WHO to include methods to record patients’ safety while shifting to facilities

Namrata Devikar
Monday, 25 June 2018

With the International Classification of Diseases (ICD-11) issued by World Health Organisation (WHO), a series on mapping the changing patterns of diseases based on social perspectives. ICD also captures factors influencing health, or external causes of mortality and morbidity, providing a holistic look at every aspect of life that can affect health.

Pune: Patients, while they are shifted from one medical facility to another, may face injuries. Through the International Classification of Diseases (ICD-11), World Health Organisation (WHO) will be including the methods to record patient safety and quality of care while shifting the patients. In case of India, many patients have to be transferred from rural hospitals to an urban medical facility in case of severe health conditions.

In ICD-11, WHO states that in this classification problem associated with the physical transfer of the patient, patient slips, entangles during the movement process. They bump, fall during movement or transfer with healthcare personnel without documented injury or harm should be included for better documentation.

Dr Meenakshi Deshpande, Secretary of Indian Medical Association (IMA) Pune Chapter said that in case of orthopaedic and bariatric patients, the chances of injuries during shifting are more.
“In case of accident patients, there can be injury or harm to the patient while transferring or shifting and there are also levels at which the patient might get injured. For example while transferring from the ward to the operation theatre (OT) or while taking the patients from OT to ward. In case of orthopaedic patients, carrying of patients can be critical as they might get injured,”she said. Continued on P2

“The neck and body are pulled while changing stretchers and hence the patient may suffer,” said Dr Deshpande. She added that in case of obese patients, there can be difficulty in lifting them which may cause injury.

“If the patient is semi-conscious or unconscious, the patient can have an injury while transferring. But in all medical establishments the patients are taken good care of as it is the duty of the staff and the doctors to provide better care to them,” added Dr Deshpande.

Talking about the documentation of the patient, Dr Ajay Vane, a resident doctor from Sassoon General Hospital (SGH) said the condition of the patient is observed and documented very well at the time of admission.

“We examine the patient physically and note down if any previous surgeries are done. At that time we also note if the patient has any injury marks or wounds and document it very well. So a fall, bump, slip or entanglement of the patient during movement with healthcare personnel are also included if there are any. But so far in my work I have never came across any such case,” said Dr Vane.

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