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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 17, No. 1, 2010, pp. 38-43
Bioline Code: mj10007
Full paper language: English
Document type: Research Article
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 17, No. 1, 2010, pp. 38-43

 en A Study on the Magnitude and the Effectiveness of the Observation Ward of Hospital Universiti Sains Malaysia
Ahmad, Rashidi; Rahman, Nik Hisamuddin Nik Abdul; Noh, Abu Yazid Mohd; Rahman, Nik Ariff Nik Abdul; Mohamad, Nasir & Baharudin, Kamarul Aryffin


Background: The observation ward (OW) allows patients to be reassessed and monitored before deciding either to admit or to discharge them. This is a six-month descriptive cross-sectional study conducted in the observation ward of the Emergency Department (eD) of Hospital Universiti Sains Malaysia, Kelantan. The objective of this study was to examine the demographic characteristics and clinical profiles of adult observed patients and to determine the effectiveness of OW management.
Methods: Patients were selected randomly by convenience sampling. One hundred and twenty-four patients were included in the study. The mean age was 40.3 ± 18.5 years (95% Ci: 37.2 to 43.8).
Results: Among the common clinical problems were abdominal discomfort (23%), diarrhoea and vomiting (13%) and fever (13%). Reasons for OW admission included diagnostic uncertainty (63%) and short course of treatment (33%). The mean length of stay was 4.1 ± 1.8 hours (95% Ci=3.8 to 4.4 hours). Most of the patients (85%) were discharged.
Conclusions: The OW of HUSM is effective in managing adult patients as determined by the hospitalisation rate and the length of stay.

observation ward, adult patients, length of admission and discharge, medical sciences

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