Hanoi raises patient satisfaction index.

The Hanoi Department of Health has just issued Plan No. 3419/KH-SYT on improving people's satisfaction index with the quality and services of medical examination and treatment at medical facilities.

Improve patient satisfaction index

The Hanoi Department of Health directed units in the entire sector to focus on improving the professional qualifications, sense of responsibility and attitude towards patient care of medical staff in all departments and offices.

Patient satisfaction rates have tended to increase over time.

First of all, the examination department ensures a one-way, convenient, and interconnected examination process with the testing, imaging, and functional testing departments.

At the same time, apply information technology to shorten patient waiting time and manage medical examination information and data.

The Hanoi Department of Health requires medical facilities to avoid prescribing inpatient treatment in unnecessary cases to reduce the burden of service and reduce costs for patients.

Regularly collect feedback from patients and their families at the units through various forms such as suggestion boxes, suggestion books, hotlines, patient council meetings, and direct interview forms.

In addition, the Department of Health also requires ensuring human resources, facilities, equipment, drugs, etc. at the Emergency Department - Intensive Care and Anti-Poison Department, emergency departments of clinical departments are always ready and fully equipped according to regulations; comply with the "Red Alert" process in the hospital and outside the hospital; prevent medical incidents.

In the Anesthesia and Resuscitation Department, one-way rooms are arranged according to regulations. In the operating room, each room must be fully equipped with equipment, facilities, drugs, oxygen systems, compressed air, vacuum machines, anesthesia machines with ventilators, monitors, electric syringe pumps, etc.

In clinical departments, it is necessary to improve emergency capacity and perfect the department's emergency unit.

Perform well routine techniques, technical catalogs according to classification and deploy new and advanced techniques to improve treatment quality.

Support patients in completing administrative procedures; limit the need to share beds; meet the minimum needs of patients...

At the testing department, it is necessary to comply with the regulations of the Ministry of Health on testing quality management, laboratory quality, biosafety assurance...

Clearly assign staff to be in charge of each stage in the testing and result returning process, link the responsibility of technical staff to the quality of test results, and carry out internal and external inspections according to regulations.

It is known that in the second quarter of 2024, the Hanoi Department of Health conducted a survey to assess patient satisfaction at 41/42 public hospitals and 40/43 non-public hospitals.

The results show that the overall satisfaction level of patients and the public with the hospital sector is 97.2%; for inpatients it is 96.63%, and for outpatients it is 96.74%.

The survey results of outpatients coming for examination and treatment at general clinics and health stations of 30 district, town and city health centers and 115 emergency centers achieved an average satisfaction rate of 95.76%.

Signs of cerebral aneurysm

Ms. NTH (46 years old) in Phu Yen, Son La, with symptoms of frequent headaches accompanied by nausea. She went to Phu Tho General Hospital for examination, and was prescribed a 3.0T MRI of the brain vessels, the results discovered that Ms. H. had a wide neck aneurysm of the internal carotid artery on both sides of the cavernous sinus.

The left carotid artery had a higher risk of rupture, so the team placed a flow-diverting stent first, while the right carotid artery would be treated later.

The aneurysm size is 4.5mm x 5.5mm with a 4mm neck. This is the cause of the persistent headaches that Ms. H. has to endure.

In the case of patient H, after the brain aneurysm was detected, the patient was consulted by highly specialized doctors in the field of cerebrovascular intervention at the Stroke Center, Phu Tho Provincial General Hospital and was prescribed a stent to divert the flow to treat the aneurysm.

After being advised that a brain aneurysm can rupture at any time and the danger level when the aneurysm ruptures will leave very serious consequences, even death.

The patient had a stent placed to divert cerebral blood flow by doctors at the Stroke Center, the intervention time was only about 2 hours.

Immediately after stent placement, blood flow into the aneurysm was significantly reduced and controlled, and the risk of aneurysm rupture was also decreased.

Dr. Phan Ngoc Nhu, Head of the Neurological and Subacute Stroke Treatment Department, who directly intervened in the patient, explained that when blood no longer flows into the aneurysm, a blood clot will gradually form inside it, and after a period of time, the aneurysm will disappear completely.

In the long term, endothelial cells crawl up the stent, forming a new endovascular layer. The endovascular intervention for the patient with NTH was successful without complications during and after the intervention.

After placing a flow-diverting stent, the patient can still move and move normally and can be discharged after a few days.

Dr. Nhu added that cerebral aneurysms affect approximately 5% of the population. The worrying aspect is that the symptoms are very vague, simply manifesting as headaches, making them easily mistaken for other conditions.

However, if left untreated, over time the aneurysm will gradually enlarge and can rupture at any time.

To detect cerebral aneurysm early, the only way is to perform a screening cerebral angiogram in high-risk subjects, middle-aged people from 45 years old and up, with family factors, and diseases that affect the quality of blood vessel walls such as diabetes, high blood pressure, atherosclerosis, obesity, etc.

Those who have persistent headaches that do not improve with treatment should also be screened by magnetic resonance imaging. In unclear cases, a DSA scan should be performed to examine the blood vessels.

Kidney failure due to heatstroke

A 60-year-old man went to the field to spray pesticides in the hot noon sun. When he returned home, he had muscle cramps, was sweating, and was thirsty. The doctor diagnosed him with kidney failure due to heatstroke and sunstroke.

Information from doctors at Hung Vuong General Hospital diagnosed the patient with hypovolemic shock, rapid pulse (110 beats/minute), low blood pressure (80/40 mmHg), acute renal failure, and increased metabolic acidosis due to heatstroke. The emergency team inserted a central venous catheter and administered fluids and electrolytes to the patient.

After three hours of emergency treatment, the patient's condition was stable and continued to be monitored in the Intensive Care Unit.

Sunstroke and heatstroke are common phenomena in summer, on hot days, when the temperature suddenly increases. Sunstroke and heatstroke cause fatigue, dizziness, headache, and can lead to stroke.

If not treated promptly, the patient may suffer irreversible neurological sequelae or multi-organ damage and death.

To prevent heatstroke, when going out, cover your body by wearing loose, light, light-colored clothing, a wide-brimmed hat, and use sunscreen.

Drink plenty of water, even if you don't feel thirsty, drink water mixed with a little salt or drink oral rehydration solution, fruit juice, and avoid sugary sodas and energy drinks.

People with sunstroke or heatstroke need to be taken to a cool, airy place and emergency assistance should be called.

Apply cooling measures to reduce temperature such as removing clothes, applying cool compresses to the body. Give the victim plenty of water or electrolyte solution to drink if conscious and able to drink. Quickly take the victim to the nearest hospital for timely treatment.

Doctors recommend that in the summer we avoid working in the harsh sunlight from 11am to 2pm and not wear too many tight, non-absorbent clothes.

Source: https://baodautu.vn/tin-moi-y-te-ngay-307-ha-noi-nang-chi-so-hai-long-benh-nhan-d221095.html