Online ISSN: 2515-8260

Keywords : risk management


A CLINICAL STUDY OF RETAINED DOUBLE-J URETERAL STENTS

Dr. Vinay Kumar Ankam, Dr Naveen P

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5915-5922

Introduction: The increase in the usage of double J (DJ) ureteral stents in the management of a
variety of urinary tract disease processes mandates familiarity with these devices, their
consequences and their potential complications, which at times can be devastating. We
retrospectively reviewed our series with forgotten/retained DJ ureteric stents.
Aim: To study on retained double-j ureteral stents and stent indwelling time of more than 1 year .
Materials and methods: A clinical study in 30 patients presented to out-patient department with
retained DJ stent. All patients with prior history of DJ stenting and stent indwelling time of more
than 1 year were included in study. Results: Patients were in the age ranging from 4 years to 60
years. Out of 30 patients 18 were male and 12 were female. Stent indwelling time of study group
ranged from 1 year to 12 years, the average being 4.9 years. 2 patients with heavy stone burden
in kidney, ureter and bladder developed sepsis in the post-operative period which was managed
with appropriate antibiotics and resuscitative measures. 2 patients with elevated renal parameters
at the time of admission needed renal replacement therapy and died before surgical intervention.
Conclusion: Forgotten/retained stents in children are a source of severe morbidity,
additional/unnecessary hospitalisation and definitely financial strain.

Evaluating the implementation of risk management at hospital

Fathiyah Rahmah; RatnaDwiWulandari .; Setianto B

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 854-859

Risk Management has an important role in identifying risks to reduce patient safety incidents. However, patient safety incidents are still very high. In 2016, there were 36 cases found at one of the hospitals in Surabaya. It means that it has not met zero-incident as the Hospital targets. The purpose of this study was to analyze the implementation of risk management at one of the hospitals in Surabaya. This study was a quantitative research with a cross-sectional research design which collected data at one time. The sampling technique was done withtotal sampling. The study results showed that 18 working units (81.8%) at the Hospital had implemented the risk identification process very well. Afterward, as many as 17 working units (77.3%) carried out an excellent risk analysis at the Hospital. They have classified types of risks found, and 15 working units (68.2%) at the Hospital have notably performed it. In addition, the risk control process as a follow-up of risk priority among 19 working units (86.4%) has been well-executed. However,risk management should be supported by awareness of all human resources at the Hospital. Thus, a strategy that can be carried out is strengthening collaboration among health workers, so they are integrated to adopt patient safety in accordance with their profession. The implementation of risk management was carried out very well in most of the hospital's working units. Still, the hospital needs more effort to raise awareness of the importance of patient safety.