RFP Journal of Hospital Administration

Congenital Heart Diseases (CHD) include the abnormalities of the heart and great vessels that are present at birth. Individuals with CHDs may survive till adulthood. We report a case of sudden cardiac death in a young adult who was suffering from Tetralogy of Fallot (TOF) with Atrial septal defect (Pentalogy of Fallot) -a CHD. He collapsed in the hospital premises and was immediately admitted and treatment ensues, but couldn’t be saved. Autopsy revealed an oval shaped defect in interatrial septa, Right Ventricular hypertrophy, over riding of Aorta and Pulmonary atresia. Coronaries were patent. The authors aim to highlight the need of early diagnosis and timely intervention in such heart diseases. The authors also intend to add to Medical Literature that TOF may be the cause of a sudden death.

Key words: Tetralogy of Fallot, Congenital Heart Disease, Sudden Cardiac Death, Right Ventricular Dysfunction.

Unsafe abortion is critical public health problem and one of the risk factor contributing to maternal deaths. An abortion is labelled as “Unsafe” when it is carried out either by an untrained or unauthorized person lacking the necessary Medical qualifications or in an unhygienic environment that does not conform to minimal medical standards, or both1. The authors report the case of a young adult female, who died due to complication of self-induced unsafe abortion. The authors aim to highlight the risk and fatality associated with unsafe abortion and also the fact that despite so much public awareness programmes female are still being exposed to dangerous abortion methods which leads to life-threatening condition of the woman and even fatality as in this case. The Medical facilities with appropriate equipment, trained staff at a reasonable cost, Post Delivery/Post abortion family planning counselling and awareness about contraceptive use may be helpful and useful in addressing the issue.

Keywords: Self-induced abortion, Unsafe Abortion, MTP Act 1971, MTP (Amendment) Bill 2020.

Focus on patient centred team work is essential in providing quality care through sharing culture of values and principles among the health care professionals. The knowledge, perception and culture of staff need to be understood, assessed and behavioural change is vital in implementing patient safety programme in a hospital.The objective of this study includes the evaluation of knowledge, team work, management support, supervisory skills and event reporting system in the hospital.A Descriptivecross sectional and questionnaire study was conducted on 49 staff members.77.6% opined that procedures are in place for preventing errors.66.66% felt supervisors are supportive and encouraging.57.20% agreed that there is freedom for discussion and decisions. 59.2% informed that the errors are caught and corrected before incident.83.70% agreed that the tangibles are good for work environment.67.40% agreed that patient safety is the highest priority.58.15% informed that information gap during the shift changes. Constant vigilance and monitoring during shift changes to enhance sharing of information. The reporting of errors should be encouraged and fear of punishment be mitigated. The root causes analysis of events at frequent intervals for preventing further.

Key Words: Patient safety, Errors, Incident reporting, Knowledge.

Introduction: Tobacco use in mentally ill patients is comparatively high than the general population. A nurse-managed smoking cessation intervention can increase cessation rates for hospitalized patients. However, many perceived barriers limit their capacity in providing tobacco cessation counseling. Aim: This study aims to assess the nurses’ perceived barriers in tobacco cessation counseling and their ability to tailor the counseling method. Methods: A cross-sectional research design was selected. The sample size was 90 with a response rate of 78 (86.7%).Nurses working in the mental health department in a multi-specialty hospital, Bengaluru, India, were selected by purposive sampling technique. Items for assessing the barriers limiting cessation counseling was extracted from a self-administered “Smoking - Knowledge, Attitudes, and Practices” scale. Frequency and percentage were used for statistical analysis. Results: A majority of the nurses perceived “lack of time”, “lack of training” and “other health problems requiring attention” as a “very important” barriers; “patients not interested”, “patients do not comply”, “lack of impact on patients”, “lack of patient education material”, “lack of community resources to refer patients” and “complexity of smoking cessation guidelines” as “somewhat important” barriers; and “lack of reimbursement” as “only slightly important” barriers limiting the capacity to provide tobacco counseling services. Also, a majority agreed on their ability to tailor cessation counseling according to the patients’ needs. Conclusion: Nurses encounter many barriers of varying importance in providing tobacco cessation counseling. However, they agree with their ability to tailor counseling according to individual needs. The health care system should control the barriers and empower the nurses in implementing tobacco cessation counseling.

Keywords: Perceived barriers; Tobacco cessation; Counseling, Nurses; Ability and Mental illness.