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Browsing Інші публікації by Author "Kumah, Augustine"

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    Cause-and-Effect (Fishbone) Diagram: A Tool for Generating and Organizing Quality Improvement Ideas
    (2024) Kumah, Augustine; Nwogu, Chinwe; Issah, Abdul-Razak; Obot, Emmanuel; Kanamitie, Deborah; Sifa, Jerry; Aidoo, Lawrencia
    Improvement requires changes to be made. Indeed, one of the questions in the Model for Improvement asks "What change can we make that will result in improvement?" Ideas for change are not automatically generated by these tools, but they help analyze problems in detail, and in doing so, potential solutions may be easier to identify. In the healthcare field, a causeand- effect diagram (fishbone diagram) is a tool that assists in analyzing the root cause of a quality-related problem, such as poor performance or safety incidents. This tool allows the team to focus on the root cause of a given problem instead of the symptoms. When there is more than one root cause, the team may need to address each one with a separate fishbone diagram process.
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    Factors Associated with Antidiabetic Medications and Dietary Recommendation Adherence Among Patients with Type 2 Diabetes
    (2025) Kwaku Dorvlo, Godwin Gideon; Kumah, Augustine; Ofosu, Samuel Kwabena; Afakorzi, Stephen Henry; Avorgbedor, Yvette Eyram; Obot, Emmanuel; Nwogu, Chinwe Nnenna; Rahman, Malik Abdul; Ugorji, Henry Okorie; Aidoo, Lawrencia Antoinette; Dogbedo, Anthony Bless; Issah, Abdul - Razak; Fuseini, Abigail Abiba; Kanamitie, Deborah Terkperkie; Boni, Gustav
    Introduction: Diabetes mellitus is a global noncommunicable disease epidemic of public concern. Adherence poses a challenge to patients due to the long-term management of type 2 diabetes. This study assessed the factors associated with antidiabetic medications and dietary recommendation adherence among patients with type 2 diabetes in Ghana. Methods: A hospital-based, cross-sectional study design was used to assess self-reported factors associated with antidiabetic medications and dietary recommendation adherence among 165 recruited type 2 diabetes patients who visited diabetic clinics of two selected municipal hospitals in the Volta region of Ghana. A structured questionnaire consisting of closed-ended questions was used. Phone calls were used to collect responses from participants using the structured questionnaire, which included the United Kingdom Diabetes Diet Questionnaire and Morisky Adherence Scale. Data collected were entered into a Microsoft Excel sheet and exported to STATA software (version 15) to analyze variables. Binary logistic regression was run to determine the association between the level of adherence (outcome variable) and the independent variables. A CI of 95% with a p-value of , 0.05 was statistically significant. Results: Self-reported factors were as follows: forgetfulness (p ¼ 0.0001), taking medication (p ¼ 0.006), difficulty remembering to take medication (p ¼ 0.001), worry about long-term intake of drugs (p ¼ 0.0001), choice of high-fiber diet (p ¼ 0.037), intake of processed or refined carbohydrate (p ¼ 0.049) alcohol intake (p ¼ 0.033), age (p ¼ 0.015), occupation (p ¼ 0.009), and patient waiting time (p ¼ 0.020) were found to have contributed to medication/dietary nonadherence among the participants. Conclusion: Patient adherence was low. Health authorities in the two selected hospitals should develop strategies to reduce the problem of poor adherence.