Volume 26, Issue 140 (9-2016)                   J Mazandaran Univ Med Sci 2016, 26(140): 95-102 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Malekzadeh R, Araghian Mojarad F, Amirkhanlou A, Sarafraz S, Salmanpour M. Causes of Discharge against Medical Advice in Hospitals Affiliated with Mazandaran University of Medical Sciences, 2014. J Mazandaran Univ Med Sci 2016; 26 (140) :95-102
URL: http://jmums.mazums.ac.ir/article-1-8385-en.html
Abstract:   (7205 Views)

Background and purpose: Discharge against medical advice (AMA) has negative impacts on treatment outcomes and health care resources. Also, physicians and hospital administrators get involved in litigation. The aim of this study was to investigate the causes of AMA discharges in different wards and emergency departments in teaching and nonteaching hospitals affiliated with Mazandaran University of Medical Sciences.

Materials and methods: This cross-sectional study was performed investigating the AMA leaves within 6 months in 2014. Data was obtained from the Department of Medical Records and the Office of Quality Improvement. Data was recorded in a questionnaire consisting of two parts. Part I included demographic information and Part II was about the reasons of discharge against medical advice. Data was aggregated by expert staff in Office of Quality Improvement. SPSS V.18 was applied for data analysis.

Results: The prevalence of AMA leaves in emergency department and other wards in teaching hospitals affiliated with Mazandaran University of Medical Sciences was 3.81% and 4.38%, respectively. These figures in nonteaching hospitals were 8.38 % and 1.59%, respectively. The most common causes of discharge against medical advice were partial recovery, lack of trust in service quality, feeling uncomfortable, and emotional reasons.

Conclusion: To reduce the rate of AMA leaves and its consequences, health care staff should be supportive towards the patients and communicate effectively in order to build their confidence.  

Full-Text [PDF 480 kb]   (2176 Downloads)    
Type of Study: Research(Original) | Subject: anesthesia

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


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

© 2024 CC BY-NC 4.0 | Journal of Mazandaran University of Medical Sciences

Designed & Developed by : Yektaweb