Study of Mortality Patterns among Hospitalized Patients in Public Sector Tertiary Care Hospitals Faisalabad, Pakistan

Objectives: To assess the spectrum of different spinal disorders presenting to the Neurosurgical department of public sector tertiary care hospitals of Peshawar.Materials and Methods: This was a retrospective study carried out in the Neurosurgery departments of two public sector tertiary care hospitals in district Peshawar from January 2012 to December 2018. Our inclusion criteria comprised of all those patients who were having spinal abnormalities irrespective of age and gender, admitted either via emergency or OPD. We excluded those patients who were dead on arrival or whose data was lacking including those who did not do their follow up and those who were not given consent for the study.Results: Out of total 5,579 patients, male to female ratio was 1:1.7. The age range was from 6 days to 78 years. Elective cases were 63.61% (n = 3,549) and emergency were 36.37% (n = 2,030). TSCI were 35.01% (n = 1,953) and NTSCI were 3,626 (n = 64.99%). Out of all patients, 91.03% (n = 5,079) were treated surgically. About 79% (n = 4,406) had a good outcome.Conclusion: We collected data and made a survey of the spectrum of different spinal abnormalities resulting from various etiologies focused over the last 6 years. We found a variety of cases presenting to our departments of neurosurgery. Non traumatic spinal injuries are more frequent as compared to traumatic ones.

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LEVEL OF PATIENT SATISFACTION WITH NURSING CARE IN PUBLIC SECTOR TERTIARY CARE HOSPITALS OF PESHAWAR, PAKISTAN; A CROSS-SECTIONAL DESCRIPTIVE STUDY

Asian Journal of Allied Health Sciences (AJAHS) ◽

10.52229/ajahs.v5i2.628 ◽

2020 ◽

pp. 46-52

Author(s):

OJS Admin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Public Sector ◽

Nursing Care ◽

Care Setting ◽

Tertiary Care ◽

Descriptive Study ◽

Cross Sectional ◽

Vital Part ◽

Tertiary Care Hospitals

Nurses are the vital part of each nursing care in the health care setting. Patients interact more often with nurses and rely on them for care and restoration of health during hospitalization.

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ASSESSMENT OF POTENTIAL DRUG INTERACTIONS AMONG HOSPITALIZED PATIENTS AT THE CARDIAC AND PULMONARY DEPARTMENTS IN TERTIARY CARE HOSPITALS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i5.25081 ◽

2018 ◽

Vol 11 (5) ◽

pp. 443

Author(s):

Kameswaran Ramalingam ◽

Shanmuga Sundaram Rajagopal ◽

Krishnaveni Kandasamy ◽

Karthikeyan Krishnan

Keyword(s):

Drug Interactions ◽

Prospective Observational Study ◽

Tertiary Care ◽

Hospitalized Patients ◽

Cardiac Patients ◽

Detailed Knowledge ◽

Potential Drug ◽

Common Drug ◽

Hospital Stays ◽

Tertiary Care Hospitals

Objective: The aim of this study was to assess the potential drug interactions among hospitalized patients in cardiac and pulmonary wards in three tertiary care hospitals.Methods: A prospective, observational study was carried out for 12 months. A sample of 1150 patients were assessed for potential drug-drug interactions (pDDIs) using Micromedex®- 2.7 and Drugs.com.Results: A total of 1150 patients were analyzed, and it was found that 685 were cardiac and 465 were pulmonary patients. The study identified 524 (76.49%) cardiac patients and 345 (74.19%) pulmonary patients, with pDDIs higher in male cardiac (298 [56.87%]) and male pulmonary (199 [57.68%]) patients, compared to females. Incidences of pDDIs were found to be higher in the age group of 60–70 years in cardiac (193 [36.83%]) and pulmonary (146 [42.31%]) patients and incidences of interactions based on duration of 4–6 days’ hospital stays in cardiac were 380 (72.53%) and 215 (62.31%) in pulmonary patients, respectively. Moreover, 51.90% of cardiac patients and 56.52% of pulmonary patients were found to be prescribed with more number of drugs (cardiac 7 drugs and pulmonary 5–6 drugs) causing higher incidences of pDDIs. Some of the most common drug interacting pair was aspirin and clopidogrel combination observed in 245 cardiac patients, whereas in the pulmonary department, it was ranitidine-theophylline combination with a frequency of 195 pDDIs. Drug-food interactions were found with atorvastatin–citrus fruits in cardiac and theophylline–caffeine in pulmonary patients. The most common drug-disease interaction was found to be isosorbide dinitrate–myocardial infarction in cardiac and diazepam–COPD in pulmonary, respectively.Conclusion: Pharmacists must take responsibility in the monitoring of drug interactions and notifying the physician and patient about potential problems. With their detailed knowledge of drugs, pharmacists have the ability to relate unexpected symptoms experienced by patients to possible adverse effects of their drug therapy.

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Implementation of subcutaneous insulin protocol for non-critically ill hospitalized patients in Andalusian tertiary care hospitals

Endocrinología y Nutrición (English Edition) ◽

10.1016/j.endoen.2015.02.002 ◽

2015 ◽

Vol 62 (2) ◽

pp. 64-71

Author(s):

María Asunción Martínez-Brocca ◽

Cristóbal Morales ◽

Pilar Rodríguez-Ortega ◽

Beatriz González-Aguilera ◽

Cristina Montes ◽

...

Keyword(s):

Critically Ill ◽

Tertiary Care ◽

Hospitalized Patients ◽

Subcutaneous Insulin ◽

Tertiary Care Hospitals

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Perceptions of Fellowship Trainees in Public and Private Tertiary Care Hospitals of Karachi

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v9i1.392 ◽

2020 ◽

Vol 9 (1) ◽

pp. 28-34

Author(s):

Sadaf Zia ◽

Maisam Abbas Onali ◽

Hina Yousuf ◽

Aria Masoom ◽

Asna Shahab ◽

...

Keyword(s):

Medical Education ◽

Public Sector ◽

Private Sector ◽

Postgraduate Training ◽

Tertiary Care ◽

Public Hospitals ◽

P Value ◽

Private Hospitals ◽

Public And Private ◽

Tertiary Care Hospitals

Background: The issues pertaining to postgraduate medical education have been debated for long but there has been little contribution to this literature from developing countries. Therefore, a need to make an accurate assessment regarding current status of postgraduate training in Pakistan was felt and feedback from residents is the cornerstone of such an assessment. The objective of our study was to document perceptions of FCPS trainees of medical and surgical disciplines in private and public tertiary care hospitals of Karachi, Pakistan.Material and Methods: This was a cross sectional survey of the medical and surgical FCPS trainees in three hospitals (1 public and 2 private) of Karachi Pakistan, conducted over a period of two months (1st November 2018 to 31st December 2018). A total of 325 participants selected by convenient sampling technique were included in the study. Data was collected through structured self-developed questionnaire and analyzed by SPSS version 16.0.Results: The percentage of postgraduate trainees in private hospitals working for more than 80hours/week is higher than those working in public sector hospitals (59.4% versus 42.4%). Topic presentation and Academic meetings (Conferences, Workshops and CMEs) were the most preferred teaching strategies in Postgraduate training (77.4% and 77.5%). About 62.7% of the residents believed that their program was in line with CPSP guidelines. Public sector hospitals were better in terms of medical benefits giving partial cover (62.8%) than private sector (P-value <0.001). Majority of trainees at private sector hospitals seemed satisfied with their working environment than at public hospital (77.5% versus 12.5%) (P-value <0.001). Trainees perceived that the security arrangements at both public and private hospitals were not adequate, but in case of emergency private hospitals seemed to have better security response as compared to public hospitals (89% versus 23%) with a significant difference of <0.001.Conclusions: Perception of most of the postgraduate trainees is that they are being adequately trained for the challenges of an independent physician or surgeon.Key words: Postgraduate training programs, Medical education, Trainees perception

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PERCEPTION OF PATIENTS REGARDING QUALITY OF HEALTHCARE SERVICES AT PUBLIC AND PRIVATE TERTIARY CARE HOSPITALS

Innovare Journal of Medical Sciences ◽

10.22159/ijms.2021.v9i3.41334 ◽

2021 ◽

pp. 24-27

Author(s):

FARRUKH ANSAR ◽

HIRA NAVEED ◽

ALMAS KHATTAK ◽

MUHAMMAD SAAD

Keyword(s):

Patient Satisfaction ◽

Public Sector ◽

Private Sector ◽

Tertiary Care ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Medical Services ◽

The Public ◽

Tertiary Care Hospitals

Objectives: Patient satisfaction is a significant marker for estimating the quality of medical services being provided at a clinical facility. It also influences the opportune, proficient, and patient-focused provision of quality medical services. Methods: Data from 768 outdoor patients were collected from four tertiary care hospitals in Islamabad, Pakistan. Half of the patients were from public sector hospitals, while others were from private hospitals. A self-administered questionnaire (Cronbach’s alpha=0.896) was structured for data collection. Using SPSS, descriptive statistics, independent t-test, and Chi-square test were used to analyze data. Results: Overall, 51.4% of patients were satisfied with the services provided to them at hospital Outpatient department. Patients who experienced private sector hospitals (74%) were significantly more satisfied than those who visited the public sector hospitals (29%) (p<0.001). Gender-wise, female patients were more satisfied (58%) than male patients (47%). Insufficient attention of the doctor, the behavior of the supporting staff and inadequate management of disease record were the red flags highlighted by the patients. Conclusion: The current investigation has shown that quality healthcare is significantly associated with economic conditions; patients’ perspective have expressed that the private sector provides satisfactory medical services at a high expense, whereas the public sector is a less expensive alternative but it lags in the provision of high-quality services and patient satisfaction.

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Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.35.5.287 ◽

2019 ◽

Vol 35 (5) ◽

Author(s):

Raja - ◽

Badil - ◽

Sajid Ali ◽

Shaheen Sherali

Keyword(s):

Public Sector ◽

Tertiary Care ◽

Medication Administration ◽

Cross Sectional Study ◽

University Hospital ◽

P Value ◽

Cross Sectional ◽

Phone Calls ◽

Medication Administration Errors ◽

Tertiary Care Hospitals

Objectives: To determine the association of medication administration errors with interruption among nurses working at public sector tertiary care hospitals in Karachi, Pakistan. Methods: An analytical cross-sectional study was accomplished at two public sector healthcare facilities Civil Hospital, and Dow University Hospital, Karachi. The study was carried out from October 2017 to July 2018 over a period of 10 months. The sample was calculated by using OpenEpi version 3.0. By taking 56.4% of medication administration errors, 5% margin of error and 95% confidence level. The calculated sample size was 204 of both genders. The subjects both male and female nurses having a valid license from Pakistan Nursing Council and one year of clinical experience were enrolled in the study. The subjects were approached by using non-probability purposive sampling method. Validated and adapted questionnaire utilized to gather the data. Data was entered and analyzed by using SPSS version 21.0. Results: In this study, total 204 nurses were included, almost half (52%) of them were male. Majority of (82.3%) study participants had age between 25-35 years old. There were total 716 medications given by 204 nurses. Out of these, 295 (41.2%) were antibiotics, other common medications were acid-suppressive, analgesic and antiemetic 14.5%, 15.9% and 11.2% respectively. Among all 716 medications, 644 (89.9%) were given intravenously whereas only 6.7% drugs given orally. A significant association has been found between medication administration errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 91% of the study nurses who were interrupted during medication committed medication errors. Conclusion: It is concluded that there is a significant association between medication administration errors with interruption among nurses. doi: https://doi.org/10.12669/pjms.35.5.287 How to cite this:Raja, Badil, Ali S, Sherali S. Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.287 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinical Pharmacy Services Provided in Public Sector Hospitals in Nigeria: A National Survey

10.1101/2021.06.17.21258942 ◽

2021 ◽

Author(s):

Arit Udoh ◽

Mary Akpan ◽

Umar Idris Ibrahim ◽

Basira Kankia Lawal ◽

Kamilu Sarki Labaran ◽

...

Keyword(s):

Public Sector ◽

Clinical Pharmacy ◽

Secondary Care ◽

Tertiary Care ◽

Clinical Pharmacy Service ◽

Level Of Care ◽

Pharmacy Services ◽

Clinical Pharmacy Services ◽

Guidelines Development ◽

Tertiary Care Hospitals

Background: Studies show that clinical pharmacy services are effective in optimizing medicines use and patients outcomes. This study aimed to determine the clinical pharmacy services provided in public sector hospitals in Nigeria. Methods: This was an online survey of 296 primary, secondary and tertiary care hospitals sampled purposively across the 36 States and Federal Capital Territory in Nigeria. Data analysis was conducted descriptively, and via Chi-square test and multivariate analysis of variance (MANOVA). Key findings: Complete responses were obtained from 272 hospitals in the country with a survey completion rate of 88%. This included 55 tertiary, 72 secondary, and 145 primary healthcare centres (PHCs). Pharmacists provided pharmaceutical care services in all the tertiary care hospitals, 94% of the secondary, and in only 6% of the PHCs surveyed. The composition of the pharmacy department per level of care was similar across the six geopolitical regions (V = 0.383, F = 1.453, p = 0.06) with more pharmacy staff employed in the tertiary care hospitals compared to the secondary care facilities. The majority (>=75%) of the tertiary and secondary care hospitals in the survey provided medicines information, patient education and counselling, alongside in- and outpatient dispensing services. However, fewer than 30% reported routine pharmacist involvement in multidisciplinary ward rounds, medication chart review, therapeutic guidelines development, antibiotic stewardship programmes, and drug therapy monitoring. Pharmacists routinely provided medication error reporting services in only about half of the hospitals in the sample, and this was not associated with the level of care (p>0.05). Conclusions: The findings of this study demonstrate disparity in clinical pharmacy service availability across the various levels of care in Nigeria. It also highlights the need to scale up and prioritize their integration within the primary care sector.

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