1.Quality Assurance of Gastrointestinal Endoscopy Unit - A Single Center Study
Sarantuya Ts ; Amarjargal B ; Tungalag B ; Khishgee D ; Amarmend T ; Delgertsog T ; Amarjargal E ; Sarantuya G ; Gan-Orshikh L ; Enkhjargal B ; Sarantsatsral D ; Burentungalag A ; Nandintsetseg B ; Tserendolgor Ts ; Sattgul Sh ; Javzanpagma E ; Suvdantsetseg B ; Khashchuluun O ; Ouynkhishig N ; Munkhtuya E ; Uranchimeg M ; Oyuntungalag L ; Myadagmaa B ; Bat-Erdene I ; Batgombo N ; Saranbaatar A
Mongolian Journal of Health Sciences 2025;86(2):165-170
		                        		
		                        			Background:
		                        			Accreditation of healthcare institutions serves as a fundamental mechanism for ensuring patient safety
and validating the quality of medical services provided to the population. At Intermed Hospital, a quality measurement
system for healthcare services has been established since 2015, encompassing 126 quality indicators at both institutional
and departmental levels. This system facilitates continuous quality improvement efforts. In this context, quality indicators
specific to the endoscopy department play a pivotal role in objectively assessing the quality of endoscopic services.
		                        		
		                        			Aim:
		                        			To assess the quality indicators in gastrointestinal endoscopy unit.
		                        		
		                        			Materials and Methods:
		                        			A retrospective single-center study was conducted by collecting data from the Intermed hospital’s
electronic information systems which included HIS and PACS and Quality and Safety Department’s Database and the results
were processed using the SPSS software. Ethical approval was granted by the Intermed hospital’s Scientific research
committee. The quality of endoscopic services in the Intermed hospital was assessed based on: a) the average values of
four quality indicators measured monthly; b) sample survey data from five categories of quality indicators.
		                        		
		                        			Results :
		                        			Between 2016 and 2024, the quality indicators of the endoscopy unit measured as the level of early warning
score evaluations for patients was 95.97%±3.33, the level of cases where peripheral blood oxygen saturation decreased
during sedation was 1.54%±3.78, the level of cases where patients experienced paradoxiical response during sedation was
5.82%±1.75, surveillance culturing level for validation of endoscopy reprocessing was 11.6%. The endoscopic documentation
quality by peer review showed 95.7-100%, the colonoscopy quality indicators were followings as adenoma
detection rate: 24.5% Cecal intubation rate: 99.1%, 95.2%, Colonoscope withdrawal average time: 13.28±10.62 minutes,
Bowel preparation quality (Boston Scale): 89.3% 95.7%), patient discharge from the recovery room, Average discharge
time post-procedure: With propofol alone: 30.92 minutes; With propofol and fentanyl combined: 31.52 minutes, The intermediate
risk was 0.28% by the TROOPS evaluation during procedural sedation.
		                        		
		                        			Conclusion
		                        			The quality benchmark levels for these endoscopic units, as determined by a single-center study, can be
effectively implemented by benchmark endoscopy centers to enhance their quality and safety operations.
		                        		
		                        		
		                        		
		                        	
2.Prevalence of construction worker injuries in the last 5 years and influencing factors of some years
Mongolian Medical Sciences 2023;204(2):27-38
		                        		
		                        			Background:
		                        			According to the International Labor Organization (ILO), 2.78 million workers are injured 
and killed each year as a result of occupational diseases, while 374 million are injured. Furthermore, 
work-related injuries cost the global economy 4% of its GDP. Construction workers are more likely than other workers to die and twice as likely to be injured. Construction accidents are 
frequently caused by a lack of knowledge and training, negligence, and inadequate safety equipment.  Workers account for 70% of the factors influencing accidents, 49% of workplace problems, 56% of 
equipment shortages, 27% of material conditions, and 84% of risk management. Between 2009 and 
2017, 3321 industrial accidents and acute poisoning cases were reported in Mongolia. 509 people 
died as a result of industrial accidents, 761 people became disabled as a result of injuries, and 2051 
people temporarily lost their ability to work. As a result, determining the distribution, causes, and 
factors of accidents is reasonable. 
		                        		
		                        			Purpose:
		                        			To detect the prevalence and influencing factors of accidents in the construction industry in the last 
5 years.
		                        		
		                        			Material and Method:
		                        			Secondary data was collected using a quantitative research method based on a single-moment model 
of observational research from the "General Directorate of Professional Supervision" quantitative 
data on industrial accidents and acute poisoning by sampling 10 groups and 59 indicators of accident 
cases in the construction industry.
		                        		
		                        			Result:
		                        			The prevalence of accidents in the construction industry was calculated for 1000 workers in 
Ulaanbaatar's 21 provinces and 9 districts using the ARC GS program. For the calculation of 
influencing factors and injury causes at www.graphpad.com, P values less than 0.05 was considered 
significant. 
Between 2017 and 2021, 134 accidents and injuries were reported in Mongolia's construction industry. 
All accidents were male in 123 cases (92%), and female in 11 cases (8%). 
Accidents and injuries in the construction industry are distributed. In Mongolia, Ulaanbaatar had 
66 cases, Umnugovi had 10, Orkhon had 10, and Khovd province had 12, all of which had more 
accidents than other provinces. Calculating the distribution per 1000 workers, Sukhbaatar has 20, 
Dornogovi has 15, Umnugovi has 12, and Khovd has 10.9.
The most important factors influencing construction accidents are the workplace environment and 
human factors. In terms of accident causes, falling, tripping, or slipping caused 55 or 41% of all 
accidents, falling objects caused 24 or 18%, being trapped by objects caused 19 or 14%, and 20 or 15% were remaining causes of injuries. In the last 5 years, 47 or 35.07% of all accidents were caused 
by workplace environment, 45 or 33.5% by human factors, 23 or 17.1% by management system, and 
19 or 14.1% by technical and technological factors.
		                        		
		                        			Conclusions
		                        			1. In the last five years, the prevalence of accidents among construction workers is 16.3 per 1000. 
The prevalence is 42.9% (66) highest in Ulaanbaatar City, 20.1% (27) in Khan-Uul district, and 
8.9% (12) in Khovd province. The prevalence per 1000 workers is 20 in Sukhbaatar, 15.7 in 
Dornogovi, 12 in Umnugovi, and 10.9 in Khovd, with a high prevalence of 1.07 in Ulaanbaatar.
2. Human factors, such as falling from a height due to noncompliance with safety rules, limited 
space in the workplace and environment, and falling into pits, wells, ditches, and excavated pits, 
are the leading causes of injuries and accidents. Closed fractures and head injuries are the most 
common.
		                        		
		                        		
		                        		
		                        	
3.Study of influencing factors of the maternal, infant and placenta weight
Jargalsaikhan B ; Otgonbayar L ; Gandolgor B ; Uurtiintuya B ; Oyunsuren E ; Otgontsetseg B ; Tsolmon G ; Amarjargal B ; Tegshjargal S
Mongolian Medical Sciences 2017;181(3):10-14
		                        		
		                        			Introduction :
		                        			In the last years other country scientists told about not only determine infant weights, need to interest 
correlation between maternal weight, height and infant weight. In our country few research articles posted 
about anthropometry of obstetrics and gynecology. Our study aim is determine maternal weight, infant 
weight, placenta weight and assess factors affecting roles on maternal story of “Amgalan” Maternity 
Hospital in 2014-2015.
		                        		
		                        			Goal:
		                        			The current study aimed at assessing maternal weight, infant weight, placenta weight and evaluating the 
effect of factors leading to it. 
		                        		
		                        			Materials and Methods:
		                        			The data was already collected from “Amgalan” Maternity Hospital using maternal history and record and 
it was collected measuring general physical characteristics such as body weight and height, infant weight, 
placenta weight and body circumferences. We used retrospective method and collected statistical data 
was analyzed using SPSS 21.0 software. 
		                        		
		                        			Results:
		                        			Of total 964 study participants aged 18-45. The average age of participants was 29.6 ± 5.8 years old and 
49.7% (n=479) was working during pregnancy, 45.7% (n=441) hadn’t works, 4.6% (n=44) was student. 
The average weight of mothers was 75.4±11.5, weight of infants was 3439.5±456, weight of placenta 
was 685±129. The following factors affected maternal and infant weights: lower education, working, early 
and late pregnancy complication. Maternal weight had a low direct correlation with infant weight (r=0.267, 
p<0.01) and placenta weight (r=0.208, p<0.01). In our study maternal height had a low direct correlation 
with infant weight(r=0.173, p<0.01) and infant weight had a moderate direct correlation with placenta 
weight (r=0.376, p<0.01). 
		                        		
		                        			Conclusions
		                        			
1. The	average	maternal	weight	was	75.4±11.5,	infant	weight	was	3539.5±456,	placenta	weight	was	685±129.
 
 2.	The	following	factors	affected	maternal	and	infant	weights:	lower	education,	working	status,	early and	late	pregnancy	complications.
 3.	Maternal	weight	had	a	little	direct	correlation	with	infant	weight	(r=0.267,	p<0.01)	and	placenta	
weight	(r=0.208,	p<0.01).
		                        		
		                        		
		                        		
		                        	
            
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