Investigating the effective factors on patients' escape from one of the public hospitals in Bushehr city in 2017-2018: A descriptive, cross-sectional study
Journal of Behdasht dar Arseh (i.e., Health in the Field),
Vol. 8 No. 2 (1399),
14 December 2020
,
Page 57-65
https://doi.org/10.22037/jhf.v8i2.30421
Abstract
Background and Aims: Absconding from hospitals presents big challenges to the health care systems, with consequences such as delay and incomplete treatment process. Also it may result in increased personal workload and the cost burden of health system. The aim of this study was to determine absconding rate and its driving factors in a public hospital in Bushehr city in 2017-2018.
Materials and Methods: The present descriptive cross-sectional study was conducted in a general hospital in Bushehr. During the study, patients' information was extracted by a checklist from their medical records between 20 March 2017 and 1 March 2018 using census method. Ethical criteria such as confidentiality of patients' names and the hospital under study were observed.
Results: Absconding rate was found to be 0.18 percentage. The highest number of escapes was noticed in emergency wards (137 and 92%), meaning that in average 6 persons have escaped each month. Mean age of the patients was 29.02 and they stayed 2.07 days in the hospital. The highest frequency of escape was observed in male patients and in singles which occurred in night shift. About 72% (117) of patients did not have health insurance, but 88% of unpaid amount was belonged to insured persons. The total amount of damages was estimated to be 1,411,950,080 Rials. The average cost per patient was also appraised to be 9,540,203 Rials.
Conclusion: Despite the low escape rate at the studied hospital, the property damage was significant. Installation of gates and controlling the entry and exit of patients, coupled with increasing the number of physical protection staff and insurance offices, as well as reforming the clearance process and insurance laws are proposed to reduce the occurrence of this problem.
- Patient Absconding, Bushehr, Public Hospital
How to Cite
References
- Bowers L, Whittington R, Nolan P, Parkin D, Curtis S, Bhui K, et al. Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study. The British Journal of Psychiatry 2008; 193(5):395-401.
- York TW, MacAlister D. Hospital and healthcare security. Oxford: Butterworth-Heinemann; 2015.
- Cheng ST, Chung CH, Leung YH, Lai KK. Patient absconding behaviour in a public general hospital: retrospective study. Hong Kong Medical Journal 2002; 8(2):87-91.
- Stewart D, Bowers L. Absconding from psychiatric hospitals: a literature review. 2010. Institute of Psychiatry, London: accessible at: http://www kcl ac uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevAbsc pdf.
- Muir‐Cochrane E, Mosel KA. Absconding: A review of the literature 1996–2008. International Journal of Mental Health Nursing 2008; 17(5):370-8.
- Appleby L, Kapur N, Shaw J, Hunt I, Flynn S, Ibrahim S,et al. The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. report. England, Northern Ireland, Scotland and Wales: university of manchester, 2014.
- Bowers L, Jarrett M, Clark N. Absconding: a literature review. Journal of Psychiatric and Mental Health Nursing 1998; 5(5):343-53.
- Khisty N, Raval N, Dhadphale M, Kale K, Javadekar A. A prospective study of patients absconding from a general hospital psychiatry unit in a developing country. Journal of Psychiatric and Mental Health Nursing 2008; 15(6):458-64.
- Abbo C, Kinyanda E, Kizza RB, Levin J, Ndyanabangi S, Stein DJ. Prevalence, comorbidity and predictors of anxiety disorders in children and adolescents in rural north-eastern Uganda. Child and Adolescent Psychiatry and Mental Health 2013; 7(1):21 https://doi.org/10.1186/1753-2000-7-21.
- Khammarnia M, Kavosi Z, Karimi Jaberi Z, Shirvani M, Sadeghi A. Investigation of the rate of patients’ escape from a general hospital in Shiraz, Iran. Sadra Medical Sciences Journal 2014; 2(1):65-74 (In Persian).
- Memarian a, Yazdinezhad SR, Mehrpisheh S, Aghakhani K. Characteristics of absconders from a general health service, Rasoul Akram Hospital in 2013. Polish Annals of Medicine 2015; 22(2):82-85.
- Zarei E, Marzban S, Rajaee R, Najafi M. Patient absconding from emergency department and its financial burden: a study in a large public hospital, Tehran. Journal of Health in the Field 2017; 3(1):1-7 (In Persian).
- 13. Anisi S, Zarei E, Kariman H, Kazemi MK, Chehrazi M. Patient absconding and its predictors: A 5-year retrospective analysis in a general teaching hospital in Tehran, Iran. Shiraz EMedical Journal 2017; 18(12):e14532 DOI : 10.5812/semj.14532.
- Sheikhmoonesi F, Kabirzadeh A, Yahyavi ST, Mohseni B. A prospective study of patients absconding from a psychiatric hospital in Iran. Med Glas (Medicinski Glasnik) 2012; 9(2):345-49.
- Wilkie T, Penney SR, Fernane S, Simpson AI. Characteristics and motivations of absconders from forensic mental health services: a case-control study. BMC Psychiatry 2014; 14(1):91. https://doi.org/10.1186/1471-244X-14-91.
- Milner G. The absconder. Comprehensive Psychiatry 1966; 7(3):147-51.
- Muir‐Cochrane E, Mosel K, Gerace A, Esterman A, Bowers L. The profile of absconding psychiatric inpatients in Australia. Journal of Clinical Nursing 2011; 20(5‐6):706-13.
- Ajalli A, Khodaee M, Goodarzi M, Tamizi Z, Dibaee M. Assessment of relationship between characteristics of psychiatric patients escaping from Razi Psychiatric Hospital. Iranian Journal of Psychiatric Nursing 2015; 2(4):59-67 (In Persian).
- Dickens GL, Campbell J. Absconding of patients from an independent UK psychiatric hospital: a 3‐year retrospective analysis of events and characteristics of absconders. Journal of Psychiatric and Mental Health Nursing 2001; 8(6):543-50.
- Sheikhmoonesi F, Kabirzadeh A, Yahyavi S, Mohseni Saravi B. A prospective study of patients absconding from a psychiatric hospital in Iran. European Psychiatry 2013; 28:1. https://doi.org/10.1016/S0924-9338(13)75790-0.
- Tammelleo AD. Fall from third floor in escape from mental hospital. Nurse Law Regan Rep 2006; 47:1 Available from: https://www.thefreelibrary.com/Fall+from+third+floor+in+escape+from+mental+hospital.-a0152760360.
- MosadeghRad AM, Afshari M. The effect of quality management on reducing the number of cancellations of surgeries: a participatory action research study. Journal of Health in the Field 2016; 3(4):41-48 (In Persian).
- Peyman N, Zohrehzadeh A, Doosti H, The effect of self-efficacy education on promoting self-care behaviors of patients with heart failure in Shahid Modares Hospital in Kashmar. Journal of Health in the Field 2018; 5(4):1-7 (In Persian).
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