Evaluation of causes and outcomes of discharge with the personal consent of patients admitted to Dr. Sheikh Hospital of Mashhad

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RAVANSHAD YALDA; Golsorkhi Mohaddeseh; BAKHTIARI ELHAM; KEYKHOSRAVI AGHILALLAH; AZARFAR ANOUSH; Shoja Maliheh; Behazin Mohammad; RAVANSHAD SAHAR; GHODSI ALIREZA

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Journal: Journal of Sabzevar University of Medical Sciences Year:2021 | Volume:28 | Issue:2 Page(s): 181-188

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Title

Evaluation of causes and outcomes of discharge with the personal consent of patients admitted to Dr. Sheikh Hospital of Mashhad

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Keywords

Informed ConsentQ1

Patient DischargeQ1

HospitalQ2

DoctorQ2

Abstract

Introduction: The patient’ s self-discharge from the Hospital is a process in which the patient leaves the Hospital voluntarily without completing the course of treatment, despite medical advice, and can indicate patient dissatisfaction and a significant challenge for health system managers. This study was conducted to investigate the causes and consequences of a patient's self-discharge from Dr. Sheikh Hospital as a referral center in the northeast of Iran. Material and Method: All patients who were discharged with the personal consent from the Hospital with personal consent between October 2014 and March 2015 were included in the study. A checklist was used to collect data. The patients' outcome was completed by telephone a week later. Finally, SPSS statistical software was used to evaluate the results. Results: Totally, 51 patients were included in this study. The leading causes of discharge with personal consent were including dissatisfaction with the physician and medical staff in 23 patients (45. 1%), home care preference in 12 patients (23. 5%), distance from the Hospital in 5 patients (9. 8%), teaching at the Hospital in 3 patients (, 5. 9), the high cost of treatment in 3 patients (9 5. 9), the overcrowding of the Hospital in 3 patients (9 5. 9) and the lack of specialist or diagnostic and therapeutic devices in 2 patients (3. 9%). Also, in the study of patients' outcome, 21 patients (41. 1%) referred to the Doctor again, 18 patients (35. 3%) continued treatment at home, 9 patients (17. 7%) were readmitted and 2 patients (3. 9%) died. Conclusion: The most common cause of discharge with personal consent was dissatisfaction from the treatment team. Given that 3. 9% of patients have died and a large number of patients have been re-referred to the Doctor and be readmitted, it seems that justifying patients to refrain from self-discharge is in the patient's best interest.

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