Medical records of emergency caesarean sections in the Gaza Strip: a clinical audit

Abukhalil, Musallam; Böttcher, Bettina; Mehjez, Osama; Alankah, Lutfi; Abuyusuf, Mohammed; Hasan, Salah

doi:10.1016/s0140-6736(18)30351-9

Cited by 4 publications

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“…Simple changes in staff behaviour, such as in infection control practices, have been shown to be achievable and can positively affect patient care 14. But increased awareness of their significance and a culture of such practice has yet to be created 15–17. Some improvements have already been achieved to increase patient safety standards in Palestinian hospitals by efforts introducing the Patient Friendly Initiative to West Bank hospitals 18…”

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confidence: 99%

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

et al. 2019

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ObjectivesThis study examined the attitudes of nurses and doctors to key patient safety concepts, evaluated differences and similarities between professional groups and assessed positive and negative attitudes to identify target areas for future training.SettingFour major governmental hospitals in the Gaza-Strip.ParticipantsA convenience sample of 424 nurses and 150 physicians working for at least 6 months in the study hospitals.Primary and secondary outcome measuresThe primary outcome measures were mean scores with SD as measured for individual items and nine main patient safety domains assessed by the Attitudes to Patient Safety Questionnaire. Secondary outcome measures were the proportions of doctors and nurses, that gave a positive response to each item, represented as percentage of each group.ResultsNurses and doctors held moderately positive attitudes towards patient safety with five out of nine domain scores >3.5 of 5. Doctors showed slightly more positive attitudes than nurses, despite a smaller proportion of doctors having received patient safety training with 37.5% compared with 41.9% of nurses. Both professions displayed their most positive patient safety attitudes in the same domains (‘team functioning’ and ‘working hours as a cause for error’), as well as their two most negative attitudes (‘importance of patient safety in the curriculum’ and ‘professional incompetence as a cause of error’), demonstrating significant deficits in understanding medical errors. A specific challenge will be the negative attitudes of both professions towards patient safety training for wider dissemination of this content in the postgraduate curriculum.ConclusionPatient safety attitudes were moderately positive in both professional groups. Target of future patient safety training should be enhancing the understanding of error in medicine. Any training has to be motivating and relevant for clinicians, demonstrating its importance in ongoing professional learning.

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confidence: 99%

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

et al. 2019

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Infection control measures in neonatal units: implementation of change in the Gaza-Strip

Alrumi

Aghaalkurdi

Habıb

et al. 2019

The Journal of Maternal-Fetal & Neonatal Medicine

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Maternal mortality in the Gaza strip: a look at causes and solutions

Böttcher

Abu-El-Noor

Aldabbour

et al. 2018

BMC Pregnancy Childbirth

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BackgroundMaternal mortality is an important health indicator for the overall health of a population. This study assessed the causes and contributing factors to maternal mortality that occurred in the Gaza-Strip between July 2014 and June 2015.MethodsThis is a retrospective study that used both quantitative and qualitative data. The data were collected from available medical records, investigation reports, death certificates, and field interviews with healthcare professionals as well as families.ResultsA total of 18 maternal mortalities occurred in Gaza between 1st July 2014 and June 30th 2015. Age at time of death ranged from 18 to 44 years, with 44.4% occurring before the age of 35 years. About 22.2% were primiparous, while 55.6% were grand multiparous women. The most common causes of death were sepsis, postpartum haemorrhage, and pulmonary embolism.The most striking deficiency was very poor medical documentation which was observed in 17 cases (94%). In addition, poor communication between doctors and women and their families or among healthcare teams was noticed in nine cases (50%). These were repeatedly described by families during interviews. Further aspects surfacing in many interviews were distrust by families towards clinicians and poor understanding of health conditions by women. Other factors included socioeconomic conditions, poor antenatal attendance and the impact of the 2014 war.Low morale among medical staff was expressed by most interviewed clinicians, as well as the fear of being blamed by families and management in case of adverse events. Substandard care and lack of appropriate supervision were also found in some cases.ConclusionsThis study revealed deficiencies in maternity care, some of which were linked to the socioeconomic situation and the 2014 war. Others show poor implementation of clinical guidelines and lack of professional skills in communication and teamwork. Specialised training should be offered for clinicians in order to improve these aspects. However, the most striking deficiency was the extremely poor documentation, reflecting a lack of awareness among clinicians regarding its importance. Local policymakers should focus on systematic application of quality improvement strategies in order to achieve greater patient safety and further reductions in the maternal mortality rate.

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Medical records of emergency caesarean sections in the Gaza Strip: a clinical audit

Cited by 4 publications

References 0 publications

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: a cross-sectional study

Infection control measures in neonatal units: implementation of change in the Gaza-Strip

Maternal mortality in the Gaza strip: a look at causes and solutions

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