Özel hastane acil bakım kliniklerinde elektronik hekim orderlarının etkinliği ve çıktıları Amaç: Bu çalışmanın amacı acil bakım kliniklerinde elektronik hekim order girişinin etkinliği ve çıktılarını değerlendirmektir. Yöntem: Bu araştırmaya İstanbul'da hizmet veren 24 özel hastanenin acil bakım kliniklerinde çalışan 24 hekim ve 24 hemşire katıldı. Veriler elektronik hekim order girişinin etkinliği ve çıktılarına odaklanmış soruları içeren bir anket formu ile toplandı. Formda yer alan maddeler beşli likert ölçeği ile değerlendirildi. Bulgular: Hekim ve hemşirelerin, Etkinlik boyutuna ilişkin, "ilaç listesine ulaşım", "ilaç dozları ve reçeteler", "ilaç etkileşim uyarıları", "daha hızlı reçeteleme", "reçeteleme hatalarının azaltılması", "diğer sağlık çalışanları ile etkin iletişim kurulabilmesi", "kolay çalışabilme", "kolay yönetebilme", ve "zamandan tasarruf sağlanması" maddelerinden aldıkları puanlar benzerdir (p>0.05). "Reçeteleme için daha iyi yaklaşımdır" ifadesine verilen puan hekimlerde hemşirelere göre daha yüksek olduğu belirlendi (p=0.038). Ayrıca, hekim ve hemşirelerin Çıktı boyutuna ilişkin, "hasta güvenliğini sağlama", "verinin güvenilirliğini ve okunabilirliğinin artması" maddelerinden aldıkları puanların aynı olduğu görüldü (p>0.05). Sonuç: Elektronik hekim order giriş sistemi acil bakım kliniklerinde hekim ve hemşireler tarafından etkin bir şekilde kullanılmaktadır. Sistemin reçeteleme için daha iyi bir yaklaşım sağlaması hekimler için önemli bir faktördür. Acil bakım kliniklerinde, bu sistemin kullanımı hasta güvenliği ve sağlık hizmeti kalitesini artırmıştır. Anahtar sözcükler: Elektronik hekim order girişi, hekim, hemşireler, acil bakım kliniği ABS TRACTThe effectiveness and outcomes of computerized provider order entry in emergency care department of private hospitals Objective: The aim of the study was to compare the effectiveness and outcomes of computerized provider order entry (CPOE) between physicians and nurses in emergency care (EC) services. Methods: In this study, 24 physician and 24 nurses working as fulltime in EC services of private hospitals (n=24) were selected in Istanbul, Turkey. Data were collected by a multi-item questionnaire focused on effectiveness and outcomes of CPOE usage. Items were coded by 5-point Likert scale and compared among them. Results: No significant difference was found in score (OF) item effectiveness regarding "accessing list of medication", "dosages and prescriptions" "alerting drug interaction", "faster prescription" "reducing prescribing error", "providing effective communication with staffs", "easy working" and "easy managing", "allowing decision making" and saving time" between physician and nurses (p>0.05). However, significant difference was seen in score of "being better approach for prescribing" between physician and nurses (p=0.038). Almost similar scores were seen in items of outcomes regarding "achieving patient safety" and "increasing reliability and legibility of data" (p>0.05). Conclusions: Consequently, CPOE system was used effectively by phy...
Aim The aim of the study was to evaluate the relationship between dental service utilization and oral health-related quality of life status in preschool children. Materials and methods In this cross-sectional study, 165 five-year-old preschool children (F/M: 77/88) were included. Data were collected by clinical examinations, a questionnaire regarding oral health-related factors, and early childhood oral health impact scale (ECOHIS) for oral health-related quality of life. Results In emergency visits, the ratios of having dental pain, dental sensitivity, tooth decay, tooth loss were higher than the others (p < 0.05). Moreover, ECOHIS-Total, ECOHIS-Child, and ECOHIS-Family scores were higher in children with poor oral health status compared with good ones (p < 0.05). Conclusion Early childhood oral health impact scale score related with oral health status could be used to evaluate priority for emergencies in this age group. How to cite this article Sisman N, Bora N, Catar RO, Karacayli U, Cimilli H, Koksal L, Oktay I, Mumcu G. Utilization of Dental Service and Quality of Life in Preschool Children. Int J Experiment Dent Sci 2016;5(1):16-22.
The aim of this study was to determine the attitudes and practices of health workers working in Family Health Centers in Mardin regarding the intimate partner violence against women. This study was carried out with doctors, nurses, midwives and health officials working at Family Health Centers in Mardin. The study was conducted with 307 health workers. In this study, socio-demographic questionnaire and Health Care Provider Survey of Intimate Partner Violence (IPV) Attitudes and Practice were used as a data collection tools. The data was analyzed in the SPSS 20 statistics programme. As a result of the study, it was found that the adequacy level of the attitudes and practices of health workers regarding the intimate partner violence against women was low throughout the study. A statistically significant difference was found between the attitudes and practices of health workers regarding the intimate partner violence against women and occupational, gender, education status, workplace, reporting of violence to the police and the social services (p <0.05). It has been determined that health workers are concerned about their own safety and think about possible legal consequences when questioning the violence against women. As a conclusion health workers should be informed and supported with effective trainings on violence against women.
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