The Impact of Health Management Policies on the Level of Compliance with Infection Control Requirements across the Specimen Pathway among Nursing Staff, Phlebotomists, and Medical Laboratories: A Descriptive Analytical Study in Government Hospitals
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Muhamad Eabdallah Marzuq Almazmumi, Alaa Saad Alqurashi, Abeer Mohammed Ali Sayg, Maryam Mohammed Abdullah Alnami
Abstract
This study aims to examine the impact of health management policies on the level of compliance with infection control requirements across the clinical specimen pathway, from nursing and phlebotomy practices to medical laboratory processes, within government hospitals. A descriptive analytical approach was employed to analyze the relationship between the clarity of administrative policies, supervision and monitoring mechanisms, training programs, and the level of adherence to infection control procedures during specimen collection, transportation, and processing. The significance of this study lies in the fact that the specimen pathway is considered one of the most vulnerable processes to hospital-acquired infection risks. The findings indicate that clearly defined and effectively implemented management policies contribute directly to improving compliance levels and reducing health-related risks. Accordingly, the study recommends strengthening administrative governance, continuous training, and interdepartmental integration among the relevant healthcare units.
Keywords :
Health management policies, infection control, specimen pathway, nursing, medical laboratories, phlebotomy..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty