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The principles of the safe administration of medication and it's impact on the quality of care.
Sedláková, Dana ; Vaculíková, Barbora (advisor) ; Slanina, Petr (referee)
8 ABSTRACT This thesis discusses the theme: "The principles of the safe administration of medication and it's impact on the quality of care". This work is divided into two sections - theoretical and practical. The main purpose of the theroretical part is to focus on recapping the theories of quality in healthcare, especially in terms of safety for patients during medication administration. The drugs are the most frequently used therapeutic means of the modern medicine and therefore the topic of safe administration is so often the matter of discussion. Theoretical part of my thesis defines quality in healthcare and also includes chapters about methods for improving the quality and standardization of health care. This work presents an effective tools for dealing with misconducts and describes possible reasons and causes of patient's harm during the administration processes. The practical part of the thesis is dedicated to the content analysis of the selected nursing standards from hospitals within the Czech Republic. The main objective of this thesis is to compare the formal and practical aspects of nursing standards (injection administration) in three different health care facilities with regards to the structural, procedural and results criteria. The results of the content analysis are compared with respect...
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Ethical problems in perioperative care and their impact on patient safety
Wichsová, Jana ; Holmerová, Iva (advisor) ; Munzarová, Marta (referee) ; Fontánová, Anna (referee)
The dissertation examines the ethics of staff in perioperative care. The aim was to analyze the errors that occur during surgery, to determine the participants in perioperative care who commit these mistakes, and to analyze the reasons why these errors occur. The theoretical part deals with the concept of security from different perspectives of patient safety in surgery, and the international guidelines that direct it. The situation in the Czech Republic in terms of care for patient safety in surgery is also described. One chapter deals with the autor's internship in operating rooms in Sweden. Using the results of observations, the empirical part of the dissertation analyzes the actual behaviour of staff in perioperative care during surgery against the binding documents that ensure safe perioperative care. It also sets out the reasons that lead to non-compliance of health and safety regulations in perioperative theatres. In conclusion, I suggest steps that would help to improve the situation. Key words Perioperative care, safety, security, pacient pafety, medical ethics, nursing ethics
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Nursing documentation of anesthetist nurses
Prošková, Lenka ; Di Cara, Veronika (advisor) ; Chvojková, Kateřina (referee)
Nursing documentation of anesthetic nurses is not an common type of documentation in our country. In some workplaces, the medical record of anesthesia is supplemented with data needed to identify the nursing care provided. Therefore, nurses do not have their own nursing documentation at these workplaces, but they record the data in the documentation with the doctor, or continue the records on the decree sheet. Each medical facility in our country has its own system of health documentation, which makes a logical, continuous unit. The aim of my research was to find satisfaction of the nurses in the examined medical facility with the established system of medical documentation, more precisely anesthetic nursing documentation, which is related (not only) to surgical procedures. Describe how many documents are created in connection with the operation and which of them affect nursing care records. Whether they are clear, readily available, and capture the necessary data for all nurses involved in patient care in the operational fields. The choice for research was a quantitative survey using a questionnaire prepared in writing. Respondents were surgical nurses, ARO, ICU, adult room and anesthetist nurses. Part of the research was the study of existing papers, which fill anesthetist nurses and documents...
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Ethical problems in perioperative care and their impact on patient safety
Wichsová, Jana ; Holmerová, Iva (advisor) ; Munzarová, Marta (referee) ; Fontánová, Anna (referee)
The dissertation examines the ethics of staff in perioperative care. The aim was to analyze the errors that occur during surgery, to determine the participants in perioperative care who commit these mistakes, and to analyze the reasons why these errors occur. The theoretical part deals with the concept of security from different perspectives of patient safety in surgery, and the international guidelines that direct it. The situation in the Czech Republic in terms of care for patient safety in surgery is also described. One chapter deals with the autor's internship in operating rooms in Sweden. Using the results of observations, the empirical part of the dissertation analyzes the actual behaviour of staff in perioperative care during surgery against the binding documents that ensure safe perioperative care. It also sets out the reasons that lead to non-compliance of health and safety regulations in perioperative theatres. In conclusion, I suggest steps that would help to improve the situation. Key words Perioperative care, safety, security, pacient pafety, medical ethics, nursing ethics
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The principles of the safe administration of medication and it's impact on the quality of care.
Sedláková, Dana ; Vaculíková, Barbora (advisor) ; Slanina, Petr (referee)
8 ABSTRACT This thesis discusses the theme: "The principles of the safe administration of medication and it's impact on the quality of care". This work is divided into two sections - theoretical and practical. The main purpose of the theroretical part is to focus on recapping the theories of quality in healthcare, especially in terms of safety for patients during medication administration. The drugs are the most frequently used therapeutic means of the modern medicine and therefore the topic of safe administration is so often the matter of discussion. Theoretical part of my thesis defines quality in healthcare and also includes chapters about methods for improving the quality and standardization of health care. This work presents an effective tools for dealing with misconducts and describes possible reasons and causes of patient's harm during the administration processes. The practical part of the thesis is dedicated to the content analysis of the selected nursing standards from hospitals within the Czech Republic. The main objective of this thesis is to compare the formal and practical aspects of nursing standards (injection administration) in three different health care facilities with regards to the structural, procedural and results criteria. The results of the content analysis are compared with respect...
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Culture safety of medical devices and pacient safety
ŠTĚRBOVÁ, Denisa
The quality issue of provided health care is the topic which is constantly getting more attention. In this area there is always even probably will be always - something to improve. The patients´ safety in healthcare facilities is affected by the so-called culture of safety.The research was conducted in six medical institutions of the South Bohemian Region, though seven were originally planned. However, I was not given the data here, probably due to the long term incapacity of the respondent. The research was focused precisely on the area of care quality and patient safety. A mixed method research (qualitative and quantitative) was deliberately used in this task. The aim was to map the most common causes of adverse events and then, based on the causes, to propose possible arrangements to prevent the occurrence of the causes. For this purpose five research questions were established.The outcomes obtained were processed into tables, plus the graphical representation of some was accompanied. Then, in the "discussion" chapter, the results were compared and analyzed in more detail.
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Specifics of nursing care for patients at risk for fall
ČERVENKOVÁ, Marcela
Patients´ falls not only in home environment but just when they are hospitalized are not pleasant for the hospital medical team, and are much more uncomfortable for the patients themselves. Falls are unintended situations into which the patient gets unintentionally and involuntarily, resulting in a reduced quality of life. In summary, complications arising from falls have an adverse bio-psycho-social impact. As the patients´ falls are considered undesirable events and their frequency is being monitored by many health care facilities, falls belong to indicators of the nursing care quality. Informed health professionals, providing active nursing care, take targeted preventive measures aiming to prevent patients´ falls. The aim of this thesis is to determine the specifics of nursing care for patients at risk for fall and to find out the patients´ at risk of fall views on implemented prevention measures, since the feedback from patients is an important factor for evaluation of this care. This research work is composed by using qualitative research methods. Two research groups were involved in the survey. The first research group consisted of eight nurses working in a standard hospital ward, and a second group consisted of seven patients hospitalized in these wards. The resulting data were processed into summary and categorized tables. The outcomes of the research have confirmed that the patients at risk for fall need a specific nursing care and this care is received positively by those patients. The results of this thesis will be provided to the management of České Budějovice hospital, where the research investigation was carried out, and this can help improve the quality of care provided to hospitalized patients who are at risk for fall.
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Selected safety risks in nursing practice
MIŇHOVÁ, Monika
In the nursing care there are numerous risks that may endanger the patient or damage or worsen his/her health condition. In order to ensure patient?s safety it is necessary to keenly look for ways minimizing such risks. The theoretical part of the bachelor degree thesis focuses on the issue of safety of hospitalized patients, risks of error and undesired events, as well as on potential prevention in this area. The thesis deals in detail with the risks of falls in hospitalized patients. The objective of the research investigation was to evaluace selected safety risks in the nursing practice that may endanger patients during hospitalization and to find out whether nurses observe principles for prevention of falls in patients. Based on the established objectives two working hypotheses were formulated: H1: The highest level of risk is that of nosocomial infection. H2: Nurses observe the principles for prevention of falls in patients. A quantitative research method was used to achieve the objective and to verify the set hypotheses. The data were collected by means of inquiring and observation using the questionnaire and audit techniques. The research group for the questionnaire investigation consisted of nurses working at standard hospital wards, intensive care and after-care departments in the hospital in Tábor (Nemocnice Tábor, a.s.) the research group for the audit called ?Prevention of falls in hospitalized patients? consisted of nurses working at the internal medicine and orthopedic wards in the hospital in Tábor. The evaluation of results of the questionnaire investigation, using the weighted arithmetic mean, indicates that the highest risk from the selected safety risks in nursing practice is that of an accomplished suicide (3,9). This means that the first hypothesis has not been confirmed. On the contrary, the evaluation of the nursing care in respect to falls has confirmed the second hypothesis to the effect that nurses observe the principles for prevention of patients? falls, both at the orthopedic ward, where the overall audit success was 85 %, and at the interior medicine ward, where the overall audit success was 81 %. We wanted to encourage nurses to reflect on the risks in nursing care. The results of the research will be offered to the management of the hospital in Tábor in order to improve safety of the provided care and to reduce the risks that endenger the hospitalized patients.
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