Author/Authors :
Al-Tehewy, M. Ain Shams University - Health Care Quality Unit, Egypt , Shehad, E. Ain Shams University - Health Care Quality Unit, Egypt , Al Gaafary, M. Ain Shams University - Health Care Quality Unit, Egypt , Al-Houssiny, M. Ain Shams University - Health Care Quality Unit, Egypt , Nabih, D. Ain Shams University - Health Care Quality Unit, Egypt , Salem, B. Ministry of Health - General Directorate of Quality, Egypt
Abstract :
We measured the rate of inappropriate admissions, and associated factors, in 3 general hospitals in Egypt. A total of 1191 admissions were reviewed using the Appropriateness Evaluation Protocol for adult patients and the Pediatric Appropriateness Evaluation Protocol for paediatric patients. Inappropriate admissions were 66.3% and 78.9% of admissions in the surgery departments of 2 hospitals compared with 1.9% in the 3rd hospital that followed a specific admission protocol for elective surgery. The paediatrics department had the lowest rates of inappropriate admissions in all hospitals (0%, 1.0% and 1.9%). On logistic regression analysis, the route of admission was the only factor significantly associated with inappropriate admissions in the departments of surgery, obstetrics/gynaecology and internal medicine.
