Mortality Rate in Burn Unit : A Six Years Study at the Burn Unit in the King Hussein Medical Center , Royal Medical Services , Jordan

2012 ◽  
Vol 5 (3) ◽  
pp. 3-7
Author(s):  
Khalid A. El Maaytah ◽  
Maher Al Khateeb ◽  
Ra’fat Al Abdallat
Keyword(s):  
Mortality Rate ◽  
Medical Center ◽  
Medical Services ◽  
Burn Unit ◽  
Royal Medical

THE ROAD AHEAD TO BETTER MEDICAL CARE FOR CHILDREN

PEDIATRICS ◽  
1950 ◽  
Vol 6 (3) ◽  
pp. 553-556
Keyword(s):  
Child Health ◽  
Medical Care ◽  
Medical Center ◽  
Point Of View ◽  
Medical Services ◽  
High Quality ◽  
The Road ◽  
Provide Child Care ◽  
Ultimate Objective ◽  
The Many

THE road to better child health has been discussed in relation to the doctor and his training, health services and their distribution. We have dealt with the unavoidable question of costs. Particular attention has been given to some of the advantages and dangers of decentralization of pediatric education and services. Each of the various subjects has been discussed from the point of view of its bearing on the ultimate objective of better health for all children and the steps necessary to attain this goal. Now, we may stand back from the many details of the picture, view the whole objectively and note its most outstanding features. First is the fact that the improvement of child health depends primarily upon better training for all doctors who provide child care, general practitioners as well as specialists. This is the foundation without which the rest of the structure cannot stand. The second dominant fact is the need for extending to outlying and isolated areas the high quality medical care of the medical centers, without at the same time diluting the service or training at the center. The road to better medical care, therefore, begins at the medical center and extends outward through a network of integrated community hospitals and health centers, finally reaching the remote and heretofore isolated areas. Inherent in all medical schools is a unique potential for rendering medical services as well as actually training physicians. The very nature of medical education—whereby doctors in training work under the tutelage of able specialists in the clinic, hospital ward, and out-patient department—provides medical services of high quality to people in the neighboring communities.

scholarly journals A Review of Brooke Army Medical Center Chaplaincy Service During the SARS-COV2 Pandemic: Implications for Service Structure and Patient Needs

2021 ◽  
Author(s):  
Zaith Bauer ◽  
Joseph Sherwin ◽  
Stanley Smith ◽  
Jason Radowsky
Keyword(s):  
Mortality Rate ◽  
End Of Life ◽  
Medical Center ◽  
Well Being ◽  
Primary Study ◽  
P Value ◽  
Inpatient Setting ◽  
Spiritual Support ◽  
Army Medical ◽  
Brooke Army Medical

ABSTRACT Introduction We aimed to evaluate the effect of the SARS-COV2 pandemic on chaplain utilization at Brooke Army Medical Center. Our hypothesis was that multiple pandemic-related factors led to a care environment with increased mental and spiritual stress for patients and their families, leading to an increased need for adjunct services such as chaplaincy. Materials and Methods This was a single-institution retrospective chart review study that evaluated the records of 10,698 patients admitted between July 1, 2019, and January 31, 2020, or between July 1, 2020, and January 31, 2021. Our primary study outcomes included the number of chaplain consultations, the number of visits per consultation, and the time of visits between the two study cohorts. Secondary outcomes included inpatient mortality and the number of end-of-life visits. We also isolated a subgroup of patients admitted with COVID-19 and compared their outcomes with the two larger cohorts. Statistical analysis included t-test or chi-squared test, based on the variable. This study was reviewed and approved by the Brooke Army Medical Center Institutional Review Board (IRB ID C.2021.010e). Results Fewer consults were performed during the study period affected by the SARS-COV2 pandemic (4814 vs. 5884, P-value <.01). There were fewer individual visits per consult during the study period affected by the SARS-COV2 pandemic (1.44 vs. 1.64, P-value <.01), which led to fewer overall time spent per consult (37.41 vs. 41.19 minutes, P-value <.01). The 2020 cohort (without COVID-19 cases) demonstrated a higher mortality rate than the 2019 cohort (2.8% vs. 1.9%, P-value <.01). The COVID-19 diagnosis cohort demonstrated a much higher mortality rate compared to other patients in the 2020 cohort (19.3% vs. 2.8%, P-value <.01). We demonstrated the relative need for EOL consults by presenting the ratio of EOL consults to inpatient deaths. This ratio was highest for the COVID-19 diagnosis cohort (0.76) compared to the 2020 cohort (0.50) and the 2019 cohort (0.60). Conclusions This study demonstrates that factors related to the SARS-COV2 pandemic resulted in fewer chaplaincy consults in our inpatient setting. We did not find other reports of a change in the rate of chaplaincy consultation, but available reports suggest that many centers have had difficulty balancing the spiritual needs of patients with local exposure guidelines. Although fewer individual chaplain consults occurred during the SARS-COV2 pandemic, our chaplain service innovated by utilizing various phone, video, and web-based platforms to deliver spiritual support to our community. Our study also suggests that the patients most greatly affected by the pandemic have an increased need for spiritual support, especially at the end of life. Future studies in this subject should examine the effect of various types of chaplain services as they relate to the health and well-being of hospitalized patients.

scholarly journals THE IMPACT OF CONTINUOUS IMPROVEMENT BY HAKIM PROGRAM ON THE MEDICAL SERVICES PROVIDED TO PATIENTS ( An Applied Study on KhreibetAl-Souq Comprehensive Medical Center after Using the Hakim Program)

2020 ◽  
pp. 70-75
Author(s):  
Dr. Khaled Albustanji
Keyword(s):  
Statistical Analysis ◽  
Continuous Improvement ◽  
Medical Staff ◽  
Medical Center ◽  
Point Of View ◽  
Medical Services ◽  
Medical Computing ◽  
Applied Study ◽  
Medical Program ◽  
The Impact

This study aimed to identify the effect of continuous improvement of medical services provided to patients , represented by the computerized Hakim medical program from the point of view of the medical staff workers, which is an applied study on KhreibetAl-Souq Comprehensive Medical Center after using the Hakim program. The researcher distributed (28) questionnaires on the study sample, i.e. approximately (40%) of the study population of (70) staff employees. (26) questionnaires were retrieved, and after checking the retrieved questionnaires, two questionnaires were excluded because they were not valid for statistical analysis, and accordingly, the number retrieved and valid for statistical analysis reached (24) questionnaires. The study reached several conclusions, the most important of which is that there is a statistically significant impact of continuous improvement represented by Hakim's computerized medical program on medical services provided to patients from the point of view of the medical staff, and that continuing to make improvements in work processes and procedures will lead to providing medical services to patients and beneficiaries, according to the requirements of both the beneficiaries and the medical employees, and will also lead to (more effective) arrangement, speed up and organization of work procedures and saves time and effort for both the medical workers and the beneficiaries, KEYWORDS: continuous improvement, hakim medical program, medical services, medical computing company, requirements of clients

Infantile Hemangioma Treatment with Topical and Systemic Beta-Blockers : An Experience at Royal Medical Services Hospitals

2019 ◽  
Vol 26 (2) ◽  
pp. 54-63
Author(s):  
Obeidat , Tamara ◽  
Abualhaija , Hiathem ◽  
Alathamneh , Mamoun ◽  
Alhadidi , Aghadir ◽  
Abu-Alhaija , Bayan
Keyword(s):  
Beta Blockers ◽  
Infantile Hemangioma ◽  
Medical Services ◽  
Royal Medical

scholarly journals P785 Predictors of mortality in IBD patients treated for pneumonia

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S620-S621
Author(s):  
O Ukashi ◽  
Y Barash ◽  
M J Segel ◽  
B Ungar ◽  
S Soffer ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Length Of Stay ◽  
Medical Center ◽  
Adverse Outcomes ◽  
Hospitalisation Rate ◽  
P Value ◽  
Free Text ◽  
Analysis Model ◽  
Opioid Use ◽  
Predictors Of Mortality

Abstract Background Community-acquired pneumonia is among the most common infections affecting ulcerative colitis (UC) and Crohn’s disease (CD) patients. Data regarding epidemiology and outcomes of pneumonia in inflammatory bowel disease (IBD) patients is lacking. We aimed to investigate the epidemiology, natural history and predictors of adverse outcomes in IBD patients treated for pneumonia. Methods This was a retrospective cohort study that included consecutive adult patients that were admitted to Sheba Medical Center for pneumonia from an electronic repository of all emergency department admissions between 2012 and 2018. Data included tabular demographic and clinical variables and free-text physician records. Pneumonia cases were extracted using ICD10 coding. We compared the characteristics and outcomes of IBD and non-IBD patients, and CD and UC patients. We also examined the association of clinical and laboratory variables with thirty-day mortality. Results Of 16,732 admissions with pneumonia, 97 were IBD patients (45-CD; 52-UC). IBD patients were younger than non-IBD patients (66.8 years vs. 70.2 years, p-value = 0.077). Comorbidities such as diabetes (16.5% vs. 22.8%, p = 0.142), hypertension (30.9% vs. 41.4%, p = 0.037) and congestive heart failure (15.5% vs. 19.2%, p = 0.35) were more prevalent among non-IBD patients. Use of immunosuppressant and biological medications was more common among IBD patients (corticosteroids [19.6% vs. 9.7%, p = 0.001], azathioprine [5.2% vs. 0.4%, p < 0.001], vedolizumab [2.1% vs. 0%, p < 0.001], tumour necrosis factor-α inhibitors [6.2% vs. 0%, p < 0.001]). Thirty-day mortality rate was similar among IBD patients and non-IBD patients (12.1% vs. 11.3%, p = 0.824). We found increased hospitalisation rate among IBD patients (92.8% vs. 85.6%, p = 0.045), but similar length of stay in hospital (6.2 days vs. 6.2 days, p = 0.989). Thirty-day mortality rate (11.1% vs. 11.5%, p = 0.947) and hospitalisation rate (93.3% vs. 92.3%, p = 0.846) were similar in CD and UC patients. On the other hand, CD patients were younger (57.6 years vs. 74.8 years, p < 0.01) and had a shorter length of stay in hospital (4.8 days vs. 7.5 days, p = 0.046) compared with UC patients. Using regression analysis model, bronchiectasis (Adjusted odds ratio [AOR] 109.6, p = 0.008, opioid use (AOR 13.0, p = 0.03) and PPIs use (AOR 5.9, p = 0.05) were independently associated with the risk of 30-day mortality in IBD patients. Conclusion This is the first study to identify predictors of mortality in IBD patients with pneumonia. The rate of mortality and duration of stay were similar between IBD and non-IBD patients. Use of PPIs, opioids and presence of bronchiectasis were associated with a higher risk of mortality in IBD patients with pneumonia.

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