MyMedR

Organising a microcomputer system for departmental use--a personal experience

Cheong SK

Malays J Pathol, 1988 Aug;10:15-20.

PMID: 3252073

Matched MeSH terms: Hospital Departments/organization & administration*

Organisation of laboratory services in Malaysia

Jegathesan M, de Witt GF

Malays J Pathol, 1982 Aug;5:1-5.

PMID: 7187452

Matched MeSH terms: Hospital Departments/organization & administration*

Fulltext Prevalence of Bacterial Contamination when using a Diversion Pouch during Blood Collection: A Single Center Study in Malaysia

Jumaah N, Joshi SR, Sandai D

Malays J Med Sci, 2014 May;21(3):47-53.

PMID: 25246835 MyJurnal

The implementation of diversion pouches is to minimise the risk of bacterial contamination as the initial blood flow is prevented from entering primary bag collections as it is diverted into a pouch. This study was carried out to determine the prevalence of bacterial contamination in the diversion pouches used during blood collections in the Transfusion Department of Hospital Seberang Jaya, Penang, Malaysia.

Matched MeSH terms: Hospital Departments

Fulltext Urological Service at the General Hospital, Kuala Terengganu

Naidu RR

Med J Malaysia, 1986 Sep;41(3):250-3.

PMID: 3670142

Matched MeSH terms: Hospital Departments*

Dermatology in Penang, Malaysia

Nagreh DS

Australas J Dermatol, 1976 Dec;17(3):121-5.

PMID: 1023874

Matched MeSH terms: Hospital Departments

Drug administration errors in paediatric wards: a direct observation approach

Chua SS, Chua HM, Omar A

Eur J Pediatr, 2010 May;169(5):603-11.

PMID: 19823870 DOI: 10.1007/s00431-009-1084-z

Paediatric patients are more vulnerable to drug administration errors due to a lack of appropriate drug dosages and strengths for use in this group of patients. Therefore, the aim of the present study was to determine the extent and types of drug administration errors in two paediatric wards and to identify measures to reduce such errors. A researcher was stationed in two paediatric wards of a teaching hospital to observe all drugs administered to paediatric inpatients in each of the ward, for 1 day in a week over ten consecutive weeks. All data were recorded in a data collection form and then compared with the actual drugs and dosages prescribed for the patients. Of the 857 drug administrations observed, 100 doses had errors, and this gave an error rate of 11.7% [95% confidence interval (CI) 9.5-13.9%]. If wrong time administration errors were excluded, the error rate reduced to 7.8% (95% CI 6.0-9.6%). The most common types of drug administration errors were incorrect time of administration (28.8%), followed by incorrect drug preparation (26%), omission errors (16.3%) and incorrect dose (11.5%). None of the errors observed were considered as potentially life threatening, although 40.4% could possibly cause patient harm. Drug administration errors are as common in paediatric wards in Malaysia as in other countries. Double-checking should be conducted, as this could reduce drug administration errors by about 20%, but collaborative efforts between all healthcare professionals are essential.

Matched MeSH terms: Hospital Departments

Fulltext Frequency of gallbladder stones among patients underwent abdominal ultrasound in a tertiary hospital in Sana’a City, Yemen

Hameed M. Aklan, Abdullah A. S. A. Esmail, Abdulrahman A. Al-Sadeq, Gebreel A. Eissa, Osamah A. Hassan, Abdullah A. Al-Mikhlafy, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(107):36-39.

MyJurnal

Introduction: The Gallbladder stone (GBS) disease is most commonly asymptomatic that may lead to several complications such as ascending cholangitis and obstructive jaundice. In this study the frequency of gallblad- der stones among patients referred for abdominal ultrasound at the University of Science and Technology hospital (USTH), Sana’a – Yemen, have been estimated during the period between January and June 2013. Methods: This study is a record-based and conducted at the radiology department in USTH, on cases underwent abdominal ultrasound during the period from January – June 2013. Information were collected from abdominal ultrasonography reports. Results: In this study 4935 patients’ records are included. Of them, 2541 were males and 2394 were females. The frequency of patients with GBS was 5.53%. Multiple stones were observed in 3.57% of patients and 4.34% patients had large stones with size  5 mm. Females had significantly higher frequency of GBS (8.0%: 191/2394) than males (3.2%: 82/2541) (P < 0.001). It was found that, no significant difference between males and females in harboring small stones (< 5mm) (P = 0.251). However, significantly higher frequency of large GBS ( 5 mm) was found among females compared to males (P < 0.001). The frequencies of GBS, small size of GBS and large size of GBS have significantly increased with increasing age (P < 0.001). Conclusion: In this study it was found that females had significantly higher frequency of GBS than males. No significant difference between males and females in harboring small stones. There was a significantly higher frequency of large GBS was found among females compared to males. The frequencies of GBS, small size of GBS and large size of GBS have significantly increased with increasing age.

Matched MeSH terms: Hospital Departments

Fulltext Squamous cell carcinoma of scrotum: a rare case of scrotal neoplasm

Shanggar, K., Ng, C.H., Razack, A.H., Dublin, N.

JUMMEC, 2010;13(1):59-62.

MyJurnal

Malignant tumours of the scrotum are very rare. Several type of occupations have been identified as high risk for the development of SCC of scrotum e.g paraffin and shale oil workers (1), textile workers (2) etc. We report a rare case of SCC of scrotum. Search of our records in the Urology and Pathology departments of our Centre showed that this is the only case of SCC of the scrotum in the last 10 years.

Matched MeSH terms: Hospital Departments

An analysis of consultation cases in sexually transmitted diseases to the Department of Dermatology, General Hospital, Kota Bharu, Kelantan

Ganesapillai T

Med J Malaysia, 1977 Sep;32(1):33-6.

PMID: 580306

Matched MeSH terms: Hospital Departments

Fulltext The implementation of teleneurosurgery in the management of referrals to a neurosurgical department in hospital sultanah amninah johor bahru

Hassan R, Siregar JA, A Rahman Mohd NA

Malays J Med Sci, 2014 Mar;21(2):54-62.

PMID: 24876808 MyJurnal

Telemedicine in neurosurgery or teleneurosurgery has been widely used for transmission of clinical data and images throughout the country since its implementation in 2006. The impact is a reduction of patient number that need to be reviewed in the level III hospitals and an increment in the number of patients that are kept in level II hospitals for observation by the primary team. This translates to reduction of unnecessary transfer of patients and subsequently cost benefits for patients and medical providers. The main aim is to determine the amount of reduction in unnecessary transfer by the implementation of teleneurosurgery in the management of referrals to neurosurgical department in Hospital Sultanah Amninah Johor Bahru (HSAJB). Other factors associated with transfer decision are also evaluated.

Matched MeSH terms: Hospital Departments

Skills assessment for undergraduate orthopaedic education

Harwant S, Pravin D, Teng EM

Med J Malaysia, 2005 Aug;60 Suppl D:69-70.

PMID: 16315628

Matched MeSH terms: Hospital Departments/standards

A review of malignancies at the Pathology Department, General Hospital, Kuala Lumpur (1981-1985)

Thanaletchimy N, Thangam R

Malays J Pathol, 1988 Aug;10:51-60.

PMID: 3252077

Matched MeSH terms: Hospital Departments*

Incidence and pattern of medication errors in a general paediatric ward in a developing nation

Tang KL, Wimmer BC, Akkawi ME, Ming LC, Ibrahim B

Res Social Adm Pharm, 2018 Mar;14(3):317-319.

PMID: 28365153 DOI: 10.1016/j.sapharm.2017.03.053

Matched MeSH terms: Hospital Departments/statistics & numerical data

Security threats categories in healthcare information systems

Samy GN, Ahmad R, Ismail Z

Health Informatics J, 2010 Sep;16(3):201-9.

PMID: 20889850 DOI: 10.1177/1460458210377468

This article attempts to investigate the various types of threats that exist in healthcare information systems (HIS). A study has been carried out in one of the government-supported hospitals in Malaysia.The hospital has been equipped with a Total Hospital Information System (THIS). The data collected were from three different departments, namely the Information Technology Department (ITD), the Medical Record Department (MRD), and the X-Ray Department, using in-depth structured interviews. The study identified 22 types of threats according to major threat categories based on ISO/IEC 27002 (ISO 27799:2008). The results show that the most critical threat for the THIS is power failure followed by acts of human error or failure and other technological factors. This research holds significant value in terms of providing a complete taxonomy of threat categories in HIS and also an important component in the risk analysis stage.

Matched MeSH terms: Hospital Departments

Australia, the Colombo Plan, and the Faculty of Medicine, University of Malaya

Luke HA

Australas Radiol, 1970 Feb;14(1):15-9.

PMID: 5525077

Matched MeSH terms: Hospital Departments

Fulltext Knowledge, attitude, practice and stigma of tuberculosis among healthcare providers in Hospital Ampang

Hafridz Murshid al-Wafi Shahbuddin, Ummi Affah Mahamad, Abdul Aziz Marwan

Malaysian Journal of Medicine and Health Sciences, 2020;16(108):42-46.

MyJurnal

Introduction: Malaysia is an intermediate tuberculosis burdened country as classified by WHO. There was a recent rise in TB incidence. Healthcare providers, especially in secondary or tertiary centers, were constantly exposed to TB infected patients, which is a hazard source for TB infection. Thus, assessment of behavior towards TB is paramount through knowledge, attitude, health-seeking practice, and stigma domains. Method: A cross-sectional survey was carried out between November 2014 and February 2015 among healthcare providers in Medical Department, Hos- pital Ampang. Data were analyzed using SPSS ver 21. Results: Despite overall good knowledge on TB, only 20% of the correspondence knew which patient’s population is at risk of TB infection. Almost all perceived TB as a health threat and willing to seek medical care if they developed TB symptoms. However, a small proportion (5.3%) will keep it a secret if they contracted TB. This is contrasted by the majority that perceived TB patients will not be accept- ed by the community. Conclusion: Knowledge and attitude towards TB was adequate within the healthcare providers in Medical Department, Hospital Ampang despite the presence of some knowledge gaps. However, there was high perceived stigma that needed to be addressed in order for them to deliver the best medical care.

Matched MeSH terms: Hospital Departments

Fulltext Utilisation of ophthalmic services by foreign nationals in Johor: a review of 452 patients

Hooi SH, Hooi ST

Med J Malaysia, 2003 Oct;58(4):579-86.

PMID: 15190634

Between 1st January 1999 and 31st December 2000, 452 foreign nationals were treated at the Department of Ophthalmology, Hospital Sultanah Aminah, Johor Bahru. Eighty-five percent were male. The peak age range was from 21 to 30 years old. The patients were predominantly Indonesians (61%). A history of trauma was present in 63% of patients. Eight percent of eyes had severe visual impairment. Six patients (1.3%) were blind by WHO standards. Traumatic eye conditions, inflammatory/allergic eye conditions and degenerative eye conditions comprised 66%, 13% and 10% respectively of ocular pathology seen. The commonest ocular findings were corneal foreign body, corneal abrasion and subconjunctival haemorrhage.

Matched MeSH terms: Hospital Departments/utilization*

Fulltext Transition care readiness among patients in a tertiary paediatric department

Lau SC, Azim E, Abdul Latiff Z, Syed Zakaria SZ, Wong SW, Wu LL, et al.

Med J Malaysia, 2018 12;73(6):382-387.

PMID: 30647208

INTRODUCTION: A smooth transition of healthcare for young people with chronic illnesses from paediatric to adult healthcare services is important to ensure optimal outcome. At the moment, there are no standard guidelines to assess a patient's readiness to transfer care.

METHODS: A cross-sectional study using a self-administered questionnaire, adapted from UNC (University of North Carolina) TRxANSITION self-assessment tool was conducted to evaluate patients' transition care readiness in paediatric haematology and paediatric diabetes clinic.

RESULTS: A total of 80 patients (37 thalassaemia and 43 diabetes) with the mean age of 21.2 (SD±4.3) years, were recruited during the 3-month study period. Majority of the patients have basic knowledge regarding their medications, and were able to comply with their follow-up. The mean total score obtained by the respondents on this questionnaire was 15.3 (SD±3.59). Self-management skills and knowledge on disease were the two poorly scored section; with mean score of 3.78 (SD±1.38) and 4.28 (SD±1.20) respectively. Overall, only 21 (26.2%) respondents obtained high score (score above 75th percentile). Seventy-five percent of the respondents admitted that they were not ready for transfer to an adult healthcare service yet at the time of the study.

CONCLUSION: We suggest that patients with high score should be prepared for transition to adult facility whereas those with a low score need to be identified to ensure provision of continuous education.

Matched MeSH terms: Hospital Departments/statistics & numerical data*

The utilization of phototherapy in the department of dermatology, Hospital Kuala Lumpur: A 5-year audit

Vaani VV, Tang MM, Tan LL, Asmah J

Med J Malaysia, 2018 06;73(3):125-130.

PMID: 29962494 MyJurnal

INTRODUCTION: Ultraviolet phototherapies are important treatment modalities for a wide range of dermatological conditions. We aim to describe the utilization of phototherapy in the Department of Dermatology Hospital Kuala Lumpur.

METHODS: This is a 5-year retrospective audit on patients who underwent phototherapy between 2011 and 2015.

RESULTS: There were 892 patients, M:F=1.08:1, aged from 4- 88 years, with a median age of 38.8 years who underwent phototherapy. Majority (58.9%) had skin phototype IV, followed by type III (37.7%) and type II (0.7%). There were 697(78.1%) who underwent NBUVB, 136 (15.2%) had topical PUVA, 22(2.5%) had oral PUVA, 12(1.4%) had UVA1 and 23(2.6%) had NBUVB with topical or oral PUVA/UVA1 at different time periods. The indications were psoriasis (46.6%), vitiligo (26.7%), atopic eczema (9.8%), pityriasis lichenoides chronica (5.3%), mycosis fungoides (3.9%), lichen planus (2.5%), nodular prurigo (2.2%), scleroderma (1.2%), alopecia areata (0.7%) and others. The median number of session received were 27 (range 1-252) for NBUVB, 30 (range 1-330) for topical PUVA, 30 (range 3-190) for oral PUVA and 24.5 (range 2-161) for UVA1. The acute adverse effects experienced by patients were erythema (18%), pruritus (16.3%), warmth (3.3%), blister formation (3.1%), cutaneous pain (2.4%), and xerosis (0.8%), skin swelling (0.7%) and phototoxicity (0.2%).

CONCLUSION: Narrow-band UVB was the most frequently prescribed phototherapy modality in our center. The most common indication for phototherapy in our setting was psoriasis. Acute adverse events occurred in a third of patients, although these side effects were mild.

Matched MeSH terms: Hospital Departments/statistics & numerical data*

Fulltext Pattern of antibiotic usage in hospitals in Malaysia

Lim VK, Cheong YM, Suleiman AB

Singapore Med J, 1993 Dec;34(6):525-8.

PMID: 8153716

A prospective survey of antibiotic prescribing patterns in six Ministry of Health general hospitals in Malaysia was undertaken. Information on antibiotic prescriptions including the types of antibiotics used and the purposes for prescription was obtained through the use of questionnaires. A total of 1,918 antibiotic prescriptions were available for analysis. About two-thirds of prescriptions were for therapeutic purposes. The most common infections treated were lower respiratory infection (31%), followed by skin and soft tissue infection (17%), and urinary tract infection (8%). Only 20% of the therapeutic prescriptions were based on microbiological test results. Prophylactic prescriptions were issued for a variety of indications, the most common being toilet and suture of wounds. Only 5% of prophylactic prescriptions were of less than 3 days duration. There was great diversity in antibiotics and antibiotic regimens employed. It was evident that there was a lack of compliance with guidelines on antibiotic use issued by the Ministry of Health.

Matched MeSH terms: Hospital Departments/organization & administration

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