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Ward clerk

Yassar Alamri
AIM: Children who are admitted with acute orthopaedic problems are often fit and healthy. The house officer (ie, intern) is required to carry out the formal clerking/admission of inpatients. However, they are often also busy with sick ward patients, which leads to delays in formal clerking of these children until after they have been to the operating theatre (OT). The aim of this study was to assess what information, if any, is missed in children who were seen by a house officer prior to going to OT, compared to those who were not...
April 7, 2017: New Zealand Medical Journal
Ling-Yu Yang, Chia-Chang Huang, Hui-Chi Hsu, Ying-Ying Yang, Ching-Chi Chang, Chiao-Lin Chuang, Wei-Shin Lee, Jen-Feng Liang, Hao Min Cheng, Chin-Chou Huang, Fa-Yauh Lee, Shung-Tai Ho, Ralph Kirby
BACKGROUND: Clerkship provides a unique way of transferring the knowledge and skills gathered during medical school's curriculum into real-ward clinical care environment. The annual program evaluation has indicated that the training of clerks in diagnostic and clinical reasoning skills needed to be enhanced. Recently, "clinical excellence" program have been promoted in our institution to augment the excellence in clinical care of new clerks. Current study aims to evaluate whether this pilot program improve the "clinical excellence" of new clerks...
January 6, 2017: BMC Medical Education
Maggie Kennedy
Ward clerks are essential members of the healthcare team, providing administrative and organizational support to acute care units and clinics. This role influences such matters as nurses' direct patient-care time, timeliness of patient discharges, and patient safety. To support ward clerks in the varying responsibilities and complex scope of this role, a formal orientation and ongoing education program is imperative. Whereas corporate orientation informs new employees of overall organizational processes, a ward clerk-specific workplace education program prepares individuals for the demands of the position, ultimately supporting the healthcare team and patient safety...
July 2016: Hospital Topics
Amar Bhat, Maryam Asghar, Gagandeep Raulia, Amit Keiran John Mandal
Each year in the UK, it is estimated that more than 100,000 people are admitted to hospital with sepsis and around 37,000 people will die as a result of the condition. We present an audit, re-audit and the implications these have had on the management of severe sepsis using the Sepsis Six, ultimately through actively promoting teamwork to initiate the protocol. This led to a significant improvement in management, decreasing admissions to the intensive care unit (ITU), length of stay in hospital and the number of patient deaths...
December 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
Byung-Kwang Yoo, Minchul Kim, Tzu-Chun Lin, Tomoko Sasaki, Debbie Ward, Joanne Spetz
BACKGROUND: The proportion of registered nurses (RNs) with employment in health-related positions before their initial RN education has increased in the past two decades. Previous research found that prior health-related employment is positively associated with RN workforce supply, potentially due to the wage differences based on different career paths. This study's objective is to test the hypotheses that prior health-related employment is associated with differences in starting wages and with different rates of wage growth for experience as an RN...
August 19, 2016: BMC Health Services Research
Jonathan Kentley, Amy Fox, Sophia Taylor, Yahya Hassan, Alicja Filipek
At our institution, a large tertiary referral centre for vascular surgery, patients are often admitted directly to the ward and clerked by foundation year one (FY1) doctors. We found that these clerkings frequently fell short of national record keeping standards, potentially leading to an increased risk for patients during their hospital stay. In addition, we found that junior doctors did not feel confident in clerking vascular surgery patients. A literature review found that high quality clerkings were strongly linked to improved patient safety, and that the use of a pro forma was one method to improve compliance with documentation guidelines...
2016: BMJ Quality Improvement Reports
Trevor Duke, Edilson Yano, Adrian Hutchinson, Ilomo Hwaihwanje, Jimmy Aipit, Mathias Tovilu, Tarcisius Uluk, Theresia Rongap, Beryl Vetuna, William Lagani, James Amini
Although the WHO recommends all countries use International Classification of Diseases (ICD)-10 coding for reporting health data, accurate health facility data are rarely available in developing or low and middle income countries. Compliance with ICD-10 is extremely resource intensive, and the lack of real data seriously undermines evidence-based approaches to improving quality of care and to clinical and public health programme management. We developed a simple tool for the collection of accurate admission and outcome data and implemented it in 16 provincial hospitals in Papua New Guinea over 6 years...
April 2016: Archives of Disease in Childhood
Jasmine Ehsanullah, Umar Ahmad, Kohmal Solanki, Justin Healy, Naim Kadoglou
Admissions records are essential in communicating key information regarding unwell patients and at handover of care. We designed, implemented and evaluated the impact of a standardised surgical clerking proforma on documentation and clinician acceptability in comparison to freehand clerking. A clerking proforma was implemented for all acute general surgical admissions. Documentation was assessed according to 32 criteria based on the Royal College of Surgeons of England guidelines, for admissions before (n = 72) and after (n = 96) implementation...
March 2015: Annals of Medicine and Surgery
Emily Suzanne Cohen, Greg Ogrinc, Tom Taylor, Christine Brown, James Geiling
BACKGROUND: Influenza vaccination is the most effective method for preventing influenza virus infection. Adult hospitalised patients form a particularly high-risk group for severe influenza given their advanced age and comorbidities. We sought to improve the influenza vaccination rates of hospitalised patients at the White River Junction Veterans Affairs Medical Center. METHODS: The improvement effort started in 2007 when our baseline vaccination rate was about 60%...
March 2015: BMJ Quality & Safety
Chun-Yip Hon, Kay Teschke, Hui Shen, Paul A Demers, Scott Venners
PURPOSE: The purpose of this study was to quantify the urine concentration of non-metabolized cyclophosphamide (CP), a commonly administered antineoplastic drug, among potentially exposed Canadian healthcare workers and to identify factors associated with the drug concentration levels. METHODS: Participants were asked to provide two sets of 24-h urine samples (at two different sampling events), and the level of CP was quantified using high-performance liquid chromatography-tandem mass spectrometry...
October 2015: International Archives of Occupational and Environmental Health
Hanna Suominen, Maree Johnson, Liyuan Zhou, Paula Sanchez, Raul Sirel, Jim Basilakis, Leif Hanlen, Dominique Estival, Linda Dawson, Barbara Kelly
OBJECTIVE: We study the use of speech recognition and information extraction to generate drafts of Australian nursing-handover documents. METHODS: Speech recognition correctness and clinicians' preferences were evaluated using 15 recorder-microphone combinations, six documents, three speakers, Dragon Medical 11, and five survey/interview participants. Information extraction correctness evaluation used 260 documents, six-class classification for each word, two annotators, and the CRF++ conditional random field toolkit...
April 2015: Journal of the American Medical Informatics Association: JAMIA
Ahmad Almaiman, Salwa Bahkali, Ahlam Bahkali, Sarah Almaiman, Ashraf Elmetwally, Mowafa Househ
The purpose of this exploratory study is to provide an overview of the electronic dental records (EDR) systems used at National Guard Health Affair (NGHA) hospitals in the Kingdom of Saudi Arabia (KSA). Different sources of data were collected between February 18 and March 16, 2014. Sources of data included interviews with key informants. Key informants interviews included one 30 minute interview with an information technology specialist working at NGHA; seven 30-40 minute interview with dentists working in both the NGHA hospital and affiliated NGHA Primary Healthcare Clinics (PHCs)...
2014: Studies in Health Technology and Informatics
Yoko Nagata, Minako Urakawa, Noriko Kobayashi, Seiya Kato
BACKGROUND AND OBJECTIVE: A directly observed treatment short course (DOTS) trial was launched in Japan in the late 1990s and targeted patients with social depression at urban areas. Based on these findings, the Ministry of Health, Labour and Welfare established the Japanese DOTS Strategy in 2003, which is a comprehensive support service ensuring the adherence of tuberculosis patients to drug administration. DOTS services are initially provided at the hospital to patients with infectious tuberculosis who are hospitalized according to the Infectious Diseases Control Law...
April 2014: Kekkaku: [Tuberculosis]
Chun-Yip Hon, Kay Teschke, Paul A Demers, Scott Venners
We previously reported that antineoplastic drug contamination is found on various work surfaces situated throughout the hospital medication system (process flow of drug within a facility from initial delivery to waste disposal). The presence of drug residual on surfaces suggests that healthcare workers involved in some capacity with the system may be exposed through dermal contact. The purpose of this paper was to determine the dermal contamination levels of healthcare employees working throughout a hospital and to identify factors that may influence dermal contamination...
July 2014: Annals of Occupational Hygiene
Kurinchi Selvan Gurusamy, Jessica Vaughan, Brian R Davidson
BACKGROUND: Generally, before being operated on, patients will be given informal information by the healthcare providers involved in the care of the patients (doctors, nurses, ward clerks, or healthcare assistants). This information can also be provided formally in different formats including written information, formal lectures, or audio-visual recorded information. OBJECTIVES: To compare the benefits and harms of formal preoperative patient education for patients undergoing laparoscopic cholecystectomy...
2014: Cochrane Database of Systematic Reviews
Andrew Georgiou, Antonia Hordern, Marion Dimigen, Branimir Zogovic, Joanne Callen, Glen Schlaphoff, Johanna I Westbrook
INTRODUCTION: We report on the implementation of a Radiology Notification System (RNS), set up by the medical imaging department of a major Sydney teaching hospital in March 2010. This study aimed to investigate the views of the medical imaging department staff about: (i) the results follow-up problem encountered by the medical imaging department prior to the implementation of the RNS; (ii) what changes occurred following implementation of the RNS; and (iii) suggestions for improving the RNS...
2014: Journal of Medical Imaging and Radiation Oncology
Mostafa Alavi-Moghaddam, Reza Forouzanfar, Shahram Alamdari, Ali Shahrami, Hamid Kariman, Afshin Amini, Shokooh Pourbabaee, Armin Shirvani
BACKGROUND: Patients who receive care in an emergency department (ED), are usually unattended while waiting in queues. OBJECTIVES: This study was done to determine, whether the application of queuing theory analysis might shorten the waiting times of patients admitted to emergency wards. PATIENTS AND METHODS: This was an operational study to use queuing theory analysis in the ED. In the first phase, a field study was conducted to delineate the performance of the ED and enter the data obtained into simulator software...
2012: Archives of Trauma Research
D Johnson-Greene, C M Anderson, K M Adams, H A Buchtel, T Miller, M Dehring
In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital...
June 1996: Journal of Clinical Psychology in Medical Settings
Derek Haaland, Andrew S Day, Anthony Otley
OBJECTIVES: Questionnaires exist to assess inflammatory bowel disease (IBD)-related knowledge of adults. Owing to wording and content concerns, these were believed to be inappropriate for use in pediatric patients. The aim of this study was to develop a questionnaire to assess disease-related knowledge of pediatric patients with IBD and their parents. METHODS: Following a formal process of item generation and reduction, the IBD-Knowledge Inventory Device was developed and pilot tested...
March 2014: Journal of Pediatric Gastroenterology and Nutrition
Rosemary Kelly Sokas, Patricia Cloonan, Barbara I Braun
Concerns about stubbornly persistent high rates both of error-related patient injuries and of occupational injuries among healthcare workers have generated intense exploration of etiologies, interventions, and the role of underlying safety culture. Much of this work has centered on the role of physicians and nurses in health care, and suggests common issues related to safety culture. However, the role of front-line health care workers, such as nursing assistants, ward clerks, environmental service workers, food workers and transportation workers, among others, has not been explored sufficiently...
January 1, 2013: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
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