جستجوی مقالات مرتبط با کلیدواژه « transfer » در نشریات گروه « پزشکی »

Clinical hand-off is a key factor in continuity of care and the most vital means of communication between nurses.

Considering the importance of improving the safety of patients this study aims to determine the effect of using the communication model ISBAR on the performance of nurses in the clinical hand-off patients with head or neck trauma in a selected hospital in Tehran.

This semi-experimental study was conducted with two control and intervention groups on 78 nurses working in a selected hospital in Tehran, , during the period of 2022-2023. Nurses were randomly assigned to either the test group (n=39) or the control group (n=39). Prior to the intervention, the researchers recorded the personal information and utilized a researcher-made checklist to assess the nurses’ performance based on the ISBAR model, which included the following five items: Identify, Situation, Background, Assessment, and Recommendation. This assessment was conducted through the researcher’s observational evaluation using the checklist. The test group underwent training on how to use the ISBAR communication model in patients with head or neck trauma, which comprised 5 face-to-face training sessions lasting 90 minutes each. The control group did not receive any intervention from the researchers. Subsequently, the researcher completed the checklist again for both groups.

The initial clinical performance record scores of the nurses in the test and control groups (6.53±5.19 vs 7.11±5.60, P=0.724) showed no statistically significant difference before the intervention. However, following the intervention, the test group demonstrated a significantly higher score (96.27±4.41) compared to the control group (43.12±14.06, P<0.001). Additionally, the overall clinical performance score in the test group increased significantly after the intervention (P<0.001). In contrast, the control group’s average clinical performance post-intervention was significantly higher than
before the intervention (P=0.001).

The implementation of the ISBAR communication model improved nurses’ performance in Clinical Hand-off for head or neck trauma patients. Therefore, integrating communication skills training with other programs to enhance patient safety can elevate nurses’ performance and the quality of care.

In recent years, the widespread spread of the corona virus has had many legal, economic and cultural effects. As for these effects and the emergence of legal challenges arising from this, the current study entitled The approach of criminal law systems to the corona phenomenon as bioterrorism, based on library studies using a descriptive-analytical method and a comparative look at the possibility Measuring the prosecution and punishment of perpetrators of the spread or transmission of the corona virus from the perspective of the penal system of Iran and several other countries, as well as the international penal system.

This research is of theoretical type and the research method is descriptive-analytical and the method of data collection is library and has been done by referring to documents, books and articles.

In order to organize this research, while observing the authenticity of the texts, honesty and fidelity have been observed.

The findings of this study indicate that the corona virus has the potential to be used as a biological agent and as a tool to commit international crimes. In this case, from the perspective of the international criminal justice system, it will be possible to prosecute and punish the perpetrator in accordance with the provisions of the Statute of the International Criminal Court.

In some criminal systems, according to the law, the intentional spread and transmission of the corona virus can be an example of bioterrorism. However, in the Iranian criminal system, according to Article 286 of the Islamic Penal Code (1392), only the issuance of a corona (and not a transfer), on a large scale and with a specific Sunni, can be an example of bioterrorism. This legislative approach in the Iranian judicial system has limited the prosecution and punishment of perpetrators of the spread and transmission of deadly infectious viruses; therefore, at present, these persons can be prosecuted and punished mainly in the form of crimes against persons (according to the case of premeditated murder, unintentional murder and causing unintentional bodily harm.Please cite this article as:Ebrahimi M, Taheri Bojd MA, Chahkandinejad A. The Approach of Criminal Law Systems to the Corona Phenomenon as Bioterrorism. Medical Law Journal. 2022; 16(57): e50.

Trauma patients are the main emergency visitors in need of in-hospital transfer, who are exposed to a wide range of complications. This study was performed to evaluate intra-hospital transportation of trauma patients using a checklist.

This cross-sectional study was performed in AlGhadir Hospital, Abhar, Iran, from 2020 to 2021, on 216 adult trauma patients with triage levels 1, 2 and 3, who needed to be transferred to other wards or required transportation for undergoing diagnostic and therapeutic measures. Evaluations were made before, during, and after the transfer and the results and complications of transportation in these three stages were compared.

In this study, 216 patients with an average age of 18.9 ± 70.3 years were examined. Most of the admitted patients were male (74.1%), with emergency referral (83.3%), and presented following an accident (68.1%). Most transportations were performed for diagnostic purposes (52.3%) and in those with triage level 2 (69.4%). The transfer quality score was calculated to be 93.99% before the transfer, 84.65% during the transfer, and 91.02% after the transfer. Complications were observed in 14.36% of transfers, which included hypotension or hypertension, drop in arterial oxygen pressure, and hypothermia. In addition, most errors had occurred during the transfer and were related to not using monitoring (18.1%), pulse oximetry (17.6%), and not checking peripheral vein line (13.9%). The errors that occurred during the pre-transfer phase included not using pulse oximetry, monitoring, and face mask (1.9%) and those occurring in the post-transfer phase were not controlling Foley and nasogastric catheters (0.5%).

The findings of the study showed that the incidence rate of complications is high, especially during transfer. This can be used in analyzing the causes of errors and planning to increase the safety level of patients. Identification and management of risk factors in the transportation process ensures the safety of patients.

Introduction Purpose:

Covid-19 epidemic emerged with the advent of the new SRAS-CoV-2 coronavirus in December 2019 in China. The risks of Covid-19 have increased due to overcrowding and poor preparedness in prisons, So that many Prisons now reporting high rates of infection and transmission among prisoners. Therefore, considering the importance of the subject, the purpose of this study is to review the transmission and prevention of Covid-19 in prisons.

The present study was a traditional review. Articles were obtained by November 2020 by searching databases of Science Direct, Scopus, Web of Science, PubMed and Google scholar, using keywords such as Covid-19, Prison, Transfer, Prevention and Personal hygiene.

In places such as prisons due to high population density and limited access to health facilities, the risk of infection and transmission of coronavirus is higher. personal hygiene through frequent washing of hands with soap and water or the use of alcoholic disinfectants and the use of face masks are the most important principles of prevention. also, disinfection of the prison environment should be repeated frequently to significantly reduce infectious diseases.

Although it is not entirely possible to maintain social distance to reduce the rate of disease transmission in prisons, overcrowding can be reduced in some situations by more careful planning. Despite the importance of these cases, the most effective way to prevent the spread of this disease in prisons is to reduce the prison population.