plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Healthcare Healing Environment Design 
abstract:Healthcare Healing Environment Design research project consist of objective for: (1)
Surveying the problem of healthcare environment setting (2) To design an assessment tool for
Healthcare Healing Environment Design. Research focus on 12 of 30-120 beds community
hospitals countrywide with specific selection.
Research found that settings for healthcare healing environment in most of research
participant hospitals have problem on space management, way findings/ signage, knowledge
boards, visual objects, color tones, crowded waiting area, air quality in service area. Besides,
there are more problems outside buildings such as cars parking area, connecting corridor also
garden landscape those cannot support practical usage.
To design an assessment tool for healthcare healing environment, research team were
reviewing international literatures and related research papers combine with experiences from
working in Healthcare Accreditation Institute (Public Organization) and visiting countrywide
hospitals in order to get a preliminary self-assessment tool for participant hospitals. Core
principles of the assessment tool are based on the six factors that affect the human senses.
After trial implementation in participant hospitals, the assessment tool was developed to be
the final version for first year research program by dividing assessment parameters into 3 areas:
(1) buildings outdoor (2) common facilities and (3) indoor function; as (1) and (2) are common
area and (3) is for each units/ wards.
This Healthcare Healing Environment Assessment Tool Kit will be implementing in
participant hospitals as for evaluating the tool and develop to be a more complete tool in the
second year of the research program.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Medication Use Behaviors among the Older Thai Adults 
abstract:Inappropriate medication use behavior is one of major causes of drug related events which lead to acute episodes and hospital visits among older adults. The purposes of this study were to investigate medication use behaviors, determine factors related to medication use behaviors, and explore means to prevent and solve problems related to medication use behaviors among older Thai adults. Using a descriptive qualitative design, this study employed an in-depth interview in 23 adults aged 60 years and older who experienced drug-related problems on a hospital visit and their caregivers. The study focus groups were conducted in 26 health care personnel.
Using a content analysis, this study revealed that medication use behaviors required capability to perform medication administration and capability to make a proper decision. Medication use behaviors involved: medication use method (medication non-adherence and unsafe self-medication), making choices of drug sources, and keeping and dispensing medication. Factors related to medication use behaviors comprised (1) pre-existing factors including individual capacity factors (e.g. knowledge, attitude, memory, and vision), and daily activity factors (e.g. working job, social activities, and caring for others) (2) precipitating factors including disease manifestation (e.g. severity, duration), and response to medication (e.g. experience relief and side effect), and (3) modifying factors including social influences (family, health care personnel, and media), medication-related factors (medication regimen complexity), physical environment (distance to hospital), and financial status.
The results of this study proposed 3 approaches to solve the problems related to medication use behaviors: reactive, proactive and systematic approaches. The results can be used in nursing education and other allied disciplines. Suggestion for future research was to test the model of factors related to medication use behaviors and to determine influencing factors. The results of the study also suggested that national and local governments develop database network system, and provide services to fulfill basic needs of the older Thai adults.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Green Nursing Home Model Developed Based on Human Factors Engineering 
abstract:Proper facilities for elderly is important for preparation for being an aging society of
Thailand in a near future. Number of elderly in elderly home care is increasing during the past
few years. This trend is expected to continue for decades.
This paper determines a priority of facilities for elderly in elderly home care in
Nakhon Ratchasima province namely Thamma Pakorn Poeklang. Three groups of information;
including capability of the facilities to prevent falling in elderly, frequency and violence of
falling in elderly, and level of self-care ability, are used for a determination of the priority of
facilities for elderly. This study shows that facilities relating to environmental arrangement and
balance of elderly are the most important depending on locations. For the wide court area,
facilities relating to environmental arrangement are this most important. While, facilities
relating to balance of elderly are the most important for limited space area. Results from this
study are based on elderly sampled from the studied area. For other areas, it is suggested to
determine the level of self-care ability of elderly in the interested area and re-determine the
priority of facilities for elderly in the same way presented in this paper.
This research explored basic information, physical characteristics, and strength of
elderly in Thammapakon Pho Klang nursing home, Nakhon Ratchasima. Fifty nine subjects, 41
males and 18 females, participated in this study. Average age of the subjects was 75.07 years
old. Average heights were 160.42 and 144.97 cm for males and females, respectively. Average
shoulder heights were 134.24 and 119.22 cm for males and females, respectively. Average
hand thickness were 4.00 and 2.90 cm for males and females, respectively. Average grip
breadths, inside diameter, were 3.55 and 2.89 cm for males and females, respectively.
Strength of males was greater than that of females. Data obtained from this research can be
used to design facilities for elderly. For example, handrail diameter should be 3-4 cm. and
handrail height should be 80 cm. These dimensions conform to stipulating accessibility in
buildings for disabled persons and elderly ministerial regulation B.E. 2548.
Design of buildings of Thammapakon Pho Klang nursing home, Nakhon Ratchasima
based on green building principles is a suggestion of design guidelines. These guidelines
include layout of project and buildings in Thammapakon Pho Klang nursing home which
conform to green building and energy saving principles and also efficiency increase. Moreover,
building utilization, water management, waste management, environment friendly material
selection, effect of buildings on health of building users and environment, construction, operations, maintenance, and high quality disposal are included. The researchers have made
3 dimensional animation in order to transfer knowledges and understanding of building design
for elderly based on green building and accessibility of people at all ages.
location: nan, 'Thailand 
year: 2014 source: HSRI 
title: Time-to-treatment of stroke patients : Experience from Ubon Ratchathani Province, Thailand 
abstract:Treating ischemic stroke patients with rt PA no more than 3 hours or 180 minutes after the stroke can increase the chance of recovery or improved condition.  If, however, treatment is delayed, the potential outcome may be permanent disability or death.  This descriptive study was conducted with the objective of assessing time elapsed before treatment in ischemic stroke patients and analyzing the factors influencing the amount of time elapsed before ischemic stroke patients receive hospital treatment.  The sample group was composed of 300 ischemic stroke patients treated at Sanphasitthiprasong Hospital in the province of Ubonratchathani, Thailand.  Data were collected from November 2014 to February 2015.  The following three sets of instruments were employed:  1) Demographic Data Questionnaire; 2) Ischemic Stroke Evaluation Form and 3) Time to Treatment Evaluation Form.  Data were analyzed by descriptive statistics and by finding the correlations by using Spearman's correlation coefficient.
According to the research findings, 229 of the 300 ischemic stroke patients (76.3%) had pre-hospital times of more than 180 minutes.  The median pre-hospital time from the occurrence of stroke to hospital arrival was equal to 302.5 min (S.I.Q. = 589.38). The amount of time elapsed from arrival in the emergency room at Sapphasitthiprasong Hospital until receipt of treatment (in-hospital time) was equal to 107 min (S.I.Q.= 43.125). Therefore, the median time from the initial presenting symptoms until treatment was equal to 590 min (S.I.Q.= 635.63).  Furthermore, the pre-hospital time, the distance from the site of the incident to the hospital and the in-hospital time from arrival until laboratory test results were received were found to be positively correlated with the pre-hospital time from the initial presenting symptoms until receipt of treatment (rs= .661, .185, .235, p<.01).  The severity of symptoms evaluated with NIHSS scores was found to be negatively correlated with pre-hospital time (rs= -.129, p<.05).
In summary, most ischemic stroke patients within the boundaries of Ubonratchathani receive delayed treatment in which the pre-hospital time has the highest correlation with receipt of treatment and instructing patients, people at risk for ischemic stroke and their relatives.  Moreover, the development of an emergency medical service provision system and a hospital referral system that minimizes procedures and time in transferring ischemic stroke patients is vital to helping ischemic stroke patients receive timely treatment.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Infection control nurses networking for knowledge sharing Associated/in Nosocomial Infection Control Chiang Mai Province 
abstract:Background : Quality of infection control in primary care center is very important for community health. The study aimed to develop the primary health center networks of infection control in Chiang Mai province.
Methods : An intervention study was conducted. Two hundred and sixty nine primary health centers were included the study. The interventions were a quality infection control network in Chiang Mai, group discussion for knowledge sharing and infection control guideline manual for primary health centers. Quantitative and qualitative data were collected and analyzed in order to describe impact of the intervention and factors associated successful of the network.
Result : The primary health center networks of infection control in Chiang Mai province were developed. During 17th Apr – 15th Dec 2014, The intervention was implemented to 150 of 269 primary care centers (55.78%). The intervention strengthened the network and improved infection control knowledge of study population.
Conclusion : Infection control nurses networking for knowledge sharing associated/in nosocomial infection control Chiang Mai province was developed by a quality infection control network in Chiang Mai. The effectiveness of the intervention and factors associated successful of the network are studying.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Cost-effectiveness of thrombolysis service for patient with ST segment elevation myocardial infarction in primary care hospital 
abstract:ST segment elevation myocardial infarction (STEMI) is a major cause of death. Recent evidences showed that primary percutaneous coronary intervention (PPCI) can reduce mortality rate. However, in a situation where PPCI is unavailable, facilitated percutaneous coronary intervention (FPCI) using fibrinolytic drug before patient referral could be an important life-saving solution. Since FPCI may increase the risk of major bleeding and it incurred more expenditure, the information on cost-effectiveness of FPCI is useful for policy makers.
A Markov model was used to compare the lifetime cost and quality-adjusted life years (QALYs) accrued to patients receiving FPCI before referral or PPCI at referral center from societal and health system perspective. All analyses were performed using Microsoft Excel. Input data were retrieved from literatures and electronic databases.
We found that FPCI program at community hospital is a dominant alternative given its lower cost and higher effectiveness than PPCI at referral center. This means it is a cost-effective policy option.
Therefore, community hospitals with the capacity to provide FPCI service for STEMI patients should be supported to offer such service for better access to the patients with higher overall quality of life and lower costs to the systems. We suggest that policy makers in the Ministry of Public Health and the hospital administrators should consider these findings and provide support to make FPCI available in community hospitals with existing capacity. Capacity strengthening particularly in terms of manpower, and budget should be provided especially in the areas where there is still shortage of supply.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Development of Electromyography Needle Electrodes for Spasticity Treatment 
abstract:With a promising import-substituting alternative of electromyography (EMG) needle electrodes used in spasticity treatment, this research aimed to investigate polymer types and polymer coating technologies that were suitable for coating on the needle shaft of the common hypodermic needles. Previous study of the EMG needle electrodes with accessible data of related coating products and Thailand’s commercially available raw materials data revealed a potential technique of implementing the dip-spinning process of aqueous fluoropolymer dispersion coating onto the surface of 316 stainless steel needle shaft. As a result of the former research on topic “a study of polymer coating on needle for medical application” financially supported by National Research Council of Thailand, the newly designed dip-spin coating equipment was used to coat FEP and PTFE on the needle shafts of the common hypodermic needles. Various characterizations and testing of the polymer-coated surfaces were conducted. Depended on predetermined coating parameters, thicknesses of FEP and PTFE could be coated on the needle shafts in the range of 5-10 μm. Both FEP- and PTFE- coated needles showed good adhesion with no polymer film detachment after insertion the needles into a piece of pork shoulder. In addition, the results of penetrating the FEP- and PTFE- coated needles to the injection vial stoppers showed low friction forces and good adhesion. Film adhesion qualities were in agreement with measuring adhesion by using tape test on the FEP- and PTFE- coated flat surfaces of 316 stainless steel plates that showed no detachment. As results of penetrating the FEP- and PTFE- coated needles to the injection vial stoppers, their drag forces were compared with the commercially available EMG needles. Drag forces of the FEP- and PTFE- coated needles were, respectively, 1880-1900 mN and 2650-3000 mN while the commercially available EMG needles from companies A and B were, respectively, 1450-1520 mN and 1400-1900 mN. However, the coats from company A were detached from the needle shafts during penetrating the injection vial stoppers with possible cause of poor adhesion of the coat on the needle shaft. Biological evaluation testing was complied with Thailand’s TIS-1398 sterile hypodermic needles for single use and TIS-2395 Biological evaluation of medical devices. Seven sets of the biological evaluation testing included cytotoxicity testing, irritation testing, sensitization testing, pyrogen testing, haemocompatiblity testing, systematic toxicity testing, and intracutaneous testing.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Development of Prescribing Decision Support System (PDSS) with Electronic Health Records to Prevent Drug-related Problems, Support Patient Safety and Rational Use of Drug 
abstract:Drug-related problems (DRPs) such as overdose drug use, drug used without indication, concurrent drug use with possible drug-drug interaction may cause harm to the patients who receive healthcare service at the hospital. Therefore, DRPs are the national burden. Electronic health record (EHR) was widely adopted and used in many hospitals. However, collecting DRPs was not developed and implemented systematically. In addition, categorization of DRPs was not standardized, this could hamper pooling DRPs regionally and provincially. The objective of this research was to develop EHR, which is a part of hospital information (HI) system, to be able to systematically collect DRPs and to standardize categories of DRPs to be user-friendly and can be used in routine work. The committee for EHR and HI development of community hospitals in Ubon Ratchathani Province was met to identify management problems related to DRPs and to gather opinion towards DRPs system. Thereafter, DRPs program was developed and tested to identify any technical problem which was consequentially fixed to make the program more user-friendly and implemented in HI system. The results showed that DRPs management system was different among community hospitals although these community hospitals used the same HI system. Thus, DRPs report was dissimilar. DRPs program developed from the committee’s consensus was user-friendly and appropriated for the routine work. DRPs categories were also standardized. Pooling and reporting DRPs regionally and provincially was reliable and valid. Thus, it is possible to benchmark and evaluate the quality of medical services.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Performance Assessment of District Health System in Tak Province 
abstract:Performance Assessment of District Health System in Tak Province.The aims of this study were
to assess of the provincial and district committee level,in 9 district of Tak province. ), which will assess
the compliance of the project in the context ,input, process, output and outcome .Using the model CIPP
Model of Stoughton Waffle Beam. (Stufflebeam's CIPP Model ) Data were collected and analyzed by
quantitative method with descriptive statistics.
The results showed that the context of each area with the integration of technical development in
areas already include self-assessment. The district health system Using a model planned community with
quality development, including the development of quality guidelines HA PCA standard and are used for
process-driven application development, network management services, process know-how. The
knowledge from routine to research. The input policy, budget, personnel, equipment showed that.
Commented that there is a consistent level. The process Issue Rating Is the process of implementation
Tracking supervision and evaluation The samples of the opinion that there is consistency in the level of
output of the sample is of the opinion that there is a consistent level of results, the sample is of the opinion
that there is a consistent level. The development of district health network. The collaboration at the district
level were moderate consensus. Providing essential health The samples of the opinion that there is a
consistent level. The sharing and development groups. Commented that there is a consistent level. The
involvement of community groups. Commented that there is a consistent level. And the value of work
Sample Commented that there is a consistent level.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Health Providers’ Perception and Opinion towards an Increase of Budget to Facilitate Appendectomy, Hernia Repair Surgery and Tubal Resection in Community Hospitals of Seven Provinces in North-Eastern Region, Thailand 
abstract:The National Health Security Office, region 8, Udon Thani had surveyed the perception and opinions
of health providers towards an increase of funding to facilitate appendectomy, hernia repair surgery
and tubal resection in community hospitals around the North-Eastern region; Loei, Nong Bua Lam Phu,
Udon Thani, Nong Khai, Bueng Kan, Sakon Nakhon, and Nakhon Phanom during the fiscal year of 2013.
The informants consisted of 280 people. The results demonstrated that 66.1% has never known about this
policy before, 72.9% agreed with this policy, and 40% has acknowledged that their hospitals have had the
policy to increase the operations. 76.4% has wished that this kind of policy would not be terminated. The
study revealed that the relationship between the health provider’s perception and the hospital’s policy to
increase surgeries was significant (p<0.05). Three factors influencing hospital to increase the operation
are: 1) the readiness of the operation team, 2) the availability of surgeons, and 3) the convenience of the
patients. However, the first three factors that make “No more” surgical are: 1) the capability of the team is
not enough, 2 ) no surgeon, and 3 ) the risk of being sued.
location: nan, 'Thailand 
year: 2015 source: HSRI 
title: Assessment of Smoking Cessation Services in Public Health Ministry-Affiliated Hospitals 
abstract:The objective of this study is to assess the situation of hospital-based smoking cessation clinics in
Thailand from 2007 to 2012 by conducting literature review and assessment in 10 sites supported by
National Health Security Office (NHSO) in order to identify success factors and good practices for scaling
up. The result shows that there are four models such as hospital-based cessation clinics, Quitline service,
cessation services in pharmacies with full-time pharmacist and by dental clinics in public health centres
under Bangkok Metropolitan Authority. Two systems were developed to achieve universal access to
cessation service such as Quitline 1600, cessation clinics supported by NHSO, including SMART Quit
Clinic. Clinical practice guidelines for treating tobacco dependence by physicians and other health professionals,
for which the contents of the guideline can be adjusted to suit each profession, were also issued. In
the ten smoking cessation sites, the structure and services differ slightly depending on the context and
size of hospital. The 5A’s system (Ask, Advice, Assess, Assist and Arrange) was fully integrated into
routine work in all departments without referring the smoker clients to the smoking cessation clinics.
Usually providing consultations and parallel medication are offered. Plans for rehabilitation and followup
with support from network outside hospitals such as health centres and volunteers are the key performance
indicators
This study recommends: 1) In collaboration with organizations involved or with capacity to be
involved in existing cessation services, make services for smokers a special program under NHSO to
improve central and regional systems. 2) To plan and integrate Thai cessation services into one system, set
up a workgroup with clear organizational policies as the responsible body for all levels from ministerial,
regional, district to provincial level. 3) To develop up-to-date educational media for use by cessation
clinics through which standardized cessation techniques can be taught. Provide channels for continuous
report and public relation including seminar, training and research dissemination where those responsible
for cessation clinics are invited. 4) To have personnel throughout the country trained under the same
system, set up a central office responsible for setting consultation and treatment training standards. 5) To
have service conditions set; for patients with chronic diseases make cessation a condition for receiving
services.