OBJECTIVES To determine the rate of inappropriate pediatric admissions using the Pediatric Appropriateness Evaluation Protocol (PAEP) and to examine variables associated with inappropriateness of admissions. SUBJECTS AND METHODS A prospective study was conducted in the Department of Pediatrics, Farwania General Hospital, Kuwait, to examine successive admissions for appropriateness of admissio...

BACKGROUND Although nurses are ideally situated to facilitate communication about prognosis and hospice referral among patients, patients' family members, and hospital staff, nurses do not always assume this task. OBJECTIVE To identify common obstacles to nurses' discussions of prognosis and referral to hospice care with terminally ill patients in the hospital setting. METHODS Data from a p...

INTRODUCTION Electronic health records (EHRs) are receiving a lot of attention for their potential to improve care. OBJECTIVE To develop and implement EHRs in the antenatal clinic (ANC) of a teaching and referral hospital in Western Kenya. RESULTS A multidisciplinary team developed a phased implementation of EHRs in the ANC as part of a CDC-funded effort to develop and implement primary car...

K.L.E.S. hospital is a new multispecialty referral hospital attached to J.N. Medical College, Belgaum. All psychiatric referrals numbering 338 over a period from 1.7.1996 to 30.6.1997 were retrospectively studied. Socio-demographic data, source and reason for referral, diagnosis and treatment advised were noted. More than two-third of the referrals were male patients and belonged to the product...

From September 1982 through December 1987, 1012 patients were treated with intravenous streptokinase within 6 hours of acute myocardial infarction. Most of them (816/1012, 81 percent) were treated in community hospitals by primary care physicians. The remaining 196 (19 percent) were treated in the referral center, usually by a cardiologist. Cardiac catheterization within 2 days showed an open i...

Many geriatric day hospitals are under-utilized. A survey of general practitioners' opinions on referral systems to day hospitals in east Surrey produced an 85% response rate. Of the 80 general practitioners who responded 58% referred occasionally, 39% frequently and 4% never. When asked about referring patients directly to the day hospital via the coordinator instead of via the consultant geri...

background and objective: congenital heart disease (chd) is the most form of cardiovascular disease in children. chd have different presentations, from defects that progress asymptomatically to those with significant symptoms and high mortality. this study was performed to highlight the importance of signs and symptoms to diagnosis of chd neonates. materials & methods: this descriptive an...

Methods A case record audit was conducted at Government Kilpauk Medical College having two burn units; one at the Kilpauk medical college Hospital and the other at Government Royapettah Hospital. Emergency department registers, burn center registers and case sheets of patients with burns who attended the Emergency Department, from January 2013 to December 2013 were studied. The adherence to nat...

Communication by letter was assessed between hospital consultants and general practitioners for outpatients and inpatients referred to the Ards Hospital during the month of January 1993. The information was assessed to be poor in several sections of 104 outpatient referral letters, and of 89 inpatient referral letters despite a high use of the standard referral letter form. Consultant physician...