ObjectivesPatient satisfaction surveys are important information sources for the evaluation of the quality and continuity of medical care. In this study, it is aimed to investigate the impact of patient's qualifications and the number of patient accompanists on the patient satisfaction and to find out whether there is a relationship between the number of patient accompanist and discharge status of patient.MethodsAll patients over 18 years old who have applied to emergency department within one month, along with the relevant patient information were recorded. The patients and patient accompanists were asked questions by an unrelated staff after the patient was discharged.ResultsThe average of patients (n = 264) satisfied with emergency department is 100 ± 0.9 (%95CI 88.4–92.3). It was observed that the patient satisfaction is directly proportional to the age and inversely proportional to the educational level (r = 0.241, p = 0.0001, r = −0.236 p = 0.0001; respectively). It was found out that the patients who were male, hospitalized and had ≥2 accompanists were statically more satisfied (p = 0.002), however; there was no relationship between the patient satisfaction and the complaints and the presence of an accompanist (p = 0.408).ConclusionsIt was determined that the satisfaction levels of the patients and their accompanist were high. Parameters such as male gender, age over 65 and living with the family increase patient satisfaction. Satisfaction of the patient accompanists increases if the patient is female and hospitalized. High education level decreases the level of patient satisfaction.
ÖzetAmaç: Bu çalışma ile hastane otomasyon sisteminde yapılan kayıtlar ile ölüm belgelerindeki ölüm nedenleri arasındaki uyumun değerlendirilmesi planlanmıştır.Yöntemler: Ölümü hastane içinde gerçekleşen olguların ölüm belgeleri ve hastane otomasyon sistem verileri geriye dönük olarak incelendi. Ölüm belgelerindeki ölüm nedenleri ve hastane kaynaklarındaki ICD kodları ile arasındaki uyum incelendi. Bulgular:İki yıllık sürede toplam 351 olgunun 218'inin (%62,1) erkek ve yaş ortalamalarının da 67,1±0,7 olduğu tespit edildi. Hastane içi ölümlerin %87,5'inin (n=307) 60 yaş ve üzerinde ve yoğun bakımda gerçekleştiği, ölüme kadar geçen süre ortalamasının 15,4±25,4 saat olduğu görüldü. Doğrudan ölüme sebep olan hastalık veya durumların %23,9'unun (n=84) kalp-pompa yetmezliği hastalıkları ve %19,9'unun (n=70) da "kardiyopulmoner arrest" olarak kaydedildiği ve ilk kaydedilen ICD kodunda en fazla uyumluluğun MI olgularında olduğu görüldü. Abs tractAim: In this study, we evaluated the consistency between the records made in the hospital automation system as well as the causes of death in the death certificates. Methods:Death certificates for the cases occurred in the hospital and data of the hospital automation system were retrospectively analyzed.Results: Out of 351 cases within a two-year period, 218 (62.1%) were male and the mean age of the cases was 67.1±0.7 years. Our findings showed that 87.5% (n=307) of the deaths in the hospital were among people 60 years of age and older and took place in the intensive care unit and the mean time to death was found to be 15.4±25.4 hours. It was recorded that 23.9% (n=84) of diseases or conditions directly leading to death were heart failure and 19.9% (n=70) of cases were cardiopulmonary arrest. The maximum consistency was found between the first recorded international classification of disease codes and myocardial infarction. Conclusion: Since the accuracy and consistency of death statistics are largely dependent on the nature of the physician-provided data, good knowledge of physicians regarding details on patient records and the causes of death is of great importance.
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