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Article Dans Anglais | IMSEAR | ID: sea-150216

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Objective To assess type and adequacy of information provided by transfer forms (TFs) at two units of Lady Ridgeway Hospital for Children (LRHC), Colombo. Design Prospective observational study. Setting Wards 8 and 9 of LRHC. Subjects All children transferred from other medical institutions. Method Study was carried out over 3 months from 15th March, 2002 on all patients transferred to wards 8 and 9 from another hospital. Type of information provided in TFs was assessed and details taken into a pre-tested questionnaire. The information was analysed using Epi Info Version 6.04b. Results A total of 172 TFs, accounting for 3% admissions, were analysed. 74% transfers were under 5 years of age. Full name was not provided in 60%. Race and religion were not given in 35% and 43% respectively. Incomplete addresses were given in 10% and no addresses in 27%. Most transfers were from teaching, provincial and base hospitals. In 54% consultants had not signed TF and in 26% designation of transferring officer was not provided. Results of investigations were provided only in 57%. In 74% there was neither a diagnosis card nor a referral letter. Main complaints and clinical signs were given in 74% but details of patient's condition at time of transfer were given in only 42%. Date of admission to transferring institution was provided in only 18%. Treatment was instituted at transferring station in 74% but only 15% mentioned the date of starting treatment. In 30% duration of treatment was provided and in only 13% was date and time of last dose of drugs documented. Conclusions There were significant inadequacies in information provided in many TFs. A revised format of printed TF should be adopted to minimize these deficiencies.

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