RESEARCH & AUDIT
Research & Audit
"No research without action, no action without research" Kurt Lewin
At Nims Super-specialty Hospital & NIMS Medical College (National Institute of Medical Sciences) research is the way of life and we take research very seriously. There is a well-organized system to support and promote research and a number of research projects go on in the institute at a given time. Before we start any research activities we need to answer the basic question, what is research? Technically speaking, Research is defined as the creation of new knowledge and/or the use of existing knowledge in a new and creative way so as to generate new concepts, methodologies and understandings. This definition of research encompasses pure and strategic basic research, applied research and experimental development.
There are number of facilities and resources available at Nims University & Medical College to conduct high-end ground-breaking research. Some of these include having a world-class library with all national and international journals, periodicals, books, manuscripts and other published or unpublished reference material. The library has got the most modern infra with all facilities and 24x7 opening hours. Researchers can go and study there for any length of time to conduct a literature search in the field of their research. Nims University is a multi-disciplinary University and is a perfect place for conducing multi-disciplinary research which is the way to conduct the real research. We also have a state of the art Institute of Pharmacy with a fully operational Animal House to conduct the research in animal models. Nims also have a fully registered Institutional Ethics Committee (IEC) and all projects must be approved through that.
Audit is a process of systematic analysis of your own work, processes, guidelines, results or data and its methodical comparision with the existing Gold Standards. The basic concept of a clinical audit is to find the flaws and deviations in your system by comparing it with existing Gold Standards in that field. This can be a comparison of exiting guidelines, local practices, personal prererences, local policies with that of set protocols in order to find out deviations and its impact. This is done by retrieving the relevant records from the MRD department in Nims Hospital. The records are then summoned by the relevant clinicians who want to conduct the audit and the committe analyses the notes based on the pre-decided criteria for the Audit. The relevant paratemters are collected and then analysis performed followed by their comparision with the existing gold standards. The final statistical analysis is performed by by the relevant statistical tools.
The audits are done in the following stages:
1. Identify topic
The topic must be an important issue as it underpins the entire audit. Examples of important issues include those that are high-risk for patients, high costs for the trust, areas of patient concern (which could have been collected from a survey) or areas of high volume workload. It is also necessary to register the proposed audit with the Local Clinical Audit Team and have it approved by the relevant Audit Lead.
2. Select the standards
Select an established guideline (national or international) that is considered best-practice. Often the Royal College websites for different specialities have existing audit templates that are very useful. Extract the necessary targets from these guidelines (e.g. 100% of patients should be offered smoking cessation).
3. Data collection
This can be retrospective or prospective. It may be beneficial to do this retrospectively to prevent performance bias from staff members that are aware of any prospective audit. Additionally, data can be collected from physical or computer records.
4. Data analysis
Analyse the collected data and assess whether local practice meets guideline standards. Explore how well the standards were met and discuss any reasons for low compliance.
5. Implement change
Present the results at local departmental meetings and possibly at local or regional conferences. Develop an action plan outlining what needs to be done and then create these changes!
6. Allow time for changes to take place
It is important to allow sufficient time to pass for the uptake of new changes. Auditing too soon may underestimate the impact of new interventions, as they have not had time to take full effect.
Conduct the audit again to assess whether practice has improved in light of changes from the previous audit
There a number of curently underway in the Nims Super-specialty Hospital details for which can be found in the respective departments.
Research Projects Currently going on in Nims
A number of Research Projects are being done round the year in Nims. Following are the main projects undergoing in different departments:
1. Comparing the Effectiveness of Proprioceptive Neuromuscular Facilitation Stretching and Passive Joint Mobilization in Patients with Osteoarthritis of Knee Joint. Department of Anatomy and Orthopedics Surgery. National Institute of Medical Sciences & Research
2. A Study of Abdominal Arterial System Variations with Multi Detector Computed Tomography. Mrs. Kalyana Panchakshari P. Joint. Departments of Anatomy, Radiology and CTVS. National Institute of Medical Sciences & Research
3. A Study to Find the Correlation of Neurophysiological Changes with Body Mass Index and Lipid Profile in Healthy and Type-II Diabetes Mellitus Subjects. Mr. Vipin Kumar Sharma. Joint. Departments of Physiology and Endocrinology. National Institute of Medical Sciences & Research
4. A Quasi-Experimental Study to Assess the Effectiveness of a Structured Training Program on New Born Care Based on Asha Module - 7 "Skills That Saves Lives" In Terms Of Reported Practice Among Asha Workers In A Selected Community Of Delhi. Ms. Anu Gauba. Departments of OBG, Social & Preventive Medicine and NIMS Institute of Nursing.
5. A Comparative Study to Assess the Awareness and Utilization of Government Health Schemes Among Women of Two Selected PHCs' in Amer Block, Jaipur District. Brig. (Mrs.) Kamlesh Singh (Retd.). Departments of OBG, Social & Preventive Medicine and NIMS Institute of Nursing.
6. Evaluation of Renal Function in Patients with Metabolic Syndrome in Rural Population. Mr. Gajraj Singh Yadav. Departments of Biochemistry and Endocrinology. National Institute of Medical Sciences & Research.
7. Phenotypic and Genotypic Characterization Along with Virulence Factor of Vancomycin Resistant Enterococcus (VRE) Infections. Mr. Sheetal Sharma. Departments of Microbiology and Medicine. National Institute of Medical Sciences & Research
8. Effectiveness Of Supportive Educational Intervention On Knowledge, Self-Care Behavior, Disease Activity And Health Status Among Arthritis Patients In Selected Hospitals At Jaipur. Dr. Nema Ram. Departments of Pediatrics, Social & Preventive Medicine and NIMS Institute of Nursing.
9. The Radiomorphometric Study Of Permanent Maxillary And Mandibular Canines For Gender And Age Estimation. Mr. Suresh Sharma. Departments of Anatomy, Radiology and NIMS Dental College. National Institute of Medical Sciences & Research
10. Study Of DNA Damage And Micronucleus Frequency Among Tobacco Chewers. Mrs. Rashee Mittal
11. Visual And Functional Impact Of Astigmatism And Its Management. Mr. Himanshu Tripathi. Departments of Ophthalmology & Nims College of Paramedical Technology.
12. To Assess The Hematological Profile And Severity Of Anemia In Different Trimesters Of Pregnancy. Mr. Yogesh Kumar. Departments of OBG & Nims College of Paramedical Technology.
13. Defining The Limits Of Normal Conjunctival Fornix Anatomy In A Healthy Population : A Novel Method Of Determining The Severity Of Fornix In Normal Ophthalmic Socket. Mr. Raj Kumar. Departments of Ophthalmology & Nims College of Paramedical Technology.
14. Prevalence Of Amblyopia And Refractive Errors Among School Going Children In Faridabad, Haryana. Mr. Deepak Gupta. Departments of Ophthalmology & Nims College of Paramedical Technology.
15. The Comparative Study Of Applanation And Optical Coherence Biometry Methods For The Intraocular Lens Power Calculation. Mr. Mahesh Chandra. Departments of Ophthalmology & Nims College of Paramedical Technology.
16. Comparative Study Of Refractive Errors In Different Age Groups In Association With Anterior Chamber Depth And Axial Length. Mr. Jitendra Singh Departments of Ophthalmology & Nims College of Paramedical Technology.