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Soleimani Movahed, Maryam, Farid Khorrami, Abbas Sheikhtaheri, Mehdi Hasaniazad, Abdollah Gharibzadeh, Mina Kamali, and Nader Alishan Karami. "COVID-19 Inpatients in Sothern Iran: A Time Series Forecasting for 2020-2021." Hormozgan Medical Journal 25, no. 4 (December 29, 2021): 153–59. http://dx.doi.org/10.34172/hmj.2021.21.
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Background: The rapid spread of coronavirus disease 2019 (COVID-19) turned into a global pandemic and has already plunged health systems all over the world into an unprecedented crisis. The start of the third wave in the fall of 2020 is likely to trigger a higher prevalence in the upcoming months. This article analyzed the inpatients’ time series data in Hormozgan province to forecast the trend of COVID-19 inpatients using time series modelling. Methods: To forecast COVID-19 inpatients in Hormozgan province (Iran), this time series study included data related to the daily new cases of 1) confirmed inpatients, 2) suspected inpatients, 3) deaths, 4) alive discharged patients, 5) admitted cases to intensive care units (ICUs), 6) ICU discharged cases, and 7) ICU inpatient service day were collected from 22 hospitals in the province from 20 February to 13 November 2020. Autoregressive integrated moving average (ARIMAX) and Prophet methods were applied for forecasting the trend of inpatient indicators to the end of the Iranian official calendar year. We used the Python programming language for data analysis. Results: Based on the findings of this study which proved the outperformance of Prophet to ARIMAX, it can be concluded that time series of suspected inpatients, confirmed inpatients, recovered cases, deaths, and ICU-inpatient service day followed a downward trend while ICU-admission and discharge time series are likely taking an upward trend in Hormozgan to the end of the current Iranian calendar year. Conclusion: Prophet outperformed ARIMAX for inpatient forecasting. By forecasting and taking appropriate prevention, diagnostic and treatment, educational, and supportive measures, healthcare policy makers could be able to control COVID-19 inpatient indicators.
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Spinzy, Y., S. Maree, A. Segev, and G. Cohen-Rappaport. "Change with the times exploring psychiatric inpatients’ attitudes towards physical restraint." European Psychiatry 41, S1 (April 2017): S565—S566. http://dx.doi.org/10.1016/j.eurpsy.2017.01.826.
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IntroductionWhen other options fail, physical restraint is used in inpatient psychiatric units as a means to control violent behavior of agitated inpatients and to prevent them from harm. The professional and social discourse regarding the use of restrictive measures and the absence of the inpatients’ attitudes towards these measures is notable. Our research therefore tries to fill this gap by interviewing inpatients about these issues.Objectives and aimsTo assess the subjective experience and attitudes of inpatients who have undergone physical restraint.MethodsForty inpatients diagnosed with psychiatric disorders were interviewed by way of a structured questionnaire. Descriptive statistics were conducted via use of SPSS statistical software.ResultsInpatients reported that physical restraint evoked an experience of loneliness (77.5%) and loss of autonomy (82.5%). Staff visits during times of physical restraint were reported as beneficial according to 73.6% of the inpatients interviewed. Two thirds of the inpatients viewed the use of physical restraints as justified when an inpatient was dangerous. Two thirds of the inpatients regarded physical restraint as the most aversive experience of their hospitalization.ConclusionsOur pilot study explored the subjective experience and attitudes of psychiatric inpatients towards the use of physical restraint. Inpatients viewed physical restraint as a practice that was sometimes justified but at the same time evoked negative subjective feelings. We conclude that listening to inpatients’ perspectives can help caregivers to evaluate these measures.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Nguyen, Huu Thang, Thi Nguyet Minh Doan, Thanh Huong Tran, and Hai Thanh Pham. "Inpatients’ experience and the associated factors: A cross-sectional study at Lung hospital, Son La, in 2020." Journal of Health and Development Studies 05, no. 04 (July 15, 2021): 110–16. http://dx.doi.org/10.38148/jhds.0504skpt21-007.
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Objectives: Medical facilities with an autonomous tendency always try to serve positive and pleasant experiences to improve the brand name, increase patient satisfaction and loyalty. A descriptive cross-sectional study was conducted on 245 inpatients at Lung Hospital in Son La province in 2020. To describe the current situation of the inpatient's experience at Lung Hospital in Son La province by 2020 and its related factors. Methods: This was a cross-sectional study conducted on 245 inpatients at Son La Lung Hospital Results: The study showed that the total score of inpatients’ experience ranged from 22 points to 57 points and the mean of it was 39.7 (6.13) points. Subject's experience scores were divided into 2 groups, the satisfied group accounted for 32.7% and the percentage of the unsatisfied group was 67.3%. As compared to men, a higher total score of women was (OR: 1.134; 95% CI: 0.284-0.997). The urban area group’s score was 1,190 times higher than that of those who live in rural and mountainous areas (95% CI: 1,010 - 1,400). The middle-income group had more positive experience than the low-income group (OR: 1.180; 95% CI: 1.010 - 1.370). Conclusions: Our research showed that gender, living area and economic condition affected the total score of inpatients’ experience at the Lung hospital. Keywords: Patient experiences, inpatient treatment, hospital, associated factors
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Xiong, Xuechen, and Li Luo. "Inpatient Flow Distribution Patterns at Shanghai Hospitals." International Journal of Environmental Research and Public Health 17, no. 7 (March 25, 2020): 2183. http://dx.doi.org/10.3390/ijerph17072183.
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Empirical studies based on patient flow data are needed to provide more materials to summarize the general pattern of patient distribution models. This study takes Shanghai as an example and tries to demonstrate the inpatient flow distribution model for different levels and specialties of medical institutions. Power, negative exponential, Gaussian, and log-logistic models were used to fit the distributions of inpatients, and a model of inpatient distribution patterns in Shanghai was derived, based on these four models. Then, the adjusted coefficient of determination (R2) and Akaike information criterion (AIC) values were used to assess the model fitting effect. The log-logistic function model has a good simulation effect and the strongest applicability in most hospitals. The estimated value of the distance-decay parameter β in the log-logistic function model is 1.67 for all patients, 1.89 for regional hospital inpatients, 1.40 for tertiary hospital inpatients, 1.64 for traditional Chinese medicine hospital inpatients, and 0.85 for mental hospital inpatients. However, the simulations at the tumor, children’s and maternity hospitals, were not satisfactory. Based on the results of empirical analysis, the four attenuation coefficient models are valid in Shanghai, and the log-logistic model of the inpatient distributions at most hospitals have good simulation effects. However, further in-depth analysis combined with the characteristics of specific specialties is needed to obtain the inpatient model in line with the characteristics of these specialties.
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Kang, Kuldip Kaur, and Nicola Moran. "Experiences of inpatient staff meeting the religious and cultural needs of BAME informal patients and patients detained under the Mental Health Act 1983." Mental Health Review Journal 25, no. 2 (June 17, 2020): 113–25. http://dx.doi.org/10.1108/mhrj-11-2019-0041.
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Purpose This paper aims to explore inpatient staff experiences of seeking to meet the religious and cultural needs of Black, Asian and Minority Ethnic (BAME) inpatients on mental health wards. Design/methodology/approach Nine semi-structured interviews were undertaken with inpatient staff in one NHS Trust in England to explore their views and experiences of supporting BAME inpatients to meet their religious and cultural needs. Anonymised transcripts were analysed thematically. Findings Inpatient staff reported lacking the confidence and knowledge to identify and meet BAME inpatients’ religious and cultural needs, especially inpatients from smaller ethnic groups and newly emerging communities. There was no specific assessment used to identify religious and cultural needs and not all inpatient staff received training on meeting these needs. Concerns were raised about difficulties for staff in differentiating whether unusual beliefs and practices were expressions of religiosity or delusions. Staff identified the potential role of inpatients’ family members in identifying and meeting needs, explaining religious and cultural beliefs and practices, and psychoeducation to encourage treatment or medication adherence. Practical implications Potential ways to address this gap in the knowledge and confidence of inpatient staff to meet the religious and cultural needs of BAME patients include training for inpatient staff; the production and updating of a directory of common religious and cultural practices and needs; local resources which can help to support those needs; and religious and cultural practices and needs being documented by mental health practitioners in community teams such that this information is readily available for inpatient staff if a service user is admitted. Originality/value This is the first study to consider inpatient staff views on meeting the religious and cultural needs of BAME informal patients and patients detained under the Mental Health Act 1983.
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Qamariyah, Qamariyah. "Relationship Marketing Implementation of Commitment and Satisfaction in Inpatients in Class III of Buleleng District Hospital." Journal for Quality in Public Health 3, no. 2 (May 12, 2020): 584–94. http://dx.doi.org/10.30994/jqph.v3i2.108.
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Commitment and patient satisfaction in hospital services is a priority of the hospital, especially in the inpatient room. Therefore we need methods to make this happen. The purpose of this study is the Effect of Relationship Marketing Implementation on Satisfaction and Commitment in Inpatients in Class III of Buleleng District Hospital. The research method was observational analytic with cross-sectional design. The population is inpatients in class III with a sample of 174 respondents taken by random sampling techniques according to criteria. Using logistic regression statistical analysis. The results of this study are the influence of Relationship Marketing Implementation on the Satisfaction and Commitment of Inpatients in Class III of Buleleng District Hospital, this is indicated by the p-value <α 0.05 and hospital service factors as well as the characteristics of respondents affect the Satisfaction and Commitment of Inpatients Inpatient in Class III of Buleleng Regency Hospital. In conclusion, the implementation of Relationship Marketing 5 times has the opportunity to increase Satisfaction and Commitment in Inpatients in Class III of Buleleng Regency Hospital, the characteristics of respondents 7 times have the opportunity to increase Satisfaction and Commitment in Inpatients in Class III of RSUD in Buleleng Regency and hospital services 8 times have the opportunity to increase Satisfaction and Commitment to Inpatients in Class III of Buleleng District Hospital. Relationship Marketing implementation concluded that it was good to be implemented in increasing Commitment and Satisfaction in Inpatients in Class III of Buleleng District Hospital
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Su, Dai, Yingchun Chen, Hongxia Gao, Haomiao Li, Jingjing Chang, Shihan Lei, Di Jiang, Xiaomei Hu, Min Tan, and Zhifang Chen. "Is There a Difference in the Utilisation of Inpatient Services Between Two Typical Payment Methods of Health Insurance? Evidence from the New Rural Cooperative Medical Scheme in China." International Journal of Environmental Research and Public Health 16, no. 8 (April 19, 2019): 1410. http://dx.doi.org/10.3390/ijerph16081410.
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This study aimed to evaluate the effects of the differences between two typical payment methods for the new rural cooperative medical scheme (NRCMS) in China on the utilisation of inpatient services. Interrupted time-series analysis (ITSA) and propensity score matching (PSM) were used to measure the difference between two typical payment methods for the NRCMS with regard to the utilisation of inpatient services. After the reform was formally implemented, the level and slope difference after reform compared with pre-intervention (distribution of inpatients in county hospitals (DIC), distribution of inpatients in township hospitals (DIT) and the actual compensation ratio of inpatients (ARCI)) were not statistically significant. Kernel matching obtained better results in reducing the mean and median of the absolute standardised bias of covariates of appropriateness of admission (AA), appropriateness of disease (AD). The difference in AA and AD of the matched inpatients between two groups was −0.03 (p-value = 0.042, 95% CI: −0.08 to 0.02) and 0.21 (p-value < 0.001, 95% CI: −0.17 to 0.25), respectively. The differences in the utilisation of inpatient services may arise owing to the system designs of different payment methods for NRCMS in China. The causes of these differences can be used to guide inpatients to better use medical services, through the transformation and integration of payment systems.
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Johannessen, Dagny Adriaenssen, Trond Nordfjærn, and Amy Østertun Geirdal. "Substance use disorder patients’ expectations on transition from treatment to post-discharge period." Nordic Studies on Alcohol and Drugs 37, no. 3 (April 24, 2020): 208–26. http://dx.doi.org/10.1177/1455072520910551.
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Aim: There is limited knowledge about how inpatients anticipate factors that facilitate the transition between specialised inpatient treatment for substance use disorder (SUD) and the post-discharge period. This study explores factors that inpatients anticipated would facilitate such a transition period. Method: A focus group study, consisting of four group interviews with individuals in inpatient SUD treatment, was conducted to explore their expectations for the transition and post-discharge period ahead of them. The transcribed interview material was analysed using thematic analysis. Findings: The analytical process led to three themes: “Belonging”, “Intrapersonal processes” and “Predictability”. Correspondence between inpatients’ expectations and the services they are offered in the transition and post-discharge period may serve as proper support for inpatients ahead of a vulnerable phase, such as the transition and post-discharge period. Conclusions: Findings from the current study highlight overarching elements that inpatients envisioned to be facilitating, such as social support, motivation, self-efficacy, self-awareness and predictability in basic elements such as employment, housing and personal finances. Findings from this study and previous ones imply that certain factors appear to facilitate in vulnerable phases, such as service level transitions. These facilitating factors should be taken into consideration and used as steppingstones through the transition and post-discharge period after inpatient SUD treatment.
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R., Andi Erni Amelia I., Mahfud Nurnajamuddin, Baharuddin Semmaila, and Sabri Hasan. "The Influence of Marketing Mix, Service Quality, and Image on Trust and Satisfaction of Inpatients in Makassar City Hospitals." Revista de Gestão Social e Ambiental 18, no. 8 (April 24, 2024): e06411. http://dx.doi.org/10.24857/rgsa.v18n8-088.
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Objectives: The objective of this research is to test and analyze the influence of three main factors - marketing mix, service quality, and image - on the trust and satisfaction of inpatients at hospitals in Makassar City. Methods: This research utilizes primary data collected through the distribution of questionnaires to 215 respondents. The data are then analyzed using the Structural Equation Model (SEM) in Smart PLS version 4 to test and analyze the relationships between the variables. Results: The results of the study indicate that while the marketing mix has a positive effect on the trust of inpatients in Makassar City hospitals, this effect is not significant. However, service quality and image both have a positive and significant effect on the trust of inpatients. Furthermore, the marketing mix has a positive and significant effect on inpatient satisfaction, but its effect on trust is not significant. Service quality also positively influences inpatient satisfaction significantly, while image has a significant positive effect on inpatient satisfaction. Trust is found to positively and significantly affect inpatient satisfaction. Additionally, service quality and image have positive and significant effects on inpatient satisfaction through trust. Conclusion: In conclusion, this research highlights the importance of service quality and image in building trust among inpatients at hospitals in Makassar City. While the marketing mix does have some influence on trust and satisfaction, its impact is not as significant as service quality and image. Moreover, trust plays a crucial role in determining inpatient satisfaction, as service quality and image influence satisfaction primarily through trust. These findings emphasize the significance of maintaining high service quality standards and cultivating a positive image to enhance trust and satisfaction levels among inpatients in hospital settings.
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Dalton, Catherine, and Gisele Lafeuillee. "“Can We Vaccinate Everybody?” A Rehabilitation Ward's Experience of an Inpatient COVID-19 Vaccination Program." Journal of Patient Experience 9 (January 2022): 237437352210867. http://dx.doi.org/10.1177/23743735221086761.
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Gwynne Holford Ward (GHW) is an inpatient rehabilitation Unit at Queen Mary’s Hospital in London, UK, which provides care for patients with amputation rehabilitation needs (10 beds) as well as Level 1 and 2 specialist neurorehabilitation needs (26 beds). The ward MDT has encouraged all inpatients to be vaccinated either during or prior to admission. We have conducted a weekly snapshot audit over a 3-week period in March 2021, which has shown an increase of the percentage of inpatients vaccinated, progressively from 68.75% to 80%, and 73% of vaccinated inpatients received the vaccine whilst on the ward. We also conducted inpatient interviews, which highlighted that: (1) opening dialogue about vaccines increased uptake of COVID-19 vaccine; (2) patients felt that all vaccination sites provided quick, efficient service; and (3) all patients who received the first COVID-19 vaccine were willing to have the second COVID-19 vaccine. Finally, although there were many hurdles faced whilst organizing the inpatient vaccination process, we have been able to cumulatively vaccinate 80% of rehabilitation inpatients making our ward a safer place to work and rehabilitate.
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Gajanayake, G. M. T. S., W. E. M. K. D. D. Ekanayake, G. D. C. Malinda, Lakmini Malasinghe, and Subashini De Silva. "Smart Health Monitoring System." Journal of Advances in Engineering and Technology 2, no. 2 (March 28, 2024): 25–36. http://dx.doi.org/10.54389/uesb9651.
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Due to the high inpatient population in hospitals, regular monitoring of inpatients' vital signs is currently a practical concern. As a solution, our proposed system manages the continuous analysis of the vital signs of every inpatient in the general wards, and informs medical professionals in any location at any time about their inpatients' current states in real-time to improve inpatients' health. The suggested system consists of the following arrangements; arrangement for acquiring health readings, identifying the on-duty reported doctors in charge of wards, arrangement for health data exhibiting unit, fall detection, and ECG acquisition. In addition to these arrangements, a website, and an android mobile application were designed to publish measured inpatient vital signs. This proposed product is both novel and different from the existent products because, it comprises of collective arrangements, and is developed in order to assess hospital wards’ inpatients, whereas other systems are designed for remote health monitoring of patients at home. This paper describes the system that was developed and tested successfully. KEYWORDS: Real-time database, Temperature, Heart rate, SpO2, ECG, Fall detection, Website, Mobile application
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Anderson, Britt A., R. Dale Walker, Matthew Owen Howard, and Richard T. Suchinsky. "Characteristics of Substance-Abusing Veterans Attempting Suicide: A National Study." Psychological Reports 77, no. 3_suppl (December 1995): 1231–42. http://dx.doi.org/10.2466/pr0.1995.77.3f.1231.
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Demographic, diagnostic, and service utilization characteristics of veterans diagnosed with suicide attempt, substance dependence, both, or neither at discharge from Department of Veterans Affairs (DVA) hospitals in fiscal year 1994 (FY94) were compared using the DVA's discharge abstract database. Four groups of veterans were studied: (1) substance-abusing suicidal inpatients ( n = 1,459), (2) substance-abusing nonsuicidal inpatients ( n = 123,808), (3) nonsubstance-abusing suicidal inpatients ( n = 632), and (4) nonsubstance-abusing nonsuicidal inpatients ( n = 402,906). Substance-abusing suicidal veterans had higher rates of substance abuse than substance-abusing nonsuicidal veterans and were more psychiatrically disordered than nonsubstance-abusing suicidal veterans. Substance-abusing suicidal veterans had a higher mean number of inpatient treatment episodes and a larger proportion of discharges against medical advice than the other three inpatient groups. Psychiatric and substance use disorders are more prevalent among substance-abusing suicidal veterans than among veterans with only substance use disorders or suicidal conduct.
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Meehan, Thomas, Helen Bergen, and Terry Stedman. "Monitoring Consumer Satisfaction With Inpatient Service Delivery: The Inpatient Evaluation of Service Questionnaire." Australian & New Zealand Journal of Psychiatry 36, no. 6 (December 2002): 807–11. http://dx.doi.org/10.1046/j.1440-1614.2002.01094.x.
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Objective: To report on the development, testing and psychometric properties of a brief consumer satisfaction measure for use with psychiatric inpatients. Method: Focus group discussions with inpatients were used to develop a pool of items related to satisfaction with hospital stay. A second cohort of 72 inpatients was invited to rate the 51 items that emerged for importance in contributing to satisfaction. Mean importance scores highlighted 20 items that were subsequently framed into neutrally worded statements. A draft questionnaire comprising these statements was introduced, on a trial basis, in a range of inpatient facilities. Results: Factor analysis of 356 completed questionnaires yielded three factors comprising a staff-patient alliance; doctor/treatment issues; and an environmental component. Psychometric properties include good response variability and high internal consistency. Conclusions: The Inpatient Evaluation of Service Questionnaire addresses many of the shortcomings of existing satisfaction measures. It was developed through extensive consumer involvement, it is simply worded, easy to score and appears to perform well with acute and rehabilitation inpatients.
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Shah, Ashish, Henry DeBell, Chandler Tedder, Zachariah Pinter, Sameer Naranje, Andrew McGee, Kyle Paul, Samuel Huntley, and Adam Archie. "A Comparative Analysis of Short Term Postoperative Complications in Outpatient vs. Inpatient Total Ankle Arthroplasty." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0042. http://dx.doi.org/10.1177/2473011418s00426.
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Category: Ankle Introduction/Purpose: Ankle arthritis is a potentially debilitating disease with approximately 50,000 cases diagnosed annually. Once conservative management fails, surgical options for these patients include total ankle arthroplasty (TAA) and ankle arthrodesis. Younger, more active patients may prefer TAA as it may allow better ankle mobility compared to ankle arthrodesis. TAA has historically been performed in the inpatient setting with a one- to two-night postoperative hospital stay. Outpatient surgeries are gaining popularity due to their cost effectiveness, decreased length of hospital stay, and convenience. Therefore, it is important to evaluate the safety of specific procedures in the outpatient setting compared to the inpatient setting. This study evaluates the complication rates in inpatient vs. outpatient TAA. Methods: Our team conducted a retrospective analysis of data from 591 patients receiving inpatient and outpatient TAA from the NSQIP database. This database contains de-identified patient data and allows retrospective analyses to be performed based on data they have extracted from over 400 hospitals. Demographic information was recorded including age, sex, weight, height, and race. Thirty-day postoperative complication rates were compared between 66 outpatients and 535 inpatients. Frequencies of the following complications were analyzed: wound complications, pneumonia, hematologic complications (pulmonary embolism and deep vein thrombosis), renal failure, stroke, and return to the operating room within 30 days. The inpatient and outpatient groups were compared using chi-squared tests for categorical variables and Wilcoxon rank-sum tests for continuous variables. Results: 591 total patients were identified that underwent TAA. 66 patients (11.1%) were treated as outpatients and 525 (88.8%) as inpatients. Inpatient TAA had a significantly higher mean operation time (161 min vs 148 min) and a significant difference in length of total hospital stay (2.3 days vs 1.1 days). Inpatients had higher rates of superficial incisional surgical site infection (SSI) (0.57% vs 0%), deep SSI (0.19 % vs 0%), organ/space SSI (0.19% vs 0%), pneumonia (0.38% vs 0%), and return to the operating room (0.76% to 0%). However, no significant differences were found in complication rates between inpatient and outpatient groups. There were no occurrences of acute renal failure, wound disruption, pulmonary embolism, stroke, or DVT/thrombophlebitis for inpatients or outpatients. Conclusion: We found no significant difference between inpatient vs. outpatient TAA. Incidental differences we found were that inpatients were significantly more likely to be older in age, diagnosed with diabetes, and inpatients had longer operative times. Our results suggest that inpatients are more likely, but not significantly, to have a higher occurrence of complications and return to the OR. Therefore, this study suggests that outpatient TAA is safe and may be a superior option for the correct patient population. Further investigation is warranted to verify these conclusions.
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Hu, Ya-Han, Jeng-Hsiu Hung, Li-Yu Hu, Sheng-Yun Huang, and Cheng-Che Shen. "An analysis of Chinese nursing electronic medical records to predict violence in psychiatric inpatients using text mining and machine learning techniques." PLOS ONE 18, no. 6 (June 7, 2023): e0286347. http://dx.doi.org/10.1371/journal.pone.0286347.
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Background The prevalence of violence in acute psychiatric wards is a critical concern. According to a meta-analysis investigating violence in psychiatric inpatient units, researchers estimated that approximately 17% of inpatients commit one or more acts of violence during their stay. Inpatient violence negatively affects health-care providers and patients and may contribute to high staff turnover. Therefore, predicting which psychiatric inpatients will commit violence is of considerable clinical significance. Objective The present study aimed to estimate the violence rate for psychiatric inpatients and establish a predictive model for violence in psychiatric inpatients. Methods We collected the structured and unstructured data from Chinese nursing electronic medical records (EMRs) for the violence prediction. The data was obtained from the psychiatry department of a regional hospital in southern Taiwan, covering the period between January 2008 and December 2018. Several text mining and machine learning techniques were employed to analyze the data. Results The results demonstrated that the rate of violence in psychiatric inpatients is 19.7%. The patients with violence in psychiatric wards were generally younger, had a more violent history, and were more likely to be unmarried. Furthermore, our study supported the feasibility of predicting aggressive incidents in psychiatric wards by using nursing EMRs and the proposed method can be incorporated into routine clinical practice to enable early prediction of inpatient violence. Conclusions Our findings may provide clinicians with a new basis for judgment of the risk of violence in psychiatric wards.
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Gonzalez-Blanco, L., S. Bestene-Medina, E. Torio-Ojea, I. Abad-Acebedo, J. Rodriguez-Revuelta, and G. Paniagua-Calzon. "Differences between countries in adult acute psychiatric hospitalization: Clinical features and drug prescription in Spain and the United States of America." European Psychiatry 33, S1 (March 2016): S113. http://dx.doi.org/10.1016/j.eurpsy.2016.01.109.
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IntroductionDiverse prescription patterns and differences in length of psychiatry inpatient stay among European and American countries have been reported [1,2].ObjectivesTo describe and compare clinical features and drug prescriptions in two Acute Psychiatric Units from Spain and USA.MethodsCross-sectional and comparative study. Sample: 73 inpatients from Reno (USA-Inpatients) and 65 from Oviedo (Spain-Inpatients) admitted to public Adult Acute Psychiatric Unit over a two-month period. Sociodemographic/clinical data and drug prescription were collected.ResultsSociodemographic/clinical comparison (Table 1) and drug prescription differences (Table 2) are shown.No significant differences in antipsychotics’ prescription except for the most frequently used [risperidone in Spain (36%)/ziprasidone in US (19.6%), Chi2 = 39.7**].Conclusions(A) Psychiatric inpatients in US are younger, have longer hospitalization, show more comorbid substance use disorder and differ from Spanish inpatients in frequency of diagnostic categories (schizophrenic disorders represent a larger proportion).(B) Inpatients in Spain usually receive polytherapy, and are more frequently treated with antidepressants and anxiolytics, especially benzodiazepines. In contrast, USA-Inpatients take lithium more often [1,2].Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Yan, Jingjing. "An Analysis of Inpatient Satisfaction with Trust-related Factors of Public Secondary and Tertiary Hospitals in China." Quality Management in Health Care 33, no. 3 (June 26, 2024): 166–75. http://dx.doi.org/10.1097/qmh.0000000000000480.
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Background and Objectives: Patient satisfaction surveys are implemented as an essential quality improvement tool in healthcare markets. This study investigates patient satisfaction in public secondary and tertiary hospitals and identifies factors contributing to inpatient satisfaction, particularly trust-related factors, to eventually improve the quality of care in the healthcare system. Methods: A population-based cross-sectional survey was conducted between February and April 2021 in 31 Chinese provinces. Telephone interviews with computer assistance were used to gather data. Spearman Rank Correlation was used to analyze satisfaction with hospitalization services between secondary and tertiary hospitals. Multiple Linear Regression was used to determine the influencing factors of overall patient satisfaction. Results: Inpatients reported more satisfaction with inpatient care when doctors treated them respectfully (p < 0.01). Inpatients with higher self-identified social class reported higher satisfaction (p < 0.01). Inpatients who trust in most people in society (p < 0.01) and trust in the Chinese healthcare system (p < 0.01) reported higher satisfaction. Female inpatients reported higher overall satisfaction (p < 0.01). Conclusions: The study of Chinese inpatients in secondary and tertiary hospitals highlighted the importance of respect from doctors, their self-identified social class, and their trust in influencing satisfaction during their hospital stay and called for additional research into policy measures.
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Johannessen, Dagny Adriaenssen, Trond Nordfjærn, and Amy Østertun Geirdal. "Work-Related Satisfaction among Clinicians Working at Inpatient Treatment Facilities for Substance Use Disorder: The Role of Recovery Orientation." International Journal of Environmental Research and Public Health 18, no. 14 (July 12, 2021): 7423. http://dx.doi.org/10.3390/ijerph18147423.
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Several psychosocial factors have been suggested as facilitators of change among inpatients treated for substance use disorder (SUD). Research suggests that staff members are also influenced by the practice in which they are involved, and by contextual psychosocial factors at their treatment facilities. This cross-sectional questionnaire survey study was conducted to investigate the role of recovery-orientated interventions in describing work-related satisfaction among clinicians at inpatient SUD treatment facilities. The respondents (n = 407) rated items indicating work-related satisfaction and the degree of recovery orientation at their treatment facilities. The main findings of two block regression analyses indicated that clinicians’ work-related satisfaction was positively influenced by inpatients’ opportunities to pursue their goals and choices, and negatively influenced by inpatient involvement. The change in clinicians’ work-related satisfaction could not be described by the degree of individually tailored and varied interventions at the treatment facility. Clinicians should be supported and involved in the process of implementing measures to increase inpatient involvement in the treatment programmes, and treatment measures that enable inpatients to pursue their goals and choices should be enhanced. The findings of this and previous studies indicate that a recovery-oriented framework promotes clinicians’ work-related satisfaction and has an enabling influence on both inpatients and clinicians.
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Stuart, Scott, and Wayne A. Bowers. "Cognitive Therapy With Inpatients: Review and Meta-Analysis." Journal of Cognitive Psychotherapy 9, no. 2 (January 1995): 85–92. http://dx.doi.org/10.1891/0889-8391.9.2.85.
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Cognitive therapy has shown promise as a treatment for depressed outpatients. Despite recent increases in its use with inpatients, the treatment itself has not been well substantiated empirically. This article reviews the literature on cognitive-behavior therapy (CBT) with inpatients, and uses meta-analysis to assess the efficacy of this approach to treatment. The results suggest that CBT can be beneficial with inpatients both as a primary treatment and as an adjunct to antide-pressant medication. More controlled research needs to be completed to fully confirm CBT’s role in an inpatient setting.
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K, Härkäpää, Järvikoski A, Mellin G, and Hurri H. "A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment." Journal of Rehabilitation Medicine 21, no. 2 (March 10, 2015): 81–89. http://dx.doi.org/10.2340/16501977218189.
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Outcome of inpatient and outpatient treatment of low back pain was studied in 459 patients (aged 35-54 years, 63% men); 156 inpatients, 150 outpatients and 153 controls. Changes in low back pain and in disability caused by it, and adherence and accomplishment of back exercises were used as short-term outcome criteria. The overall results showed a significant decrease in pain and disability and better compliance in the two treated groups when compared to the controls. There was also a significant difference in treatment gains between the inpatients and outpatients; i.e. the decrease in pain was greater and the frequency of back exercises higher in the inpatients. The inpatients also estimated their treatment benefits more positively than the outpatients.
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Munley, Patrick H., and Rebecca Busby. "MMPI-2 Negative Treatment Indicators Scale and Irregular Discharge." Psychological Reports 74, no. 3 (June 1994): 903–6. http://dx.doi.org/10.2466/pr0.1994.74.3.903.
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A sample of 18 psychiatric inpatients who had completed the MMPI-2 and subsequently received an irregular discharge from inpatient treatment were compared on the MMPI-2 Negative Treatment Indicators scale (TRT) with a random sample of 18 inpatients who received a regular discharge from inpatient care. Analysis showed no significant difference between the two groups on the Negative Treatment Indicators scale. The two groups did differ in K scale elevation. The possible need to interpret the Negative Treatment Indicators scale in the context of K scale elevation is discussed.
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Abdullat, Mohamed, Wail Hayajneh, Ali Banni Issa, Abdullah Alshurman, Basma Marar, Ahmad Al-Hajajrah, Ahmad Al-Razim, et al. "Use of health care resources for varicella in the paediatric population, Jordan." Eastern Mediterranean Health Journal 27, no. 2 (February 1, 2021): 159–66. http://dx.doi.org/10.26719/2021.27.2.159.
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Background: The exact burden of varicella is not well quantified in Jordan. Aims: This study aimed to estimate the varicella burden in paediatric patients in Jordan who sought care in a hospital-based setting. Methods: This was a multicentre, retrospective review of medical records of patients aged 0–14 years with a primary varicella diagnosis in Jordan between 2013 and 2018. The data assessed were: use of health care resources for varicella (outpatient and inpatient visits, tests and procedures, and medication use), and clinical complications of the infection. Estimated costs were based on health care resources used (direct costs) and lost revenue to the child’s caregiver (indirect costs) for outpatients and inpatients. Results: In total, 140 children with varicella were included: 78 outpatients, mean age (standard deviation) 4.4 (3.2) years, and 62 inpatients, mean age 4.0 (3.8) years. No outpatients had varicella-related complications, while 32 (52%) inpatients had ≥ 1 complication. The use of health care resources was higher for inpatients than outpatients, including prescription medication use – 94% of inpatients versus 6% of outpatients. Total costs of varicella were estimated at US$ 66.1 (95% CI: 64.1-68.1) per outpatient and US$ 914.7 (95% CI: 455.6-1373.9) per inpatient. Conclusions: Varicella is associated with considerable use of health care resources in Jordan and may be responsible for annual costs of US$ 11.5 million. These results support universal varicella vaccination in Jordan.
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Mahanggi, Oktarina, Abdul Rahem, and Yunita Nita. "Comparative Analysis of Real Costs and INA CBG's Rates in BPJS Kesehatan Patients with Schizophrenia." JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA 10, no. 2 (August 2, 2023): 217–23. http://dx.doi.org/10.20473/jfiki.v10i22023.217-223.
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Background: Schizophrenia is the most severe mental disorder because its risk of death is to 2-3 times higher. Objective: To determine the average real costs, the difference between real costs and INA-CBG rates of inpatients with schizophrenia, and the factors that affect real costs. Methods: The study was conducted retrospectively from the hospital perspective using the total sampling method from January 2020-December to 2021. The study sample included inpatients patients and the real costs of the hospital. The data obtained were analyzed using the Mann-Whitney U-test and multiple linear regression tests. Results: About 112 patients met the inclusion criteria. The average real cost of inpatients with schizophrenia at Tombulilato General Hospital from January 2020 to December 2021 is Rp. 9,895,102 and the average INA-CBG rate of inpatients with schizophrenia was Rp. 14,820,778. There was a difference between the real costs and INA-CBG rates (p = 0.002), with the highest average hospital real cost component in the inpatient room (Rp. 3,397,723 (34.34%). The factor that affected the real costs of inpatients with schizophrenia patients is the length of stay (p = 0.000). Conclusion: The real costs of the hospital were lower (p = 0.002) than those of the INA-CBG. The highest real cost of the hospital was the inpatient room (34.34%), and the factor that affected the real costs was the length of stay (p = 0.000).
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Masroor, Anum, Rikinkumar S. Patel, Narmada N. Bhimanadham, Sanjeetha Raveendran, Naveed Ahmad, Uwandu Queeneth, Amaya Pankaj, and Zeeshan Mansuri. "Conduct Disorder-Related Hospitalization and Substance Use Disorders in American Teens." Behavioral Sciences 9, no. 7 (July 5, 2019): 73. http://dx.doi.org/10.3390/bs9070073.
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Objective: Our study aimed to compare the demographic characteristics of conduct disorder (CD) inpatients versus other psychiatric inpatients in children and adolescents, and assess the association between conduct disorder patients and the spectrum of substance use disorders (SUD). Methods: We included 800,614 psychiatric adolescent (12–18 years) inpatients, and this included 8885 inpatients (1.1%) primarily for conduct disorder in the Nationwide Inpatient Sample (2010–2014). ICD-9 codes were used to detect SUD, and a logistic regression model was used to evaluate the odds ratio (OR) for SUD in conduct disorder inpatients. Results: A higher proportion of conduct disorder inpatients were of 12–15 years of age (62.6%), male (64.4%), and White (45.7%). The lower median household income was correlated with a higher prevalence of conduct disorder (36.4%). Among SUD, cannabis use (23.7%) was most prevalent in conduct disorder inpatients followed by tobacco and alcohol use (10.1% each). Conduct disorder inpatients have 1.7-fold higher odds (95% confidence interval (CI) 1.52–1.82) for alcohol use and 1.4-fold higher odds (95% CI 1.31–1.49) for cannabis use compared to the non-conduct disorder inpatients. Cannabis use was seen significantly in adolescents (49.1%, 12–15 years), male (75.6%), and African Americans (45.6%). Conclusion: Conduct disorder inpatients have a higher risk of comorbid SUD compared to other psychiatric illnesses. The most common substance to be abused is cannabis followed by tobacco and alcohol. Varying pattern of substance use was seen by demographics and these predictors may help the clinicians for early diagnosis and treatment to improve overall health-related quality of life.
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O’Connor, Nick, Katherine Zantos, and Viviana Sepulveda-Flores. "Use of personal electronic devices by psychiatric inpatients: benefits, risks and attitudes of patients and staff." Australasian Psychiatry 26, no. 3 (February 20, 2018): 263–66. http://dx.doi.org/10.1177/1039856218758564.
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Objectives: The study aimed to evaluate the attitudes of patients and staff in relation to the potential benefits and risks of allowing psychiatric inpatients controlled access to personal electronic devices (PEDs), and to document a snapshot audit of practice within the mental health inpatient units of New South Wales, Australia. Methods: Psychiatric inpatients and staff at Royal North Shore Hospital’s Mental Health inpatient units were surveyed, and an audit of the policies of the psychiatric inpatients of New South Wales was undertaken. Results: Access to PEDs is denied in 85% of New South Wales psychiatric inpatient units. While patients and staff appear to concur on the risks of access to PEDs and the need for risk assessment and rules, compared to patients, staff appear to underestimate the importance of PEDs to maintaining social connection and recovery. Conclusions: This study may assist in the formulation of local policy and procedure to allow a more recovery-oriented approach to the question of whether patients should have access to their PEDs while in hospital.
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Hyland, Declan, Ranjan Baruah, Mohammed Hussain, and Hollie Buchan. "A Re-Audit of the Assessment and Management of Patients With Alcohol Use Disorders Following Admission to the General Adult Inpatient Wards in Mersey Care NHS Foundation Trust." BJPsych Open 9, S1 (July 2023): S162. http://dx.doi.org/10.1192/bjo.2023.431.
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AimsThis re-audit aimed to determine the level of performance in the assessment and management of patients with alcohol use disorders following admission to one of the general adult inpatient wards in Mersey Care NHS Foundation Trust and to determine whether the level of performance has improved compared to the original audit done in 2021 and whether recommendations that were implemented following the original audit have been effective.MethodsA list of all inpatients on each of the eight general adult inpatient wards in the Trust was obtained. The electronic patient record (on RiO) and electronic prescription card (on EPMA) for each inpatient was scrutinised to obtain the required data. All data were collected retrospectively.ResultsA total of 149 inpatients were identified on the eight general adult inpatient wards. Using specific inclusion and exclusion criteria, 56 of the 149 inpatients formed the final sample. Of the 56 inpatients, 58% were male, 42% were female. An alcohol history was documented in 81% of the 56 inpatients, representing an improvement on the 45% in the original audit in 2021. An average weekly quantity of alcohol for the inpatient was documented in only 8% of cases, a drop from 22% in the original audit in 2021. There was minor improvement in documentation of a CIWA-R score for the inpatient on admission to the ward - an increase from 0.7% in 2021 to 4.0% in 2022. There were improvements on gamma GT and serum Magnesium level being checked on admission for the 2022 audit cohort compared with the 2021 audit cohort. There was also an improvement on referral of the inpatient to community alcohol services - 3% in the 2021 audit vs 7% in the 2022 audit.ConclusionThe findings from this re-audit indicate an improved level of performance in assessment and management of patients with alcohol use disorders following admission to the general adult inpatient ward since the original audit in 2021. Recommendations from this re-audit are: ensuring that taking and documenting a thorough alcohol history is included in the induction for junior trainees, the provision of education and training to both medical and nursing staff on the wards in using the CIWA-R to assess level of alcohol withdrawal and producing a flow chart on the assessment and management of alcohol use in patients following admission to the ward that can be displayed in the Treatment Room on each ward and in the Junior Doctors’ office.
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Chen, Ning, Liang Zhou, Jiaoling Huang, Wenya Yu, Chen Chen, Hua Jin, Xiaoxiao Shi, et al. "Identifying multimorbidity patterns of non-communicable diseases in paediatric inpatients: a cross-sectional study in Shanghai, China." BMJ Open 11, no. 4 (April 2021): e042679. http://dx.doi.org/10.1136/bmjopen-2020-042679.
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ObjectivesTo enhance the understanding of non-communicable disease (NCD) multimorbidity in children who are inpatients by delineating the characteristics of and identifying patterns among paediatric inpatients with multimorbidity in China.DesignCross-sectional study.SettingPaediatric wards (n=17) in Pudong New Area, Shanghai, China.ParticipantsA total of 193 432 paediatric inpatients in the electronic health record systems of 17 hospitals from 2011 to 2016 participated in the study, and 91 004 children with NCDs were extracted and classified based on International Classification of Diseases, 10th version codes.Main outcome measuresNumber of the NCDs and multimorbidity patterns of the paediatric inpatients.ResultsIn total, 47.05% (95% CI 46.83 to 47.27) of the paediatric inpatients had one or more chronic diseases, and 16.30% (95% CI 16.14 to 16.46) had multimorbidity. Congenital anomalies accounted for 19.43% (95% CI 19.25 to 19.61) of the principal diagnoses among the paediatric inpatients. Five common multimorbidity patterns were identified: a neurological-respiratory cluster, a neurological-respiratory-ear cluster, a cardiovascular-circulatory cluster, a genitourinary cluster (boy group) and a musculoskeletal-connective cluster (10–18 years age group).ConclusionsMultimorbidity in paediatric inpatients suggests that decisions about reasonable allocation of paediatric inpatient resources should be fully considered. Multimorbidity patterns in paediatric inpatients revealed that prevention, including innovative treatments targeting children, should be further studied.
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Bahlani, Lily Widjaja, Deasy Rosmala Dewi, and Laela Indawati. "Tinjauan Kelengkapan Berkas Persyaratan Klaim Pasien Rawat Inap Covid-19 di Rumah Sakit Sumber Waras." SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat 1, no. 2 (April 27, 2022): 240–49. http://dx.doi.org/10.55123/sehatmas.v1i2.237.
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Every hospital organizes a health insurance program, the implementation of the national health insurance program is operated by the Health Office, before the hospital collects payments to the Health Office, a complete inpatient claim requirement file is required, if the inpatient claim requirement file is incomplete it will hamper the process. the health office's claim to the hospital, causing a pending claim. The purpose of this study was to get an overview of the completeness of the claim file requirements for Covid-19 inpatients at Sumber Waras Hospital. The research was conducted using a quantitative descriptive method. The sample in this study was taken from the claim requirements file for Covid-19 inpatients at the Sumber Waras Hospital. Sampling using systematic random sampling. Data was collected using a checklist and interview guidelines submitted to Casmiex officers at Sumber Waras Hospital. Based on the results of a study of 87 files for claim requirements for Covid-19 inpatients, 75.90% were obtained. The factors causing the incompleteness of the Covid-19 inpatient claim file requirements are the Covid-19 inpatient claim requirement file provided by the service officer in hardcopy, the service officer does not provide all the files that exist at the patient's discharge date in that month, the occurrence of errors in inputting patient data and medical support officers do not directly enter the results of laboratory tests. Therefore, it is necessary to disseminate information to service personnel so that they can complete the claim requirements for inpatients in a timely manner.
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Painter, Jon, Barry Ingham, Liam Trevithick, Richard P. Hastings, and Ashok Roy. "Correlates for the risk of specialist ID hospital admission for people with intellectual disabilities: development of the LDNAT inpatient index." Tizard Learning Disability Review 23, no. 1 (January 2, 2018): 42–50. http://dx.doi.org/10.1108/tldr-04-2017-0015.
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Purpose The purpose of this paper is to analyse ratings data from the recently developed Learning Disability Needs Assessment Tool (LDNAT) to identify factors associated with specialist intellectual disability (ID) hospital admissions. Design/methodology/approach Ratings from 1,692 individuals were analysed and the LDNAT items differing significantly between inpatients and non-inpatients were identified. Statistical analyses on total scores derived from these items were used to calculate an optimal cut-off. This LDNAT inpatient index score was also confirmed via an alternative statistical technique. Findings On average, 18 of the 23 LDNAT item ratings were significantly higher in people with ID assessed as inpatients compared to those rated in community settings. Using the total of these items, the resulting LDNAT inpatient index was analysed. A cut-off score of 22.5 was calculated to be the optimal balance between sensitivity (0.833) and specificity (0.750). This was confirmed by calculating the Youden index (j=0.583). At this level 68 per cent of inpatients and 81 per cent of non-inpatient cases were correctly identified. Practical implications Currently there is a national (UK) programme to radically reduce the amount of specialist inpatient care for people ID. This will necessitate early identification of individuals most at risk of admission together with investment in improved, proactive community services if admissions to a diminishing bed-base are to remain manageable. Originality/value This study confirms the associations between mental health difficulties, challenging behaviour and specialist hospital admissions for people with ID, extending existing research by translating these findings into a clinically usable risk index.
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LeBrett, Wendi, Jenny Sauk, and Berkeley Limketkai. "11 ENTERAL NUTRITION THERAPY IS ASSOCIATED WITH FEWER READMISSIONS AND DEATHS AMONG MALNOURISHED INPATIENTS WITH INFLAMMATORY BOWEL DISEASE." Inflammatory Bowel Diseases 26, Supplement_1 (January 2020): S43—S44. http://dx.doi.org/10.1093/ibd/zaa010.113.
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Abstract Background Malnutrition is a common complication observed in hospitalized patients with inflammatory bowel disease (IBD). Enteral nutrition therapy can be used to support the nutritional needs of inpatients with IBD. However, evidence on the impact of inpatient enteral nutrition on clinical outcomes is equivocal. This study assesses post-hospitalization outcomes associated with enteral nutrition therapy amongst inpatients with IBD in a large nationwide database. Methods We conducted a retrospective propensity score-matched study among IBD inpatients diagnosed with protein-calorie malnutrition using the Nationwide Readmissions Database from 2010–2015. ICD9 codes associated with each admission were used to identify patients who received enteral nutrition. Using propensity score matching, patients who received inpatient enteral nutrition were matched with patients who did not receive enteral nutrition based on the following variables: age, sex, elective admission, patient income, teaching hospital, and hospital urban or rural locality. Primary endpoints included 30-day readmissions, 90-day readmissions, 30-day mortality and 90-day mortality. Results Among the 1,588 IBD patients (822 Crohn’s disease, 755 ulcerative colitis, 11 unclassified IBD) with protein-calorie malnutrition, patients who received enteral nutrition (n=794) had fewer 30-day readmissions (OR 0.73; 95% CI 0.55 – 0.96) and 90-day readmissions (OR 0.77; 95% CI 0.61 – 0.97). None of the patients (0%) in the enteral nutrition group died on a subsequent admission within 30 days of discharge, compared to 6 patients (0.8%) in the control group (p=0.027). Inpatient mortality within 90 days of discharge did not differ significantly between the two groups (0.8%, enteral nutrition vs. 1.6%, control; p=0.086). Discussion Enteral nutrition therapy among IBD inpatients with malnutrition was associated with lower odds of readmission and 30-day mortality, but not 90-day mortality. The findings of our study support the use of enteral nutrition in IBD inpatients and motivate the need for prospective studies assessing the impact of enteral nutritional support in IBD inpatients.
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Chawla, Upneet, Avneet Chadha, Abigail Martin, Elizabeth Culnan, Aaron Kirkpatrick, Henry Arantes, and Alejandra Lastra. "413 Inpatient Sleep Screens: Effective for Screening but Poor Follow Up." Sleep 44, Supplement_2 (May 1, 2021): A164. http://dx.doi.org/10.1093/sleep/zsab072.412.
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Abstract Introduction Only 20% of adult Americans with Obstructive Sleep Apnea (OSA) are thought to have been diagnosed. Portable monitors (PM) can provide shorter time to diagnosis and treatment in at risk populations including inpatients. Data on inpatient sleep screen testing outcomes and population phenotypes are limited. We hypothesized that inpatients undergoing sleep screens via PM have higher disease severity but are less adherent to follow up. Methods We conducted a retrospective observational study comparing severity of OSA based on apnea-hypopnea index (AHI) and compliance with follow up between patients who received inpatient vs. outpatient sleep screens. There was a total of 347 patients, 18 years and older, who received a sleep screen from August 2017 to August 2018. Exclusion criteria were cancellations/no shows (13.56% inpatients vs. 13.51% outpatients) or loss of data (26.12% inpatients vs. 23.72% outpatients). For analysis, t-test and chi-square were used for continuous and categorical variables respectively. Results The patients diagnosed with severe OSA were more than double in the inpatient group vs. the outpatient group, 46.7% and 21.7% respectively. The inpatient group had a higher average AHI (30/h) compared to the outpatient group (20.3/h). 30.7% of the inpatient group were adherent with their follow up vs. 83.3% of the outpatient group. A chi-square test of independence demonstrated a significant difference between testing location and follow up (p < .001). Those in the inpatient group were significantly older (mean 60.4 years old) than the outpatient group (47.5 years old). There was no significant difference in gender between the groups. The inpatient group had significantly higher average body mass index (39.9 kg/m2) when compared to the outpatient group (34.3 kg/m2). Conclusion Hospitalized patients screened for OSA with portable monitors are significantly more likely to have severe disease when compared to outpatients. Despite this, adherence to follow up is poor. Systematic evaluation of inpatient OSA screening program effectiveness and factors impacting adherence to follow up and treatment are needed. Support (if any):
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Haldar, Shefali, Sonali R. Mishra, Ari H. Pollack, and Wanda Pratt. "Informatics opportunities to involve patients in hospital safety: a conceptual model." Journal of the American Medical Informatics Association 27, no. 2 (October 3, 2019): 202–11. http://dx.doi.org/10.1093/jamia/ocz167.
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Abstract Objective Inpatients could play an important role in identifying, preventing, and reporting problems in the quality and safety of their care. To support them effectively in that role, informatics solutions must align with their experiences. Thus, we set out to understand how inpatients experience undesirable events (UEs) and to surface opportunities for those informatics solutions. Materials and Methods We conducted a survey with 242 patients and caregivers during their hospital stay, asking open-ended questions about their experiences with UEs. Based on our qualitative analysis, we developed a conceptual model representing their experiences and identified informatics opportunities to support patients. Results Our 4-stage conceptual model illustrates inpatient experiences, from when they first encounter UEs, when they could intervene, when harms emerge, what types of harms they experience, and what they do in response to harms. Discussion Existing informatics solutions address the first stage of inpatients’ experiences by increasing their awareness of potential UEs. However, future researchers can explore new opportunities to fill gaps in support that patients experience in subsequent stages, especially at critical decision points such as intervening in UEs and responding to harms that occur. Conclusions Our conceptual model reveals the complex inpatient experiences with UEs, and opportunities for new informatics solutions to support them at all stages of their experience. Investigating these new opportunities could promote inpatients’ participation and engagement in the quality and safety of their care, help healthcare systems learn from inpatients’ experience, and reduce these harmful events.
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Adey-Wakeling, Zoe, Laura Jolliffe, Elizabeth O’Shannessy, Peter Hunter, Jacqui Morarty, Ian D. Cameron, Enwu Liu, and Natasha A. Lannin. "Activity, Participation, and Goal Awareness After Acquired Brain Injury: A Prospective Observational Study of Inpatient Rehabilitation." Annals of Rehabilitation Medicine 45, no. 6 (December 31, 2021): 413–21. http://dx.doi.org/10.5535/arm.21034.
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Objective To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.Methods This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.Results The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02–21.16).Conclusion Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.
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Fuchs, Martin, David Riedl, Astrid Bock, Gerhard Rumpold, and Kathrin Sevecke. "Pathological Internet Use—An Important Comorbidity in Child and Adolescent Psychiatry: Prevalence and Correlation Patterns in a Naturalistic Sample of Adolescent Inpatients." BioMed Research International 2018 (2018): 1–10. http://dx.doi.org/10.1155/2018/1629147.
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Background. Few studies have examined the prevalence of problematic internet use (PIU) in young people undergoing inpatient treatment in child and adolescent psychiatry centers. The aims of our study were thus (a) to assess the frequency of comorbid PIU in a sample of adolescent psychiatric inpatients and compare it with a control group of nonreferred adolescents and (b) to gain insights into correlations between PIU and psychiatric comorbidities. Methods. 111 child and adolescent psychiatry inpatients (CAP-IP, mean age 15.1±1.4 years; female : male 72.4% : 27.6%) undergoing routine psychodiagnostics were screened for the presence of PIU. The widely used Compulsive Internet Use Scale (CIUS) was chosen for this purpose. Prevalence rates of PIU were then compared to matched nonreferred control subjects from a school sample. Additionally, comorbidities of inpatients with PIU were compared to inpatients without PIU. Results. Our inpatient sample showed a much higher prevalence of PIU than that found in previous populational samples of young people. Compared with a matched school sample, addictive internet use was 7.8 times higher and problematic internet use 3.3 times higher among our adolescent sample. PIU was significantly associated with characteristic patterns of psychopathology, that is, suicidality, difficulties in establishing stable and consolidated identity, and peer victimization. Conclusion. PIU among adolescents undergoing inpatient psychiatric treatment is much more frequent than among their peers in the general population and is associated with specific patterns of psychopathology.
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Chan, Katherine, Lovisa Cheung, Chris Taylor, Chelsea Wong, Grace Inglis, Kristen Walden, and Kristin E. Musselman. "Communicating Standing and Walking Data after Spinal Cord Injury: A Patient-Engaged, Qualitative Study." Topics in Spinal Cord Injury Rehabilitation 29, suppl (November 16, 2023): 1–14. http://dx.doi.org/10.46292/sci23-00019s.
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Background The Standing and Walking Assessment Tool has been implemented by physical therapists across Canada, but there is no standardized communication tool to inform inpatients living with spinal cord injury (SCI) about their standing and walking ability. Objectives To identify how inpatients with SCI are currently receiving feedback on their standing and walking ability, and to determine if and how they would like to receive information on their standing and walking. Methods Ontario's Patient Engagement Framework informed study protocol development. Inpatients with SCI were recruited from a rehabilitation centre in Canada. Purposeful sampling considering severity of SCI and sex was adopted. Three to four months following discharge from inpatient rehabilitation, a semi-structured interview was conducted to explore participants'experiences and preferences regarding feedback on standing and walking ability during inpatient SCI rehabilitation. Interviews were audio-recorded and transcribed verbatim. A conventional content analysis was completed. Results Fifteen individuals with SCI (5 female, 10 male) participated. Four themes emerged from the transcripts: (1) motivation for standing and walking, (2) current standing and walking practice, (3) participant preferences for feedback on standing and walking ability, and (4) perceptions of preexisting tools. Conclusion Information on standing and walking ability was shared with inpatients with SCI in a variety of ways. Participants identified various preferences for the nature, format, and frequency of feedback concerning standing and walking ability during inpatient rehabilitation, which suggests the need for an individualized approach to communicating this information.
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T Sahile, Addisu, Sinetsehay A Getahun, and Sinetsidk G Bogale. "Level of satisfaction among patients on nursing care at yekatit 12 hospital medical college, Addis ababa, Ethiopia, 2018." MOJ Public Health 8, no. 5 (October 22, 2019): 207–11. http://dx.doi.org/10.15406/mojph.2019.08.00308.
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Background: Patient satisfaction is an attitude resulting from a person’s general orientation to an experience. Most of studies tried to measure overall satisfaction with holistic services given to patients and confined only to outpatient services. Objective: This study was aimed at comparing the satisfaction level of patients among inpatients with outpatients on nursing care in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia, 2018. Methods: A comparative cross sectional study design was used to compare the satisfaction level of patients in outpatient versus inpatient departments of Yekatit 12 Hospital Medical College, from June to July 2018. A total of 80 inpatients and 80 outpatient participants were sampled on the basis of convenience sampling. Data was collected with a pre-tested interviewer administered structured questionnaire. Analysis was carried out with SPSS version 21 software. Independent t-test was used to make comparison between the two groups, considering p<0.05 as a level of significance. Results: Fifty-seven percent of inpatient participants and 42% of outpatient participants were females. Sixty-two percent of inpatients and 67% of outpatient participants reported to have a monthly income of 1500 birr and more. Fifty-three percent’s of outpatients and 38% of inpatients were satisfied. There was a statistically significant difference in level of satisfaction between the two groups on nursing care at p<0.05. Participants in outpatient department had a higher level (mean+SD, 20+7.16) of satisfaction than participants in the inpatient departments (mean+SD, 17+5.66) at p<0.05. Conclusion: Findings of this study revealed that there was a significant difference in level of client satisfaction between inpatient versus outpatient. Satisfaction was higher among outpatient than inpatient groups, at p<0.05. Large scale studies are recommended to evaluate what actually happened to other areas of health sector.
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Saparina, Iska Ayu, and Budi Prasetiyo. "PENGARUH KUALITAS PELAYANAN DAN FASILITAS TERHADAP KEPUASAN PASIEN RAWAT INAP DI RUMAH SAKIT UMUM KASIH BUNDA KOTA CIMAHI." TRANSEKONOMIKA: AKUNTANSI, BISNIS DAN KEUANGAN 3, no. 1 (February 10, 2023): 191–205. http://dx.doi.org/10.55047/transekonomika.v3i1.367.
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This research was conducted on inpatients at Kasih Bunda Cimahi General Hospital. This study aims to determine how much influence quality and facilities had on inpatient satisfaction either partially or simultaneously in inpatients at Kasih Bunda Cimahi General Hospital. This study uses a descriptive and associative methodology with a quantitative approach. Inpatients in the Arjuna, Nakula, Shinta, and Bima rooms became the unit of analysis for this study. The sample for this study consisted of ninety respondents. By using stratified random sampling, this study used a systematic random sampling method. In addition to verifying the validity and reliability of research tools, the analytical approach uses multiple linear regression analysis. According to research findings, service quality has a partial effect of 12.01% on inpatient satisfaction, while facilities have a partial effect of 19.01%. Nevertheless, the total effect is only 31%. To further increase customer satisfaction, the hospital will provide outreach to all divisions related to hospital services.
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Mermel, L. A., S. J. Eells, M. K. Acharya, J. M. Cartony, D. Dacus, S. Fadem, E. A. Gay, et al. "Quantitative Analysis and Molecular Fingerprinting of Methicillin-ResistantStaphylococcus aureusNasal Colonization in Different Patient Populations: A Prospective, Multicenter Study." Infection Control & Hospital Epidemiology 31, no. 6 (June 2010): 592–97. http://dx.doi.org/10.1086/652778.
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Objectives.To better understand the prevalence of methicillin-resistantStaphylococcus aureus(MRSA) colonization or infection in different patient populations, to perform quantitative analysis of MRSA in nasal cultures, and to characterize strains using molecular fingerprinting.Design.Prospective, multicenter study.Setting.Eleven different inpatient and outpatient healthcare facilities.Participants.MRSA-positive inpatients identified in an active surveillance program; inpatients and outpatients receiving hemodialysis; inpatients and outpatients with human immunodeficiency virus (HIV) infection; patients requiring cardiac surgery; and elderly patients requiring long-term care.Methods.Nasal swab samples were obtained from January 23, 2006, through July 27, 2007; MRSA strains were quantified and characterized by molecular fingerprinting.Results.A total of 444 nares swab specimens yielded MRSA (geometric mean quantity, 794 CFU per swab; range, 3-15,000,000 CFU per swab). MRSA prevalence was 20% for elderly residents of long-term care facilities (25 of 125 residents), 16% for HIV-infected outpatients (78 of 494 outpatients), 15% for outpatients receiving hemodialysis (31 of 208 outpatients), 14% for inpatients receiving hemodialysis (86 of 623 inpatients), 3% for HIV-infected inpatients (5 of 161 inpatients), and 3% for inpatients requiring cardiac surgery (6 of 199 inpatients). The highest geometric mean quantity of MRSA was for inpatients requiring cardiac surgery (11,500 CFU per swab). An association was found between HIV infection and colonization with the USA300 or USA500 strain of MRSA (P≤ .001). The Brazilian clone was found for the first time in the United States. Pulsed-field gel electrophoresis patterns for 11 isolates were not compatible with known USA types or clones.Conclusion.Nasal swab specimens positive for MRSA had a geometric mean quantity of 794 CFU per swab, with great diversity in the quantity of MRSA at this anatomic site. Outpatient populations at high risk for MRSA carriage were elderly residents of long-term care facilities, HIV-infected outpatients, and outpatients receiving hemodialysis.
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Gajdács, Márió, and Edit Urbán. "Resistance Trends and Epidemiology of Citrobacter-Enterobacter-Serratia in Urinary Tract Infections of Inpatients and Outpatients (RECESUTI): A 10-Year Survey." Medicina 55, no. 6 (June 18, 2019): 285. http://dx.doi.org/10.3390/medicina55060285.
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Background and objectives: Urinary tract infections (UTIs) are the third most common infections in humans, representing a significant factor of morbidity, both among outpatients and inpatients. The pathogenic role of Citrobacter, Enterobacter, and Serratia species (CES bacteria) has been described in UTIs. CES bacteria present a therapeutic challenge due to the various intrinsic and acquired resistance mechanisms they possess. Materials and Methods: The aim of this study was to assess and compare the resistance trends and epidemiology of CES pathogens in UTIs (RECESUTI) in inpatients and outpatients during a 10-year study period. To evaluate the resistance trends of isolated strains, several antibiotics were chosen as indicator drugs based on local utilization data. 578 CES isolates were obtained from inpatients and 554 from outpatients, representing 2.57 ± 0.41% of all positive urine samples for outpatients and 3.02 ± 0.40% for inpatients. E. cloacae was the most prevalent species. Results: The ratio of resistant strains to most of the indicator drugs was higher in the inpatient group and lower in the second half of the study period. ESBL-producing isolates were detected in 0–9.75% from outpatient and 0–29.09% from inpatient samples. Conclusions: Resistance developments of CES bacteria, coupled with their intrinsic non-susceptibility to several antibiotics, severely limits the number of therapeutic alternatives, especially for outpatients.
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Wagner, Cora, Undine E. Lang, and Karin Hediger. "“There Is a Cat on Our Ward”: Inpatient and Staff Member Attitudes toward and Experiences with Cats in a Psychiatric Ward." International Journal of Environmental Research and Public Health 16, no. 17 (August 27, 2019): 3108. http://dx.doi.org/10.3390/ijerph16173108.
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The aim of this study was to investigate inpatient and staff member attitudes toward and experiences with ward cats, and identify possible mechanisms for how cats affect patient satisfaction in a psychiatric clinic. Thirty-three inpatients diagnosed with depression or psychosis residing on wards with and without cats and 17 staff members working on wards with cats participated in semi-structured interviews using a cross-sectional study design. Data analysis included descriptive statistics and correlations. The results showed that 17 out of 19 inpatients and all the staff members liked having a cat on their ward. Further, 12 out of 14 inpatients on wards without cats would like having a cat on their ward. Inpatient perceptions of the cat’s impact on the ward atmosphere correlated significantly with their emotional relationship with the cat (p = 0.015, r = 0.561), how often they saw the cat (p = 0.002, r = 0.676), and if they liked cats in general (p = 0.041, r = 0.486). Our results highlight the positive attitudes of inpatients and staff members toward ward cats and the potential of ward cats to enhance patient satisfaction. This influence might be mediated by factors such as the frequency of contact, the relationship between each patient and the cat, and each patient’s attitude toward cats in general.
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Sun, Tao, Hanlin Chen, Yuan Gao, Yingru Xiang, Feng Wang, Ziling Ni, Xiaohe Wang, and Xianhong Huang. "Best-Worst Scaling Survey of Inpatients’ Preferences in Medical Decision-Making Participation in China." Healthcare 11, no. 3 (January 21, 2023): 323. http://dx.doi.org/10.3390/healthcare11030323.
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This study assesses inpatients’ preferences for participating in medical decision-making and determines the factors’ rankings in order of importance and whether they vary for respondents with different characteristics. Case 1 best-worst scaling (BWS) was used for the study design. Thirteen attributes influencing inpatient medical decision-making participation were identified based on a literature review and interview results. A balanced incomplete block design was used to form choice sets for the BWS questionnaire for a cross-sectional study examining inpatients’ preferences for participating in medical decision-making. Based on results from 814 inpatient participants, the three most important factors influencing inpatients’ medical decision-making participation were inpatients’ trust in physicians, physicians’ professional expertise, and physicians’ attitudes. The mixed logit model results reflect the significant heterogeneity in respondents’ preferences for shared decision-making. To facilitate resource allocation, improve the physician-patient relationship, and encourage patient decision-making participation more actively and effectively, decision-makers should emphasize patients’ trust, enhance physicians’ ability to diagnose and treat diseases, and improve their attitudes toward providing care and communication from the perspectives of patients, physicians, and the social environment. Further research is needed on the heterogeneity of patients’ preferences for participating in medical decision-making and how to improve patient participation.
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Midgley, Claire, Brian Rha, Joana Y. Lively, Angela P. Campbell, Julie A. Boom, Parvin H. Azimi, Geoffrey A. Weinberg, et al. "2639. Respiratory Virus Detections in Asthma-Related Pediatric Hospitalizations: New Vaccine Surveillance Network, United States." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S922—S923. http://dx.doi.org/10.1093/ofid/ofz360.2317.
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Abstract Background Respiratory viruses are associated with most asthma exacerbations (AEx) in children; however, the role of different viruses in AEx is unclear. We describe respiratory virus detections among pediatric inpatients with AEx (AEx-inpatients). Methods Through active, prospective surveillance at 7 US medical centers, we enrolled inpatients (<18 years) with acute respiratory illness (ARI) during November 1, 2015–June 30, 2016. We defined an AEx-inpatient as an inpatient with a principal admission or discharge diagnosis of asthma (ICD-10-CM, J45.xx). Mid-turbinate nasal and/or throat swabs were tested by molecular assays for influenza A or B, respiratory syncytial virus (RSV), parainfluenza virus 1–3, rhinovirus or enterovirus (RV/EV), human metapneumovirus and adenovirus. We assessed virus detections among AEx-inpatients throughout the surveillance period or by season (winter: December–February; spring: March–May), and by patient age and history of asthma/reactive airway disease (asthma/RAD). Results We tested 3,897 inpatients with ARI; of whom, 954 were AEx-inpatients. Most AEx-inpatients (741/954 [78%]) reported an asthma/RAD history. Viruses were more frequently detected among AEx-inpatients <5 years (350/458 [76%]) than 5–17 years (305/496 [61%], P < 0.001). Most (615/655 [94%]) detections were of single viruses. The most frequent single virus detections were RV/EV (474/954 [50%]) and RSV (76/954 [8%]) but the frequency of each virus varied by season and age group (figure). Single RV/EVs were the most common virus detections in both seasons and all groups. Single RSV detections were prominent among <5 year olds in winter (40/185 [22%]). Among those with single RV/EV or RSV detections, 285/474 (60%) and 49/76 (64%) required supplemental oxygen, respectively (P = 0.676); median length of stay was 1 day (range: 0–45; IQR: 1–2) and 2 days (range: 0–6; IQR: 1–2.5), respectively (P < 0.001). Conclusion AEx-inpatients <5 years were more likely to have respiratory virus detections than those 5–17 years. Single RV/EVs formed the majority of virus detections throughout the surveillance period, regardless of age. RSV played a notable role in winter among patients <5 years. These findings could inform prevention or treatment strategies for virus-associated AEx. Disclosures All authors: No reported disclosures.
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Elagamy, Yasmine, Cherian John, Adetokunbo Dacosta, Declan Hyland, Nesma Hassan, and Ryaz Nankoo. "A Re-Audit of ECG Monitoring in Patients Admitted to the General Adult Inpatient Wards at Clock View Hospital, Liverpool, Mersey Care NHS Foundation Trust." BJPsych Open 9, S1 (July 2023): S155. http://dx.doi.org/10.1192/bjo.2023.416.
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AimsThe aim of this re-audit was to analyse current practice following a previous audit of ECG monitoring in patients admitted to the general adult wards at Clock View Hospital in 2020 and determine whether recommendations made from the original audit have improved performance.The objectives of this re-audit were: screen for recording of the admission ECG; ensure clear documentation of the ECG report; identify any reason why the ECG was not performed within 24 hours of admission and identify whether inpatients with an abnormal ECG on admission had any further investigation(s) done.Methods92 inpatients discharged from the three general adult wards at Clock View Hospital between 1st of January 2022 and 31st of March 2022 was obtained. The same audit tool designed and used in the original audit in 2020 was used for this re-audit. Each inpatient's electronic record was reviewed to determine whether an ECG was performed within 24 hours of admission. In those patients who didn't have an ECG done, the reason why was recorded (if documented) and whether those patients who had an abnormal ECG were referred for further investigation. The quality of documentation of ECG reports was analysed.ResultsOf the 92 inpatients, 57 (62%) had an ECG within 24 hours of admission and 16 (17%) had one done more than 24 hours after admission. 19 (21%) inpatients never had an ECG done at any point during their admission. The reason for not performing an ECG was documented for 32 (91%) of affected inpatients. Of the 73 inpatients who had an ECG done, 16 (22%) had an abnormal ECG, but only nine had further investigation (56% vs 23% in the original audit).ConclusionThe findings from this re-audit showed that completion of an ECG within 24 hours of admission to the general adult inpatient wards at Clock View Hospital has improved from 52% to 62%. There has been improvement in quality of documentation of ECG reports. There was no documentation of the ECG report in 13% of cases compared to 35% in the original audit. In almost all affected cases, the reason for not performing an ECG was documented. The authors recommend creating an alert on the electronic record system if an ECG is not performed within 24 hours of admission and asking the ECG reporting service to copy the ECG report to the ward clerk and / or Consultant PA to ensure the report is reviewed promptly.
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Semerci, Remziye, Melahat Akgunmela Kostak, Tuba Eren, Filiz Savran, and Gulcan Avci. "Symptoms and symptom clusters in adolescents with cancer." International Journal of Emerging Trends in Health Sciences 5, no. 2 (August 21, 2021): 14–24. http://dx.doi.org/10.18844/ijeths.v5i2.5559.
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Abstract Clinical specialists have suggested that adolescents with cancer experience multiple problems including physical, psychological, and emotional symptoms. This study aimed to identify symptoms and symptoms clusters among adolescent inpatients and outpatients receiving cancer treatment. The study’s sample consisted of 26 adolescents who were selected with the purposeful sampling method in a paediatric oncology unit in Edirne, Turkey. Data were collected using the Memorial Symptom Assessment Scale (MSAS). From the results of the research, in terms of symptoms, outpatients reported a greater lack of concentration than inpatients did. Inpatients reported more hair loss and weight loss symptoms than outpatients. Adolescent inpatients and outpatients experienced the most symptoms during the treatment. Inpatient adolescents experienced more acute treatment-related symptoms than did outpatients. The study recommends regular monitoring and screening for nurses to identify symptom and symptom clusters. Keywords: Adolescent; nursing; symptom cluster; symptom assessment; cancer;
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Sermsathanasawadi, N., P. Suparatchatpun, T. Pumpuang, K. Hongku, K. Chinsakchai, C. Wongwanit, C. Ruangsetakit, and P. Mutirangura. "Comparison of clinical prediction scores for the diagnosis of deep vein thrombosis in unselected population of outpatients and inpatients." Phlebology: The Journal of Venous Disease 30, no. 7 (June 25, 2014): 469–74. http://dx.doi.org/10.1177/0268355514541981.
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Objectives The aim of this research was to compare the accuracy of the modified Wells, the Wells, the Kahn, the St. André, and the Constans score for the diagnosis of deep vein thrombosis of the lower limb in unselected population of outpatients and inpatients. Method The pretest of probability score was employed in consecutive 500 outpatients and inpatients with suspicion of deep vein thrombosis. All patients were examined with compression ultrasonography. Results Deep vein thrombosis was confirmed in 26.4%. In the unselected population of outpatients and inpatients, the accuracy of the modified Wells score and the Constans score was higher than other scores. Both scores were more accurate for the outpatients. There was no accurate score for the inpatient subgroup. Conclusions The modified Wells and the Constans score appear to be useful in the unselected population of outpatients and inpatients and particularly in the outpatient subgroup.
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Bui Thi My, Anh, Thu Nguyen Thi Hoai, Hung Phung Thanh, Phuong Le Hong, Anh Dam Thi Ngoc, and Giang Do Tung. "Patients’ experiences among inpatients at Lung hospital in Nam Dinh province in 2022." Journal of Health and Development Studies 07, no. 05 (October 31, 2023): 113–21. http://dx.doi.org/10.38148/jhds.0705skpt23-092.
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This study aimed to describe the patients’ experience among inpatients at Lung hospital in Nam Dinh province, in 2022. Methods: A cross-sectional study was conducted by using the patient experience tool from the American Agency for Health Quality Research (AHQR). Quantitative research was carried out on 230 inpatients at Lung hospital in Nam Dinh province. The study showed that the overall positive patients’ experience among inpatients was 90.0%. In which, the positive patients’ experience of doctors and nurses’ care was the highest proportion (above 90%), the positive patients’ experience was lower than hospital environment (72.2%). Conclusion: To improve the positive patients’ experiences, the healthcare workers need to maintain the explanation and counseling of patients, especially drug information. Moreover, to ensure the convenient environment surrounding hospital (e.g. avoid noising at night) for inpatients when staying at hospitals. Keywords: Patient experience, inpatient, hospital, Lung hospital, Nam Dinh province.
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Wancata, Johannes, Johann Windhaber, Monika Krautgartner, and Rainer Alexandrowicz. "The Consequences of Non-Cognitive Symptoms of Dementia in Medical Hospital Departments." International Journal of Psychiatry in Medicine 33, no. 3 (September 2003): 257–71. http://dx.doi.org/10.2190/abxk-fmwg-98yp-d1cu.
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Objective: To our knowledge, there are no studies investigating the non-cognitive symptoms of patients with dementia such as depression, agitation, or delusions among general hospital inpatients. The aim of this study was to investigate the frequency of such non-cognitive symptoms among medical inpatients and to analyze their impact on the length of hospital stay and on admission to nursing homes. Method: The sample consisted of 372 elderly inpatients admitted to four internal medical departments (i.e., not including psychiatric wards) in Austria. Patients were investigated by research psychiatrists using the Clinical Interview Schedule. For the analyses of the non-cognitive symptomatology, only marked and severe symptoms were included. To identify predictors for the length of hospital stay and for nursing home placement, multivariate regression procedures were used. Results: Of all inpatients, 27.4% met criteria for dementia according to DSM-III-R. Of those with dementia, 27.8% had marked or severe non-cognitive symptoms. A diagnosis of dementia markedly increased the risk for nursing home referral and prolonged the duration of inpatient treatment. Among the demented, both, cognitive and non-cognitive symptoms turned out to be significant predictors for nursing home placement and for prolonged duration of acute hospital stay, even when controlling for other independent variables. Conclusions: Non-cognitive symptoms occur frequently among medical inpatients with dementia and considerably increase both the duration of inpatient treatment and the risk of nursing home placement. Since such non-cognitive symptoms are treatable, they should receive attention from the hospital staff.
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Tran Viet, Tiep, Ha Nguyen Thi Thu, Len Nong Thi, Thuan Dong Thi, Hang Bui Thuy, Duyen Ngo Thi, Du Trinh Thi, and Thu Vu Thi Minh. "Inpatient satisfaction with healthcare services of a public tertiary general hospital in Vietnam during COVID-19 pandemic." Journal of Health and Development Studies 06, no. 04 (August 30, 2022): 79–86. http://dx.doi.org/10.38148/jhds.0604skpt22-004.
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Objectives: The article was to assess the satisfaction of inpatients with healthcare services of Vietnam – Sweden Uong Bi General Hospital (VSUGH), a public referral hospital in the Northeast of Vietnam, during the time of implementing prevention measures against Covid-19 and figure out the correlation between the variables and the satisfaction rate. Methods: A cross-sectional survey using a 5 point Likert scale questionnaire was adopted in August 2020 with the sample of 117 inpatients/ family members of inpatients discharged from 23 clinical departments in VSUGH. The survey form was modified upon the Inpatient Satisfaction Questionnaire sample of Ministry of Health of Vietnam (MOH, 2019). Results: The results showed the overall satisfaction rate on healthcare services of the hospital was 98.7% (absolute score: 4.8 ± 0.4). Of all respondents, 99.7% satisfied with the accessibility, 99.8% satisfied with the information and procedures, 96.4% satisfied with the facilities, 99.8% satisfied with the health workers and 99.0% satisfied with the results. The hospital met 95.7% ± 5.9% of the patients’ expectation. 100% patients replied that they would definitely return if needed or recommend to others. The comprehensive satisfaction index was 74.4%. There were no statistically significant differences between satisfaction rates of inpatients belong to different groups of gender, age, bed days and use of health insurance. Conclusions: In spite of enormous difficulties in Covid-19 pandemic, the inpatient satisfaction rate of VSUGH was still high. From an aspect of view, it could be seen that the healthcare services provided by the hospital were quite good upon the inpatients’ standard and assessment.
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Tunde-Ayinmode, Mosunmola, Mani Rajagopalan, and John Little. "Attitudes of psychiatric inpatients to medical student interviews." Australasian Psychiatry 10, no. 3 (September 2002): 275–78. http://dx.doi.org/10.1177/103985620201000316.
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Objective: The aim was to assess the attitudes of psychiatric inpatients to medical student interviews. Method: Psychiatric inpatients' experiences of being interviewed by fourth and fifth year medical students were ascertained through the use of a semi-structured questionnaire. Results: The majority of patients reported a positive interaction with medical students. Conclusion: Psychiatric inpatient involvement in medical student teaching was favourably received by patients in a rural area mental health service setting.
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Vieira, A., F. Andrade, A. S. Machado, D. Barbosa, A. Sousa, I. Soares Da Costa, and A. Silva. "Inpatient psychiatry care during coronavirus 2019 pandemic lockdown: Results from a department of psychiatry in northern Portugal." European Psychiatry 64, S1 (April 2021): S308. http://dx.doi.org/10.1192/j.eurpsy.2021.828.
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IntroductionCOVID-19 pandemic and the consequent containment measures have a negative impact on mental health. Simultaneously, the fear of infection can discourage patients from seeking necessary care.ObjectivesWe aim to compare sociodemographic and clinical characteristics of inpatients admitted during the COVID-19 confinement period in Portugal vs. inpatients admitted in the same period the previous year.MethodsRetrospective observational study of inpatients admitted between March 19th 2020 and May 1st 2020 and the analog period of 2019 in a psychiatry inpatient unit of a tertiary hospital. Descriptive analysis of the results was performed using the SPSS software, version 26.0.ResultsDuring the lockdown period, there were 30 admissions to the psychiatry inpatient unit, 55.2% less than the same period last year (n=67). The proportion of compulsory admissions and the average length of stay did not differ between the two periods. Regarding sociodemographic characteristics, in the confinement period inpatients were similar to the ones in the same period of 2019. In both periods, the majority of patients had previous psychiatric history (lockdown vs. same period last year: 95.5% and 90.0%) and a similar proportion of readmissions rate (previous year) was similar in the two groups (49.9% vs 47.6%). At discharge, the most frequent diagnostic groups were mood disorders (33.3% (n=10) and 34.3% (n=23)) and schizophrenia, schizotypal and delusional disorders (26,7% (n=8) and 31.3% (n=21)).ConclusionsAlthough there was an expressive reduction of admissions to the psychiatry inpatient unit during lockdown, the clinical characteristics of these patients were analogous to the same period in the previous year.