Awareness and practice of patients' rights among hospitalized patients at Wad-Medani Teaching Hospital, Sudan.

Patients' rights are a fundamental human right and an important part of modern health care practice. This is a cross-sectional descriptive analytic study, conducted amongst 263 patients at Wadi-Medani Teaching Hospital, Sudan, in March-April 2015. Most patients (95.2%) did not know about the Bill of Rights and most of them (92.8%) were not able to mention any of the patients' rights. The most practiced rights were: the right to be asked for permission before examination (88.1%), proper handling (87.8%), safety of the hospital (87%), presence of a third person when examining a female by a male doctor (85.6%), and admission file confidentiality (75.5%). The awareness of Sudan FMOH Patients' Bill of Rights was very low among patients at Wad-Medani Teaching Hospital, yet they showed a high satisfaction rate probably due to their low socioeconomic status, educational level and expectations. Therefore, awareness of patients' rights must be increased.

Enhancing Clarity and Patient Safety: Evaluating the Inclusion of Laterality in Orthopaedic Outpatient Correspondence in Galway, Ireland.

Background In medical documentation, accurate mention of laterality, whether a condition or treatment pertains to the left or the right side of the body, is critical for avoiding errors like wrong-site surgeries, which can have severe repercussions. This study aims to assess compliance regarding the mention of laterality in outpatient clinic letters at Galway University Hospital. Methods An analytical cross-sectional study was conducted at Galway University Hospital from February to August. We reviewed outpatient letters in the Orthopaedic Department. The Fisher exact and Chi-square tests were employed to observe the association between the levels of practitioners and laterality. Results A total of 278 outpatient letters from 37 practitioners in one week were analyzed. The overall laterality rate was 65.1%. It was observed that there was a male predominance in the workforce (31; 83.8%). Conclusion In conclusion, our study revealed satisfactory improvement in the prevalence of mentioning laterality among healthcare providers. It is recommended that educational sessions and re-auditing be carried out to enhance the quality of care.

Assessing the Influence of Age, Weight, and Pirani Score on the Number of Casts During the Initial Phase of Clubfoot Treatment Using the Ponseti Method: A Prospective Study.

Background: Clubfoot, also known as congenital talipes equinovarus is a prevalent childhood ailment that, if untreated, can lead to long-term discomfort and impairment. The Ponseti technique, aimed at achieving corrected foot positioning, is widely accepted. This study investigated the influence of clubfoot severity (Pirani score), patient age, and initial manipulation and casting weight on the overall number of casts needed for effective treatment. Methods: A prospective study was carried out involving 40 idiopathic clubfoot patients where manipulation and casting were performed following the Ponseti method. Patient age, weight, and foot Pirani score were evaluated concerning the total number of casts needed to achieve 70° of abduction. Results: The majority of participants were male infants aged 4-6 months, with a median age of 4.5 months. Half of them weighed between 3.00 and 4.99 kg at their first hospital visit, with a median weight of 3.20 kg. Bilateral clubfoot involvement was common (57.5%). Children with Pirani HFCS 2.0-3 often required percutaneous tenotomy (87.5%, p value 0.05). On average, patients needed 5 casts (range 3-9). The mean total Pirani scores were 4.71 for the right foot and 4.61 for the left foot. The study reported a positive correlation between higher total Pirani scores and the required number of casts. Conclusions: The Pirani scoring system is highly accurate in assessing clubfoot severity and predicting treatment success. It emerged as the single most significant predictor for both the total number of casts and the need for percutaneous tenotomy.

Awareness and practice of patients' rights among hospitalized patients at Wad-Medani Teaching Hospital, Sudan

Patients' rights are a fundamental human right and an important part of modern health care practice. This is a cross-sectional descriptive analytic study, conducted amongst 263 patients at Wadi-Medani Teaching Hospital, Sudan, in March-April 2015. Most patients [95.2%] did not know about the Bill of Rights and most of them [92.8%] were not able to mention any of the patients' rights. The most practiced rights were: the right to be asked for permission before examination [88.1%], proper handling [87.8%], safety of the hospital [87%], presence of a third person when examining a female by a male doctor [85.6%], and admission file confidentiality [75.5%]. The awareness of Sudan FMOH Patients' Bill of Rights was very low among patients at Wad-Medani Teaching Hospital, yet they showed a high satisfaction rate probably due to their low socioeconomic status, educational level and expectations. Therefore, awareness of patients' rights must be increased

Les droits des patients constituent un droit humain fondamental et représentent une partie importante de la pratique des soins de santé modernes. Le présent article concerne une étude analytique descriptive transversale menée auprès de 263 patients entre mars et avril 2015. La plupart des patients [95,2%] n'étaient pas au courant de l'existence de la déclaration des droits, et la majorité d'entre eux [92,8%] n'était pas en mesure de citer ne seraitce qu'un droit des patients. Les droits appliqués le plus souvent étaient les suivants : le droit à être consulté avant tout examen clinique [88,1%], un traitement adéquat [87,8%], la sécurité des hôpitaux [87%], la présence d'une tierce personne lors de l'examen d'une patiente par un docteur de sexe masculin [85,6%], et la confidentialité des dossiers d'admission [75,5%]. Un très faible pourcentage des patients de l'hôpital universitaire de Wad-Medani avait connaissance de la déclaration des droits des patients du ministère fédéral de la Santé soudanais. Pour autant, les patients affichaient un taux élevé de satisfaction, certainement dû à leur faible statut socio-économique, à leur bas niveau d'éducation et à leurs attentes limitées. La connaissance du droit des patients doit donc être améliorée