Inappropriate Admission and Hospitalization in Maternity and Children Teaching Hospital in Al-Diwaniya City, Iraq

Objectives: Assessment, degree and associated factors of in appropriateness of admission in children hospital`s wards in Al-Diwaniya city, Iraq, with the impact of other variables. Methods: It is across-sectional study on asample of children who presented in the emergency unit of the children teaching hospital. The following data were taken which include socio demography qualities; address; the date, ward, the days in the week, and admission types. The study performed over a6-month period (December2016 to June 2017). All of 1,723 admissions, were reviewed. (Using the Pediatric Appropriateness Evaluation Protocol for children patients). Results: A total of 1723children was surveyed. Overall, 25.1% from the hospital`s admissions were appeared to be inappropriate. Our result shows their proper admission was significantly higher with the age between 1 – 5 year (p<0.001).The inappropriate hospitalizations were essentially higher if patients were females, and if admissions were non- urgent. The fundamental purposes behind improper utilize were doctor's facility association and an over-wary doctor in the admissions of a patient and referral to hospital`s emergency room by doctors work out the hospital. Patients presented during holidays demonstrated a high percent, also improper admissions were higher for medical rather than surgical patients (P<0.001) at presentation. Conclusion: improper admission is high in maternity and children teaching hospital in Al-Diwaniya, most likely because of the generally free social insurance administrations, parental inclination for healing center care, simple access to clinic administrations, and deficient instruction about the condition of the case. Recommend the requirement for a more communication amongst doctor's facility and group based administrations to lessen such impropriety and for a proceeding with a training framework to characterize institutionalized rules.