The Frequency of Discharge Reasons with Personal Consent from the Emergency Department of Khatam Al Anbia Hospital in Zahedan in 2022

Keykha, Mahjoubeh; Rezvani Kakhki, Behrang; Dalili, Amin; Miri Komak, Alireza; Ziaei, Maryam

doi:10.61186/jhrd.2.1.41

[Home ] [Archive]

[ فارسی ]

Main Menu

Home

Journal Information

Articles archive

For Authors

For Reviewers

Registration

Contact us

Site Facilities

Search in website

Receive site information

Volume 2, Issue 1 (3-2024)

Health Res Develop 2024, 2(1): 1-16

Back to browse issues page

The Frequency of Discharge Reasons with Personal Consent from the Emergency Department of Khatam Al Anbia Hospital in Zahedan in 2022

Mahjoubeh Keykha

, Behrang Rezvani Kakhki

, Amin Dalili

, Alireza Miri Komak

, Maryam Ziaei ^*¹

1- , mziaei3@gmail.com

Abstract: (837 Views)

Background and purpose: Hospitals are one of the organizations providing health services to the society. Improving the quality of medical and therapeutic services provided to patients can provide a pleasant environment for patients and increase their satisfaction. One of the problems that arise due to patients' dissatisfaction with health services is the discharge of the patient with personal consent. The aimed of this study was to determine the frequency of discharge with personal consent from the emergency department of Khatam Al Anbia Hospital in Zahedan in 2022.
Materials and methods: In this descriptive study, 962 patients who were discharged from the emergency department of Khatam Al Anbia Hospital in Zahedan in 2021 were examined. Data were collected using files and phone calls with patients. Data analysis was done using descriptive statistics.
Results: The rate of discharge by personal consent was about 2.7% of the total number of patients referred to the emergency room during one year. Of the 962 people surveyed, 606 (63%) were men and 356 (37%) were women. The average age of patients discharged with personal consent was 58.3 ± 19.9 years. Out of the total 962 patients discharged by personal consent, 292 (30.4%) due to feeling of partial recovery, 188 (19.6%) due to the secrets of the patient and their companions, 218 (26.6%) due to not having cost and lack of insurance and 264 people (27.4%) left the emergency room due to going to private centers or referring to other medical centers with personal consent.
Conclusion: The main reason for discharge was the relative improvement in health. Increasing patients' awareness of possible side effects, designing outpatient treatment plans for these patients, and enhancing the quality of medical and therapeutic services can help reduce dissatisfaction with the personal inclination to

Keywords: Emergency, discharge, personal satisfaction

Full-Text [PDF 469 kb] (270 Downloads)

Type of Study: Original | Subject: Special
Received: 2024/02/23 | Accepted: 2024/04/2 | Published: 2024/04/17

References

1. Madani G, Farzan A, Rabiei M. Evaluation of patient satisfaction of medical and nursing care. Best Pract Res Clin Anaesthesiol. 2004; 24:47-52.

2. Soleimani M, Kazemi M, Vazirinejad R, Ostadebrahimi H, Auobipour N. Assessment of the incidence and reasons of discharge against medical advice in the hospitals of Rafsanjan University of Medical sciences in 2012-2013. CHJ. 2014; 8 (3) :64-72.

3. Aliyu AY, Discharge against medical advice Socio demography: clinical and financial perspective. Int J Cli Pract 2002; 56(15): 325-327. [DOI:10.1111/j.1742-1241.2002.tb11268.x] [PMID]

4. Asadi P, Zohrevandi B, Kasmaei VM, Bateni BH, Rasht I. Discharge against medical advice in emergency department. Iranian Journal of Emergency Medicine. 2015;2(3):110-5. [DOI:10.15171/jept.2015.01]

5. Khorasani Zm, Ebrahimi Ha. Evaluation Of Patients'reasons For Discharge Against Medical Advice In Shafa Hospital, Kerman, Iran. Health Information Management. 2013;10:3(31):1-8.

6. Saitz R, Ghali WA, Moskowitz MA. The impact of leaving against medical advice on hospital resource utilization. Journal of general internal medicine. 2000 Feb;15(2):103-7. [DOI:10.1046/j.1525-1497.2000.12068.x] [PMID] []

7. Shirani F, Jalili M, Asl-e-Soleimani H. Discharge against medical advice from emergency department: results from a tertiary care hospital in Tehran, Iran. European Journal of emergency medicine. 2010 Dec 1;17(6):318-21. [DOI:10.1097/MEJ.0b013e3283334ef1] [PMID]

8. Rangraz Jeddi F, Rangraz Jeddi M, Rezaeiimofrad M. Patients' Reasons for Discharge against Medical Advice in University Hospitals of Kashan University of Medical Sciences in 2008. Hakim Res J. 2010;13(1):33-9.

9. Shafaghat T, Rahimi Zarchi MK, Kavosi Z, Ayoubian A. Study of the causes of discharge against medical advice in a hospital of Shiraz University of Medical Sciences. Journal of Payavard Salamat. 2017 May 10;11(1):31-42. [DOI:10.31661/gmj.v5i1.597]

10. Alfandre DJ. "I'm going home": discharges against medical advice. InMayo Clinic Proceedings 2009;84(3):255-60. [DOI:10.4065/84.3.255] [PMID] []

11. Fiscella K, Meldrum S, Barnett S. Hospital discharge against advice after myocardial infarction: deaths and readmissions. The American journal of medicine. 2007 Dec 1;120(12):1047-53. [DOI:10.1016/j.amjmed.2007.08.024] [PMID]

12. Ravanshad Y, Golsorkhi M, Bakhtiari E, Keykhosravi AL, Azarfar A, Shoja M, Behazin M, Ravanshad S, Ghodsi A. Evaluation of causes and outcomes of discharge with the personal consent of patients admitted to Dr. Sheikh Hospital of Mashhad. Journal of Sabzevar University of Medical Sciences. 2021 May 22;28(2):183-8.

13. Weingart SN, Davis RB, Phillips RS. Patients discharged against medical advice from a general medicine service. Journal of general internal medicine. 1998 Aug;13(8):568-71. [DOI:10.1046/j.1525-1497.1998.00169.x] [PMID] []

14. Estebsari F, Dastoorpoor M, Mosavi Esfahani H, Mostafaie D. The causes of discharge against medical advice from the emergency department of a teaching hospital of Tehran in 2012. Health and Development Journal. 2020 Aug 24;5(3):267-76.

15. Baptist AP, Warrier I, Arora R, Ager J, Massanari RM. Hospitalized patients with asthma who leave against medical advice: characteristics, reasons, and outcomes. Journal of allergy and clinical immunology.2007;119(4):924-9 [DOI:10.1016/j.jaci.2006.11.695] [PMID]

16. Ibekwe RC, Muoneke VU, Nnebe-Agumadu UH, Amadife M-AU. Factors influencincing discharge against medical advice among paediatric patients in Abakaliki, Southeastern Nigeria. Journal of tropical pediatrics.2009;55(1):39-41. [DOI:10.1093/tropej/fmn100] [PMID]

17. Khorasani Zadeh M, Ebrahimi HA. Evaluation of Patients' Reasons for Discharge against Medical Advice in Shafa Hospital, Kerman, Iran. Health Inf Manage 2013; 10(3): 403-10.

18. Askari R, Arab SM, Afzali F, Sepaseh F. Ranking of Causes of Discharge of Patients with a Fuzzy Analytic Hierarchy Process Technique. Health Inf Manage 2015; 12(5):565.

19. Adeyemi OJ, Veri S. Characteristics of trauma patients that leave against medical advice: An eight-year survey analysis using the National Hospital Ambulatory Medical Care Survey, 2009-2016. J Clin Orthop Trauma. 2021 Jan 27;17:18-24. [DOI:10.1016/j.jcot.2021.01.011] [PMID] []

20. Payman Asadi, Behzad Zohrevandi, Vahid Monsef Kasmaei, Bahnaz Heidari Bateni.Discharge against Medical Advice in Emergency Department. J Tebe Organce.2(3).1394:110-115.

21. Mahnaz Mayelafshar, Feridoun Noohi, Leila Riahi, Aniseh Nikravan. Discharge Against Medical Advice in the Emergency Department. Iranian Heart Journal; 2022; 23 (1): 34-41.

22. Mokhtari L, Khorami Markani A, Madadi M. Studying the rate and caused of being discharges against medical advice in inpatient and outpatient wards of Shahid madani hospital in khoy city, 2014. Nursing and Midwifery Journal 2016; 14 (2) :100-107

23. MohammadiKojidi H, Fayazi H S, Badsar A R, Rostamali N, Attarchi M S. Assessment of the Causes of Discharge against Medical Advice in Hospitalized Patients in Emergency Department. JGUMS 2020; 29 (1) :33-42

24. Shafaghat Tahereh, Rahimi Zarchi Mohammad Kazem, Kavosi Zahra, Ayoubian Ali. Study of the Causes of Discharge against Medical Advice in a Hospital of Shiraz University of Medical Sciences.payavard.2023-11,12:6-11.

25. A. Khazaei et al. Evaluation of factors affecting emergency department length of stay. Scientific Journal of Hamadan Nursing & Midwifery Faculty.2016.23(3):1-10.

26. Basir Ghafouri Hamed et al. A Survey of Patients' Length of Stay and Its Effective Predictors in Emergency Departments of TUMS Selected Hospitals. Payavard salamat. 2023-06-13.

27. Hwang SW, Li J, Gupta R, Chien V, Martin RE. What happens to patients who leave hospital against medical advice? Can Med Assoc J. 2003;168(4):417-20.

28. Jimoh BM, Anthonia OC, Chinwe I, Oluwafemi A, Ganiyu A, Haroun A, et al. Prospective evaluation of cases of discharge against medical advice in Abuja, Nigeria. The Scientific World Journal 2015; 2(1): 1-4. [DOI:10.1155/2015/314817] [PMID] []

29. El-Metwally A, Suliman Alwallan N, Amin Alnajjar A, Zahid N, Alahmary K, Toivola P. Discharge against Medical Advice (DAMA) from an Emergency Department of a Tertiary Care Hospital in Saudi Arabia. Emerg Med Int. 2019; 28: 1-6. [DOI:10.1155/2019/4579380] [PMID] []

30. Onukwugha E, Saunders E, Mullins CD, Pradel FG, Zuckerman M, Loh FE, et al. A qualitative study to identify reasons for discharges against medical advice in the cardiovascular setting. British Medical Journal 2012; 2(1): 1-7. [DOI:10.1136/bmjopen-2012-000902] [PMID] []

31. Kariman H, Khazaei AR, Shahrami A & Hatamabadi HR. Dealing with discharge against medical advice in emergency department. Journal of Basic and Applied Scientific Research 2013; 3(7): 785-91.

32. Noohi K, Komsari S, Nakhaee N & Yazdi Feyzabadi V. Reasons for discharge against medical advice: A case study of emergency departments in Iran. International Journal of Health Policy and Management 2013; 1(2): 137-42. [DOI:10.15171/ijhpm.2013.25] [PMID] []

33. Baptist AP, Warrier I, Arora R, Ager J & Massanari RM. Hospitalized patients with asthma who leave against medical advice: Characteristics, reasons, and outcomes. Journal of Allergy and Clinical Immunology 2007; 119(4): 924-9. [DOI:10.1016/j.jaci.2006.11.695] [PMID]

34. Onukwugha E, Saunders E, Mullins CD, Pradel FG, Zuckerman M, Loh FE, et al. A qualitative study to identify reasons for discharges against medical advice in the cardiovascular setting. British Medical Journal 2012; 2(1): 1-7. [DOI:10.1136/bmjopen-2012-000902] [PMID] []

35. Fiscella K, Meldrum S & Franks P. Post partum discharge against medical advice: Who leaves and does it matter? Maternal and Child Health Journal 2007; 11(1): 431-6. [DOI:10.1007/s10995-007-0194-3] [PMID]

Send email to the article author

Add your comments about this article

‎ 10.61186/jhrd.2.1.41

Ethics code: IR.ZAUMS.REC.1400.394

Mendeley

Zotero

RefWorks

Keykha M, Rezvani Kakhki B, Dalili A, Miri Komak A, Ziaei M. (2024). The Frequency of Discharge Reasons with Personal Consent from the Emergency Department of Khatam Al Anbia Hospital in Zahedan in 2022. Health Res Develop. 2(1), 1-16. doi:10.61186/jhrd.2.1.41
URL: http://jhrd.trjums.ac.ir/article-1-47-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 2, Issue 1 (3-2024)

Back to browse issues page

Persian site map - English site map - Created in 0.05 seconds with 37 queries by YEKTAWEB 4710