scholarly journals Investigating The Prolonged Discharge Process in Pediatric Teaching Hospital of Tehran, Iran: A Cross-Sectional Study

Author(s):  
Sodabeh Vatankhoh ◽  
Azam Chopani ◽  
Emir Tahmazi Aghdam ◽  
Mohammad Esmaeel Tavakoli ◽  
Nasrin Joudyian ◽  
...  

Abstract Background The patient discharge process is one of the most important factors affecting patient satisfaction, which can affect the quality of services of hospitals, and its prolongation can be detrimental in bed management and result in admission delays for new patients. This study aimed to investigate the factors contributing to the prolongation of the discharge process in Tehran's pediatric teaching hospital. Methods The present study was a descriptive cross-sectional study carried out on 300 patients discharged from one of the pediatric teaching hospitals in Tehran in 2019. This study was conducted using a mixed-method and composed of two parts: quantitative and qualitative. Initially, in the quantitative stage, the statistical form was used, the average discharge time in different wards of the hospital was measured using the stopwatch method, and the data were analyzed using SPSS V. 25 software and descriptive statistics. Subsequently, to identify the causes of the prolonged process in some departments and identify practical solutions, a qualitative approach was used, including observations, file reviews, Focus Group Discussion (FGD), brainstorming with experts from the Quality Improvement Office, ward secretaries, clearance unit experts, pharmacy experts, and ward supervisors. Finally, the factors were prioritized and approved using the nominal group method. Results The average discharge time was 3 hours and 7 minutes; the shortest discharge time belonged to the blood ward, and the longest discharge time belonged to the kidney ward. The causes of delay in discharge were divided into two categories: organizational and human factors. The most crucial elements were the time required to issue discharge orders, write patient summaries, and maintain patient files. Conclusion For improving the quality of the discharge process and patient satisfaction, solutions such as having assistants write file summaries before the morning round, sending files out of the ward on time, hiring a circular secretary to collect patients' files from various wards, and controlling them using a standard checklist, nurses' training, and continuous supervision were proposed.

2021 ◽  
Vol 8 ◽  
pp. 237437352110331
Author(s):  
Alhadi M. Jahan ◽  
Ali E. Rwaiha ◽  
Sara R. Gusaibat ◽  
Nisrin A. Al-Ahwal ◽  
Zaineb M. Al-Jafairi ◽  
...  

Patient satisfaction (PS) is an essential indicator of the quality of physiotherapy services. However, regarding Libya, there has been a dearth of research on PS. This cross-sectional study aimed to measure PS with outpatient physiotherapy services and to examine the sociodemographic factors that influence the levels of satisfaction in Libya. Patient satisfaction with physiotherapy services was assessed using a reliable, valid, and structured questionnaire. Data were collected from 501 patients, and the participants’ ages ranged from 18 to 79 (mean ± standard deviation = 47.19 ± 12.8), with more females (n = 312) than males (n = 189). Participants were satisfied or very satisfied with the physiotherapy they received in the domains that measure PS. The highest percentage of satisfaction was in the physiotherapists’ attributes and ability to provide detailed explanations to their patients. Patient satisfaction was also associated with gender and occupation, with females and unemployed patients reporting higher satisfaction rates. This highlights the value of surveys administered to patients during treatments, as well as the value of strategies to address the influential factors for the improvement of PS in public physiotherapy clinics in Libya.


2016 ◽  
Vol 40 (6) ◽  
pp. 605 ◽  
Author(s):  
Sahrish Sonia Faruquie ◽  
Elizabeth Kumiko Parker ◽  
Peter Talbot

Objective The aims of the present study, in home enteral nutrition (HEN) patients, were to assess patient satisfaction with the service and quality of life (QOL) scores, and to compare QOL scores in HEN patients with general Australian population values. Methods Self-administered voluntary questionnaires for the present cross-sectional study were mailed out to 322 eligible participants registered with HEN for >5 months. The questionnaires used included a patient satisfaction survey and a validated QOL questionnaire. Data analysis consisted of cross-tabulation, Chi-squared tests and t-tests. Results There were 112 participants. Patients reported satisfaction with information received before discharge (86%), support received after discharge (74%), expertise of the health professional (87%), access to health professionals experienced with HEN (74%), communication between health professionals (74%), costs of HEN supplies (52%) and delivery of HEN supplies (88%). QOL scores related to physical, psychological, social and environment domains were significantly lower in HEN patients than in the Australian reference population (P < 0.001). There was no significant difference in QOL and health satisfaction across different clinical areas (0.737 and 0.316, respectively). Conclusion Overall, participants were satisfied with HEN services. Participants had lower QOL scores compared with the Australian general population. Improvements to the HEN service were suggested, including sooner follow-up after hospital discharge; more frequent reviews for long-term patients; and the availability of a multidisciplinary team to manage HEN patients. What is known about the topic? Malnutrition is a common problem in Australian hospitals. Many patients require nutrition support to maintain or improve their nutrition status because of inadequate oral intake, malabsorption of nutrients or because of a disease process. Nutrition support is commonly started in the in-patient setting and, because of faster patient discharge from hospital, HEN is a cost-effective and reliable way of treating patients who continue to need nutrition support after hospital discharge. Inconsistencies exist in service provision of HEN because there is no national or state-wide standardisation of services. Australian studies that have evaluated patient satisfaction with HEN services are lacking. This is of particular importance because HEN service use is increasing. What does this paper add? This study reveals that patients receiving HEN therapy are mostly satisfied with the service provided. Patients surveyed have expressed important aspects of the HEN service include follow-up and advice from health care professionals, low price and home delivery of supplies, emphasising the importance of adequate clinical services, supply and delivery of HEN. QOL is poorer in the HEN patient population compared with the general Australian population. What are the implications for practitioners? Standardisation of HEN services is important to ensure uniformity in service provision to HEN patients. Health services adhering to best practice guidelines for HEN will result in the provision of adequate quality of care, and subsequently improved patient satisfaction and adherence to HEN therapy. Adequate service provision and appropriate monitoring and review of HEN patients in the community may also contribute to better health outcomes and better QOL for patients.


2021 ◽  
Vol 4 (1) ◽  
pp. 14-18
Author(s):  
Rina Dias Agustina ◽  
Amaliyah Nurul Hidayah

Pharmacy is one of the health service place that has product and service activities that are highly dependent on patient satisfaction. Patient satisfaction can be used as a benchmark for companies to develop their business in the future. The purpose of this study was to determine the level of patient satisfaction with pharmaceutical services at Kimia Farma Pharmacy Talangsari Jember. The type of this research was qualitative descriptive using cross sectional study. The population were patients who came to buy prescription or non-prescription drugs at the Kimia Farma Pharmacy Talangsari Jember in June 2020 with a total samples of 100 patients. The result showed that patient satisfaction to the services at Kimia Farma Pharmacy Talangsari Jember were quiet satisfied in reliability dimensions (60%) and tangible dimensions (55%) also in responsiveness dimensions (48%) and less satisfied in empathy dimensions (54%) and assurance dimensions (41%). It can be concluded that the level of patient satisfaction with pharmaceutical services at Kimia Farma Pharmacy Talangsari Jember were  Keywords: level of satisfaction, quality of service


Author(s):  
Ajay Mallya B. ◽  
Praveen Kumar N. ◽  
Sridevi N. H.

Background: India is the second most populous country in the world. Studies have shown that quality of primary health care in low to middle income countries is very poor. Patient’s perception of quality of health care service provided has strong relation with the utilization the services. Hence it’s important to monitor the health care delivery systems in the country to gain more knowledge about the health care delivery systems.Methods: A cross-sectional study was conducted in selected primary healthcare centres (PHCs) in Shimoga. 5 PHCs were selected by simple random sampling. 30 patients attending the facility were randomly chosen for exit interview. Data regarding patient’s perception of quality of health care provided by the facility was collected using a questionnaire.Results: Majority of the participants (68%) found the services provided by the facility to be satisfactory. Patients showed high satisfaction towards explanation provided the regarding problem by doctor (84%) and cleanliness of the facility (87.3%). Poor satisfaction was seen towards availability of medicines (54%) and behaviour of the paramedical staff (46%).Conclusions: There is a need to improve the quality of services provided by the primary healthcare centres to achieve better patient satisfaction and utilization. 


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