A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia

Introduction This study aimed to determine the prevalence of inappropriate attendance to Emergency Department in Hospital Universiti Sains Malaysia (USM) within November 2016 to January 2017, demographic data, percentage of attendance for 24 hours and days in a week, percentage of common diagnos...

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Main Author:	Wahab, Nora
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RA Public aspects of medicine
Online Access:	http://eprints.usm.my/46914/1/Dr.%20Nora%20Wahab-24%20pages.pdf
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id	my-usm-ep.46914
record_format	uketd_dc
spelling	my-usm-ep.469142020-08-23T06:31:59Z A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia 2018 Wahab, Nora RA Public aspects of medicine Introduction This study aimed to determine the prevalence of inappropriate attendance to Emergency Department in Hospital Universiti Sains Malaysia (USM) within November 2016 to January 2017, demographic data, percentage of attendance for 24 hours and days in a week, percentage of common diagnosis for inappropriate visit. This study also aimed to identify the associated factors of inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia Methodology This cross sectional study was performed in the emergency department of Hospital Universiti Sains Malaysia, Kubang Kerian, and Kelantan. By using systematic random sampling, a sample of 346 cases was selected. The appropriateness of the attendance then further evaluated base on validated decision flow chart. The association between socio-demographic and inappropriate visit to Emergency department was analysed. Result The total sample reviewed for this study was 346 cases. Men and women were equally represented.95% was Malay and the rest is non-Malay (5%). Of the total number of visit to the A&E, 22.8% (95%CI 0.18 to 0.27) were evaluated as inappropriate and remaining as appropriate. The 24 hours utilization pattern showed the highest peak of utilization of A&E was at 2200-2359 hour ( 95 cases) and the highest peak for inappropriate use also was at 2200-2359 hour (25 cases).The highest rate for inappropriate attendance to Emergency Department was on Friday ( 25.3%) . Type of illness contributed for inappropriate visit were Upper Respiratory Tract Infection (40%) ,mild acute gastroenteritis (3.5%),musculoskeletal pain (1.6%),soft tissue injury (2%) urinary tract infection (0.6%),scabies (0.6%),eczema (0.3%),varicella zoster (0,3%),conjunctivitis (0.3%),request medication (0.3%), simple abscess (0.3%), and constipation colic(0.3%). Factors associated with inappropriate visits were group of >45 years old (p <0.05), race (p=0.949), gender (p=0.749) and type of illness (p=0.997). Conclusion Inappropriate attendance to emergency department HUSM is still significant .Although certain group of user was recognised as contributor for inappropriate attendance, others factors still have to recognise and evaluate so that proper steps and policies can be taken for a better health services. . 2018 Thesis http://eprints.usm.my/46914/ http://eprints.usm.my/46914/1/Dr.%20Nora%20Wahab-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Wahab, Nora A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
description	Introduction This study aimed to determine the prevalence of inappropriate attendance to Emergency Department in Hospital Universiti Sains Malaysia (USM) within November 2016 to January 2017, demographic data, percentage of attendance for 24 hours and days in a week, percentage of common diagnosis for inappropriate visit. This study also aimed to identify the associated factors of inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia Methodology This cross sectional study was performed in the emergency department of Hospital Universiti Sains Malaysia, Kubang Kerian, and Kelantan. By using systematic random sampling, a sample of 346 cases was selected. The appropriateness of the attendance then further evaluated base on validated decision flow chart. The association between socio-demographic and inappropriate visit to Emergency department was analysed. Result The total sample reviewed for this study was 346 cases. Men and women were equally represented.95% was Malay and the rest is non-Malay (5%). Of the total number of visit to the A&E, 22.8% (95%CI 0.18 to 0.27) were evaluated as inappropriate and remaining as appropriate. The 24 hours utilization pattern showed the highest peak of utilization of A&E was at 2200-2359 hour ( 95 cases) and the highest peak for inappropriate use also was at 2200-2359 hour (25 cases).The highest rate for inappropriate attendance to Emergency Department was on Friday ( 25.3%) . Type of illness contributed for inappropriate visit were Upper Respiratory Tract Infection (40%) ,mild acute gastroenteritis (3.5%),musculoskeletal pain (1.6%),soft tissue injury (2%) urinary tract infection (0.6%),scabies (0.6%),eczema (0.3%),varicella zoster (0,3%),conjunctivitis (0.3%),request medication (0.3%), simple abscess (0.3%), and constipation colic(0.3%). Factors associated with inappropriate visits were group of >45 years old (p <0.05), race (p=0.949), gender (p=0.749) and type of illness (p=0.997). Conclusion Inappropriate attendance to emergency department HUSM is still significant .Although certain group of user was recognised as contributor for inappropriate attendance, others factors still have to recognise and evaluate so that proper steps and policies can be taken for a better health services. .
format	Thesis
qualification_level	Master's degree
author	Wahab, Nora
author_facet	Wahab, Nora
author_sort	Wahab, Nora
title	A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
title_short	A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
title_full	A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
title_fullStr	A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
title_full_unstemmed	A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia
title_sort	study on inappropriate attendance to emergency department hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/46914/1/Dr.%20Nora%20Wahab-24%20pages.pdf
_version_	1747821743957868544

A study on inappropriate attendance to Emergency Department Hospital Universiti Sains Malaysia

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