Clinical Audit Report: Number, Reasons and Indication of Inpatient in Chronic Wards in Hospital Mesra Bukit Padang, Sabah, Malaysia

Thong, Vie Cheong and Yeoh, Wen Lin and Eleen Khor and Deshvin Kaur Amanjit Singh and Soon, Hui Lee and Sabrina Philips and Ahmad Qabil Khalib and Pang, Nicholas Tze Ping (2024) Clinical Audit Report: Number, Reasons and Indication of Inpatient in Chronic Wards in Hospital Mesra Bukit Padang, Sabah, Malaysia. ASEAN Journal of Psychiatry, 25. pp. 1-8. ISSN 2231-7805

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Abstract

Introduction: The author conducted a clinical audit in Hospital Mesra Bukit Padang, Sabah, Malaysia looking into the number of chronic inpatients as well as the possible reasons for their admissions. Hospital Mesra is one of the four mental institutions funded entirely by the Malaysian Ministry of Health (MMH). The clinical audit may provide an insight for practitioners to work out for viable solutions to the high bed occupancy rate in Hospital Mesra, as well as the other mental institutions in the country. Methods: Information about the possible reasons of admission are gathered from all chronic inpatients who stayed in the hospital during the period of May 15, 2023, to June 30, 2023 (3 months) and assessed their psychiatric condition using the Brief Psychiatry Rating Scale (BPRS). The gathered data were analysed to look for association between. The team also gathered the wards’ relevant admission statistics. Results: Social reasons are of the highest frequency: Family refuse to take patient (40%), family uncontactable (35%), awaiting nursing home (10%) and other social issues (13.3%). There is an association between family uncontactable and increment of length of stay in ward. There is no association between the patients’ psychiatric condition and the length of stay in ward. Conclusion: Social factors are the most common reason for chronic inpatient stay in HMBP and severity of psychiatric illness is not associated with the length of stay of chronic inpatients. Cost efficiency demands steps to be taken to reduce the inpatient load, such as community outreach programs.

Item Type:	Article
Keyword:	Psychiatry Rating, Family, Chronic Inpatient, Efficiency
Subjects:	R Medicine > RA Public aspects of medicine > RA1-1270 Public aspects of medicine > RA960-1000.5 Medical centers. Hospitals. Dispensaries. Clinics Including ambulance service, nursing homes, hospices R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC321-571 Neurosciences. Biological psychiatry. Neuropsychiatry > RC346-429 Neurology. Diseases of the nervous system Including speech disorders > RC435-571 Psychiatry
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	15 Jul 2024 11:56
Last Modified:	15 Jul 2024 11:56
URI:	https://eprints.ums.edu.my/id/eprint/39164

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