Misdiagnosis and Quality of Management in Paediatric Surgical Patients Referred to a Tertiary Care Hospital

Abstract Background The coronavirus disease (COVID-19) pandemic has had a massive impact on individuals globally. The Chinese government has formulated effective response measures, and medical personnel have been actively responding to challenges associated with the epidemic prevention and control strategies. This study aimed to evaluate the effect of the implementation of a care transition pathway on patients that underwent joint replacement during the COVID-19 pandemic. Methods A quasi-experimental study was designed to evaluate the effect of implementing a care transition pathway for patients who underwent joint replacement during the COVID-19 pandemic in the orthopedic department of a tertiary care hospital in Beijing, China. Using a convenient sampling method, a total of 96 patients were selected. Of these, 51 patients who had undergone joint replacement in 2019 and received treatment via the routine nursing path were included in the control group. The remaining 45 patients who underwent joint replacement during the COVID-19 epidemic in 2020 and received therapy via the care transition pathway due to the implementation of epidemic prevention and control measures were included in the observation group. The quality of care transition was assessed by the Care Transition Measure (CTM), and patients were followed up 1 week after discharge. Results The observation group was determined to have better general self-care preparation, written planning materials, doctor-patient communication, health monitoring, and quality of care transition than the control group. Conclusions A care transition pathway was developed to provide patients with care while transitioning through periods of treatment. It improved the patient perceptions of nursing quality. The COVID-19 pandemic is a huge challenge for health professionals, but we have the ability to improve features of workflows to provide the best possible patient care.

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Common mental disorders, quality of life and explanatory models in men undergoing infertility treatment in a tertiary care hospital: A cross-sectional study

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2021.110536 ◽

2021 ◽

pp. 110536

Author(s):

Jibi Achamma Jacob ◽

T.K. Aleyamma ◽

Anju Kuruvilla ◽

Rajesh Gopalakrishnan

Keyword(s):

Tertiary Care Hospital ◽

Common Mental Disorders ◽

Tertiary Care ◽

Cross Sectional Study ◽

Infertility Treatment ◽

Explanatory Models ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

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ASSESSMENT OF QUALITY OF LIFE IN HYPERTENSIVE PATIENTS AT A TERTIARY CARE HOSPITAL

International Research Journal of Pharmacy ◽

10.7897/2230-8407.0610140 ◽

2015 ◽

Vol 6 (10) ◽

pp. 720-723

Author(s):

Nandikol P Sunanda ◽

Master S A ◽

K Niyati Raj ◽

G Sushen ◽

M S Laxshmi

Keyword(s):

Quality Of Life ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Hypertensive Patients

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Quality of Life among Geriatric Population: A Community-based Study in the Rural Field Practice Areas of a Tertiary Care Hospital in Mangalore

Journal of Pharmacy Practice and Community Medicine ◽

10.5530/jppcm.2020.3.11 ◽

2020 ◽

Vol 6 (3) ◽

pp. 31-34

Author(s):

Narayana V ◽

Saurabh Kumar ◽

Sudhir Prabhu ◽

Sowmya Bhat ◽

Oliver D'souza ◽

...

Keyword(s):

Quality Of Life ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Community Based ◽

Geriatric Population ◽

Field Practice

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Cancellation of Elective Surgeries in A Tertiary Care Hospital in North India

Archives of Anesthesia and Critical Care ◽

10.18502/aacc.v7i4.7630 ◽

2021 ◽

Author(s):

Nyla Farooq ◽

Tauyiba Farooq Mir

Keyword(s):

Health Care ◽

Quality Of Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

North India ◽

Care Hospital ◽

Cancellation Rate ◽

Surgical Treatments ◽

Operational Time

Background: Cancellation of elective surgical treatments is a quality-of-care issue as well as a huge waste of health-care resources. Patients may experience emotional distress as a result of this, as well as difficulty for their families. Aim: To find the significant reasons of cancellation of scheduled surgical cases. Methods: A total of 300 elective operations in our institution were chosen. The completed surgeries were planned on the scheduled operation day, and the anaesthesiologist noted down a list of cancellations along with their reasons. Results: A total of 300 patients were scheduled for surgery. A total of 60 patients were cancelled, resulting in a 20% cancellation rate. Lack of operational time was the most prevalent reason for cancellation. Conclusion: The majority of the reasons for cancellation should have been avoided with proper list preparation and the surgical team's meticulous planning.

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Adherence to prescribed medication and its association with quality of life among COPD patients treated at a tertiary care hospital in Puducherry – a cross sectional study

Southwest Journal of Pulmonary and Critical Care ◽

10.13175/swjpcc021-19 ◽

2019 ◽

Vol 18 (6) ◽

pp. 157-166

Author(s):

S Keerti kumar S , ◽

B Maharani ◽

R Venkateswara Babu ◽

M Prakash

Keyword(s):

Quality Of Life ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Copd Patients

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Single assessment of delirium severity during postacute intensive care of chronically critically ill patients and its associated factors: post hoc analysis of a prospective cohort study in Germany

BMJ Open ◽

10.1136/bmjopen-2019-035733 ◽

2020 ◽

Vol 10 (10) ◽

pp. e035733

Author(s):

Gloria-Beatrice Wintermann ◽

Kerstin Weidner ◽

Bernhard Strauss ◽

Jenny Rosendahl

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Intensive Care ◽

Critical Illness ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Chronically Critically Ill ◽

Post Hoc

ObjectivesTo assess the delirium severity (DS), its risk factors and association with adverse patient outcomes in chronically critically ill (CCI) patients.DesignA prospective cohort study.SettingA tertiary care hospital with postacute intensive care units (ICUs) in Germany.ParticipantsN=267 CCI patients with critical illness polyneuropathy and/or critical illness myopathy, aged 18–75 years, who had undergone elective tracheotomy for weaning failure.InterventionsNone.MeasuresPrimary outcomes: DS was assessed using the Confusion Assessment Method for the Intensive Care Unit-7 delirium severity score, within 4 weeks (t1) after the transfer to a tertiary care hospital. In post hoc analyses, univariate linear regressions were employed, examining the relationship of DS with clinical, sociodemographic and psychological variables. Secondary outcomes: additionally, correlations of DS with fatigue (using the Multidimensional Fatigue Inventory-20), quality of life (using the Euro-Quality of Life) and institutionalisation/mortality at 3 (t2) and 6 (t3) months follow-up were computed.ResultsOf the N=267 patients analysed, 9.4% showed severe or most severe delirium symptoms. 4.1% had a full-syndromal delirium. DS was significantly associated with the severity of illness (p=0.016, 95% CI −0.1 to −0.3), number of medical comorbidities (p<0.001, 95% CI .1 to .3) and sepsis (p<0.001, 95% CI .3 to 1.0). Patients with a higher DS at postacute ICU (t1), showed a higher mental fatigue at t2 (p=0.008, 95% CI .13 to .37) and an increased risk for institutionalisation/mortality (p=0.043, 95% CI 1.1 to 28.9/p=0.015, 95% CI 1.5 to 43.2).ConclusionsIllness severity is positively associated with DS during postacute care in CCI patients. An adequate management of delirium is essential in order to mitigate functional and cognitive long-term sequelae following ICU.Trial registration numberDRKS00003386.

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