MyMedR

Perception of nudge interventions to mitigate medication errors risk in healthcare service delivery

Chew KS, Ooi SK, Abdul Rahim NF, Wong SS, Kandasamy V, Teo SS

BMC Health Serv Res, 2023 Nov 27;23(1):1310.

PMID: 38012617 DOI: 10.1186/s12913-023-10247-7

BACKGROUND: Conventional cognitive interventions to reduce medication errors have been found to be less effective as behavioural change does not always follow intention change. Nudge interventions, which subtly steer one's choices, have recently been introduced.

METHODS: Conducted from February to May 2023, this study aimed to determine the relationships between perceived effectiveness and perceived ease of implementation of six nudge interventions to reduce medication errors, i.e., provider champion, provider's commitment, peer comparison, provider education, patient education and departmental feedback, and the moderating effects of seniority of job positions and clinical experience on nudge acceptability. Partial Least Square Structural Equation Modelling was used for data analysis.

RESULTS AND DISCUSSION: All six nudge strategies had significant positive relationships between perceived effectiveness and acceptability. In three out of six interventions, perceived ease of implementation was shown to have positive relationships with perceived acceptability. Only seniority of job position had a significant moderating effect on perceived ease of implementation in peer comparison intervention. Interventions that personally involve senior doctors appeared to have higher predictive accuracy than those that do not, indicating that high power-distance culture influence intervention acceptability.

CONCLUSION: For successful nudge implementations, both intrinsic properties of the interventions and the broader sociocultural context is necessary.

Matched MeSH terms: Physicians*

Evolution of a self-renewing, participant-centered workshop series in BMB assessment

Tyler L, Kennelly PJ, Engelman S, Block KF, Bobenko JC, Catalano J, et al.

Biochem Mol Biol Educ, 2024;52(1):58-69.

PMID: 37815098 DOI: 10.1002/bmb.21789

We present as a case study the evolution of a series of participant-centered workshops designed to meet a need in the life sciences education community-the incorporation of best practices in the assessment of student learning. Initially, the ICABL (Inclusive Community for the Assessment of Biochemistry and Molecular Biology/BMB Learning) project arose from a grass-roots effort to develop material for a national exam in biochemistry and molecular biology. ICABL has since evolved into a community of practice in which participants themselves-through extensive peer review and reflection-become integral stakeholders in the workshops. To examine this evolution, this case study begins with a pilot workshop supported by seed funding and thoughtful programmatic assessment, the results of which informed evidence-based changes that, in turn, led to an improved experience for the community. Using participant response data, the case study also reveals critical features for successful workshops, including participant-centered activities and the value of frequent peer review of participants' products. Furthermore, we outline a train-the-trainer model for creating a self-renewing community by bringing new perspectives and voices into an existing core leadership team. This case study, then, offers a blueprint for building a thriving, evolving community of practice that not only serves the needs of individual scientist-educators as they seek to enhance student learning, but also provides a pathway for elevating members to positions of leadership.

Matched MeSH terms: Physicians*

An obscured obstacle-Prevalence and nature of micro aggressions amongst healthcare professionals

Elfaham RH, Allihaydan FS, Baragaa LAA, Elfaham SH, Allihaydan NS, Maqbul MS, et al.

Semergen, 2024 Mar;50(2):102124.

PMID: 38043388 DOI: 10.1016/j.semerg.2023.102124

INTRODUCTION: Microaggressions create negative consequences on the mental health of individuals who experience them, such as feelings of alienation, frustration and low self-esteem. Physicians worldwide are negatively impacted by the detrimental effects of microaggressions and implicit bias. It is imperative to establish the prevalence specificity of the problem hence the aim of this study is to determine the prevalence, nature and determinants of microaggressions amongst healthcare professionals.

METHOD: The study used an online anonymous survey to collect data including demographics, awareness of the term, experience of microaggression, acts and response. The research findings were analyzed using univariate and multivariate analyses using Chi-square test and binary logistic regression respectively.

RESULT: A total of 443 participants (40.9% males, 59.1% females) included 403 physicians (91%), 21 dentists (4.7%), 15 nurses (3.4%) and 4 pharmacists (0.9%). More than half of the participants (59.8%) were aware of the term micro-aggression. The percentage was significantly higher among respondents from the western region of Saudi Arabia than the Gulf/Middle Eastern countries. Approximately 38.1% of the participants experienced microaggression and more than half (55.62%) did not report experiencing microaggression. The most common form of microaggression was passive-aggressive behavior (80.5%) followed by invalidation of an opinion (73.4%). Among those who experienced microaggression, (12.9%) reported anger as the most predominant emotional response.

CONCLUSION: Microaggression is a universal phenomenon. Further research is necessary to determine its prevalence in other countries to establish a comprehensive understanding of its cultural context.

Matched MeSH terms: Physicians*

Fulltext Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Rashid AA, Devaraj NK, Mohd Yusof H, Mustapha F, Wong SV, Ismail AF, et al.

BMJ Open, 2020 Jul 02;10(7):e037653.

PMID: 32616493 DOI: 10.1136/bmjopen-2020-037653

INTRODUCTION: Medical doctors are often subjected to long working hours with minimal rest in between the shifts. This has led to many fatal and non-fatal road crash involvement (RCI). This study aims to determine the prevalence and predictors of RCI among medical doctors in Malaysia.

METHODS AND ANALYSIS: This is a cross-sectional study among 375 Malaysian medical doctors who met the inclusion criteria. A predetermined self-administered questionnaires will be used to collect information regarding the sociodemographic, health status, workplace information, work commuting information, driving behaviour, history of RCI, fatigue, sleep quality, mental health status and work engagement. The questionnaires consist of the following instruments: (1) sociodemographic, health status, workplace information, work commuting information, driving behaviour and history of RCI; (2) Checklist of Individual Strength Questionnaire; (3) Pittsburgh Sleep Quality Index; (4) 21-item Depression Anxiety and Stress Scale; and (5) Utrecht's Work Engagement Scale. The data will be analysed using SPSS program V.24. Descriptive and inferential statistics will be used to determine the prevalence and predictors of RCI.

ETHICS AND DISSEMINATION: This study protocol has received ethics approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR-18-3983-40609) and the Ethics Committee for Research Involving Human Subject, University Putra Malaysia (JKEUPM). Online written informed consent will be obtained from each study participant by the researchers. Results of the study will be disseminated through relevant journals and conferences.

TRIAL REGISTRATION NUMBER: NCT04243291.

Matched MeSH terms: Physicians*

Fulltext Two Adults With Hypertriglyceridemia: How should one manage these persons?(#)

Jayasinghe S

Malays Fam Physician, 2008;3(1):34-6.

PMID: 25606110

The paper discusses the management of two individuals with asymptomatic hypertriglyceredemia, a common problem faces by Family Physicians in Malaysia. In such instances it is advisable to exclude an underlying disorder (e.g. metabolic syndrome) and take a pragmatic approach.

Matched MeSH terms: Physicians, Family

Fulltext Perceptions of physicians about clinical pharmacist’s role in Al Qassim’s hospitals in Saudi Arabia

Ahmed NO, Alrebdi SF, Abdulghani MAM, Baobaid MF

Malaysian Journal of Public Health Medicine, 2017;17(3):109-116.

The objective of this study is to explore physician’s perception toward clinical pharmacy services and role of clinical pharmacists in governmental hospitals at Al-Qassim region. An observational cross-sectional survey was conducted. Results: 150 males and 39 females participated giving 75.5% (189 of 250) response rate. Physicians perceptions were found to be high (equal or more than 90% of frequency) in some clinical pharmacy services such as patients’ education and counselling, monitoring of patients’ responses to drug therapy including toxicity/side effects and provision of drug information to healthcare professionals. The physicians showed low perception (less than 76%) in the taking of patients’ medication history on admission, by clinical pharmacists. Conclusion: Physicians’ perception toward clinical pharmacy services and the role of clinical pharmacists was not found to be completely favourable. The reason of this mixed responses and to the accommodating feelings of clinical pharmacy services in clinical setting appear to relate to the state of infrastructure and environments of hospitals. The infrastructure and environments of hospitals need to be updated for an improved accommodation clinical pharmacy services.

Matched MeSH terms: Physicians

Fulltext A young man with chronic dry cough

Shalihin SE, Osman IF, Harun Z, Mukhali HB, Gnathimin B

Malays Fam Physician, 2020;15(1):68-70.

PMID: 32284811 MyJurnal

In primary care, chest X-rays are commonly performed to assess patients presenting with a prolonged
cough. However, the extent to which the flms are accurately interpreted depends on the skill of the
doctors. Doctors with insufcient experience may miss an exact diagnosis when evaluating a flm,
especially in patients with nonspecifc symptoms, such as in the case discussed in this paper.
( Copied from article ).

Matched MeSH terms: Physicians

Fulltext Information disclosure in informed consent

Lydia Aiseah Ariffin

Malaysian Journal of Medicine and Health Sciences, 2020;16(2):275-280.

MyJurnal

Informed consent has been recognised as an essential part of clinical practice, giving ethical and legal legitimacy to medical intervention. There is no universal standard on the amount and type of information that a patient is entitled to and needs to be adequately disclosed. This article proposes nine information that will assist the doctor in providing adequate information for a patient to evaluate whether to authorise medical intervention. The recommended infor- mation are: (i) diagnosis, prognosis and its uncertainties; (ii) nature of proposed medical intervention; (iii) the expect- ed benefit of proposed medical intervention; (iv) the potential risk of proposed medical intervention; (v) alternative to proposed medical intervention; (vi) progress of proposed medical intervention; (vii) opportunity for a second medical opinion and to seek further details; (viii) costs of proposed and alternative medical intervention; and (ix) the person responsible for implementing medical intervention.

Matched MeSH terms: Physicians

Care of the mentally ill and their families

Woon TH

Family Practitioner, 1983;6(2):55-57.

With about 1% of Malaysian medical practitioners being psychiatrist, the patients need the psychiatric skill and care of general practitioners for both early referral and follow-up care. The psychological reactions aroused by the mentally ill patients may be jointly managed by the doctors and their families. The primary care doctor can play an effective therapeutic and supporting role in the rehabilitation of the patient that may include, when available, other workers in social and psychiatric services.

Matched MeSH terms: Physicians

Fulltext Bibliography of primary care research in Malaysia

Khoo EM, Teng CL, Ng CJ, Jaafar S

ISBN: 978-983-100-450-0

Citation: Khoo EM, Teng CL, Ng CJ, Jaafar S. Bibliography of primary care research in Malaysia. Kuala Lumpur: University of Malaya; 2008

Matched MeSH terms: Physicians, Family

Profile of doctors who participate in continuing medical education in Malaysia

Shahabudin SH, Edariah AB

Med Educ, 1991 Sep;25(5):430-7.

PMID: 1758320 DOI: 10.1111/j.1365-2923.1991.tb00091.x

A random survey of 400 doctors was carried out over a period of 3 months to determine the factors that would facilitate or inhibit the participation of doctors in continuing medical education (CME) in Malaysia. Regular participation in CME was defined as participation in any activity (self-directed reading or attending organized activities) at least once a month during the past year. It was found that 78% of doctors regularly participated in CME. Working in a hospital environment and being members of the Malaysian Medical Association and at least one specialty organization appeared to be important facilitatory factors in CME participation. These doctors also read the local medical journals regularly and subscribed to other journals. In addition, they were more likely to possess postgraduate qualifications and would have teaching, research, diagnostic or clinical responsibilities as major components of their work. They were more likely to practise in the big cities and would tend to be active in at least one voluntary or social organization. If they were in the Government sector, they were more likely to work in the Universities or in the Hospital Division of the Ministry of Health. The 22% who were less likely to participate in CME were general practitioners in the private sector. They worked long hours with day, evening and/or night shifts every day. If the doctors were in the Government sector, they were more likely to be in the Health Division, working in administration and public health, or they were in the armed forces and other organizations such as local councils. They worked in the smaller towns or in the districts.(ABSTRACT TRUNCATED AT 250 WORDS)

Matched MeSH terms: Practice Patterns, Physicians'; Physicians/psychology*; Physicians/statistics & numerical data

Anaemia in infancy as a presenting feature of hypothyroidism

Harun, F.

Malaysian Journal of Child Health, 1991;3(1):40-44.

MyJurnal

Thyroid hormones mediate the biological activities of almost all organ systems in the body. Patients with a deficiency of these hormones may present with a wide spectrum of clinical symptomatology. This report is of an infant who presented with chronic anaemia which was found to be secondary to hypothyroidism associated with a hypoplastic lingual thyroid gland. Physicians need to be alert to the varied manifestations of hypothyroidism so as to avoid delay in diagnosis and treatment.

Matched MeSH terms: Physicians

Fulltext Housing improvement using quality function development in Melaka resident area: a case study

Salim, M. A., Wan Mohamad, W. M. F., Maksom, Z., Kamat, S. R., Sukarma, L., Putra, A., et al.

Journal of Advanced Review on Scientific Research, 2014;4(1):7-19.

MyJurnal

This paper presents the housing improvement proposition in the Melaka resident area.Quality Function Deployment is used as a method to analyze customer behavior regarding customer requirement, satisfaction and comparison among the developers. By using this method, the main requirement by the buyer for their bungalow is their need of sufficient space to place their appliances in the house. At the end of the study, the details of buyer requirements are plotted into House of Quality, where it is believed to improve the quality of future bungalow house development in Melaka.

Matched MeSH terms: Physicians

Fulltext Engaging men in health services: are we ignorant?

Mohd Ihsani Mahmood, Idayu Badilla Idris, Rosnah Sutan, Hasanain Faisal Ghazi, Rozita Hod, Hanizah Mohd. Yusof

Malaysian Journal of Public Health Medicine, 2014;14(2):99-104.

MyJurnal

Men’s health remain unclear term for majority of general population as well as physician worlwide. Nowadays there is an increase interest in addressing men’s requirement in health care as a separate branch. When discussing about men’s health, it is fair to say that even a man himself does not know much about men’s health. Most of them think that men’s health is just a discussion on sex. This thought is not entirely right. The scope of men’s health is actually larger than the male sex organ itself. To define men’s health, we have to look at man holistically.

Matched MeSH terms: Physicians

Fulltext A case of congenital anomaly of the utinary tract and neurogenic bladder

Sia, S.F., Dublin, N.

JUMMEC, 2006;9(2):22-23.

MyJurnal

Anomalies of the genitourinary tract occur in approximately 10% of the population and account for about one third of all congenital malformations in children (1). Congenital malformations involving the genitourinary system are major therapeutic challenges faced by the practising urologist.

Matched MeSH terms: Physicians

Fulltext Is Google search a useful medical diagnostic tool for third year medical students?

Nalliah S, Pereira J, Lim ST, Jayasingam V, Phang GG

International e-Journal of Science, Medicine & Education, 2015;9(3):33-37.

MyJurnal

In recent years, the internet has become an increasingly popular tool for people to obtain information due to the overwhelming availability of material. As internet access becomes more readily available, the newer generation of patients, medical students and doctors are starting to prefer the internet as a source of reference to acquire medical knowledge. The main objectives of this study were to determine the accuracy of using Google search in establishing a clinical diagnosis based on information provided from the New England Journal of Medicine (NEJM) and to determine the concordance rate of Google diagnosis with the actual diagnosis from NEJM.

Matched MeSH terms: Physicians

Fulltext A portable mnemonic to facilitate checking for cognitive errors

Chew KS, van Merriënboer J, Durning SJ

BMC Res Notes, 2016 Sep 17;9(1):445.

PMID: 27639851 DOI: 10.1186/s13104-016-2249-2

Although a clinician may have the intention of carrying out strategies to reduce cognitive errors, this intention may not be realized especially under heavy workload situations or following a period of interruptions. Implementing strategies to reduce cognitive errors in clinical setting may be facilitated by a portable mnemonic in the form of a checklist.

Matched MeSH terms: Practice Patterns, Physicians'

Fulltext Preventing diabetes: The task of the family doctor

Rajakumar MK

Asia Pac Fam Med, 2003;2(1):8-9.

Matched MeSH terms: Physicians, Family

Fulltext A proposal for the training of physicians in primary care for the rural areas of Malaysia

Rajakumar MK

Family Practitioner, 1984;7(1):58-61.

Matched MeSH terms: Physicians

Mentoring for the Academy of Family Physicians of Malaysia

Ch'ng KS

Family Physician, 2000;11:16-7.