ROUTES OF ADMISSION IN TERTIARY CARE IN NORTH WEST PAKISTAN; AN AUDIT AND FUTURE STRATEGIES
Keywords:
Admission, Emergency, Out-patient, Direct admission, Overcrowding, Patient careAbstract
Objectives: To assess appropriate use of various routes of admission in Khyber Teaching Hospital (KTH), Peshawar and reasons for using a particular routes of admission by patients and/or attendants so as to identify weak areas for targeted, cost effective measure to improve efficiency.
Material and Methods: Four hundred patients, admitted to five medical units of Khyber Teaching Hospital, Peshawar, from November 2015 to January 2016, participated in the study who were admitted through various routes Emergency Department (ED), Out Patients Department (OPD), Private Clinic and Direct-admission). Patients of both genders were randomly included in the study by going on their bedside on random days. Data was collected on a predesigned Proforma.
Results: The patients admitted through ED, OPD, Clinic and direct-admission were 170 (42%) patients, 28% (112 patients), 27.3% (109 patients) and 2.3% (09 patients) respectively. Of 170 patients (42.5%) admitted through ED, 79 patients (46.47%) were emergency and 91 patients (53.53%) were non-emergency. Only 4.70% patients used ED for the sake of convenience as compared to 28.57% patients who thought OPD was convenient.
Conclusion: Majority of patients use emergency department to get admitted to hospital while other routs of admission are underutilized which adversely affects patient care.
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