The role of hospital organizational factors in improving patient-important outcomes of critically ill patients
For critically ill patients, a patient-important outcome such as quality of life is more meaningful than just survival. Among important factors that affect outcomes are hospital organization, early recognition of deteriorating patients and avoiding unplanned ICU discharges. The triad of early...
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| Language: | English |
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Malaysian Society of Anaesthesiologists
2017
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| Online Access: | http://irep.iium.edu.my/61856/ http://irep.iium.edu.my/61856/ http://irep.iium.edu.my/61856/1/61856_The%20Role%20Of%20Hospital%20Organizational.pdf |
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iium-61856 |
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eprints |
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iium-618562018-02-27T01:56:09Z http://irep.iium.edu.my/61856/ The role of hospital organizational factors in improving patient-important outcomes of critically ill patients Mat Nor, Mohd Basri R Medicine (General) For critically ill patients, a patient-important outcome such as quality of life is more meaningful than just survival. Among important factors that affect outcomes are hospital organization, early recognition of deteriorating patients and avoiding unplanned ICU discharges. The triad of early recognition of deteriorating patients, timeliness of response and activation of clinicians with appropriate clinical competency are the key aspects of Rapid Response System (RRS). RRS has been shown to improve outcomes of critically ill patients in developed countries. To date, there is no formal policy or information on RRS in hospitals across Malaysia. The increased demand for ICU beds is reflected by increased after-hours discharges. Our observational study of ICU admissions over five years has clearly demonstrated an association between after-hours ICU discharge and increased odds of in-hospital mortality. This poses a major concern given that one in every three ICU patients is being discharged after-hours in Malaysia. Malaysian Society of Anaesthesiologists Loh, Pui San Chaw, Sook Hui 2017 Article PeerReviewed application/pdf en http://irep.iium.edu.my/61856/1/61856_The%20Role%20Of%20Hospital%20Organizational.pdf Mat Nor, Mohd Basri (2017) The role of hospital organizational factors in improving patient-important outcomes of critically ill patients. Malaysian Society Of Anaesthesiologists Yearbook 2016/2017, 2016/2017. pp. 15-26. ISSN 2462-1307 http://www.msa.net.my/index.cfm?&menuid=52&parentid=55 |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
| building |
IIUM Repository |
| collection |
Online Access |
| language |
English |
| topic |
R Medicine (General) |
| spellingShingle |
R Medicine (General) Mat Nor, Mohd Basri The role of hospital organizational factors in improving patient-important outcomes of critically ill patients |
| description |
For critically ill patients, a patient-important
outcome such as quality of life is more meaningful
than just survival. Among important factors that
affect outcomes are hospital organization, early
recognition of deteriorating patients and avoiding
unplanned ICU discharges. The triad of early
recognition of deteriorating patients, timeliness
of response and activation of clinicians with
appropriate clinical competency are the key aspects
of Rapid Response System (RRS). RRS has been
shown to improve outcomes of critically ill patients
in developed countries. To date, there is no formal
policy or information on RRS in hospitals across
Malaysia. The increased demand for ICU beds
is reflected by increased after-hours discharges.
Our observational study of ICU admissions over
five years has clearly demonstrated an association
between after-hours ICU discharge and increased
odds of in-hospital mortality. This poses a major
concern given that one in every three ICU patients is
being discharged after-hours in Malaysia. |
| author2 |
Loh, Pui San |
| author_facet |
Loh, Pui San Mat Nor, Mohd Basri |
| format |
Article |
| author |
Mat Nor, Mohd Basri |
| author_sort |
Mat Nor, Mohd Basri |
| title |
The role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| title_short |
The role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| title_full |
The role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| title_fullStr |
The role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| title_full_unstemmed |
The role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| title_sort |
role of hospital organizational factors in improving
patient-important outcomes of critically ill patients |
| publisher |
Malaysian Society of Anaesthesiologists |
| publishDate |
2017 |
| url |
http://irep.iium.edu.my/61856/ http://irep.iium.edu.my/61856/ http://irep.iium.edu.my/61856/1/61856_The%20Role%20Of%20Hospital%20Organizational.pdf |
| first_indexed |
2023-09-18T21:27:45Z |
| last_indexed |
2023-09-18T21:27:45Z |
| _version_ |
1777412305471930368 |