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My Research
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النشاط البحثي |
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Adverse Events in
Jordanian hospitals: Types and Causes
Hayajneh Y, AbuAlRub R,
Almakhzoomy I.
Accepted: International
Journal of Nursing Practice 2010
Background: Adverse events in
health care have become an important issue for health
care professionals, administrators, health policy
makers, public and patients. Literature on adverse
events in Jordan is scarce.
Purpose: The purpose of the study was to (1)
identify the common types and major causes of adverse
events in Jordanian hospitals from the nurses'
perspective; (2) estimate the frequency of adverse
events in Jordanian hospitals.
Design: Qualitative and quantitative data
regarding the perceived types, causes and incidence of
adverse events were collected using a web-based
questionnaire. A total of 75 valid responses with
qualitative and quantitative data were obtained.
Results: The results indicated that(1) medication
errors, wrong diagnosis, hospital acquired infections,
bed sores and falls were the most common types of
adverse events; (2) workload and inadequate staffing;
technical performance; negligence and poor ethics; poor
management; psychosocial job demands; and written
guidelines were the most common causes of adverse events
. On average, participants in the study believed that
adverse events occurred in about 28% of all hospital
admissions. Implications: Nurse and hospital
administrators and health policy makers should develop
and institute effective strategies and polices to
prevent or minimize the occurrence of adverse events. |
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Turnover rate among
registered nurses in Jordanian hospitals: An exploratory
study
Hayajneh Y, AbuAlRub R,
Athamneh A, Almakhzoomy I.
International Journal of
Nursing Practice 2009; 15: 303–310
The aim of this study
is to (i) determine the turnover rate among registered
nurses in Jordanian hospitals; and (ii) compare
the turnover rate between (a) male and female
registered nurses; (b) northern, middle and southern
regions; (c) public, private
and university hospitals; (d) rural and urban hospitals;
and (e) general and specialized hospitals. A
descriptive, cross-sectional
retrospective survey design was used. A structured
interview method was utilized to collect data. A
proportional random sample of 25% of the total
number of Jordanian hospitals was taken. The results
showed that the overall
turnover rate was 36.6%. There were variations according
to geographical region, health sector and place of
residence. Turnover among registered nurses in
Jordanian hospitals is considered a problem that
requires effective strategies
to deal with. Further research is required to identify
the causes, and to explain the differences in the
turnover rates according to
the different study variables.
Full
Report |
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Extent of Use,
Perceptions, and Knowledge of Hospital Information
System by Staff Physicians
Yaseen A. Hayajneh,
Wail A. Hayajneh, Ismail I. Matalka, Harun Z. Jaradat,
Z. Bashabsheh, and M. Alyahya
Jordan University of Science and
Technology and king Abdullah University Hospital
Proceedings of the International Medical Informatics and
Biomedical Engineering
Symposium (2006)
A computerized hospital
information system (HIS) used to support clinical and
administrative processes was implemented in a large
Jordanian teaching hospital in 2003. Physicians’
acceptance and perceptions of the HIS is known to be one
important factor in influencing successful
implementation of hospital information systems. The aim
of this study was to describe physicians’ use,
perceptions, and knowledge regarding the implemented
HIS. A descriptive survey design was used. The setting
is a large teaching hospital. An investigator-developed
questionnaire comprising 38 questions was distributed to
a convenient sample of 29 staff physicians who practiced
in the hospital in the periods before and after
implementation of the system. Results indicate that
staff physicians use the system and that access to
information was improved as a result of the HIS. Other
results and conclusions are discussed.
Full Report |
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A Case-Control Study of
Hepatitis B Virus Infection Risk Factors in North Jordan.
Hayajneh, W., Masaadeh,
H., and Hayajneh, Y.
Journal of Medical
Virology 82:220–223 (2010)
Jordan is a country
with intermediate endemicity for hepatitis B virus (HBV)
infection where risk factors for viral transmission and their
relative contributions are not well known. A case-control study
of 100 hepatitis B virus seropositive patients and another 100
seronegative controls was conducted. Univariate analysis and
logistic regression model were performed to examine probable
risk factors for acquisition of hepatitis B virus infections.
Logistic-regression analysis showed that significant risk
factors for acquisition of hepatitis B virus infection were
sharing toothbrushes (odds ratio = 10.167; 95% confidence
interval, 1.181-87.509), unhygienic dental care (odds ratio =
2.455; 95% confidence interval, 1.294-4.658), and living abroad
for at least 1 year (odds ratio = 20.018; 95% confidence
interval, 2.268-176.685). The presence of these risk factors
emphasizes the need for both increasing the use of hepatitis B
vaccines and risk-targeted public health education. Development
and enforcement of appropriate infection control guidelines for
dental care services are also necessary to curtail HBV
transmission. Further research that controls for confounding
factors is needed to assess the relative contribution of the
identified risk factors in the Jordanian community.(Link) |
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Comparison of Clinical Associations and Laboratory Abnormalities in Children With Moderate and Severe
Dehydration
Hayajneh
W, Jdaitawi H, Al Shurman A, Hayajneh Y.
Journal of pediatric gastroenterology and nutrition,
2010;50: 290–294
OBJECTIVES: To search for possible early clinical
associations and laboratory abnormalities in children
with severe dehydration in northern Jordan. PATIENTS AND
METHODS:: We prospectively evaluated 251 children with
acute gastroenteritis. Dehydration assessment was done
following a known clinical scheme. Probable clinical
associations and laboratory abnormalities were examined
against the preassigned dehydration status. RESULTS::
Children with severe dehydration had significantly more
hypernatremia and hyperkalemia, less isonatremia, and
higher mean levels of urea, creatinine, and glucose (P <
0.005). Receiver operating characteristic curves showed
statistically significant area under the curve values
for laboratory variables. These area under the curve
values were 0.991 (95% confidence interval [CI]
0.980-1.001) for serum urea, 0.862 (95% CI 0.746-0.978)
for sodium, 0.850 (95% CI 0.751-0.949) for creatinine,
0.69 (95% CI 0.555-0.824) for potassium, and 0.684 (95%
CI 0.574-0.795) for glucose (P < 0.05 for all). Certain
independent serum cutoff levels of urea, creatinine,
sodium, glucose, and potassium had high negative
predictive value (100%), whereas other cutoff values for
each, except potassium, had high positive predictive
value (100%) for severe dehydration. Historic clinical
characteristics of patients did not correlate to
dehydration degree. CONCLUSIONS:: Serum urea,
creatinine, sodium, potassium, and glucose were useful
independently in augmenting clinical examination to
diagnose the degree of dehydration status among children
presenting with gastroenteritis. Serum urea performed
the best among all. On the contrary, none of the
examined historical clinical patterns could be
correlated to the dehydration status. Larger and
multicenter studies are needed to validate our results
and to examine their impact on final outcomes.
(Link) |
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The Role of Clinical
Practice Guidelines in Reducing Laboratory Healthcare
Expenditure in a Developing Country
H. Jdaitawi,
M.S. Miqdady, N.J. Shatnawi, W.A. Hayajneh, W.K.
Suliman, Y.A. Hayajneh and Y.S. Miqdady
Journal of Applied Sciences 8 (19): 3508-3512, 2008
Abstract: A significant
portion of hospitals health care expenditure in Jordan
is spent on laboratory testing. This study aimed to
assess the validity of certain clinical practice
guidelines (for common pediatric diseases) in a
Children`s Hospital in North Jordan and to estimate the
possible reduction in laboratory healthcare expenditure
upon applying these guidelines. This prospective
descriptive study included children admitted with common
diagnoses. Necessary clinical and diagnostic data were
analyzed. A panel of experts, guided by a set of
selected practice guidelines, decided the
appropriateness of the ordered laboratory
investigations. Two hundred and seventy eight patients
completed the study, 3,526 tests were performed and
47.8% of these were considered unjustified which
accounted for 39% of the total laboratory expenditure.
Chemistry tests were both the most frequent 60.2% and
the most unjustified 63%. Justified tests tended to
yield more abnormal results (p = 0.002). Local validity
of international clinical practice guidelines was
acceptable. Adherence to these guidelines regarding
tests ordering may result into significant reduction of
laboratory utilization and significant expenditure
saving 39%. More studies are needed to identify other
aspects of inappropriate laboratory utilization and to
develop and validate community-based guidelines..
Full Report |
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The Effect
of Type of
Hospital and Health Insurance
on Hospital Length
of Stay in
Irbid, North Jordan
Mawajdeh S., Hayajneh
Y. and
Al-Qutob R. (1997)
Jordan University of Science and Technology
Health Policy and Planning, Vol 12, 166-172
The study aimed at examining the
effects of type of hospital and health insurance status
on hospital length of stay for three identified medical
and surgical conditions. Medical records of 520 patients
for the year 1991 were reviewed in one public and one
private hospital. Comparison of hospital length of stay
for the private (n=185) versus public sector (n=335) was
carried out. The effect of presence of health insurance
(n=189) and the lack of it (n=325) was also studied. It
was found that the average length of stay in the public
hospital was significantly longer than the private one
(3.3 versus 2.7 days). In addition, insured patients had
significantly longer hospital length of stay (3.3 versus
3.0 days). The results of the multivariate analysis
showed that after socioeconomic factors and clinical
conditions of patients were adjusted for, the influence
of hospital type and health insurance on hospital length
of stay was about one day. The paper also discusses the
need to base hospital cost-containment strategies on
studies of hospital behaviour and performance.
Full Report |
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An Analysis of
Body
Weight and
Hemodialysis Adequacy
Based on the
Urea
Reduction Ratio
Culp, K., Flanigan, M., and
Hayajneh Y. (1999)
University of Iowa College of Nursing, Iowa City, USA
ANNA Journal, 26(4), 391-400.
The purpose of this study was to
evaluate inadequate hemodialysis risk in patients with
body weights in the upper quartile of a sample
distribution using the urea reduction ratio (URR). Using
a case-control design and a simple random sample (n =
315) of hemodialysis (HD) patients, postdialysis weights
were divided into quartiles based with a cut-off value
at the upper quartile, which was equal to > 81 kilograms
(kg). The dichotomous outcome, URR > 65% and URR < 65%
constituted the classification for inadequate dialysis
risk. The odds ratio (OR) was used to evaluate
inadequate dialysis risk based on this outcome. A
multivariate logistic regression model was used to
adjust for confounding variables and validated for
goodness of fit. Those in the > 81 kg group were given
more dialysis session time in minutes and used higher
efficiency dialyzers as indicated by the coefficient of
ultrafiltration (KUf), yet were more likely to have URRs
< 65% compared to other patients in the sample (p <
0.001). This finding persisted in the logistic
regression model when simultaneously fitting both gender
and dialysis session time. Patients weighing > 81 kg
experienced an increased risk of inadequate dialysis
when compared to all others (OR 4.02, 95% CI [confidence
interval] 2.217-7.29). A postdialysis weight > 81 kg
increased the risk of inadequate dialysis for patients
in this sample. This effect was confounded by a dialysis
time x weight interaction term. Also, women were found
to have a lower inadequate dialysis risk compared to men
after adjusting for weight classification. We,
therefore, conclude that patients who weigh > 81 kg may
experience inadequate dialysis despite longer, more
efficient dialysis sessions. Longer dialysis sessions
may benefit some patients, but the effect in larger
patients may not be a uniform response. |
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Advising Masters' Theses
Patient Satisfaction with Nursing Care at Governmental
Hospitals in Lattakia: An Exploratory Study
Student : Nour Abboud - 2008
Turnover Rate Among Registered Nurses In Jordanian
Hospitals
Student
:
Ayman Athamneh - 2007
Prevalence of Childhood Overweight and
Obesity Among Arab Pre-adolescents in a
Developing Country
Student : Lena Aldairy - 2006
Prevalence and Predictors of Smoking among Male High
School Students in Irbid Governorate, Jordan
Student : Saleh Masaadeh
- 2006
Co Advisor
Evaluating the Quality of Diabetic Care by the Use of
Case Management Guidelines at
Selected Primary Health Care Centers."
Student : Rateb Abu-Zeid. 2003 |
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