PICTURES OF MISMANAGEMENT IN TRAUMA CENTRE SIRSA BY DR.JAIDEEP MPH

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Dr.Jaideep Kumar

Gesundheit & Medizin Business

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Abstract To assess the patient satisfaction level in emergency department of a level 1Trauma Centre in India. Shallu Chauhan, Dr.Deepak AgrawaL. JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India Introduction Patient satisfaction is an important indicator of the quality of care and service delivery in the emergency department (ED). The objective of this study was to evaluate patient satisfaction level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of actual waiting time,perception of waiting time,information delivery and expressive quality on patient satisfaction. Methods This study was carried out for 2 months during all shifts mostly for those patients who triaged as green.We made two groups:1) control group{ not explained anything to the patient} and 2) test group{patient explained for time management & treatment}. Patients/relatives were asked to complete the questionnaire prior to discharge. For the first month, eight questions were based on descripitve information were distributed to the control group { questions including explanation of procedures to the patient,communication of staffs,problems faced by patient/relatives, and overall patient satisfaction level}.Then, following second month another study questionnaire included 11 questions based on a Likert scale concerning waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to the test group. Observation Ninety patients who attended our ED were included in this study.The perception that waiting times for placebo injection & T/t were less than expected was associated with a positive overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting time.Actual waiting time were not predictive of overall patient satisfaction. The highest satisfaction rates were observed in cleaniness of hospital in both the groups and most of them rated it as very good. For overall treatment, in control group 34% rated as poor & fair and 67% rated as good and very good,whereas in test group only 22% rated as poor and fair but78% rated as very good and excellent.At the same time,both the groups were rated as good for overall time management but they were not satisfy with the time taken by doctor to review the reports and 33% rated as fair in control group and 22% rated as fair in test goup.The assigned waiting time for particular physician to review a report was 60minutes but average time taken to consult a particular physician was >60mins which mostly occur in control group.The overall satisfaction rate was dependent on the mean waiting time. The highest waiting time for a low rate of satisfaction of patient was 180minutes and for very good level of satisfaction was just 15minutes. In control group,30% and 17% of patients rated as fair and poor

To assess the patient satisfaction level in emergency dept in level one trau...

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Iman kepada-allah-swt2dani-yahya

cmata07

Menurut bahasa “iman” berasal dari kata aamana yang berarti percaya. Menurut Rasulullah SAW seperti diriwayatkan oleh Ibnu Majah, Iman didefinisikan dengan akad/perjanjian dengan hati, dan ikrar/bersumpah dengan lisan (ucapan) dan dilakukan/dibuktikan dengan anggota tubuh (arkan). iman kepada Allah menurut bahasa adalah percaya sepenuhnya kepada Allah SWT. Iman kepada Allah berarti percaya kepada Allah. Apapun yang Allah ceritakan, Allah perintahkan dan Allah larang, kita harus mempercayainya. Dan tanda dari kepercayaan tersebut adalah kita melaksanakan segala intruksi-Nya, berupa perintah dan menjauhi larangan. Dalam konteks keimanan kepada Allah, kepercayaan dimulai dari kepercayaan secara dogmatis. Kepercayaan ini kemudian akan melahirkan keyakinan setelah kita membuktikan konsep-konsep Allah yang tertuang dalam Al-quran. Asmaul Husna berasal dari kata al-asma yang berarti nama-nama dan al-husna yang berarti baik. Jadi al-Asmaul Husna secara bahasa diartikan dengan nama-nama yang baik. Asmaul Husna adalah nama Allah yang terbaik. Dapat dikatakan pula sebagai asma Allah yang terindah.

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