scholarly journals 969 Under-Reported? A Review of Utilisation of the Paediatric High Dependency Unit at a District General Hospital

2012 ◽  
Vol 97 (Suppl 2) ◽  
pp. A277-A277
Author(s):  
A. Sylvan ◽  
M. Mukherjee ◽  
H. Mantle
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
High Dependency Unit ◽  
High Dependency

scholarly journals High dependency unit patients’ satisfaction from health care provided

2016 ◽  
Vol 2 (4) ◽  
pp. 309
Author(s):  
Eleni Apostolou ◽  
Dimitrios Papageorgiou ◽  
Eleni Dokoutsidou
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
General Hospital ◽  
Demographic Data ◽  
High Dependency Unit ◽  
Patient Centered ◽  
Effective Strategies ◽  
Patients Satisfaction ◽  
High Dependency ◽  
Significant Difference

Introduction: Patient satisfaction, while influenced by many factors, is a multidimensional phenomenon, which could be used to optimize the quality of the services provided by hospitals, as well as in the patient-centered care.Aim: The aim of the present study was to explore High Dependency Unit (HDU) patients’ satisfaction from health care provided. Material and Method: The studied sample consisted of 101 HDU patients of a general hospital in Attica. Data collection was conducted through the questionnaire of Inpatient Survey Questionnaire, which included demographic data as well as questions relevant to the hospitalization characteristics. Data analysis was performed by the statistical package SPSS ver.22.  Results: Patients were satisfied both by the general hospital provisions and staff. A statistically significant difference (t(99) = 2,69 , p = ,008) was found between the subscale “Room” with the majority of men to score higher these services (Μ = 3,83, Τ.Α. = 0,34) compared to women (Μ = 3,65, Τ.Α. = 0,35). Men also scored higher  (t(97) = 2,40 p = ,018) the subscale “nursing staff” (Μ = 4,30, Τ.Α. = 0,21) ) compared to women (Μ = 4,17, Τ.Α. = 0,32). A statistically significant difference (t(99) = 2,37, p = ,020) was found between the subscale “food” with the majority of older patient to score higher these services (Μ = 4,06, Τ.Α. = 0,36) than the youngest patients (Μ = 3,88, Τ.Α. = 0,39).Conclusions: Patient satisfaction is a vital factor for optimizing hospital services, is influenced by multiple factors and needs further research so that there will be effective strategies which will focus on optimizing the degree at which patients’ needs are met.

scholarly journals 347 Read the First Page: An Audit on Medicine Reconciliation in General Surgery Inpatients at London District General Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Vutipongsatorn ◽  
P Patel ◽  
A Prakash ◽  
J. Al Musawi
Keyword(s):  
Intensive Care ◽  
General Surgery ◽  
Turnover Rate ◽  
District General Hospital ◽  
Ward Round ◽  
P Value ◽  
High Dependency Unit ◽  
High Dependency ◽  
Raising Awareness ◽  
Significant Harm

Abstract Aim Medication-related incidents occur more frequently when medicine reconciliation happens more than 24 hours after admission. The National Institute for Health and Care Excellence recommends a complete reconciliation within 24 hours of admission. General Surgery is a busy specialty with a high patient turnover rate. Hence, this audit was conducted to assess the extent of a problem and mitigate it. Method Every adult General Surgery inpatient who were admitted for over 24 hours were included. Patients on intensive care or high dependency unit were excluded. Drug charts were reviewed every Thursday for nine weeks between October and December 2020. Data from the first three weeks were used to establish baseline. Three interventions were introduced, each lasting two weeks. Any significant harm to patients due to incomplete reconciliation was recorded. Results At baseline (n = 100), 38.0% of patients had incomplete reconciliation. This significantly reduced to 23.4% (n = 64, p-value=0.037) between Weeks 4 and 5 after baseline data was presented at a team meeting and posters were put up. Allowing pharmacists to flag up missing medications on a daily job’s list did not significantly reduce the incompletion rate (23.0%, n = 74, p-value>0.999). Finally, performing a medicine reconciliation ward round on Weeks 8 and 9 further reduced the incompletion rate to 2.8% (n = 74, p-value=0.001). One significant harm was noted on Week 1. Conclusions Medicine reconciliation is a vital aspect of patient safety. Raising awareness of the issue significantly reduced the incompletion rate. However, the most effective intervention is conducting a medicine reconciliation ward round.

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