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Showing results for tags 'Developing countries'.
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Content ArticleIn fragile, conflict-affected and vulnerable settings there is an urgent need for action on quality of healthcare, given the significant health needs of the populations in these environments and the increasing numbers of people for whom such settings are home.
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- Humanitarian assistance
- Low income countries
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Content ArticleEvidence on heterogeneity in outcomes of surgical quality interventions in low-income and middle-income countries is limited. Alidina et al. explored the factors driving performance in the Safe Surgery 2020 intervention in Tanzania’s Lake Zone to distil implementation lessons for low-resource settings. They found that performance experiences of higher and lower performers differed on the following themes: (1) preintervention context, (2) engagement with Safe Surgery 2020 interventions, (3) teamwork and communication orientation, (4) collective learning orientation, (5) role of leadership, and (6) perceived impact of Safe Surgery 2020 and beyond. Higher performers had a culture of teamwork which helped them capitalise on Safe Surgery 2020 to improve surgical ecosystems holistically on safety practices, teamwork and communication. Lower performers prioritised overhauling safety practices and began considering organisational cultural changes much later. Thus, while also improving, lower performers prioritised different goals and trailed higher performers on the change continuum. The authors conclude that future interventions should be tailored to facility context and invest in strengthening teamwork, communication and collective learning and facilitate leadership engagement to build a receptive climate for successful implementation of safe surgery interventions.
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- Surgery - General
- Quality improvement
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Content ArticleImproving patient safety during anesthesia and surgery is a major public health issue, with safety standards varying from country to country. Anesthesia safety is often hampered by complex problems in low income countries. This survey assesses the unmet anesthesia needs in Ethiopia. The author concludes that anesthesia safety in Ethiopia appears challenged by substandard continuous medical education and continuous professional development practice, and limited availability of some essential equipment and medications. The study states that while patient monitoring and anesthesia conduct are relatively good, World Health Organization surgical safety checklist application and postoperative pain management are very low, affecting the delivery of safe anesthesia conduct.
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- Low income countries
- Developing countries
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Content ArticleThe purpose of this paper from Guows et al. was to introduce a new registry in a developing country by describing the demographics, management and 30-day outcomes of patients undergoing ventral hernia repair in the public and private healthcare sectors of South Africa.Participation in the HIG (SA) registry was low with poor follow up over the first year. Ongoing prospective data capture on the HIG (SA) hernia registry will continue to provide further insights into hernia repair practices in South Africa.
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- Surgery - General
- Africa
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EventuntilPatient safety is a critical global public health issue and is essential if health systems are to advance and achieve universal health coverage (UHC). Every year, an inadmissible number of patients are harmed or die because of unsafe and poor-quality healthcare, exerting a very high global burden especially in low- and middle-income countries (LMICs). Even before the pandemic, 1 in 10 patients in high-income countries were harmed from safety lapses during their hospital care. This number is greater in LMICs where adverse events in healthcare contribute to around 2.6 million hospital deaths each year. With the unprecedented COVID-19 pandemic, patient safety has become an even more crucial area for international cooperation. The United Kingdom of Great Britain and Northern Ireland invites you to join a high-level event on patient safety, co-sponsored by the World Health Organization, to: Illustrate the scale and significant burden of avoidable harm in healthcare globally and its impact on patients, families, healthcare workers, health system finances, communities and societies. Advocate a vision for eliminating avoidable harm in healthcare and demonstrate the need to prioritise patient safety as a global health priority, including by supporting strategic patient safety initiatives. Advocate for all countries to designate patient safety officers responsible for the coordination of patient safety implementation at national and facility levels. Register
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- Patient harmed
- Low income countries
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Content ArticleThis paper, published in HEC Forum, focuses on undergraduate student involvement in short term medical volunteer work in resource poor countries, a practice that has become popular among pre-health professions students. Authors argue that the participation of undergraduate students in global health experiences raises many of the ethical concerns associated with voluntourism and global health experiences for medical students. They propose a framework for guidelines and curricula, argue that universities should be the primary point of delivery even when they are not organising the trips, and recommend that curricula should be developed in light of additional data.
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- Volunteer
- Developing countries
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Content ArticleThis toolkit from the British Medical Association looks at some of the key challenges students may come across when undertaking a medical elective in a developing country. Topics covered include: Staying within your competence Emergency situations Maintaining ethical standards Minimising burdens on the host country.
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Content ArticleThis guidance, from the British Medical Association (BMA), provides doctors and medical students with the key legal and ethical considerations they need to take into account when working in conflicts and emergencies, and signposts to other sources of support and information. This guide is structured around areas known to be challenging, including: Threats to delivering care to appropriate standards, often linked to a shortage of resources. Pressures to transfer the injured, sick or wounded to substandard health facilities. Identifying an acceptable lower limit of quality: at what point do you draw the line?
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- Ethics
- Developing countries
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Content ArticleNurses often express a desire to serve others as a volunteer. They volunteer within their communities and across borders in global settings. While nurses considering participation or serving as a volunteer express altruistic intention, their actions may result in unintended adverse consequences to the host community. The purpose of this position statement is to promote ethically responsible volunteer efforts classified as short-term (six months or less) practice experiences in local and global healthcare and public health.
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Content ArticleThe views of practitioners at the sharp end of health care provision are now recognised as a valuable source of intelligence that can inform efforts to improve patient safety in high-income countries. Yet despite growing policy emphasis on patient safety in low-income countries, little research examines the views of practitioners in these settings. We aimed to give voice to how healthcare workers in two East African hospitals identify and explain the major obstacles to ensuring the safety of patients in their care. This study, published in Globalization and Health, involved in-depth, face to face interviews with healthcare workers in two East African hospitals. Authors conclude that though the impact of resource constraints and weak governance structures are particularly marked in low-income countries, the congruence between accounts of health workers in diverse settings suggest that the origins and solutions to patient safety problems are likely to be similar everywhere and are rooted in human factors, resources, culture and behaviour.
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Content ArticleVery little is known about the actual harm that occurs to patients in developing or transitional countries, although the available evidence suggests that they may have an even higher risk of suffering patient harm. Understanding the magnitude of the problem and the underlying factors represents the first step towards improvement. The World Health Organization (WHO) is making a concerted effort, in different parts of the world, to identify the main issues affecting safe care in developing and transitional countries and to use these data to begin to developing and implementing effective solutions.
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- Developing countries
- Africa
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Content ArticleErrors associated with healthcare and their effects are prevented and mitigated through patient safety interventions. There is wider evidence that substantial public health harm is caused due to poor patient safety in both developed and developing nations. In the past, research in patient safety has largely been associated with developed nations. However, there has been a shift of focus to developing countries in recent years due to the global awareness of the need to enhance patient safety standards for all patients. This article, published in the Journal of The Royal Society of Medicine, aims to discuss the contextual factors associated with patient safety through focusing on developing a systems approach to enhance the quality and safety of care in developing countries.
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Content ArticleThis retrospective medical record review of hospital admissions during 2005 in eight countries aimed to assess the frequency and nature of adverse events to patients in selected hospitals in developing or transitional economies. Authors conclude that unsafe patient care represents a serious and considerable danger to patients in the hospitals that were studied, and hence should be a high priority public health problem.
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Content ArticleSave The Children are further strengthening their policy and regulatory frameworks to assure medical safety, while promoting a culture of learning to minimise medical incidents and maximise patient safety across their programmes. This article discusses why reduction of avoidable harm within healthcare is so important, and why more can be done within the international development sector.
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Content ArticleThe International Standards for a Safe Practice of Anesthesia (ISSPA) were developed on behalf of the World Federation of Societies of Anaesthesiologists and the World Health Organization. It has been recommend as an assessment tool that allows anaesthetic providers in developing countries to assess their compliance and needs. This study from Tao et al. was performed to describe the anaesthesia service in one main public hospital during an 8-month medical mission in Cambodia and evaluate its anaesthetic safety issues according to the ISSPA.
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- Anaesthesia
- Assessment
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