ER CENSUS for OCTOBER 2013

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ER CENSUS for OCTOBER 2013. Inoncillo / Tumanda Cabal/ Cumigad / Pua /Torres Asuncion/Go/ Pambid /Ramirez/ Rayco /Rogelio/Torres. Total number of Triaged Patients for October 2013. Graphic Representation of the Total Number of Triaged Patients for October 2013. ER Admissions (n = 599). - PowerPoint PPT Presentation

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  • ER CENSUS for OCTOBER 2013INONCILLO/TUMANDACABAL/CUMIGAD/PUA/TORRESASUNCION/GO/PAMBID/RAMIREZ/RAYCO/ROGELIO/TORRES

  • Total number of Triaged Patients for October 2013

    BreakdownPercentage (%)Emergency Room59983.09%THOC11315.68%HAMA60.81%Absconded30.42%TOTAL721100%

  • Graphic Representation of the Total Number of Triaged Patients for October 2013

    Chart1

    599

    113

    6

    3

    n = 721

    Sheet1

    n = 721

    Emergency Room599

    THOC113

    HAMA6

    Absconded3

    To resize chart data range, drag lower right corner of range.

  • COMPARISON OF TOTAL TRIAGED PATIENTS WITH AUGUST, SEPTEMBER AND OCTOBER 2013 67.4%70.58% 33.9%6x 50%

    Chart1

    16572214721

    13802036599

    254171113

    816

    1563

    Aug

    Sept

    Oct

    Sheet1

    AugSeptOctColumn1

    TOTAL16572214721

    ER13802036599

    THOC254171113

    HAMA816

    Absconded1563

  • ER Admissions (n = 599)

    BreakdownPercentage (%)Discharged from ER SSU Drop-In42125316870.28 %42.24 %28.04 %Transferred to Ward NICU RICU16814062128.05 %23.38 %1 %3.67 %THOC30.5 %HAMA10.17 %Absconded00 %DOA20.33 %Mortality50.67 %TOTAL599100 %

  • Comparison of ER Admissions between August, September (N=1593) and OCTOBER (N=599)62.4% 25.5%29% 22%

    Chart1

    10201593599

    309192143

    475

    282721

    21992

    August

    September

    October

    Sheet1

    AugustSeptemberOctober

    Discharged from ER10201593599

    Ward309192143

    NICU475

    RICU282721

    THOC21992

  • Comparison of ER Admissions between August, September (N=2036) And october (N=599) 75% 75%

    Chart1

    41

    00

    22

    123

    September

    October

    Sheet1

    SeptemberOctoberSeries 3

    THOC199112

    HAMA412

    Absconded003

    DOA225

    Mortality123

    To resize chart data range, drag lower right corner of range.

  • Comparison of the Service and pay Consults for 2013

    Chart1

    390076

    480077

    560088

    90060

    80079

    70090

    85080

    89079

    1340159

    1498156

    2036153

    599118

    Service

    Pay

    Sheet1

    ServicePaySeries 3

    Nov3900762

    Dec4800772

    Jan5600883

    Feb900605

    Mar80079

    Apr70090

    May85080

    June89079

    July1340159

    Aug1498156

    Sep2036153

    Oct599118

  • Top 10 ER ADMISSIONS (n = 599)October 2013September 2013

    CasesN%1Pneumonia 13522.5%2Dengue (DFS, DHF)9515.8%3SVI9315.5%4Acute Gastroenteritis6711.1%5Urinary Tract Infection497.8%6Bronchial Asthma477.8%7Febrile Convulsion (BFC, CFC)294.8%8Acute Nasopharyngitis254.1%9Acute Tonsillopharyngitis213.5%10Viral Exanthem132.1%

    CasesN%1Pneumonia (PCAP, BPN)45922.5%2Systemic Viral Illness23511.5%3URTI (ANP, ATP)1788.7%4Dengue (DFS, DHF)1567.8%5Urinary Tract Infection623.0%6Acute Gastroenteritis602.9%7Febrile Convulsion (BFC, CFC)331.6%8Seizure Disorder211.0%9Bronchial Asthma281.4%10Traumatic Brain Injury180.9%

  • Top 10 ER ADMISSIONS (n = 599)

    CasesN%1Pneumonia 13522.5%2Dengue (DFS, DHF)9515.9%3SVI9315.6%4Acute Gastroenteritis6711.1%5Urinary Tract Infection497.8%6Bronchial Asthma477.8%7Febrile Convulsion (BFC, CFC)294.8%8URTI254.1%9Acute Tonsillopharyngitis213.5%10Viral Exanthem132.1%

  • Duration of ER Stay

    AugustSeptember< 6 hrs929120772hrs4266

  • Duration of ER Stay

    # of hrs# of patients 72 hrs14

  • Duration of ER Stay

    Mean11.54Median14 hoursMode

  • NICU Admissions (n = 6)

    NameAge/SexDate Length of stayAdmitting Diagnosis RICJumawan, Angelo1DOL/M10/01/133 hrsPT 29-30wks, Neonatal PneumoniaRamirezAntonio, Mary Joy1DOL/F10/02/136 hrsPT 30 wks BS, r/o RDS vs Neonatal PneumoniaRogelioDiaz, Xyrille Grace17DOL/F10/7/136 hrsFT, Neonatal Pneumonia R/O SepsisRamirezFlores, Vironia3DOL/F10/12/136 hrsFT, Sepsis, CNS InfectionCumigadMolina, Jaminah12DOL/F10/19/1318 hrsFT, Neonatal Pneumonia, Sepsis, t/c CNS InfectionGoDomondon, Bb boy1DOL/M10/245 hrsPT , 31wks, SGA, Neonatal Pneumonia, t/c RDS,Torres, C.

  • RICU ADMISSIONS (n = 21)

    NameAge/SexDate Length of stay(hrs)Admitting Diagnosis RICMiranda, Andrew6/M10/01/132DSS IIITorres, M.J.Sia, Kristel13/F10/01/133DSS IVRamirez San Agustin, Charliene14/F10/02/131DSS IVPuaAlajid, Mary Kaye3/F10/03/132DSS IVPambid Tamayo, Francine7/F10/03/132DSS IIIPambidAndales, John11/M10/6/132AKI sec to RPGNPambidBelicena, Florenches1/F10/6/136Status EpilepticusCumigadPanganiban, Janna1mo/F10/8/1312PCAP-DRaycoYangao, Raileigh2/F10/9/135BAIAE, PCAP-DTorresAranches, Christian6/M10/9/133DSS IIIRamirez

  • RICU ADMISSIONS (N = 21)

    NameAge/SexDate Length of stay(hrs)Admitting Diagnosis RICPagubayan, Albert18/M10/10/133DSS IIIRogelioMasilang, Marty9/M10/10/133DSS IIITorres, C.Pecante, Charlene10/F10/10/134DSS IIIRogelioAmian, Rainier2/M10/14/138Bronchial Asthma in Acute Exacerbation, PneumoniaRogelioTalar, Sheena3/F10/15/137Bronchial Asthma In Acute Exacerbation, PneumoniaAsuncionCrueta, Ma.Theresa 14/F10/18/136Diabetic Ketoacidosis, SevereTorres

  • RICU ADMISSIONS (N = 21)

    NameAge/SexDate Length of stay(hrs)Admitting Diagnosis RICTalabong, Razel Ann1mo/F10/17/136 hrsPneumonia, Severe, Late Onset SepsisPambid Elbabuena, Kharla15y/F10/19/132 hrsDSS IIICabal Gualberto, Deniela9y/F10/19/1320 hrsHypertensive Urgency, t/c CHDRaycoPansoy, Mary Joy8/F10/23/133 hrsDSS IIIGoSalas, Caszane2mo/F10/29/135 hrsBronchiolitis, PCAP D t/c SepsisRogelio

  • ER MORTALITIES (n = 5)

    NameAge/SexDate Admitting DiagnosisMortality DiagnosisLength of stay(hrs)RICBaby Boy Talogan3HOL/M10/01/13FT, Neonatal Pneumonia, Multiple Congenotal Anomalies, t/c Edwards SyndromeSeptic Shock, Multiple Congenotal Anomalies, t/c Edwards Syndrome52CabalRelampago, Trish Jane1/F10/03/13Septic Shock, t/c MeningococcemiaSeptic shock, DIC22Pambid Varona, Fau Arvin1/M10/05/13PCAP-CCHD-PDADown SyndromeSeptic shock,PCAP-D, DIC sec to Sepsis, CHD-PDADown Syndrome5RamirezAlzaga, Albert14DOL/M10/21/13Septic Shock, Hyperbilirubinemia secondary to sepsisSeptic Shock, Hyperbilirubinemia secondary to sepsis4PambidMagundayao, Baby Boy4HOL/M10/21/13PT, 32 wks, SGA, Edwards SyndromePT, 32 wks, SGA, Edwards Syndrome7Asuncion

  • NameAge/SexDate Admitting DiagnosisLength of stayHospitalRICCardiel, Mark2mo/M10/1/13PCAP-D, Disseminated TB5daysSan Lazaro HospitalRamirezLucing, April5/F10/20/13SMA9 hrsNational Childrens HospitalTorresSucayre, Argel1/M10/29/13PCAP-Dt/c Pertussis14 hrsSan Lazaro HospitalRamirez

  • NameAge/SexDate Admitting DiagnosisLength of stayRICDiaz, Shahanah2DOL/F10/16/13Neonatal Seizure, CNSI VS metabolic10 hrsTorres, MJ

  • Dead on Arrival(n = 2)

    NameAge/SexDate Anicete, Paula2/F10/18/13Clores, Saldino45/M10/29/13

  • Thank you

    This corresponds to the number of patients seen at the ER triage. In contrast to the previous months, for the October census we excluded the number of patients who were directed to the OPD for consultation.

    As you can see, majority of the patients were seen at the ER, either admitted or as drop in. 15.68% went to other hospitals. This is in line with the limited number of admissions we were allowed to have since the service ward, and eventually the pay ward, were under renovation. 6 patients went home against medical advice and 3 patients absconded.**Out of the 721 patients, 599 were labeled as ER admissions. A greater part of these patients were eventually discharged also from the ER. 42.24% were admitted and eventually discharged from the short stay unit, 28.04% were were seen only as drop-in patients, and 28.05% were transferred either to the ward, pediatric or neonatal ICU. 3 patients were coordinated and transferred to other hospitals. These patients were transferred upon the suggestion of the concerned subspecialties since the service ward were already unable to accommodate their admission at that time. We have 2 DOAs and 4 mortalities.*This graph only shows the comparison between this month and last months tally. As you can see, there is a significant decrease in the number of service patients seen at the ER and again, this is attributable to the hospital renovation.No significant change is seen for the number of pay patients. The decrease, though, can still be related to the limited number of patients we were allowed to admit, particularly during the latter part of the month.*Patients diagnosed with the conditions enlisted in the top 10 ER admissions constitute around 95% of the total number of admissions. Topping the list is Pneumonia (22.5%), Dengue (15.9%) and SVI (15.6%). The remaining 5% are composed primarily by patients of the subspecialty services such as the leukemias of the Hema-Onco service, Epilepsy, Nephrotic Syndrome, and others.*For the previous months, the duration of ER stay was tallied and grouped into