University Kebangsaan Malaysia Medical Center (UKMMC) is the first government hospital in Malaysia which has taken the initiative to implement the case-mix system since July 2002. Established in 1997, this 873 bed teaching hospital... more
University Kebangsaan Malaysia Medical Center (UKMMC) is the first government hospital in Malaysia which has taken the initiative to implement the case-mix system since July 2002. Established in 1997, this 873 bed teaching hospital provides tertiary level services to around 600,000 people in two southern districts of Federal Territory Kuala Lumpur. The objective of this research is to assess the impact of implementation of case-mix system on efficiency of
Background: Discharge with personal consent is considered as one of the main problems in hospitalization condition since many patients leave the hospital prematurely against the doctor’s advice. Thus, the aim of this study was to identify... more
Background: Discharge with personal consent is considered as one of the main problems in hospitalization condition since many patients leave the hospital prematurely against the doctor’s advice. Thus, the aim of this study was to identify the factors affecting the discharge with personal satisfaction in selected teaching hospitals of Tehran University of Medical Sciences. Methods: The present study was a descriptive and cross-sectional analysis that was carried out on patients discharged with personal satisfaction from selected training hospitals of the Tehran University of Medical Sciences in 2016. The sample size was 153 patients who were randomly selected from Sina, Shariati and specialized women hospitals. The data were collected through using a self-made checklist and telephone interview. The SPSS V. 18 software and statistical tests such as Chi-square and t-test were used for data analysis. Results: The most common causes of patient’s discharge with personal satisfaction was personal issues related to the sick and the highest among these causes was patient recovery. The least common causes of discharge with personal satisfaction was related to the hospital. There was no significant link of gender, age, place and insurance type with personal discharge, but there was a significant link between the discharges of the hospital with own agreement and type of the hospital (P < 0.05). Conclusion: Hospital staff education, motivating the staff to participate actively in obtaining consent from patients and informing the patients about the stage of their treatment and recovery should be considered as priority management activities.
To identify the indications for tracheal intubation in the emergency department of the Lagos University Teaching Hospital and problems encountered with the view to improve patient outcome. A one-year prospective observational study of... more
To identify the indications for tracheal intubation in the emergency department of the Lagos University Teaching Hospital and problems encountered with the view to improve patient outcome. A one-year prospective observational study of endotracheal intubation in the emergency room (ER) of the Lagos University Teaching Hospital. Data collected included indications, methods, success rates, use of drugs and complications of intubation. Ninety-four patients underwent endotracheal intubation. Indications included severe traumatic brain injury (58.5%) and traumatic brain injury with associated multiple injuries (10.6%). Anaesthetist registrars performed 73.9% of the intubations. Seventy seven patients (81.9%) were successfully intubated at the first attempt. No patient required a surgical airway due to failed intubation. The mean time from a decision to intubate to successful tracheal intubation was 129.90 ± 23.43 mins. 63.8% of the patients were intubated between 4 pm-8 am. Causes of dela...
Globally it is estimated that about 400 million individuals are chronic carriers of hepatitis B virus (HBV) and that more than a million people die annually from HBV related causes. The high carrier rate and hepatitis B being an endemic... more
Globally it is estimated that about 400 million individuals are chronic carriers of hepatitis B virus (HBV) and that more than a million people die annually from HBV related causes. The high carrier rate and hepatitis B being an endemic disease in Nigeria reveal the associated risk of infection among nurses and midwives. If the midwife is infected, the life of the mother and the baby stands the risk in this one infection. This study, investigated midwives knowledge and practice for the prevention of Hepatitis B infection in University of Calabar Teaching Hospital, Calabar Nigeria. Method: A descriptive design with a sample of 120 midwives selected through purposive sampling was used. A self-structured questionnaire with content validity index of 0.79 and a test-retest reliability coefficient of 0.81 was used to elicit information. Data was analyzed using simple proportion and parametric test-chi-square (X 2 ) at p<0.05. Results: Majority of the respondents 58 (48.4%) were between...
Introduction: Non-adherence to treatment has been one of the main obstacles to the control of tuberculosis. The objective of this study is to investigate the rate of adherence to medication among Tuberculosis (TB) patients. Methodology:... more
Introduction: Non-adherence to treatment has been one of the main obstacles to the control of tuberculosis. The objective of this study is to investigate the rate of adherence to medication among Tuberculosis (TB) patients. Methodology: This study was a descriptive, cross-sectional survey with analysis of the observed variables in tuberculosis patients. All adults aged 18years and above who were accessing treatment for tuberculosis at the chest clinic of the University of Ilorin Teaching Hospital, Kwara Statewere recruited for the study until the desired sample size of 544 was obtained. The sample size was determined using Fisher’s Formula. Structured, pre-tested interviewer – administered questionnaire was used for data collection and data were analyzed using SPSS version 16. Frequency tables and cross-tabulation of variables were done and pvalue <0.05 was used to determine statistical significance. Result: Respondents who had taken Anti-Tuberculosis drugs for 3-6 months [mean d...
Aims: Diabetic foot ulcers (DFU’s) pose socio-economic challenges and are a major cause of hospital admissions and morbidity often causing suffering and poor quality of life for diabetics especially in developing world. The aim of this... more
Aims: Diabetic foot ulcers (DFU’s) pose socio-economic challenges and are a major cause of hospital admissions and morbidity often causing suffering and poor quality of life for diabetics especially in developing world. The aim of this study was to determine the bacterial profile and antibiotic susceptibility and resistance pattern of foot ulcers of diabetics at Komfo Anokye Teaching Hospital (KATH). Study Design: Descriptive cross-sectional. Twenty seven (27) diabetics with foot ulcers comprising 15 males and 12 females attending the diabetic clinic at KATH were recruited
Purpose The purpose of this study is to determine the extent to which total quality management (TQM) initiatives can improve the quality of services delivery at the medical records unit of the Korle-Bu Teaching Hospital (KBTH) to help... more
Purpose The purpose of this study is to determine the extent to which total quality management (TQM) initiatives can improve the quality of services delivery at the medical records unit of the Korle-Bu Teaching Hospital (KBTH) to help meet the expectations and aspirations of patients and customers of the hospital. Design/methodology/approach This research adopted the survey strategy as its research design. The total study population consisted of 114 medical records staff of the KBTH. Questionnaires and personal observations were employed as the data collection instruments. The study recorded a response rate of 98 per cent. Data gathered from respondents were analysed in qualitative terms. Findings The overall finding of this study was that, although the medical records department of the KBTH had a fair degree of understanding on the benefits of TQM to records management service delivery, the exiting values for TQM did not meet the framework of good TQM practice, principles and stand...
