ABSTRACT
Aims: The study aimed to evaluate the preanalytical errors in the Indoor patient department in tertiary care Hospital.To calculate the percentage of preanalyticalerrors in the Indoor patient department in our Hospital and to recommend standard operative interventions to improve quality of results. To test the effectiveness of attention by continuous educational action at reducing preanalytical errors and improvingpatient care.Study Design:An observational study.Place and Duration of Study: The work was done from July 2014 to July 2015at a tertiary care Hospital India.Methodology:We retrospectively reviewed the samples and test request forms received at Biochemistry laboratory for one month. The outcome measures were incomplete laboratory forms, mislabeling samples, inappropriate tests, wrong container, poor quality of samples and transportation problems. Two weeks of interventions in the form of continuous educational training and education regarding standard operative procedures were given to stakeholders to raise awareness towards the preanalytical phase. Two weeks later, data was monitored again for one month. Results:2330 and 2130 samples and request forms were monitored before-after intervention respectively from wards for one month each. Of the total chances of preanalytical errors, 22.17% were due to inappropriate tests, 81.5% were related to incomplete patient information, 97% lacking clinical information, 18.8% errors related to specimen information, 3.5% errors were of the deranged quality of the specimen, and in4.5% transportation problems were observed. Subsequently, these were reduced to 10%, 20%, 16.4%, 7.5%, 2.3%, 3.1% respectively. A significant difference in percentage change was observed in all the above errors after the one-month interventions for the reduction in preanalytical errors. Conclusion:The results of the present study revealed that taking small steps in the form of implementing standard operative procedures for collection, storage and transport facilities and continuous educational training of stakeholders would reduce big errors occurring due to human factors in preanalytical phase. We need good interdepartmental communication and cooperation to achieve good laboratory results and patient well being. This study improved the quality of test results and patient care
ABSTRACT
Introduction: Certain building design and environmental factors are important to characterize in critical building environments, such as psychiatric hospitals, because they influence occupant’s comfort, health, indoor environmental quality, and duration of admission. Lighting has its critical importance in hospitals. A sufficient level of daylight is essential to carry out the necessarytasks. Carefully designed daylighting can transform the appearance of the ward and make it attractive, welcoming and even restful. The Aim of Work: In this study is to find the associations between sufficiency in daylight inside psychiatric hospital wards and patient satisfaction with mental healthcare services. Methods: Inpatient wards of psychiatric hospitals were screened for patient’s satisfaction towards health care services. Measuring the daylight intensity was performed by using a building performance tool (BPS tool) called Autodesk Ecotect as well as by professional lux meter to ensure the accuracy of the measurements. Measuring the patient’s satisfaction was done by using a questionnaire designed by the research team which included six subscales: personal information, care from the staff, overall rating of hospital experience, rating the exterior spaces, rating the interior spacing and patient’s enjoyment of life over the last week. Results: Daylight readings and patient’s questionnaire were correlated together. In the form of tables, the 1st correlation between daylight intensity and patient’s subjective opinion about daylight. The 2nd correlation was between daylight sufficiency and patient’s enjoyment of life questionnaire. The 3rd correlation was between window-wall ratio in the ward and patient’s visual and thermal comfort. Conclusion: Many positive relationships like daylight intensity with patient’s life enjoyment, and WWR with visual and thermal comfort were found.
ABSTRACT
Background: The patient dependence can be concretely assessed on the basis of the ability of the patient to care for himself/ herself with regard to various activities of day to day life. While the patient is sick & hospitalized this dependence is met by the professional support and assistance provided by health professionals, primarily nurses. Thus, the patient dependence as a quantitative measure can be considered as a base from which many aspects of care and progress can be investigated as well as other managerial decisions can be made. Aims: The present study aimed to investigate the levels of dependence among patients admitted to the psychiatric unit of a tertiary hospital using a standardized scale. Methodology: A total of 50 subjects were studied for duration of one month while the dependence was quantitatively measured on three occasions, at time of admission and twice at an interval of 15 days each. Results: The results revealed that 70% of the subjects had high level of dependence. Also there were differences in dependence scores in different domains of dependence. The study also assessed the impact of demographic variables and other disease related variables on the level of dependence. Conclusion: Taking into account, the various dimensions of dependence in clients with mental health problems, the current study implicates the need to identify the ways to optimize the staff resources for best quality outcome meeting the established standards of care.