Al-Ghafri Mohamed, Al-Bulushi Abdullah, Al-Qasmi Ahmed
Intensive Care Unit, Royal Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2016 Feb;16(1):e74-7. doi: 10.18295/squmj.2016.16.01.013. Epub 2016 Feb 2.
The objective of this study was to determine the prevalence of and reasons for patients leaving against medical advice (LAMA) in a paediatric setting in Oman. This retrospective study was carried out between January 2007 and December 2009 and assessed patients who left the paediatric wards at the Royal Hospital, Muscat, Oman, against medical advice. Of 11,482 regular discharges, there were 183 cases of LAMA (prevalence: 1.6%). Dissatisfaction with treatment and a desire to seek a second opinion were collectively the most cited reasons for LAMA according to data from the hospital's electronic system (27.9%) and telephone conversations with patients' parents (55.0%). No reasons for LAMA were documented in the hospital's electronic system for 109 patients (59.6%). The low observed prevalence of LAMA suggests good medical practice at the Royal Hospital. This study indicates the need for thorough documentation of all LAMA cases to ensure the availability of high-quality data for healthcare workers involved in preventing LAMA.
本研究的目的是确定阿曼儿科环境中患者自动出院（LAMA）的发生率及原因。这项回顾性研究于2007年1月至2009年12月期间开展，评估了阿曼马斯喀特皇家医院儿科病房中自动出院的患者。在11482例常规出院病例中，有183例自动出院（发生率：1.6%）。根据医院电子系统数据（27.9%）以及与患者家长的电话沟通（55.0%），对治疗的不满和寻求第二种意见的愿望是自动出院最常被提及的原因。医院电子系统中未记录109例患者（59.6%）自动出院的原因。观察到的自动出院发生率较低表明皇家医院的医疗实践良好。本研究表明需要对所有自动出院病例进行全面记录，以确保为参与预防自动出院的医护人员提供高质量数据。
