• AMAU Patient and Carer Satisfaction Survey

      Rathore, F; Sultan, N; Byrne, D (Irish Medical Journal, 2015-06)
      We present a Survey conducted to assess Patients and their Carer's AMAU Experience, at Kerry General Hospital, this survey is first of its kind to be carried out in the country. AMAU is the gateway to the hospital for acutely ill medical patients. A patient’s stay in the unit is limited, usually around 6 hours. The National Acute Medical Programme has set standards for the workings of an AMAU across the country to ensure high quality standardized care to the satisfaction of the patients in particular and public in general. We conducted a survey to study the satisfaction with the service provided at KGH, A pre-set questionnaire from the National Acute Medical Programme was handed to 50 consecutive patients and 50 Carers, at the end of AMAU visit. Each questionnaire consisted of questions, which addressed various aspects from triage to discharge, including promptness of access, the availability of information, cleanliness and facilities, medical and nursing care and overall experience, the participants chose between Excellent, Good, Fair, Poor, for each question that best described their judgement.
    • The burden of cost- admission versus discharge medications

      Akintola, A; Youssef, M; Oh, S; Byrne, D; Liston, R (Irish Medical Journal, 2014-06)
      Sir, Avoiding unnecessary polypharmacy prevents potential drug-drug interactions culminating in adverse drug events. 1 Medication review is an important opportunity for rationalizing a patientâ s treatment to maximize therapy for established chronic disease and minimize the potential for drug-drug and drug-disease interaction. A secondary consideration is the potential for a drug review to identify the possibility of cost saving by noting those occasions where generic substitution could occur without detriment to the patients overall therapy. We completed an audit of drug costs of medications for patients on admission and on discharge from an acute general hospital. The charts of the first 94 medical patients admitted into an acute general hospital starting from January 1st 2012 were sourced from Hospital In-Patient Enquiry (HIPE) and a pre-designed questionnaire was completed for each of these patients. The cost of medications per patient was calculated using the MIMMS manual appropriate for the period of admission and discharge. We examined the patient demographics, source of referral, LOS (length of stay), admission diagnosis, past medical history and names of medications and their individual costs.
    • Tolerance of colonoscopy and questioning its utility in the elderly population

      Rathore, F; Sultan, N; Byrne, D (Irish Medical Journal, 2014-09)
      This study was carried out from Jan ’12-Dec ’12 to assess current practice in Kerry General Hospital against the age related indicators for colonoscopies. A total of 1474 colonoscopies were performed,1177 (79.9%) were diagnostic and 297 (20.1%) were therapeutic, patients were divided into 4 age groups under 75, 75-80, 81-85, 86+. The trend analysis revealed an increase in diagnostic colonoscopies and decrease in therapeutic colonoscopies with age. 664 (45.04%) of colonoscopies were reported normal which made up the majority of the total diagnoses, 1330 (90.2%) of colonoscopies occurred without any complications. Main complications were patient discomfort being the highest, present in 112 (7.6%) of patients, and lowest being urticaria around the IV site present in 1 (0.1%) of the cases. Patient discomfort was higher in younger patients as evidenced by 98 cases aged <75, followed by 11 cases aged 75-80, 2 cases aged 81-85 and 1 case aged >86. Highest percentage of poor tolerance was found in 14 (1.1%) of total patients <75, 1 (0.8%) of total patients aged 75-80, 1(1.7%) of total patients in age group 81-85 and none (0%) in age group >86. We have established the safety of colonoscopy, low rate of complications and a better tolerance in the elderly from this study, however, its utility, especially in presence of other comorbidities in elderly is questionable.