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2 result(s) for "Elhado, Mohamed Almubarak Omer"
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An exploration of healthcare professionals’ knowledge and perceived barriers about acute oxygen therapy: a survey in a tertiary care hospital, Sudan
Background Oxygen is an essential drug that is commonly used in clinical practice, and its misadministration can result in severe consequences. This research sought to evaluate the knowledge and perceptions of physicians and nurses regarding acute oxygen therapy and delivery barriers. Methodology This was a cross-sectional hospital-based survey. The study was conducted at Managil Teaching Hospital, Sudan. The study included 159 physicians and 25 nurses who were working at the hospital during the study period. The previously validated acute oxygen therapy questionnaire (AOTQ) was used to assess knowledge and barriers regarding acute oxygen therapy (AOT). The collected data were then analysed via R software. Results A total of 184 medical professionals were included in the survey. The mean age of the study participants was 26 years, and 66.2% of all participants were male. A total of 74% of the physicians were junior physicians. Among the physicians, 15 (9.4%) had good knowledge (score > 80%), 75 (47.2%) had moderate knowledge (score > 60% & less than 80%), and 69 (43.4%) had poor knowledge about acute oxygen therapy (score < 60%). Among the nurses, 2 (8%) had good knowledge, 10 (40%) had moderate knowledge, and 13 (52%) had poor knowledge. Most of them were from medical departments, with 33% from physicians and 40% from nurses. Approximately 64% of the physicians and 68% of the nurses stated that oxygen is not a medication rather than a supportive therapy, and only 13% of the physicians and 28% of the nurses knew that oxygen should be given only after the doctor’s prescription. The availability of oxygen was reported as a barrier by 85% of the physicians and 72% of the nurses. Conclusion A considerable percentage of physicians and nurses exhibited a limited understanding of acute oxygen therapy, demonstrated infrequent adherence to AOT guidelines due to a lack of awareness, and reported germane barriers to delivery that necessitate administrative and educational interventions.
Documentation of Inpatient Medical Records: A Clinical Audit
Background: Effective documentation is essential for ensuring high-quality clinical practice. Medical notes serve as a crucial form of communication among all those who are involved in a patient’s care. Therefore, it is important to have a quality assurance mechanism in place to ensure that medical records comply with established standards.Objective: To evaluate the quality of medical notes writing in different departments of Mangail Teaching Hospital, and to implement some possible solutions to improve the quality of existing medical records and overcome the deficiencies.Methodology: A retrospective, prospective observational audit carried out in Managil Teaching Hospital, we included 108 files in both audit cycles, 54 in each. Sampling was done through a systematic simple random sampling method over a period of one week for every cycle. Data were collected and each file was compared to the Royal College of Physician standards, the collected data were entered into an Excel sheet, cleaned then analyzed using Statistical Package for Social Sciences (SPSS) version 25 using frequency tables test.Results: A total of 108 samples were included. In the 1st cycle only 16.1% of doctors wrote the patient’s occupation, and 14.3% wrote the contact number, regarding the history section only 41.1% documented the patient’s history of presenting complaint. In the 2nd cycle, 74% documented the occupation, 76% wrote the contact number. One hundred percent have documented the patient’s history of presenting complaint. The overall impression was excellent in 0% in the 1st cycle and 55.6% in the 2nd cycle.Conclusion: Documentation practice in our teaching hospital did not meet the standards and the evaluating parameters used in the assessment showed high percentage of poor and unsatisfactory practice during the 1st cycle, however after a series of medical practitioner’s orientation a significant improvement was observed regarding inpatient medical records filling.