International Conference on Health and Hospital Management December 08-09, 2016 Dubai, UAE

Biography:

Huda Mubarak Alyami has been Graduated from university of King Saud in Saudi Arabia, Department of speec-language pathology and audiology as speech and hearing specialist, with the specialties including speech and hearing disorder. After that I worked as a speech pathologist for three years in an international school for special needs children. Then I got a Diploma in hospital administration from the Institute of Public Administration in Riyadh, Saudia Arabia. Later on I obtained  Master degree by research from University  of Pretoria in South Africa with subjects Communication Pathology where I have continued My research. Presently I am working at Dr. Sulaiman Al Habib Medical Group as a speech pathologist.

Abstract:

This study aims to determine the status of early intervention (EI) services provided to children who are deaf or hard of hearing (DFHH) and their parents/caregivers from birth to five years of age at two main state hospitals in Riyadh Saudia Arabia. A questionnaire were conducted with 60 participants from two main state hospitals where early detection and intervention services are provided. The aim of this presentation is to summarize the status of early intervention services in  Saudi Arabia in comparison  with EI services provided in any developed country such as; USA, and developing countries such as; South Africa, Negeria, Turky. In addition, the reasons behind a substantial late age of diagnosis, initial hearing aids fitting and enrolment into early intervention services, as well as the most important determinants and health consequences for DFHH children living in suburban areas in Saudi Arabia. The participants' children were diagnosed at substantial late age, resulting in delayed ages for initial hearing aids fitting and enrollment  into EI services.A significant relationship was found between the residential area of the participants and timely access of early intervention services. The results indicated that participants who residing in Riyadh were fitted with hearing aids and enrolled into EI services earlier than those living outside Riyadh. The delivery of information also emerged as weakness in the EI system for the majority of participants.

Biography:

Adel Bin Sultan has been Graduated from Collage of Medicine, Prince Sattam Bin Abdulaziz Universitiy, 2016 as Medical Doctor. Presently he has been working at the Prince Sultan Militry Medical Center as intern in General Surgery department.

Abstract:

Introduction: Diabetes is remaining to be one of the leading health problems in the Middle East region in general and Saudi Arabia in particular. The increasing number of the population and changes in the pattern of life in the region exposes a large number of the people suffering from diabetes and its complications. This study was aiming to evaluate a pattern of diabetic foot presentation, current investigation, treatment and complications in the respective population of Al Kharj Governate and cosmopolitan region, who was seeking medical attention from medium sized general hospital facilities.

Methods: 81 patients presented with infected diabetic foot of pregangrenous and gangrenous stages were included in this study. The factors like age, duration of current diabetic status, patients body mass index (BMI), level of patient education and awareness, diabetic control, co-morbidities associated with diabetes were analysed.

Results: The results have shown, that 49.4% of study patients had amputations of the lower limbs at different levels. The analysis of the reasons for amputations revealed that it was due to the late patient presentation, poorly controlled diabetes and lack of diabetic educations mostly. This study, he also highlighted the necessity to have the management of diabetic foot in specialised centres where the multidisciplinary approach could be implemented.

Conclusion: Multidiciplinary approach in the management of diabetic foot,which includes detailed diagnosis of the patient’s vascular status to improve peripheral blood supply can lead to a dramatic reduction of the amputees, therefor have significant impact on the society from social and economic

Biography:

Davor Mucic (DM) is psychiatrist postgraduated in Denmark in 2002. DM established Little Prince Psychiatric Centre. The Centre has been frontier in developing of telepsychiatry in Denmark since 2000. In 2011 DM launched Telemental Health Section within EPA (European Psychiatric Association). As chairman of the section DM organized symposia, workshops and CME courses within 35 international conferences. In addition, DM was affiliated as a clinical lector on Danish Copenhagen University in period Nov 1999-Nov 2009. Currently affiliated as reviewer for Journal of Telemedicine and Telecare. DM is  Editor-in-Chief on Edorium Journal of Psychiatry .

Abstract:

Tele psychiatry project conducted by The Little Prince Psychiatric Centre in Copenhagen has been established in cooperation with three general practitioners' clinics on the outskirts of Denmark. The project outlines the conceptual shared care model, in which psychiatrists and psychologists collaborate with general physicians in the assessment, diagnosis and treatment of mental health patients in the context of the general physician’s office by use of tele psychiatry service. A formal evaluation of the project was conducted and outcomes are discussed along with issues related to the requirements for sustaining the service over time and broadening its applicability. The results have shown that collaboration via the use of videoconferencing across levels of health care sectors can be a useful alternative that offers learning, leads to continuity, reduces costs and improves the quality of care. Tele psychiatry, in the form of videoconferencing, has been well received by patients and general practitioners as a method reducing waiting time and bridging the distance between patients and specialized psychiatric care. This model might be useful as an approach to diminish stigma which is the main reason why many patients never contact a psychiatrist. Stigma is present in the Middle East even more than in Scandinavia. That is why this model has a great potential if applied within the healthcare system in the UAE.

Biography:

Izlem Gozukara has been Graduated from Business Administration from Marmara University. Later on she obtained  a master degree From Goldengate University San Francisco, she holds a Phd on Management and Organization from Arel University where she has continued his research. Presently he has been working at the at the AREL University, Istranbul.

Abstract:

Total quality management practices have gained importance in the healthcare field with the adoption of a customer-oriented approach due to increasing global competition. Such practices require several factors in order to achieve success. Among others, employee empowerment is known as a critical success factor in the implementation of a total quality management practice since such practice requires changes in attitudes and actions. In this context, development culture that focuses especially on innovation and adaptation is likely to increase the success of a total quality management program. In light of this background, the present paper aims to explore the role of development culture in total quality management and to reveal the mediating effect of employee empowerment on the development culture and total quality management relationship. For this purpose, the study sample included 510 participants who were working at public and private hospitals within Istanbul, Turkey. The study data were collected using Total Quality Management Scale, Development Culture Scale and Employee Empowerment Scale.. The study results indicated that development culture has a positive effect on total quality management both in public and private hospitals and employee empowerment partially mediates this relationship in both types of hospitals. Additionally, our study also revealed that the positive effect of a development culture on employee empowerment was stronger in public hospitals compared to private hospitals. Besides, employee empowerment was found to have a greater impact on total quality management in public hospitals compared to private hospitals.

Biography:

Ahmed Al Kuwaiti is a Quality and accreditation associate professor and Consultant with emphasis on Medical Education, Quality in Healthcare and patient safety. He has worked as a Researcher and Supervisor General for the Deanship of Quality and Academic Accreditation, And Director of quality and safety at King Fahad Hospital of the university, University of Dammam, Saudi Arabia. He is a certified Hospital Organization and Higher Education surveyor and trainer on different topics of performance improvement models and techniques, accreditation by CBAHI and JCI Accreditation standards, and NCAAA for Higher Education, as well as leadership and professional development. Ahmed Al-Kuwaiti is an experienced leader in establishing many organizations and establishments of programs in various Healthcare organizations and Hospital facilities and higher Educational institutions. He is the Middle East Regional President of the Association of Healthcare professionals and Editorial Board member of three International Journals, namely: International Journals of Medicine (IJM), International Journal of Primary Healthcare (IJPHC), and International London Journal of Primary Care. As a researcher and public speaker, Kuwaiti has published three textbooks and over 20 scientific papers. He had also presented lectures, seminars and workshops on Quality, Accreditation Patient safety, Professional Development and Leadership.

Abstract:

Background: Health Care Organizations [HCO] in the Kingdom of Saudi Arabia [KSA] are increasingly aware of the importance of accreditation and a significant proportion of resources have been deployed by each hospital to achieve accreditation. It has been revealed that accredited hospitals are performing better than non-accredited hospitals on a range of quality indicators. However, its effectiveness is very rarely addressed in literatures, especially in Saudi Arabian context.

Aim: This study is to be conducted to find out the impact of JCI accreditation on patient safety and quality of care indicators at KFHU, University of Dammam, Saudi Arabia.

Method: A well-structured department-specific accreditation management program has been developed and it will be implemented throughout the intervention period. Appropriate protocols and training programs will be provided to all the relevant stakeholders during the intervention period. Two types of outcome parameters are to be studied viz. (i) Performance indicators (KPIs) challenging patient safety consisting of Health care associated infections, blood transfusion reactions, and patient falls and (ii) Quality of care indicators includes Patients and employees’ satisfaction indices. These outcomes are to be studied at three intervals viz. Pre-accreditation Phase, accreditation period and post accreditation period.

Results: Performance indicators and Quality of care indicators were found to be sensitive to Joint Commission International(JCI) accreditation and that significantly improved post –accreditation: HealthCare associated infection per 1000 patients days (4.25- 3.5- 2.13; p<0.001), blood transfusion reaction % ( 1.4 – 0.09 – 0.01; P<0.001), patient falls per 1000 patients days (7.18 –

3.65 – 0.97: p<0.001), and Patients satisfaction % (54 – 71 – 89; p<0.001), Employees’ satisfaction % (69.5 – 78 – 93; p =0.034).

Conclusion: JCI accreditation has an overall statistically highly significant improvement on performance and quality of care indicators.

Biography:

Latifah Mohammed Albatly is a medical student at king saud university, Collage of Medicine

Abstract:

Objective:To validate The Proxy Test for Delirium (PTD) as a screening tool used by nurses to detect delirium in patients admitted to the Intensive Care Unit (ICU).

Methods:A convenient sample of 288 patients who were eighteen years and above admitted to ICU at King Khalid University Hospital (KKUH) were observed in a cross sectional study. The screening tools were used blindly to detect delirium. These tools were; The PTD perform by the patient's primary nurse at the end of their shift, The CAM performed by a trained research assistant, and a clinical neuropsychiatric evaluation based on DSM-5 criteria performed by Psychosomatic Medicine specialist. The data were analyzed using the SPSS and Medcalc programs.

Results:The result suggests that using a cutoff score more than 5, the PTD has a sensitivity of 60.00%, specificity of 94.29%, positive predictive value of 0.818 and negative predictive value of 0.846. The sensitivity of CAM was 53.33% and the specificity was 100.00%. The positive predictive value and the negative predictive value were 1 and 0.833, respectively. Conclusion: The PTD has shown to be more sensitive in detecting delirium cases than CAM in the ICU. In the other hand, CAM has shown to be more specific.

Biography:

Tugba Gursoy has been graduated from Istanbul University, Faculty of Business Administration. She  works on Data Mining, Big Data and Operations Research. She started working at The Istanbul University, Department of Quantitative methods where she has continued her research. Presently she has been working at Istanbul City.

Abstract:

Most organizations have large databases that contain a wealth of potentially accessible information. Data mining techniques can be used to discover hidden patterns that are unknown a priori.  Data mining is the process of selection, exploration and modelling of large quantities of data. Data mining has worthy applications in finance, communication, education, marketing and health management. In this study health management is chosen as an application area. It is very important to encounter similarities of past period cases and definition of patient profile in the health services quickly and decide correctly. It is aimed to define specific characteristics of diabetic patients in Turkey by using Cluster Analysis, Association Rules and Decision Trees methods.

Biography:

Ozlem Akcay Kasapoglu has been graduated from Yıldız Tecnique University,cChemistry Department and   he holds a PhD in Operations Management from Faculty of Management, Istanbul University,  with the specialties including Total Quality Management in Health Care.  Presently he has been working at the at the Istanbul University Faculty of Business as an associate professor .

Abstract:

Operations management in service industry, expecially in Health Care is so crucial. There is no sector that the importance of  planning could be underestimated,  hospital management is one of them. It is the  one  that effects human life, for that reason forecasting should be done carefully.  Forecasting is one of the first steps in planning, the success of the plans depends on the accuracy of the forecasts. In the service industries like the hospitals, there are many plans that depends on the forecasts, from capacity planning to aggregate planning, from layout decisions to the daily schedules. In this paper,  many forecasting  methods are studied and the accuracy of the forecasts are determined by the error indicators. 

Biography:

Ozlem Akcay Kasapoglu has been graduated from Yıldız Tecnique University,cChemistry Department and   he holds a PhD in Operations Management from Faculty of Management, Istanbul University,  with the specialties including Total Quality Management in Health Care.  Presently he has been working at the at the Istanbul University Faculty of Business as an associate professor .

Abstract:

Operations management in service industry, expecially in Health Care is so crucial. There is no sector that the importance of  planning could be underestimated,  hospital management is one of them. It is the  one  that effects human life, for that reason forecasting should be done carefully.  Forecasting is one of the first steps in planning, the success of the plans depends on the accuracy of the forecasts. In the service industries like the hospitals, there are many plans that depends on the forecasts, from capacity planning to aggregate planning, from layout decisions to the daily schedules. In this paper,  many forecasting  methods are studied and the accuracy of the forecasts are determined by the error indicators. 

Biography:

Christo Heunis is a senior researcher at the Centre for Health Systems Research & Development (CHSR&D), Faculty of the Humanities, University of the Free State (UFS). His career-long focus is on the health systems and social aspects of TB, HIV and TB-HIV, on the one hand, and hospitals and hospitalisation, on the other hand. His Ph.D. research assessed hospitalisation for TB in the Free State. He has since participated in 38 R&D projects, 14 as principal investigator/project leader/coordinator.

Abstract:

South Africa is currently in the early stages of implementing national health insurance (NHI) in a quest to ensure universal health care coverage. While the NHI has come under heavy criticism, there is consensus that health care in SA needs an overhaul. Concerns have however been raised that the public health care will fail the NHI. A recent report from one province, the Eastern Cape showed that six health institutions that were already condemned continued to operate out of necessity; 17 hospitals lacked piped water; 68% of hospitals lacked essential medical equipment; and overall staff vacancies stood at 46% (mostly clinical posts). Nevertheless this and four other provinces had underspent their allocations to the hospital revitalisation programme by almost R2 billion (US$141.1 million). South Africa’s 2011 Policy on the Management of Public Hospitals is part of a broader undertaking to improve the management of the public health system in South Africa. It aims to ensure that the management of hospitals is underpinned by the principles of effectiveness, efficiency and transparency and sets out to ensure, amonst others, appointment of competent and skilled hospital managers and training of managers in leadership, management and governance. The NHI system is meant to address the disparities in the distribution of human and infrasructual resources – and ultimately the differences in the quality of care between the public and private sectors. However, the implements of NHI have to address a number of public hospital-related challenges elaborated in this presentation.

Biography:

Aisha Hussain earned her MD degree at Arabian Gulf University in Bahrain. She has also participated in a number of research projects from Qatar University and Weill Cornell Medical College –she is an Assistant Professor in Clinical Medicine at the Weill Cornell Medical College – Qatar, she is a Fellow in the American College of Chest Physicians (FCCP) in 2013. then completed her Fellowship Program for Sleep Medicine from the King Saud University in Saudi Arabia in 2014. She is a Consultant in Medicine specializing in Pulmonary, Allergy, and Sleep Medicine. She is a pioneer in bronchoscopy and medical thracoscopy.

Abstract:

Obstructive Sleep Apnea is a syndrome characterized by periodic, partial, or complete obstruction of the upper airway during sleep.”
A cessation of breathing for greater than or equal to 10 seconds.
Why it does it matter?
Prevalence of OSA is estimated to be 25% among candidates for elective surgery and as high as 80% for patients undergoing bariatric surgery.
80% OSA patients are undiagnosed at time of surgery.                                                                                                                                                                                                                                                                    
Increased perioperative risk due to failure to recognize (or diagnose) OSA preoperatively.
There are evidence-based opportunities to improve outcomes:
 Consider pre-op initiation of CPAP/NIPPV (Non-invasive positive pressure ventilation).
The aim of the project  
Improve appropriate screening and treatment of patients for (OSA) seen in bariatric outpatient clinic from 0.38 % to 60% by end of January 2017 at Hamad Medical Corporation.
So multiple improvement cycles done:
1: A survey for understanding the importance of OSA on patient health.
2: Tested the process of ordering a sleep questionnaire in the clinic.
3: Determine how much time needed for application of sleep questionnaire.
4: Weekly meeting to review established best care done for all patients.
Outcome measure
                     Decrease average waiting time for screening.
Take home message
Identifying OSA in the bariatric surgery patient is important to improving outcomes.
Preoperative screening can be improved and subsequent treatment can be initiated.
This study demonstrates that improvement science can help increase the rate of screening for OSA.
 

Biography:

Abdulmalek Alqahtani is a medical student at King Saud University in Riyadh.

Abstract:

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a major concern to the Saudi population .The objectives of this study were to determine the factors that affect Saudis’ trust in information obtained through social media regarding MERS-CoV, and to determine the different social media's sources of information that Saudis obtain information from, also to determine the relationship between the daily hours of social media use and the degree of trust in different sources of information regarding MERS-CoV.This study is a Cross-sectional study, Questionnaires were distributed in King Khaled University Hospital outpatient's clinics. The Participants were chosen by Simple Random Sampling Technique. Number of responses were 734 individuals with a response rate of 84.2%.The study showed that there are different levels of trust in the sources that we studied. We also noted that gender, age, education, occupation status and specialty were significantly associated with various degrees of trust in health information obtained through social media . The study revealed that governmental sources and non-profit organizations are the most trusted sources, however celebrities and unknown sources are least trusted social media sources of health information regarding MERS-CoV. Moreover daily hours of use affect the trust in these various sources .We should invest more in social media to make it a trustworthy source for health information and must keep in mind the factors that affect the trust when trying to increase the general awareness level in matters like MERS-CoV.

Biography:

Sara Ahmed AlSiddiqi is a fourth year medical student at King Saud University. She is the co-founder of Red Nose Child Buddies, an initiative to increase awareness towards child neglect and abuse among medical students. In 2015, the initiative won a first position award in the Seventh Scientific Symposium at King Saud University.

Abstract:

Background: Child maltreatment is not included in many medical schools and paediatric residency curriculums, which might limit knowledge and spread misconceptions. Additionally, physicians might have a different attitude regarding reporting child abuse and neglect. In this study, we hypothesize that medical students and paediatric trainees have limited knowledge, oblivious attitude and misbeliefs regarding child maltreatment in comparison to experienced paediatricians. But, medical students and trainees might hold higher motives and willingness to learn about child maltreatment and their consequences.

Methods: A self-reported questionnaire was distributed after a pilot study to include

Paediatricians, paediatrics trainees and medical students in all main areas of paediatric services: paediatrics wards, paediatrics outpatient clinics, critical care and paediatrics

Emergency.

Results: In disregard to their level of training, Saudi medical students and physicians believed child maltreatment happens within the kingdom and quite common. They were familiar with child maltreatment definition, although only one third thought it was subject to cultural sensitivity. However, experienced physicians were more knowledgeable, especially about neglect. Moreover, female participants were more likely to report despite being more sceptical of readiness of the Saudi law system to deal with cases of maltreatment. In general, all participants requested and were enthusiastic to receive further training.

Conclusion: Although Saudi medical students, paediatrics trainees and paediatricians have good basic knowledge, positive attitude and willingness to learn, they need further training, especially in reporting CAN to provide a safe environment for children in the young nation.

Biography:

Sara Ahmed AlSiddiqi is a fourth year medical student at King Saud University. She is the co-founder of Red Nose Child Buddies, an initiative to increase awareness towards child neglect and abuse among medical students. In 2015, the initiative won a first position award in the Seventh Scientific Symposium at King Saud University.

Abstract:

Background: Child maltreatment is not included in many medical schools and paediatric residency curriculums, which might limit knowledge and spread misconceptions. Additionally, physicians might have a different attitude regarding reporting child abuse and neglect. In this study, we hypothesize that medical students and paediatric trainees have limited knowledge, oblivious attitude and misbeliefs regarding child maltreatment in comparison to experienced paediatricians. But, medical students and trainees might hold higher motives and willingness to learn about child maltreatment and their consequences.

Methods: A self-reported questionnaire was distributed after a pilot study to include

Paediatricians, paediatrics trainees and medical students in all main areas of paediatric services: paediatrics wards, paediatrics outpatient clinics, critical care and paediatrics

Emergency.

Results: In disregard to their level of training, Saudi medical students and physicians believed child maltreatment happens within the kingdom and quite common. They were familiar with child maltreatment definition, although only one third thought it was subject to cultural sensitivity. However, experienced physicians were more knowledgeable, especially about neglect. Moreover, female participants were more likely to report despite being more sceptical of readiness of the Saudi law system to deal with cases of maltreatment. In general, all participants requested and were enthusiastic to receive further training.

Conclusion: Although Saudi medical students, paediatrics trainees and paediatricians have good basic knowledge, positive attitude and willingness to learn, they need further training, especially in reporting CAN to provide a safe environment for children in the young nation.

Biography:

Nada Alharbi has completed her Masters in public helath: healthsystems and Quality Managment from King Saud Bin Abdulaziz university in Affiliation with Liverpool School of Tropical Medicine. She is a patient Safety Speculaist at KFSH&RC, Certified Patient Safety officer, Certified Professional in Healthcare Quality  and a lean-six sigma certified. She also, has 2 certifications in formal training and eecuation. Very Passionat about Patient Safety and advocacy.

Abstract:

Providing a safe healthcare starts with improving the culture of patient safety. KFSH&RC understands this very well, thereofre, has invested in a major project in assessing the hospital staff perception on the culture of patient safety. The 2015-2016 Patient Safety Culture survey utalizing the AHRQ assessment tool was condcuted over a year long period in collaburation with an American consultencay company. The project included bulidng a survey adminstration & analytical portal, this collaburation helped in assuring that the survey was annonamous. For the first time, the hospital had measured its safety culture, climate at the unit level, including clinical and non-clinical areas with a 56% repoonse rate. The Survey results were correlated with Patient Satisfaction surveys and staff satisfaction scores, moreover, the resutls were correlated with units vountary reported events. Additionally, for the first time the results were drilled down to the units level. The results were, then revealed in a 4 hours debriefs session by the consultency agency, the hospital postive reponse to culture of patient safety 12 composites were compare to international results. As a result, Major improvments actions underwent by the hospital excutives  and quality divisons. Just culture program, Event Reporting Campaing, a good catch program, redesign of the event reporting software to name few. Almost three months later a pulse check was conducted with additional customised questions by end users, which revealed a slight improvement, however, still the jurney is far from over.

Biography:

Oketayo Oyebamiji Oyedele had his first Degree (B.Sc) in Physics from University of Agriculture, Abeokuta (UNAAB), M.Sc and Ph.D. in Engineering Physics (Health & Environmental Physics Option) from Obafemi Awolowo University Ile-Ife. He is presently a Lecturer I in the Department of Physics, Federal University, Oye-Ekiti. He equally has Certificate Course in Electronic Data Processing, National Diploma in Science Laboratory Technology and Post Graduate Diploma in Education.  He has scholarly articles in both local and International reputable journals.

Abstract:

Heavy metal pollution of the environment is an increasingly significant problem. This study was designed to investigate the potential health risks posed by the two metal recycling companies on vegetable crops. Using Flame Atomic Absorption Spectrometer (FAAS) (200A MODEL) the concentrations of eight metals (Ca, Cd, Cr, Cu, Fe, Mg, Mn, Zn) in vegetables (Talinum triangle, Amaranthus hybridus, and Solanecio biafrae) were in the range (100.5-490.5) mg/kg, (0-2.8) mg/kg, (0-15.5) mg/kg, (5.3-135.5) mg/kg, (138.6-1081.2) mg/kg, (35.5-545.4) mg/kg, (5.3-545.2) mg/kg, (39.5-1380.0)  respectively. The mean concentrations were in the order of Fe > Zn > Ca > Mn > Mg > Cu > Cr > Cd. Generally and relative to the control, vegetables from the sites were slightly enriched in Cu, Mn and Zn (EF = 1.61-8.02) while Talinum triangle were highly enriched in Mn (EF=28.21-28.81). Using SPSS 17, the result indicated that significant differences (p < 0.05) exists between the levels of these metals and control. The levels of Cd, Cr, Cu, Fe, Mn and Zn from sites were also found greater than FAO/WHO (2011) safe limits but within for samples from control. The accumulation factors (AF) were >1 for some heavy metals in vegetables from the sites, indicating that vegetables from these areas are not good for consumption.