Today, August 14, 2012, while visiting the Philippine General Hospital, I was handed several copies of the newly created official “Admitting Orders” form of Department of Pay Patient Services of hospital. I was told that from now on, if I have to admit patients to the Pay Patient Services, I should use this form (see below). I can no longer use my personal pad or any other paper to put my admitting orders.
My reaction: Although I have not asked the specific reasons for creating this form from the people who thought of this idea, I welcome it right away from the point of view of a hospital administrator. I like to think the main general reason is to facilitate admissions to the Pay Patient Services.
In my Online Collaborative and Interactive Learning (OCIL) on Admitting Services which I conducted from 2010 to 2011, I was advocating for such a scenario, the presence of a standardized admitting order form (see excerpts below).
In my consultancy in Manila Doctors Hospital, I have repeatedly recommended that the estimated duration of inpatient stay of a patient should be noted by the admitting physicians at the time of admission and the attending physicians must always make known to the nurses and the Admitting Service the day of possible discharge of their patients. These information will facilitate turnover and admissions of patients in the waiting list. In the PGH form, note the presence of information to be filled in by the admitting physician. Length of Stay: more than 3 days; 1-3 days; 1-day admission. [Very Good!]
Excerpts from ROJoson’s OCIL on Admitting Service:
(For details, click on the following link: Physician-associated Issues on Bed Assignment Function of an Admitting Service)
QI.4.1.2 What are the benefits of standardizing the writing of a Hospital Admission or Admitting Order?
The benefits of standardizing the writing of a Hospital Admission or Admitting Order consist of the following: (assumption: presence of a computerized form collaborated by the physicians, Admitting Service staff, nursing staff, IT staff, and hospital administration)
Benefits of Standardization of a Hospital Admission or Admitting Order
|For the physicians writing a Hospital Admission or Admitting Order:||All the required information and instructions for use by the Admitting Service and nursing staff readily complied with (less chance of omission of required contents)Quality Hospital Admission or Admitting Order, particularly in terms of completeness|
|For the Admitting Service staff reading the Hospital Admission or Admitting Order:||Assured of complete information required for processing request for inpatient admission, particularly on bed assignment, thereby contributing to more effective and efficient processing and achievement of optimal cycle time|
|For the nursing staff reading the Hospital Admission or Admitting Order:||Assured of complete information and instructions required for coordinating the medical management of an admitted patient in the floor / ward, particularly, upon admission, thereby contributing to prompt, effective and efficient patient care.|
|For the hospital administration and IT staff||Readily contributes to a database that may be used for research.|