Urgent action has been taken to address concerns over a hospital’s quality of patient care and response to complaints, it has been claimed.

Abertawe Bro Morgannwg health board said improvements to the Princess of Wales Hospital, Bridgend, were “well under way”.

They include senior nurses spending more time on the wards.

The health board meets on Thursday to discuss criticism of services at the hospital.

It runs hospital and health services in Swansea, Bridgend, Neath and Port Talbot areas.

There have been a series of concerns about Princess of Wales Hospital in recent months:

• There were calls for an inquiry in July after the ombudsman found that an elderly woman patient suffered serious neglect
• The leader of the Welsh Conservatives Andrew RT Davies said in August a leaked email showed the health board’s complaints department was in a “chaotic state”
• A 44-year-old man last month became the third nurse at the hospital to be arrested in a South Wales Police investigation into claims over record keeping. Two women had previously been bailed
• In March, statistics from the Welsh government showed the hospital had the fifth highest risk adjusted mortality index rate – an indicator of excess or unexpected deaths – out of Wales’ 17 district hospitals

A report before the board meeting on Thursday said issues of concern had been tackled.

It said “clinical leadership” over the summer had “already started to make a difference” with four wards recording significantly lower numbers of incidents of concern over the past two months.

Further inspections showed good standards of patient care and documentation.

Ward sisters and charge nurses will be expected to be on the wards more often, checking each patient three times per shift, the report said.

Senior nurses are to be freed from paperwork to spend more time on the wards.

The equivalent of 31 nurses are due to start at the hospital this month, allowing an extra nurse to be on medical wards at night.

A chief nurse for the hospital has been appointed while a new head of nursing for the Bridgend area is to start in November.

The report also addressed concerns about higher mortality rates than might be expected in some specialities.

A detailed review of mortality rates of patients admitted with broken hips will be carried out.

The health board’s interim medical director, Dr Push Mangat, said: “Once it became clear that there were a number of issues of concern at the hospital it was decided to tackle these issues collectively rather than individually through standard board procedures.

“Since these issues were reported a significant number of actions have been taken.”

Source: bbc.co.uk

Academics and healthcare professionals from across Greater Manchester as well as people with a diagnosis of dementia and family carers have teamed up to devise a new training programme for general hospital staff.

The University of Manchester and Greater Manchester West Mental Health NHS Foundation Trust teamed up with three other NHS Trusts in Bolton, Salford, and Central Manchester to develop the new “Getting to Know Me” dementia care training programme for general hospital staff.

Mike Howorth and Ann Johnson who both have dementia, and Brian Briggs who cared for his wife, also worked with experts also worked on the training materials which are free to download and access.

Over 800,000 people in the UK are living with dementia, and at any one time this group occupy approximately 25% of general hospital beds. However, nurses and other hospital staff do not always feel confident and skilled in the provision of care to this group.

The “Getting to Know Me” training programme was designed to address this issue. The training programme increases staff knowledge, confidence and skills in the delivery of care to people with dementia in general hospitals.

Simon Burrow, who directs the MSc in Dementia Care at The University of Manchester and worked on the programme, said: “We felt involving people with real-life personal experiences of dementia and hospital care was extremely important. It has had a positive effect on making the training programme and materials relevant to staff and patients.

Professor John Keady, from the University of Manchester’s Dementia, Ageing and Research Team (DART), said: “We genuinely hope that the “Getting to Know Me” training programme reaches as many staff as possible working in the NHS. By working and learning together, we can improve care for people with dementia and their families in the general hospital.”

Over 450 staff have completed the training programme so far, and evaluation has shown an increase in confidence and knowledge following completion.

Kathryn Harney, from Greater Manchester West Mental Health NHS Foundation Trust, said: “Working in partnership to bring research and people with personal experience of dementia into the development of the training was really worthwhile. The “Getting to Know Me” focus of the training will help hospital staff treat patients with dementia as individuals and improve the hospital experience for them and their carers.”

The training programme also had input from professionals at Bolton NHS Foundation Trust, Salford Royal NHS Foundation Trust and Central Manchester University Hospitals NHS Foundation Trust.

Pat Graham, Senior Nurse for Older People at Bolton NHS Foundation Trust, said: “It’s so important for the care of people with dementia that all staff understand them and how best to meet their needs. The programme can be delivered in a very flexible way which means it can be accessed easily. Our staff have benefited greatly from the training and therefore so have our patients.”
The project was funded by Greater Manchester Health, Innovation and Education Cluster (GM-HIEC).

The “Getting to Know Me” training materials can be downloaded free of charge from http://www.gmhiec.org.uk.

ENDS

Notes for editors

Simon Burrow and Professor John Keady, from The University of Manchester, are available for interview as well as Ann Johnson who has dementia.

For further information, please contact Alison Barbuti | Media Relations Officer | Faculty of Medical and Human Sciences |The University of Manchester | Manchester Academic Health Sciences Centre (MAHSC)

Tel. +44 (0)161 275 8383 | Mobile 07887 561 318 |Email: [email protected]
To speak to Kathryn Harney or for more information about Greater Manchester West Mental Health Foundation Trust, please contact Katie Guatella on 0161 772 3985.

Source: manchester.ac.uk

BUPATI Aceh Timur Hasballah M Thaib akrab disapa Rocky inspeksi mendadak (sidak) ke Rumah Sakit Umum Daerah (RSUD) Idi, Aceh Timur, Rabu, 4 September 2013. Rocky menemukan hampir 50 persen pegawai rumah sakit plat merah itu terlambat masuk kantor.

Dalam sidak tersebut, Bupati Rocky didampingi Sekda Aceh Timur, M Ichsan Ahyat dan Kepala Inspektorat Muhammad. “Hampir 50 persen, baik Pegawai Negeri Sipil, tenaga bakti maupun tenaga kontrak terlambat masuk kerja dan tidak melaksanakan apel pagi,” ujar Rocky.

Menurut Rocky, jika ke depan tenaga kontrak kembali terlambat masuk kerja maka akan diputuskan hubungan kerja. Sedangkan PNS, kata dia, akan dipindahkan ke Satuan Kerja Perangkat Kabupaten (SKPK) lainnya. Khusus PNS yang sedang menduduki jabatan struktural, kata Rocky, bakal dicopot.

“Kita copot dari jabatannya. Coba bayangkan, bagaimana mereka bisa memberikan pelayanan maksimal kepada masyarakat, sementara tingkat kedisiplinan pegawai saja tidak ada. Padahal pada pagi hari banyak warga yang ingin berobat, seharusnya semua petugas medis baik perawat maupun dokter harus siaga di rumah sakit sejak pagi,” kata Rocky.

Sekda M Ichsan Ahyat dalam arahannya di hadapan para pegawai RSUD Idi yang terlambat masuk kerja, juga menyayangkan hal itu. “Lihat saja, hampir 50 persen terlambat masuk kantor dari jumlah 157 PNS dan tenaga kontrak serta bakti sebanyak 286 orang,” ujarnya.

Ia berharap direktur rumah sakit benar-benar mengecek kedisiplinan bawahannya. “Bagaimana kita mau mengirimkan diklat keluar daerah jika orang-orang yang kita kirim tidak memiliki kedispilinan,” kata Ichsan.

Sekda Ichsan menambahkan, pegawai yang terlambat masuk kantor hari ini akan diambil tindakan tegas. “Tenaga kontrak yang selama tiga kali berturut-turut tidak masuk kantor akan diputuskan kontraknya, tenaga bakti akan dinonaktifkan. Jika ada pejabat yang terlambat hadir hari ini akan ditempatkan ke tempat lain, ini sesuai instruksi Pak Bupati,” ujar Sekda Aceh Timur ini.

Direktur RSUD Idi, dokter Munawwir kepada ATJEHPOSTcom mengatakan ia mengucapkan terima kasih kepada bupati yang telah melakukan sidak untuk melihat langsung kedisiplinan pegawai. “Sebab sudah sangat sering kali saya katakan kepada bawahan saya untuk meningkatkan kedisiplinan masuk kerja dan memberikan pelayanan kepada masyarakat,” katanya.

Dia berjanji akan terus mengevaluasi kinerja dan kedisiplinan pegawai rumah sakit tersebut. “Semua pegawai harus masuk kerja tepat waktu dan mengikuti apel pagi, kemudian meningkatkan pelayanan kesehatan bagi masyarakat,” ujar Munawwir.

Sumber: atjehpost.com

DABO – Ilyas (42) warga Desa Penuba, Kecamatan Selayar, mengungkapkan kekecewaannya terkait pelayanan kesehatan yang diterimanya dari RSUD Dabo. Dia kecewa karena saat membawa anaknya Ikhsan yang berusia 5 bulan ke rumah sakit itu, langsung dirujuk ke RSU Tanjungpinang. Tapi rujukan itu tidak disertai dengan keterangan tentang kondisi anaknya. Belum sempat dibawa ke Tanjungpinang, Ikhsan meninggal dunia di RSUD Dabo.

“Saya kecewa dengan kurangnya perawatan yang dilakukan anak saya di RSUD Dabo. Padahal menurut dokter di Puskesmas Penuba, RSUD Dabo memiliki fasilitas yang lengkap,” kata Ilyas, kepada Tanjungpinang Pos, Selasa (3/9).

Menurutnya, sebelum dibawa ke RSUD Dabo, Ikhsan mengalami panas tinggi dan perut kembung. Oleh petugas kesehatan di Puskesas Penuba, anaknya harus di bawa ke RSUD Dabo untuk mendapatkan pelayanan medis yang lengkap, Sabtu (31/8), kemarin.

“Namun sesampainya di RSUD, pelayanan yang diberikan sama dengan di Puskesmas. Tidak ada dokter anak dan anak saya hanya diperiksa sekedarnya. Lalu, dirujuk ke rumah sakit di Kota Tanjungpinang.Minggu (1/9) sekitar pukul 06.00 anaknya meninggal dunia. Dan, hingga kini dia dengan keluarganya tidak tahu anaknya meninggal dunia karena sakit apa.

“Pihak rumah sakit tidak ada menjelaskan. Apa karena saya memakai JKL (Jaminan Kesehatan Lingga), hingga tidak berhak endapatkan pelayanan yang maksimal,” ucapnya lirih.

Ditambahkan oleh suami dari Rika (32) ini, selain tidak mengetahui apa penyakit yang diderita anaknya, pihak rumah sakit juga meminta ia membeli obat dari apotik dari luar.

“Saya heran katanya memiliki fasilitas lengkap. Tapi, untuk obat suntik dan sirup obat batuk harus dibeli dari luar,” tanyanya.

Ilyas menegaskan, dia tidak menuntut apapun dengan kejadian yang menimpa anaknya. Dia hanya meminta pihak rumah sakit maupun pemerintah daerah cepat tanggap dan melengkapi fasiltas kesehatan di RSUD Dabo dan Puskesmas. Sehingga kejadian yang menimpa dirinya, tidak terjadi lagi pada warga masyarakat lainnya. “Mungkin kematian anak saya sudah ajal. Namun hal ini jangan sampai menimpa warga yang lain,” imbuhnya.

Kondisi Pasien Sudah Kronis

Dikonfirmasi terpisah Direktur RSUD Dabo dr Yan Cahyadi, mengatakan dalam menangani pasien di RSUD Dabo, pihaknya tidak pernah membedakan antara pasien JKL atau pasien umum. Pelayanan diberikan sesuai dengan kemampuan yang dimiliki RSUD.

“Memang saat ini, kita belum memiliki dokter spesialis anak. Untuk pasien JKL prosedur pelayanan dalam sistem paket, yakni obat, pelayanan dan lainnya diberikan sesuai dengan kondisi,” ucapnya.

Dia menjelaskan, kondisi Ikhsan yang berusia empat bulan, memang saat datang ke RSUD sudah dalam kondisi kronis. Penyakit paru-paru yang diderita menyebabkan badan dan mulut bayi sudah berwarna biru.

“Pihak rumah sakit sudah berupaya. Namun karena tidak ada dokter spesialis anak dan peralatan medis lainnya yang masih kurang. Maka, Ikhsan dirujuk ke Kota Tanjungpinang. Namun nasib berkata lain, sebelum dibawa bayi tersebut sudah meninggal dunia,” papar Yan.

Diterangkannya, dalam prosedur penanganan pasien di rumah sakit, jika pasien meninggal dalam waktu kurang dari 24 jam. Maka, tidak bisa disalahkan rumah sakit dalam memberikan pelayanan.

“Kepada pihak Puskesmas saya juga berharap dapat melihat kondisi pasien. Jika memang sudah kronis langsung saja dirujuk ke rumah sakit yang memiliki fasilitas lengkap di kota Batam atau Tanjungpinang. Tentunya dengan berkoordinasi dengan Dinkes dan RSUD untuk pelayanan medis,” tukas Yan.

“Memang saat ini, kita belum memiliki dokter spesialis anak. Untuk pasien JKL prosedur pelayanan dalam sistem paket, yakni, obat, pelayanan dan lainnya diberikan sesuai dengan kondisi,” ucapnya. (tir)

Sumber: tanjungpinangpos.co.id

The nine English NHS trusts receiving the worst feedback from cancer patients in the past year were in London, a charity has said.

Macmillan Cancer Support analysed a nationwide survey of 68,000 people and found care standards fell “lamentably short” in some capital hospitals.

Patients were asked about issues such as whether they felt well supported, informed and were treated with respect.

NHS England said the findings were “disappointing” but were being tackled.

Caroline Alexander, the chief nurse for London, said: “We do well in treating the illness.

“But often we fall short in caring for the individual and giving patients and their families the support that they need.”

The 10 ‘worst performing’ trusts

1) Imperial College Healthcare NHS Trust

2) Barts Health NHS Trust

3) Croydon Health Services NHS Trust

4) Barking, Havering and Redbridge University Hospital NHS Trust

5) King’s College Hospital NHS Foundation Trust

6) North Middlesex University Hospital NHS Trust

7) St George’s Healthcare NHS Trust

8) Whittington Health

9) North West London Hospitals NHS Trust

10) Dudley Group NHS Foundation Trust (West Midlands)

Source: Macmillan

Patients ‘let down’

Organisations were ranked according to the number of times they appeared in the lowest 20% of the results for 63 questions, the charity said.

The three best-performing trusts in England were in Gateshead in north-east England, East Cheshire and South Tyneside.

“It is unacceptable that some cancer patients in London are being let down by hospitals failing to provide crucial support, alongside medical treatment,” Carol Fenton from Macmillan said.

She called for a “pan-London effort” to tackle the issue.

However, Ms Alexander said the NHS was already teaming up cancer doctors and nurses across London to increase standards of care.

And services were being changed so they “worked better for patients, rather than patients having to work around hospitals”, she added.

Source: bbc.co.uk

MAJALENGKA, (PRLM).-Fasilitas dan pelayanan rumah sakit serta puskesmas di Kab. Majalengka selama ini dinilai belum optiomal dan tidak memuaskan warga Majalengka yang membutuhkan sarana tersebut.

Oleh karena itu, selama ini banyak warga Majalengka yang membutuhkan pelayanan sarana kesehatan itu, lebih memilih berobat dan dirawat inap ke rumah sakit-rumah sakit di luar Majalengka, seperti ke Kab. Sumedang, Kuningan, dan Cirebon.

Demikian salah satu topik yang diungkapkan dalam kampanye pasangan calon Bupati dan Wakil Bupati Majalengka nomor urut 4 H Nazar Hidayat – H Tio Indra Setiadi (pasangan berjargon Hati), di sejumlah lokasi kampanyenya, Selasa (3/9/2013).

Melalui juru kampanyenya, pasangan Hati meyakinkan kepada masyarakat jika terpilih menjadi Bupati dan Wakil Bupati Majalengka periode 2013-2018, akan meningkatkan fasilitas dan pelayanan rumah sakit serta puskesmas-puskesmas di Majalengka.

“Dengan begitu, masyarakat Majalengka yang jatuh sakit atau membutuhkan pelayanan medis, tidak perlu lagi jauh-jauh memburu rumah sakit di luar Majalengka, seperti ke Sumedang, Kuningan, dan ke Cirebon,” ujar Ketua Dewan Pimpinan Daerah Partai Keadilan Sejahtera (DPD PKS) Kab. Majalengka Asep Aminudin, yang bertindak sebagai salah seorang juru kampanye pasangan Hati, di Desa Babakansari, Kec. Bantarujeg, Majalengka, Selasa (3/9/2013).

Sementara itu, pada hari ke-empat kegiatan kampanye untuk empat pasangan calon Bupati dan Wakil Bupati Majalengka, pasangan Hati bergerak melakukan kampanye melintasi dan masuk ke desa-desa di Kec. Bantarujeg dan Malausma.

H Nazar atau yang lebih dikenal masyarakat Majalengka Abah Encang, diiringi tim kampanye dan massa pendukung Hati “bergerilya” blusukan ke desa-desa di Kec. Bantarujeg. Sementara H Tio diikuti juga massa pendukung Hati melakukan gerakan kampanye serupa ke sejumlah desa di Kec. Malausma.

Di antara tim kampanye serta massa pendukung pasangan Hati, juga turut bergabung mantan Bupati Majalengka dua periode 1998-2008 Hj Tuti Hayati Anwar. Di lokasi-lokasi kampanye berupa pertemuan dan silaturahmi antara Abah Encang dengan masyarakat, mantan bupati itu tampil sebagai juru kampanye mengajak masyarakat hak pilih agar pada pemungutan suara pilkada Majalengka tanggal 15 September 2013 memilih pasangan Nazar-Tio.

“Saya sekeluarga mendukung Abah Encang dan Pak Tio dengan rasa suci bersih dari hati sanubari tidak disertai kepentingan macam-macam,” ujar Tuti Hayati Anwar, kepada “PRLM”, di sela-sela kegiatannya mengikuti perjalanan kampanye H. Nazar di wilayah Kec. Bantarujeg.

Melalui gerakan kampanyenya pasangan Hati, juga menyampaikan tiga program prioritas pembangunan lainnya yang akan dilakukan jika terpilih jadi Bupati dan wakil Bupati Majalengka 2003-2018. Terdiri atas program pemberian insentif bagi para guru mengaji, madrasah, pondok pesantren, Ketua RT dan RW, anggota Linmas, hingga kepada para penjaga makam keramat.

Membuka lapangan pekerjaan seluas-luasnya bagi masyarakat didukung upaya menarik investor serta mempermudah proses pelayanan perizinan, serta akan meningkatkan pembangunan infrastruktur perdesaan secara merata dengan hasil kerja berkualitas.

Sumber: pikiran-rakyat.com

Bukittinggi, Padek—Wali Kota Bu­kittinggi, H. Ismet Amzis menilai, ru­mah sakit Yarsi Ibnu Sina Bukit­ting­gi cukup berkembang dan maju. Ter­utama terlihat sejak kepemim­pi­nan Herman Ramli. Namun ke­ma­juan yang dicapai itu jangan mem­buat kita terlena.

”Karena ancaman ke depan ada­lah persaingan dengan rumah sa­kit ne­gara tetangga, yang mem­butuh­kan pe­layanan lebih baik. Me­ski soal te­naga medis, kita lebih baik. Diha­rap­kan, dengan pimpinan yang baru, ru­mah sakit ini akan lebih baik, dan mam­pu bersaing dengan rumah sakit ne­gara tetangga,” kata Ismet Amzis.

Menurutnya, saat ini ancaman per­saingan dengan rumah sakit ne­gara tetangga sudah sangat terasa. “Apa­bila manajemen mampu be­ker­ja keras dan sungguh-sungguh, ma­ka semua itu bisa tercapai, apalagi ru­mah sakit sebagai pelayanan keseha­tan termasuk salah satu unggulan ba­gi Kota Bukittinggi,” ujar Ismet.

Hal itu dikemukakan H. Ismet Am­zis, pada serahterima jabatan Di­rek­tur Yarsi Bukittinggi, dari pe­jabat la­ma dr. H. Herman Ramli, ke­pada pe­jabat baru dr. Hj. Zulfa. Pe­jabar baru sebelumnya menjabat se­bagai Wa­dir Umum dan Ke­uangan. Jab­a­tan yang ditinggalkan digantikan oleh Alfa Nofiti, yang sebelumnya men­jabat sebagai Kabag Informasi.

Ketua Umum Yarsi)Ibnu Sina Su­matera Barat, DR. H. Zai­nul me­nga­takan, dalam mengem­bang­kan Yar­si Ibnu Sina Bukittinggi ke depan, akan membangun kamar un­tuk 25 tem­pat tidur dengan ang­ga­ran Rp18 mi­liar, de­ngan da­na dari pi­h­ak ke­tiga. Setelah tiga bulan pem­ba­ngu­nan Yarsi Bukittinggi di­mulai, di­lan­jut­kan pembangunan Yarsi di Pa­­dang.

Sumber: padangekspres.co.id

Penulis: Whisnu Bagus Prasetyo/WBP

Sumber: beritasatu.com

A WOMAN who went to a Queensland hospital with breathing difficulties, and was sent home complaining health workers had not taken her seriously, was found dead in her bed the next day, a report says.

The case is detailed in a Health Quality and Complaints Commission document, Failing Health: A Spotlight Report on Complaints About Clinical Deterioration in Queensland Hospitals, released yesterday.

Wait times in spotlight after patient deaths

Parents still awaiting probe into tot’s death

Her death was later found to have been caused by a pulmonary embolism – a blockage in the artery to her lung.

The unnamed hospital had sent the woman home, scheduling an X-ray for the following week, but she died before it could take place.

Her husband later complained to the commission about the standard of care.

“The man said his wife felt hospital staff were not taking her seriously,” the report said.

In another case, a woman complained that a hospital had incorrectly diagnosed her burst appendix as constipation.

“The woman said she had been vomiting and in extreme pain for 24 hours when she presented to the hospital,” the commission report said.

“She was told she was constipated and given drinks and enemas to help her move her bowel, none of which worked … and sent home.”

She returned to the hospital but after a few hours was sent home a second time and told “to come back in a week if the pain had not settled”.

The woman went to her general practitioner instead, who ordered an ultrasound and blood tests, referring her to another hospital where she was diagnosed with a burst appendix and abscess.

Health Quality and Complaints assistant commissioner John Rivers said independent research showed people could die or be seriously harmed if hospital staff failed to recognise and act on a patient’s deterioration.

“Hospitals should have a process in place that encourages patients and their families or carers to raise concerns about observed clinical deterioration and ensure these are appropriately addressed,” Dr Rivers said.

He said St Andrew’s War Memorial Hospital in Brisbane had medical emergency response teams which could be called upon if health workers, with input from family, felt a patient had taken a sudden turn for the worse.

“I think more and more hospitals are trying to move to these systems where if someone raises a concern that this patient is getting sicker quickly, we need some sort of urgent response,” Dr Rivers said.

“People can get sick incredibly fast, particularly children. What you need is a system that reacts then and there. Early recognition of patient deterioration and prompt action can improve patient outcomes.”

The commission analysed 172 complaints and 205 root cause analysis reports into cases of clinical deterioration received between July 2009 and June 2012.

One in five complaints involved a failure to address concerns about a patient’s worsening condition.

More than half were about care during a hospital admission, a quarter were about pre-admission care, including misdiagnosis in an emergency department, and 21 per cent were about deterioration following discharge.

Source: couriermail.com.au

MANAGEMEN Rumah Sakit Umum Bunda Lhokseumawe dilaporkan memecat sekitar 30 karyawan pada hari ini. Pemberhentian tersebut kabarnya karena pihak rumah sakit tidak sanggup membayar gaji.

“Kami dipecat dengan diberi surat dan diberi uang 400 ribu sebagai gaji kami. Alasan pihak managemen seperti tertulis dalam surat tersebut karena tidak sanggup membayar gaji,” ujar salah seorang karyawan Rumah Sakit Bunda kepada ATJEHPOSTcom, Senin, 2 September 2013.

Menurut dia, pemecatan tersebut dilakukan pihak rumah sakit tanpa pemberitahuan sebelumnya. Kata dia, pihak rumah sakit swasta ini juga tidak memenuhi janjinya untuk membayar insentif para karyawan.

Beberapa bulan lalu, kata dia, pihak rumah sakit berjanji untuk menaikkan gaji karyawan saat proses pencairan dana Jamkesmas pada Agusutus 2013 ini. “Namun tidak direalisasikan, malah kami di pecat,” kata karyawan tersebut yang minta namanya tidak ditulis.

Para karyawan tersebut sudah bekerja selama tujuh hingga 10 bulan. Selama bekerja mereka hanya mendapat upah Rp200 ribu hingga Rp400 ribu rupiah per bulan. “Meski diberhentikan, kami berharap upah kami yang pernah dijanjikan untuk dibayar,” kata dia.

Sumber: atjehpost.com