National surgical, obstetric, anaesthesia and nursing plan, Nigeria

Seyi‐Olajide, Justina O.; Anderson, Jamie E.; Williams, Omolara; Faboya, Omolara; Amedu, Joseph O; Anyanwu, Snc; Bethuel-Kasimu, Abraham; Lawal, Olubunmi Adeola; Lilly-Tariah, O B da; Onajin-Obembe, Bisola; Farmer, Diana L.; Ameh, Emmanuel A.

doi:10.2471/blt.20.280297

“…Comfort care model, as a new type of medical care, has played an important role in various clinical diseases, such as postpartum care of parturients [ 19 ], care of patients with advanced cancer [ 20 ], and perioperative care of various diseases [ 21 , 22 ]. Among them, respiratory department diagnosis and treatment is particularly important for comfort care models due to the wide range of populations faced, especially for children.…”

Section: Discussionmentioning

confidence: 99%

Adoption and Safety Evaluation of Comfortable Nursing by Mobile Internet of Things in Pediatric Outpatient Sedation

Xiao

¹

,

Wu

²

,

Wu

³

et al. 2022

Computational and Mathematical Methods in Medicine

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The aim of study was to explore the application effect and safety of comfortable nursing based on optimized mobile Internet of Things (MIoT) in the clinical sedation and diagnosis of mycoplasma pneumoniae pneumonia (MPP) in children. A total of 70 children with MPP admitted to the respiratory clinic of hospital were randomly selected and divided into a control group (comfortable nursing mode) and an observation group (comfortable nursing mode based on optimized MIoT), with 35 cases in each. The nursing effects and safety were compared between groups. The results showed that the node jitter rate, delivery success rate, and congestion times of the multilayered sensing algorithm were better than those of the mobile relay area segmentation algorithm and the wedge merge-energy hole elimination area segmentation algorithm. The CD-RISC resilience score of the observation group (( 94.72 ± 1.58 ) points), the proportion of children with Frankl-3 and 4 points (90%), and the comfort level (( 95.01 ± 5.68 ) points) were higher than those of the control group (( 64.12 ± 1.62 ) points, (33.33%), and ( 55.23 ± 6.18 ) points) ( P < 0.05 ). After treatment, the proportion of children with HRCT image lesions in the observation group was lower than that in the control group ( P < 0.05 ). After treatment, the FEV1 (( 85.71 ± 5.23 ) % vs. ( 68.26 ± 5.90 ) %) and FEV1/FVC (( 74.22 ± 2.12 ) % vs ( 64.38 ± 2.34 ) %) of the observation group were significantly better than those of the control group ( P < 0.05 ). The results showed that the incidence of adverse reactions in the observation group (14%) was significantly lower than that in the control group (46%) ( P < 0.05 ). MIoT-assisted comfort nursing based on multilayer perception region segmentation algorithm can more effectively relieve the emotions of children in MPP outpatient department during sedation and diagnosis and treatment, improve the therapeutic effect and safety, and is worthy of clinical promotion.

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“…(30) Nigeria is one of few LMICs that have published a national surgical, obstetric, anesthesia, and nursing plan after the World Health Assembly mandated that countries provide essential surgical care and anesthesia as part of their universal health coverage package. (31,32) However, committed investment to bolster pediatric surgical services are still lacking, as funding for pediatric surgery in SSA continues to stall. (33) Installing a pediatric operating room is only one way to increase the surgical capacity, but true progress can only be achieved through a multilateral public health initiative that encompasses infrastructure improvement, workforce expansion, and financial coverage for patients' healthcare (34,35) However, to ensure sustainability in these practices, local governments and Ministries of Health will also need to take steps toward investing in this area.…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Cost-Effectiveness of a Pediatric Operating Room Installation in Sub-Saharan Africa

Yap

¹

,

Halid

²

,

Ukwu

³

et al. 2023

Preprint

0

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The unmet need for pediatric surgery incurs enormous health and economic consequences globally, predominantly shouldered by Sub-Saharan Africa (SSA) where children comprise almost half of the population. Lack of economic impact data on improving pediatric surgical infrastructure in SSA precludes informed allocation of limited resources towards the most cost-effective interventions to bolster global surgery for children. We assessed the cost-effectiveness of installing and maintaining a pediatric operating room in a hospital in Nigeria with a pre-existing pediatric surgical service by constructing a decision tree model of pediatric surgical delivery at this facility over a year, comparing scenarios before and after the installation of two dedicated pediatric operating rooms (ORs), which were funded philanthropically. Health outcomes measured in disability-adjusted life years (DALYs) averted were informed by the hospital’s operative registry and prior literature. A societal perspective included costs incurred by the hospital system, charity, and patients’ families. Costs were annualized and reported in 2021 United States dollars ($). The incremental cost-effectiveness ratios (ICERs) of the annualized OR installation were presented from charity and societal perspectives. One-way and probabilistic sensitivity analyses were performed. We found that the installation and maintenance of two pediatric operating rooms averted 1145 DALYs and cost $155,509 annually. Annualized OR installation cost was $87,728 (56% of the overall cost). The ICER of the OR installation was $152 per DALY averted (95% uncertainty interval [UI] 147-156) from the societal perspective, and $77 per DALY averted (95% UI 75-81) from the charity perspective. These ICERs were well under the cost-effectiveness threshold of the country’s half-GDP per capita in 2020 ($1043) and remained cost-effective in one-way and probabilistic sensitivity analyses. Installation of additional pediatric operating rooms in SSA with pre-existing pediatric surgical capacity is therefore very cost-effective, supporting investment in children’s global surgical infrastructure as an economically sound intervention.

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“…Improving patient safety in Nigeria is crucial. 41 While the motto of the Nigerian Society of Anaesthetists is “Safety First,” the “high-touch, low-tech” monitoring by a vigilant physician anesthesia provider has been the country’s dominant practice. Although multimodal monitors are available in most of the country’s teaching hospitals and many of its private hospitals, many surgical patients in Nigeria are still monitored using only a precordial stethoscope to detect and assess heart rates and breath sounds.…”

Section: Nigeria (Bisola Onajin-obembe Fwacs Phd)mentioning

confidence: 99%

Anesthesia Patient Safety: Next Steps to Improve Worldwide Perioperative Safety by 2030

Warner

¹

,

Arnal

²

,

Cole

³

et al. 2022

Anesthesia &Amp; Analgesia

Self Cite

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Patient safety is a core principle of anesthesia care worldwide. The specialty of anesthesiology has been a leader in medicine for the past half century in pursuing patient safety research and implementing standards of care and systematic improvements in processes of care. Together, these efforts have dramatically reduced patient harm associated with anesthesia. However, improved anesthesia patient safety has not been uniformly obtained worldwide. There are unique differences in patient safety outcomes between countries and regions in the world. These differences are often related to factors such as availability, support, and use of health care resources, trained personnel, patient safety outcome data collection efforts, standards of care, and cultures of safety and teamwork in health care facilities. This article provides insights from national anesthesia society leaders from 13 countries around the world. The countries they represent are diverse geographically and in health care resources. The authors share their countries’ current and future initiatives in anesthesia patient safety. Ten major patient safety issues are common to these countries, with several of these focused on the importance of extending initiatives into the full perioperative as well as intraoperative environments. These issues may be used by anesthesia leaders around the globe to direct collaborative efforts to improve the safety of patients undergoing surgery and anesthesia in the coming decade.

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National surgical, obstetric, anaesthesia and nursing plan, Nigeria

Cited by 29 publications

References 14 publications

Adoption and Safety Evaluation of Comfortable Nursing by Mobile Internet of Things in Pediatric Outpatient Sedation

Adoption and Safety Evaluation of Comfortable Nursing by Mobile Internet of Things in Pediatric Outpatient Sedation

Cost-Effectiveness of a Pediatric Operating Room Installation in Sub-Saharan Africa

Anesthesia Patient Safety: Next Steps to Improve Worldwide Perioperative Safety by 2030

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