Data recording aids in acute admissions

Williams, Dean T.; Hoare, David; Shingler, Guy; Fairweather, C.; Whitaker, Christopher J.

doi:10.1108/09526861311288596

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…Komponen proses terutama pada penanganan pasien yang bisa terkendala seperti alat yang kurang memadai, tempat tunggu yang kurang nyaman, tidak kondusifnya lingkungan rumah sakit dapat berakibat pada penilaian pasien terhadap layanan kesehatan, yang dapat mempengaruhi kunjungan selanjutnya (Milella et al, 2021). Hal ini juga didukung dalam penelitian bahwa proses berpengaruh signifikan terhadap kepuasan pelanggan (Chimwaza et al, 2012) Elemen kelima people, Rumah Sakit salah satu faktor penting adalah Sumber Daya Manusia yang juga berperan penting dalam suksesnya Rumah sakit tersebut (Williams et al, 2013). Kepuasan pasien sangat dipengaruhi oleh penyedia layanan sehingga manajemen Rumah sakit akan mempertimbangkan untuk merekrut tenaga medis dan administrasi yang sesuai dengan jabatannya, selain kemampuan hardskill juga diperlukan kemampuan soft skill seperti keramahan, kesungguhan dalam melayani, komunikasi yang baik dan sopan yang semua itu bertujuan untuk meningkatkan kepuasan pasien sehingga mempengaruhi pilihan dalam kunjungan rumah sakit Kembali (Bao et al, 2013).…”

Section: Pembahasanunclassified

Pengaruh Bauran Pemasaran Terhadap Kunjungan Rumah Sakit : Literature Review

Putri,

Tikirik,

Ruslang

et al. 2023

JKT

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Rumah sakit di Indonesia setiap tahunnya mengalami penambahan jumlah akan menimbulkan persaingan produk dan jasa yang ketat. Marketing mix merupakan set variabel pemasaran yang digunakan oleh suatu perusahaan dalam mengejar tingkat penjualan yang ditargetkan dalam pasar. Implementasi bauran pemasaran yang efektif pada rumah sakit salah satu strategi dalam meningkatkan dampak signifikan terhadap citra lembaga dengan memanfaatkan sumberdaya secara maksimal, Rumah sakit dapat membangun citra yang positif dan bersaing dalam kualitas pelayanan yang bermutu sehingga jumlah kunjungan meningkat yang berdampak pada operasional rumah sakit tersebut. Tujuan dari literature review ini adalah mengetahui pengaruh bauran pemasaran terhadap kunjungan ke Rumah Sakit. Metode penelitian yang digunakan dalam penelitian ini dengan Systematic literature Review (SLR). Pencarian dari google scholar kemudian Artikel yang digunakan sebanyak 6 artikel yang memenuhi kriteria inklusi dan eksklusi. Berdasarkan hasil penelitian bahwa bauran pemasaran product, process, dan people menyatakan adanya pengaruh terhadap kunjungan rumah sakit, bauran pemasaran untuk promotion dan evidence 5 artikel yang hasilnya adanya pengaruh terhadap kunjungan rumah sakit, sedangkan urutan selanjutnya place hasilnya adanya pengaruh terhadap kunjungan rumah sakit, dan yang terakhir bauran pemasaran price setengah artikel yang hasilnya mempengaruhi kunjungan rumah sakit. Simpulan dalam penelitian ini adalah adanya pengaruh bauran pemasaran product, price, place, promotion, people, process, physcal evidence terhadap kunjungan rumah sakit.

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Section: Pembahasanunclassified

Pengaruh Bauran Pemasaran Terhadap Kunjungan Rumah Sakit : Literature Review

Putri,

Tikirik,

Ruslang

et al. 2023

JKT

View full text Add to dashboard Cite

show abstract

“…This review showed that the use of a pro forma improves the quality of clerking documentation in elective surgical patients, and that standardisation of the medical record improved the quality of patient care. [6][7][8][9][10][11][12][13][14][15] Evidence is presented across the audits that the use of a pro forma leads to significantly improved documentation for surgical patients, in areas such as previous medical history and medication history. [7,12,13,15] It has also been shown to significantly improve the completion of VTE assessment.…”

Section: Designmentioning

confidence: 99%

“…[14] After seeing the improvement that the introduction of the pro forma had on documentation for patients admitted directly to the ward, we wanted to look more widely at all vascular surgery patients admitted to the hospital. Those that are admitted via A&E are typically clerked either on the computerised records system or using history sheets.…”

Section: Strategymentioning

confidence: 99%

The use of a pro forma to improve quality in clerking vascular surgery patients

Kentley

Fox

Taylor

et al. 2016

BMJ Qual Improv Report

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At our institution, a large tertiary referral centre for vascular surgery, patients are often admitted directly to the ward and clerked by foundation year one (FY1) doctors. We found that these clerkings frequently fell short of national record keeping standards, potentially leading to an increased risk for patients during their hospital stay. In addition, we found that junior doctors did not feel confident in clerking vascular surgery patients.A literature review found that high quality clerkings were strongly linked to improved patient safety, and that the use of a pro forma was one method to improve compliance with documentation guidelines. We devised a clerking pro forma based on national guidelines and introduced it to the department.We found that the use of a pro forma significantly improved documentation standards across a number of domains, including patient demographics, presenting complaint, and family and social histories (p <0.05). Examinations were significantly more comprehensive, with cardiac and vascular examination as well as peripheral pulses documented (p <0.05).In conclusion, we found that using a pro forma helped to aid junior doctors in clerking new patients, and significantly improved the quality of their history and examinations. This leads to a potential positive impact on patient safety during their inpatient stay, and should be rolled out more widely across the hospital.

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“…However, these efforts are prone to abandonment when local champions of their use move on (26) and it is recognized that the usage of proformas often tails off over time for a variety of reasons (e.g. logistical issues with re-printing when initial supplies are depleted) (27). Use of pre-printed stickers for consent may also pose a medico-legal issue given the implications of recent Supreme Court judgements, who found in Montgomery vs Lanarkshire Health Board that pre-procedure risk documentation should not only be generic but also reviewed for significance to the individual patient (28).…”

Section: Introductionmentioning

confidence: 99%

Improving the Hip Fracture Surgical Consenting Process: A Single Centre Multi-Cycle Quality Improvement Process

Singh

Assaf

Bayley

et al. 2020

Preprint

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Background Hip fractures are a common acute trauma presentation that if requiring surgery, should be performed within 48 hours. Consenting the patient is an important element of the pathway from admission to operating theatre and errors can lead to delayed procedures, medico-legal exposure and may represent a loss of patient autonomy. The aim of this project was to evaluate areas for improvement in our consenting process for patients with capacity and trial new strategies to determine which achieved the greatest improvement. Methods Following a baseline measurement (n=24), deficiencies were noted in three key process measures of clarity of documentation, failure to record procedure-specific risks and not offering a copy of the consent form to the patient. Two quality improvement cycles then followed using targeted teaching for doctors performing the consenting process. Results Cycle 1 (n=26) following targeted teaching demonstrated improved clarity, with a reduction in abbreviations from 38% to 20%, while more than doubling the documentation of discussion of key procedure-specific risks from 31% to 72%. More patients were offered a copy of their consent form, rising from 12% to 48%. Cycle 2 (n=24) saw the introduction of pre-printed “risk of procedure” stickers. Although clarity measures continued to improve, improvements in pre-procedure risk documentation remained broadly static while the number of forms being offered to patients starkly declined to 8%. Conclusions Our project would suggest that while pre-printed stickers can be useful memory aids, specific teaching on consenting produces the greatest benefit. The usage of such tools should therefore be limited, as adjuncts only to detailed training.

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Data recording aids in acute admissions

Cited by 5 publications

References 13 publications

Pengaruh Bauran Pemasaran Terhadap Kunjungan Rumah Sakit : Literature Review

Pengaruh Bauran Pemasaran Terhadap Kunjungan Rumah Sakit : Literature Review

The use of a pro forma to improve quality in clerking vascular surgery patients

Improving the Hip Fracture Surgical Consenting Process: A Single Centre Multi-Cycle Quality Improvement Process

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