diagnostic centre in Port Harcourt. Ultrasound scan was done on each subject and fetal biometric parameters (Biparietal diameter, femur length and tibial length) and gestational age were assessed and documented. Data obtained were analyzed using descriptive and inferential statistics. Results:The majority (n = 12) of the pregnant women had gestational age of 25 weeks. The mean values for BPD, FL and TL of those with 17 th week GA were 36.70±1 0.35, 23.65±0.7 and 22.28±1.42 as the least mean values while the highest mean values were identified in patients that had 41 weeks of GA, which were 95.20±0.00, 79.40±0.00 and 58.00±0.00 for BPD, FL and TL respectively. There were no statistically significance mean differences between BPD (t = 225.17, p = 0.001), FL (t = 100.84, p = 0.001) and TL (t = -33.38, p = 0.001) and the estimated gestational age of 17 weeks. Conclusion:The fetal tibial length (FTL) increases with advancing gestational age in apparently healthy fetus. The FTL can be strongly use as a tool for the prediction of fetal gestational age, where other parameters cannot be evaluated.
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