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   Table of Contents - Current issue
July-December 2020
Volume 2 | Issue 2
Page Nos. 27-52

Online since Thursday, April 14, 2022

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Case study: Optimal utilization of mechanical ventilator at tertiary care hospital during COVID-19 pandemic p. 27
Deepak Venkatesh Agarkhed, Anand Bandachar Mamdapur, R Madhusudan, Sreekanth Shetty, Bevin D'Silva, Moirangthem BIken Singh
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Mass casualty management of aircraft accident victims during COVID-19 pandemic p. 31
Abraham Mammen, Lallu Joseph, Vijay Agarwal, Nagaraj Chandrasekhar
Background: Quality management system involves organizational structure, procedures, processes, and resources involving multiple stakeholders with different cultural characteristics. For an accredited private corporate hospital, mass casualty combined with multiple stressful situations proves to be a litmus test for the preparedness of the hospital to meet the quality patient care needs during such events. One such tragic incident considered for this article is the aviation accident that occurred during the closing hours of the day on August 7, 2020, involving – Air India Express Flight 1344, a Boeing 737–800 operating an international repatriation flight which crashed on landing at Kozhikode International Airport, Kerala, India. The accident occurred when COVID – 19 pandemic had shaken the entire world including India. During that time, the South-West monsoon had also set in this part of the subcontinent, which added to the recipe of the catastrophic accident. Materials and Methods: Aster DM Healthcare is an emerging healthcare provider in India, with an inherent emphasis on clinical excellence. It provides primary, secondary, tertiary, and quaternary healthcare through our network of 14 hospitals across India. One among them is ASTER Malabar Institute of Medical Sciences Ltd (MIMS) situated in Calicut, Kerala. This is a case study that describes the actual disaster management by ASTER MIMS that received and managed the 47 patients transferred from the accident site. Results: The outcome of this study revealed the leadership-driven robust nature of the quality management system that prevailed in the organization. The leadership had the capacity to harmonize, coordinate, and control each staff member of the hospital to understand their roles and responsibilities through repeated drills and training programs. Some of the measurable outcomes were response time, fast adjustments of duties, low mortality, length of stay, and patient satisfaction. Conclusion: As Avedis Donabedian's description model of quality, good structure leads to good processes, good processes lead to good outcomes, the mass casualty management system of the hospital through the implementation of proper policies, procedures, and practices catered to better patient care and outcomes.
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Evaluation of an ultraviolet light device for disinfection of operation theater in a tertiary care hospital – Preliminary study p. 37
Suneetha Raghu, Amitha P Marla, Roopa Bhandary
Transmission of potential microorganisms from the external environment to patients is one of the growing concerns, especially in operation theaters (OTs) where there is increased contact between patient and care provider's hands and environmental surfaces. Approximately 50% of surfaces are not adequately disinfected during between-case or terminal cleaning, and can harbor pathogenic organisms such as Pseudomonas spp, Acinetobacter spp, and Klebsiella spp. Hence, adequate disinfection of OTs is very essential. Recent advances have shown that ultraviolet (UV) light devices have been shown to decrease OTs' pathogen burden. The research was carried out in an advanced tertiary care hospital; the objective was to study whether UV rays can effectively reduce the burden of pathogenic microorganisms (Clostridium difficile and methicillin-resistant Staphylococcus aureus) and other multidrug-resistant organisms. The study also incorporated to assess whether the UV rays can effectively reduce surgical site infection (SSIs) rates and to know the implication of UV technology usages. Experimental research design was collected primary data. Samples from six operation rooms were collected for quantitative culturing using swabs and thioglycolate broth and Gluco broth culture bottles. The study found that UV disinfection was highly effective in all the six OTs.
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Patient goes online: Consideration of patient safety and quality-related factors in telemedicine p. 41
Avinash Kumar Gupta, Ayushi Tandon, Uma Nambiar
Telemedicine services have existed for a few years for providing remote care, but now due to well-known reasons, its use skyrocketed during the pandemic, playing a critical role in providing care to everyone and preventing health-care systems worldwide from collapsing. The sudden surge in adoption of teleconsultation by all the stakeholders and speeding efforts by the government on the policy, legal aspects, and guidance to the users helped telehealth to grow in the right direction for the benefit of patients as well as the global health-care community. Ensuring patient safety is as important as in any other scenario in health care and to ensure the same; there need to be various factors that must be kept in check in any telemedicine solution implementation. This article covers patient safety in remote health-care technologies in detail for helping decision-makers for choosing the appropriate telemedicine solution for implementation in their workplace with a focus on patient safety aspects.
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