Health care

The Ministry of Health issues guidelines for hospitals in various departments

Addressing the huge inconsistency and lack of accountability in the transfer function, the Union Ministry of Health has for the first time issued inter-departmental transfer guidelines for hospitals to facilitate better communication and collaboration.

The ‘Guidelines for Inter-Departmental Referral (within hospitals)’ emphasizes that referrals should be initiated immediately when patients require specialized care, diagnostic tests or consultations beyond the scope of the department of care.

Submissions of advisor opinions should only be written by advisors and that citizens should not close postings themselves without consulting their advisors, said the guidelines released on June 7.

The on-call consultant should review the referral report that his team has taken care of the previous day, a step that will help improve patient care and improve resident education.

“The referral process is an important part of quality patient care in any medical facility, Director General of Health Services, Union Ministry of Health,” Dr. Atul Goel said in the document.

“Problems such as poor coordination and communication, unclear procedures, unfamiliar forms, and inadequate training for health professionals are common and can ultimately harm the patient,” said Dr. Goel.

The duties of different professional levels are often not defined, which creates gaps in patient care, he said, emphasizing that many patients who visit hospitals have multiple illnesses and require a different approach to practice.

The document stated that a strong and effective transfer system should be an important part of the training of citizens as well. After staying while they enter the health care center to practice, this training will be very useful for them.

“However, problems can arise in any interdepartmental transfer process, including delays in the processing/availability of transfers, communication breakdowns, and differences in procedures. of transferring departments across departments,” it said.

“To deal with these problems, hospitals must implement standard referral procedures, reduce referral work flow, and provide education and training to health care providers and staff involved in the transfer process. transmission.”

“Currently, when there are no clear guidelines, it has been observed that there are different methods of transfer. Each department and individual has his own way of sending and attending meetings .Documents are also variable and inconsistent. Younger residents (first or second year post-graduates) in particular see referrals where higher scores may be required. There are conflicts between departments regarding transfers,​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

The guidelines stated that departments can prepare a list containing the names of officers in different departments with contact numbers and attendance of teams on different days, time; destination to be sent to. “This should be available on the website and publicized within the institution,” it added.

“The transfer should help the management of patients without burdening the department that transfers a large list of research. Any research made by the transfer team should be fully justified from the analysis provided,” the guidelines said.

Among the Do’s, the guidelines stated that referrals should be written accurately and thoroughly, including accurate clinical information, expected outcomes from the referral, patient preferences, and other specific instructions.

“Communicate clearly and effectively with receiving departments, providing necessary clinical information and patient conditions to facilitate appropriate diagnosis and management,” it said.

The guidelines emphasized tracking referrals and coordinating changes in care, ensuring that patients receive the necessary follow-up options, treatments and interventions.

It also needs to seek input from providers and receiving departments to identify areas that need to be improved and strengthen the efficiency and effectiveness of the referral process and prioritize patient-centered care, considering on patient preferences, criteria and treatment goals in the referral process and treatment planning. .

Among the don’ts, the guidelines stated not to delay referral unnecessarily as this could compromise patient care and cause adverse outcomes.

“Do not omit important clinical information or documentation when initiating referrals as this may hinder the receiving department’s ability to provide appropriate care. Do not assume that all referrals are routine or expedite them; carefully evaluate each patient’s clinical presentation and determine the appropriate level of priority,” the guidelines said.

“Do not hesitate to add urgent appointments or ask for help from colleagues or hospital management if there are delays or obstacles in the transfer process on time,” it said.

The document stated that special situations may arise during the compliance of the provisions that require special attention and handling for example if the transfer is denied or rejected by the specialist or the receiving department, the reasons for such refusal to the department and transferred through other care systems. should be transferred.

“If a patient fails to attend a scheduled transfer or is not in bed, the patient/treatment team should be followed up to determine the reasons for the absence and address any concerns or concerns,” it added.

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