Inappropriate Admission and Hospitalization in Maternity and Children Teaching Hospital in Al-Diwaniya City, Iraq

Abstract

Objectives: Assessment of the degree and associated factors of inappropriateness of admission in children's hospital wards in Al-Diwaniya city, Iraq, with the impact of other variables. Methods: It is a cross-sectional study on a sample of children who presented in the emergency unit of the children's teaching hospital. The following data were taken, which include sociodemographic qualities, address, the date, ward, the days of the week, and admission types. The study was performed over a 6-month period (December 2016 to June 2017). All 1,723 admissions were reviewed. (Using the Pediatric Appropriateness Evaluation Protocol for child patients). Results: A total of 1723 children were surveyed. Overall, 25.1% of the hospital's admissions appeared to be inappropriate. Our result shows their proper admission was significantly higher with the age between 1 and 5 years (p < 0.001). The inappropriate hospitalizations were essentially higher if patients were female and if admissions were non-urgent. The fundamental purposes behind improper utilization were the doctor's facility association and an over-wary doctor in the admission of a patient and referral to the hospital's emergency room by doctors working outside the hospital. Patients presented during holidays demonstrated a high percentage, and improper admissions were higher for medical rather than surgical patients (P < 0.001) at presentation. Conclusion: Improper admission is high in the maternity and children's teaching hospital in Al-Diwaniya, most likely because of the generally free social insurance administrations, parental inclination for healing center care, simple access to clinic administrations, and deficient instruction about the condition of the case. Recommend the requirement for more communication amongst doctors' facilities and group-based administrations to lessen such impropriety and for proceeding with a training framework to characterize institutionalized rules.