Vol. 4, Issue 3, May 2017 – June 2017
Munthir Al-ZabinDownload Complete Paper
Abstract: In the modern medicine, there are plenty of evidences to show, those patients who undergo a surgical or invasive procedure are at increased risk of suffering an adverse event. This is not because the surgeons and proceduralists are careless or incompetent; rather it is an issue, because there are many opportunities for things to go wrong because of the many steps involved in surgical procedures with all the perioperative issues.
Why patient’s safety is relevant to surgery and invasive procedures, is a topic which is discussed frequently. In addition, there are the problems caused by surgical site infections, miscommunication and mismanagement, that account for a significant proportion of all health care-associated mistakes, failures and infections as well.
This topic in this evaluation will discuss and review the literature in order to understand how patient safety principles can contribute in optimizing patient care, minimizing medical errors and adverse events associated with invasive procedures. There are many validated guidelines now available to assist the health-care team deliver safe surgical care, minimize the mistakes and to continue the care of the patient after discharge from the hospital.
There may not be many opportunities for all professionals in health care to implement many of these steps to improve surgical outcomes. Nonetheless it can be easily learned and realized, how the health professionals communicate with one another and what techniques are used to make sure that they are operating on the correct person or doing the procedure on the correct body part / site / side with all relevant precautions and devices. The health care providers can also optimize their knowledge and recognize, what can happen when healthcare professionals appear not to follow well-defined protocols and steps, in order to avoid many dangerous mistakes in the health care sectors.
Therefore, surgical safety checklists were initiated and developed to reach the optimal and best implementation and optimization of patient care in all stages of the treatment of the patient in surgical procedures; during hospitalization and after discharge.
Keywords: Patient safety is paramount, To Err Is Human, primum non nocere “first do no harm”, surgical and procedural site infections / errors, adverse events, operation room (OR), communication / miscommunication / coordination / failures, surgical mortality / morbidity meetings, quality assurance, teamwork, surgery checklist, time-in, time-out, briefing, debriefing, hand-offs of patients results, antibiotic prophylaxis (ABP), Electronic medical record (EMR), American Society of Anesthesiologists (ASA), ASA-score, leadership in the OR, World Health Organization (WHO), Electronic Health Record (EHR), Anesthesia Patient Safety Foundation (APSF), Hospital Patient Safety Indicators (PSI). Institute of medicine (IOM), National Health Services (NHS).
Title: Patient Safety from Surgical Perspective: Evaluation and Review of the Literature
Author: Munthir Al-Zabin MD, PhD
International Journal of Novel Research in Life Sciences
Vol. 4, Issue 3, May 2017 – June 2017
J.A. Idoko, P.O. Osang, I. AkaakaseDownload Complete Paper
Abstract: Field trials were conducted during 2014 and 2015 cropping seasons at the teaching and Research farm of the Federal University of Agriculture, Makurdi in Benue State located in the southern guinea Savanna of Nigeria to evaluate the effect of vine cutting length and angle of planting on the growth and yield performance of sweet potato. The experiment was a 3x4 factorial laid out in randomized complete block design with three replications. Three vine lengths of sweet potato ( 20cm, 30cm and 40cm) and four angles of planting [ 45o ( incline) 90o ( vertical) 180o (horizontal) and 360o ( ring)] were used. In both years, result showed that all growth components (vine length, number of leaves, number of branches and fodder weight) and yield components (root girth, root length, salable and unsalable root number and salable and unsalable root weight ) and net yield were significantly (P ≤ 0.05) increased as the length of planting material was increased. The result also showed that root girth, root length, number of salable root, weight of salable root and net yield were significantly (P ≤ 0.05) decreased with increased in angle of planting, whereas unsalable root number and unsalable root weight were significantly (P ≤ 0.05) increased with increased in angle of planting. The ring method of planting produced higher number of leaves, branches, unsalable roots, weight of unsalable roots and fodder weight.Keywords: Angle of planting, growth, yield performance, Guinea Savanna, Sweet potato, vine length.