Background: The initiative of developing safety to assure patients' safe from harm have become central concerns in quality improvement in the healthcare system. Developing and maintaining safety is a principal aspiration of the current patient safety movement, and sustaining a strong safety culture is seen as imperative to the delivery of safe, high quality and cost-effective patient care. Aim of the study: The aim of this study is to assess the nurse's awareness regarding patient safety culture at Mansoura University Hospital. Subjects and Methods: A descriptive comparative design was utilized to attain the aim of the present study. The study sample composed of 102 staff nurse. Data was collected by using the hospital survey of patient safety culture (HSPSC) questionnaire (Aboshaiqah, 2010). Results: more than half of the nurses under study have unawareness of the patient safety culture. There were no statistically significant differences between the awareness of nurses working in medical units and nurses working in surgical units regarding to patient safety culture in all sub dimensions. The majority of the nurses under study did not report the safety events "errors" in their work areas. Number of events written in the last 6 months was very low. Recommendation: It is recommended that Policy makers and leaders should develop acceptable standards for patient safety system. This can be achieved through initiated and supported an effective safety culture assessment among all working nurses, Staff development programs are needed for all nurses to understand the values, beliefs, and norms about what is important in an organization and what attitudes and behaviors related to patient safety are expected and appropriate for achieving a culture of safety.
Heavy metals poisoning of soil and water has resulted from industrial expansion in Lahore, Pakistan, creating a significant environmental hazard. As a result, monitoring the contamination of soil and water around industrial sites is critical. The fact that higher concentrations of heavy metals have a negative influence on both plants and human life and this cannot be ignored. Higher heavy metal concentrations have a direct impact on human health due to their presence in drinking water. Consumable plants and vegetables cultivated in these polluted areas may collect higher concentrations of heavy metals from soil and water via the phytoremediation process. Its worth mentioning that the accumulation of toxic metals in edible plants and vegetables also has a direct negative impact on human and animal health. The purpose of this study is to find the heavy metals concentration in the soil and ground water in the Lahore area. Five industrial zones were evaluated for water and soil throughout the research period of December 2021 to January 2022 (pre-monsoon). pH and heavy metals content measurements were performed on the collected soil and water samples. We discovered that the water had a higher pH and that the soil was heavily contaminated with significantly higher concentrations of toxic heavy metals. According to the research, there is a gangrenous influence of pollution caused by industrial waste and the surrounding environment on soil and water resources, which affects living creatures. Keywords: Environmental Pollution, Heavy Metal, Pollution, Water pollution, Soil pollution
Adverse incidents are a global issue and constitute the leading cause of death, although many are preventable. Patient safety is a significant challenge faced by healthcare professionals in hospitals. It is an essential element of high-quality care, which can negatively cause a deficiency in reporting clinical incidents. Healthcare professionals report only 1-3% of clinical incidents. Aim: This study investigated healthcare providers' awareness of occurrence variance reports and their magnitude at accredited versus non-accredited hospitals. Material and methods: A cross-sectional descriptive design was used. Three hundred seventy-three healthcare providers participated in the study (232 staff nurses, 96 physicians, and 45 pharmacists). They were recruited using a convenience sample from two universal health insurance hospitals in Port-Said, Egypt. Data collection tools: The Occurrence Variance Report (OVR) awareness questionnaire and OVR (paper-based forms) were used to report incidents in the two hospitals, with 522 from the accredited hospital and 258 from the non-accredited hospital. Results: It pointed out that healthcare providers in the accredited hospital had the highest awareness mean score of occurrence variance report (224.53) compared to non-accredited hospitals (153.47). Also, the accredited hospital had a higher frequency of all occurrence variance report classifications than a non-accredited hospital, with near misses being the most common (170) than other types, followed by sentinel events (148), major events (109), and occurrences (95). Conclusion: The total score of awareness dimensions and the total score of OVR frequency reported by all healthcare providers in the two hospitals had a moderately significant relationship (r = 0.283 at p = 0.045*). Recommendations: Implement policies that organize safe cultural behaviors, such as writing occurrence variance reports and holding frequent training sessions on the importance of incident reporting. Furthermore, more research is suggested to identify factors and barriers influencing the OVR system.
Objective: This study aimed to evaluate the effectiveness of the universal health insurance project regarding the quality of health care with antenatal care services. Materials and methods: A descriptive comparative study carried out at ten Primary Health Care (PCH) centers affiliated to Port-said and Damietta governorates. Multi-stage sampling probability technique used for selecting these centers, simple random sample of 460 women chosen. Data was collected through two tools; women's satisfaction questionnaire, and Support Tool for Improving Quality of Antenatal Care. Results: the study results revealed that 69.1% of women were unsatisfied with the antenatal care services and available resources provided by the traditional insurance. On the other hand, 79.1% of women receiving universal health insurance were satisfied with the services provided. Conclusion: level of satisfaction was higher among women using universal health insurance regarding the recent health care services, cleanness, arrangement of medical facilities, availability of resources and criteria of service. Keywords: Antenatal care, Satisfaction, Quality measures, Universal Health Insurance System.
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