Objective: A survey was conducted for patient satisfaction (PS) in a private hospital in Hanoi, Vietnam using the Tools of Victorian Patient Satisfaction Monitor (VPSM) 2012. Methods: The study obtained feedbacks from patients from December 2013 to Jan 2014. After patients finished their outpatient care at the hospital, they were asked 25 questions following the VPSM. Each question can score from 1-5. Results: In total, 420 patients were interviewed and 396 patients completed the survey. Levels of customer satisfaction about service quality (SQ) were influenced by the VPSM with 6 items (25 score) and Cronbach alpha coefficient's 0.938, including: (1) Access and Admission, (2) General Patient Information, (3) Treatment and Related Information, (4) Complaints Management, (5) Physical Environment, and (6) Discharge And Follow, with highly Corrected Item-Total Correlation of six constructs of PS (from 0.749 to 0.885). Overall, the level of highly PS in the hospital was explained almost 77.347% what could be achieved. There is no difference in the assessment of the SQ for medical examination under the "Gender" and the "level of education", but there is a difference in the assessment of the SQ between the "monthly income level" with the model of research. Conclusions: Adjusted research model for the hospital has six constructs of levels of customer satisfaction about SQ is influenced by the VPSM with 6 items (25 score). The VPSM provides feedback on the SQ for medical examination of a private hospital experience from the adult outpatient's perspective at the developing nation as Vietnam country.
This study was designed to characteristics of 12-lead electrocardiogram (ECG) to compare the position of accessory pathway (APs) in the typical Wolff-Parkinson-White (WPW) syndrome, can be build a new ECG algorithm for the localization of AP. Subjects and method: In 189 patients with typical WPW syndrome have a single anterogradely conducting APs on 12-lead ECG parameters were compared with the localization of APs identified by successful radiofrequency catheter ablation (RCFA).
Objective: This study was to test the accuracy of the newly built electrocardiogram algorithm prospectively by us for the localizing accessory pathways (APs) in typcal Wolff-Parkinson-White (WPW) syndrome.
Subject and methods:A new algorithm is proposed for localization of AP by 12 lead electrocardiograms (ECG) before radiofrequeny catheter ablation (RCFA) in 109 patients were compared with AP location confirmed by successful RCFA.
Results:The new electrocardiogram algorithm for the localization of AP with high accuracy predicted by simple parameters such as delta wave polarity in lead V1, R/S ratio in V1, the QRS complex transition, delta wave polarity and QRS complex polarity in at least 2/3 inferior leads (DII, DIII, aVF) and QRS complex morphology was Qrs (Qrs, qRs, qrS) in at least 1/3 inferior leads with high sensitivity and high specificity from 75% to 100%.
Conclusion:The new ECG algorithms were high accuracy in predicting AP before intervention.
Objectives: This study was designed to characterize 12-lead electrocardiogram (ECG) for localization of the left free wall lateral accessory pathway (AP) in patients with typical Wolff-Parkinson-White (WPW) syndrome, to develop a new algorithm ECG for localizing APs, and to test the accuracy of the algorithm prospectively.
Method: We studied 129 patients; 84 patients had typical WPW syndrome with single anterograde AP identified by successful radiofrequency catheter ablation (RFCA), and were enrolled to build a new ECG algorithm for localizing left free wall APs. Then, the algorithm was tested prospectively in 45 patients and compared with the location of APs successfully ablated by RFCA.
Results: We found that the 12-lead ECG parameters in typical WPW syndrome, such as delta wave polarity in V1, R/S ratio in V1, transition of the QRS complex, and delta wave polarity in inferior, lead to diagnosis and localization of APs, with highest accuracy predicted from 74.5%-100%, and for development of a new ECG algorithm. From the 45 patients who were prospectively evaluated by the newly derived algorithm for the left free wall pathways, the sensitivity and specificity was high (from 75-100%).
Conclusion: The 12-lead ECG parameters in typical WPW syndrome are closely related to left free wall AP localization and can be used to develop a new ECG algorithm by the parameters above. Moreover, the new ECG algorithm can predict the location of APs with high accuracy.
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