Online ISSN: 2515-8260

Keywords : Emergency department


A study to assess the determinants affecting the satisfaction level of inpatients getting admitted through the Emergency department in a tertiary care hospital, Odisha

Mrs.Rashmi Ranjita Parhi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 582-591

Evaluation of Patient satisfaction level who are getting admitted through emergency department (ED) is very necessary because it affects the performance that reflects the high quality, efficiency, and sustainability.
Aim: To assess the level of satisfaction in various points among inpatients following 48 hours of their admission through the emergency department. To find out the quality indicators of patient care through emergency department care Methods: This quantitative cross-sectional study was conducted in the emergency department. The target population was who have been admitted through the emergency department. The data was collected after 48 hours of admission in to the hospital. Result: Total of 98 patients were participated in this study and shared their experiences through a standard questionnaire. Total percentage of highly satisfied patients was 60.2% (n=59) for the services given by the emergency department. Total percentages of satisfied patients were 22.4 %(n=22) and Similarly each of both highly dissatisfied and dissatisfied patients were 2, and neutrals are 13.3 %(n=13). Conclusion: Satisfaction level of patient carries the total image of the hospital. It is also a good quality indicator which enables the contact points of improvement in ED so that the hospital can provide better care and services to the patients.

A study to assess the determinants affecting the satisfaction level of inpatients getting admitted through the Emergency department in a tertiary care hospital, Odisha

Mrs.Rashmi Ranjita Parhi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 1618-1627

Evaluation of Patient satisfaction level who are getting admitted through emergency
department (ED) is very necessary because it affects the performance that reflects the
high quality, efficiency, and sustainability.
Aim:
To assess the level of satisfaction in various points among inpatients following 48 hours
of their admission through the emergency department.
To find out the quality indicators of patient care through emergency department care
Methods:
This quantitative cross-sectional study was conducted in the emergency department. The target
population was who have been admitted through the emergency department. The data was
collected after 48 hours of admission in to the hospital.
Result:
Total of 98 patients were participated in this study and shared their experiences through a
standard questionnaire. Total percentage of highly satisfied patients was 60.2% (n=59) for the
services given by the emergency department. Total percentages of satisfied patients were 22.4
%(n=22) and Similarly each of both highly dissatisfied and dissatisfied patients were 2, and
neutrals are 13.3 %(n=13).
Conclusion:
Satisfaction level of patient carries the total image of the hospital. It is also a good quality
indicator which enables the contact points of improvement in ED so that the hospital can
provide better care and services to the patients.

Effect of ketamine as an adjunct to opioid for pain control in traumatic patients

Mehdi Arzani Shamsabadi; Mohammad Darvishi; Masoud Shahabian; Seyed Zia Hejripour

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 4438-4443

Background: Pain management results in better outcomes in traumatic patients in the emergency ward. Use of non-opioids facilitates the elimination of the adverse effects of opioid. Regarding this, the present study was conducted to examine the effect of ketamine as an adjunct to opioids for pain control in traumatic patients in a tertiary healthcare center in Tehran, Iran. Methods and materials: This double-blind randomized clinical trial was conducted on 160 traumatic patients admitted to the Emergency Department of Besat Hospital, Tehran, Iran, in 2018. The study population was randomly assigned into two groups of intervention and placebo. The intervention group one of which received 0.05 mg/kg opioid (i.e., morphine) plus 0.1 mg/kg ketamine, and placebo group the other one was provided with the same amount of morphine opioid plus placebo. The pain was recorded up to 120 min and compared between the groups. Results: Based on the obtained results, 23 (28.8%) and 16 (20%) patients in the ketamine intervention and control placebo groups had side effects, respectively, showing no significant difference (P=0.197). In addition, the pain significantly reduced in both groups (P=0.001). However, the results of repeated measures ANOVA revealed no statistically significant difference between the two groups in terms of pain reduction trend (P=0.275). Conclusion: Based on the results, it can be concluded that ketamine has no superior effect when administered as an adjunct to opioid for pain control in traumatic patients.

Evaluation of medical internship students' satisfaction with education in the hospital emergency department

Farzad Bozorgi; Seyedeh Masoumeh Pashaie; Touraj Assadi; Mohammad Sazgar; Mina Yousefi; Seyed Hosein Montazer; Seyed Mohammad Hosseininejad

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 4462-4471

Introduction: Educational evaluation has an important role in decision making to find better educational systems and advance educational goals. Accordingly, this study was conducted to evaluate the satisfaction of medical students with education in the emergency department of the hospital. Materials and Methods: This study was a descriptive, analytical and cross-sectional study. The study population consisted of internship medical students who were included in the study by convenience sampling method. Data were collected by a researcher-made questionnaire that included two sections of demographic information and specialized questions (related to satisfaction).Finally, the data were analyzed using SPSS version 18. Results: The highest level of students 'satisfaction with professors was in the items of discipline, creating interest in students and providing the necessary clinical training by professors, while the lowest level of satisfaction was linked to professors' treatment of students. Their level of satisfaction with the nurses was poor. Students' satisfaction with the facilities was good, but they were not very satisfied with the educational and welfare facilities. The highest level of satisfaction of residents was easy access and disciplineof residents and the lowest level of satisfaction was related to creating interest in students and appropriate behavior. There was no statistically significant relationship between the gender of emergency department students and their satisfaction with professors (P = 0.271), nurses (P = 0.974), residents (P = 0.135) and emergency department (P = 0.165). No statistically significant relationship was found between students' age and their satisfaction with professors (P = 0.428), residents (P = 0.213) and emergency department (P = 0.861). A statistically significant relationship was found between the age of interns and their satisfaction with emergency department nurses (P = 0.009). The grade point averageof all students was not significantly related to their satisfaction with professors (P = 0.270), nurses (P = 0.571), and emergency department (P = 0.214). However, there was a statistically significant relationship between the total grade point average of students and their level of satisfaction with residents (P = 0.003). Conclusion: The level of students' satisfaction with the educational situation was reported to be moderate, but the situation of student was found to be far from ideal.