Browsing by Author "Garg, N."

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    Analysis of feedback of private wards patients: missing links in patient satisfaction in services at tertiary care public hospital
    (Medip Academy, 2023-03) Garg, R.; Garg, N.; Talwar, Y.
    Background: Feedback of client/customer is the key for improvement in any services. It is a precious input for identifying gaps and developing an effective action plan for quality improvement in any organization. Hence, patient feedback on services provided by the health care organization is important quality tool for improvement of services both in public and private hospitals. With the back ground this study was conceptualized with the aim to analyse feedback of inpatients admitted in private wards of a government tertiary care hospital of India, regarding hospital personnel and for basic amenities provided by the hospital. Methods: This was a record-based study where predesigned feedback forms of one year were analysed. Feedback was categorized under three themes and subthemes which were services provided by the hospital, infrastructure of the hospital and feedback with respect to the care provided by the hospital staff. Results: 80% patients were dissatisfied with the delay in conduct of investigations and receipt of reports and cleanliness in ward, housekeeping services and quality of food. As far as clinical care and soft skills of healthcare providers are concerned, 80% of the patients were satisfied by the care provided by doctors and nurses. Suggestions were analysed and implemented to strengthen the service delivery to initiate quality assurance. Conclusions: Major factors for dissatisfaction among patients are the unscientific processes which can be improved with minimum cost.
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    Study of nerve conduction parameters in median nerve in diabetic patients that were asymptomatic for neuropathy
    (?Eldaghayes Publisher, 2024-12) Arora, M; Garg, N.
    Background: Diabetic neuropathy (DN) is the most frequent and debilitating complication of diabetes mellitus but many patients are asymptomatic for DN, thereby placing them at risk for developing serious complications in hands and feet. Aim: Our study was done to detect subclinical diabetic peripheral neuropathy in early stages in motor fibers of median nerve using nerve conduction studies and compare the findings with age- and sex-matched healthy controls. Methods: Cases consisted of one hundred patients of type 2 diabetes mellitus but asymptomatic for peripheral neu- ropathy. Twenty-five normal, healthy individuals served as controls. The studies of distal latency, amplitude, and conduction velocity of motor fibers of right and left median nerves were performed. Results: There was a statistically significant increase in mean distal latency and decrease in motor nerve conduction velocity (MNCV) for median nerve on both sides in cases versus controls. The mean CMAP (compound muscle action potential) amplitude was decreased in both median nerves in cases versus controls, which was statistically significant on right side but on left side the difference was not statistically significant. Data are presented as mean ± SD. Results were evaluated by unpaired t-test. A level of p < 0.05 was accepted as statistically significant. Conclusion: The study showed significant impairment of median nerve motor conduction parameters in T2DM patients who were asymptomatic for features suggestive of peripheral neuropathy when compared with apparently healthy individuals. The findings in our study further strengthen the existing literature in respect of median nerve neuropathy in T2DM with stress on early screening, detection, and quick therapeutic intervention in people with or without symptoms of DN.