Medication errors remain a leading cause of preventable harm worldwide. Existing safety assessments rely mainly on audits and staff reports, which often overlook patients’ perspectives. Patient-Reported Experience Measures (PREMs) offer a structured way to capture patients’ views on medication administration safety. However, no PREM tool has been developed in India. To develop, validate, and apply a patient-centred PREM tool for assessing medication administration safety in Indian hospitals. This prospective, multicentre study was conducted across 16 hospitals (September 2023–April 2024). Tool development followed standard questionnaire design processes, including expert focus groups, face/content validation, and piloting. The final 15-item checklist used binary (yes/no) responses. Reliability was assessed using Kuder-Richardson Formula 20 (KR-20). A total of 614 adult inpatients (>24 h stay) completed the questionnaire. Content validity indices showed excellent agreement (S-CVI/Ave = 0.96). Internal consistency was acceptable for an early-phase validation study (KR-20 = 0.66). High adherence was reported for safety practices such as identity verification (95.0%) and allergy history documentation (94.8%). Areas for improvement included cost communication (68.6%) and disclosure of side effects (67.4%). Missed or skipped doses were reported by 17.3% (95% CI, 14.5%–20.5%) of patients. This is the first multicenter effort in India to developed and early-phase validated a PREMs tool for medication administration safety. The tool demonstrated feasibility and patient acceptability, while highlighting key safety gaps. Future work will focus on psychometric refinement and wider application, including integration into national quality assurance frameworks.
Broad ligament fibroids, a rare subset of uterine leiomyomas, present unique diagnostic and surgical challenges due to their extrauterine location and potential to mimic adnexal masses. We present two illustrative cases: a 37-year-old parous woman with early satiety and abdominal pain found to have a 25×20 cm pseudo-broad ligament fibroid extending to the right lumbar region, successfully managed with ureteric catheterization and open enucleation; and a 50-year-old parous woman with abdominal pain from a 27×15×5 cm fibroid, treated via TAH+BSO with preoperative stenting. These cases highlight the diagnostic dilemmas posed by broad ligament fibroids, the indispensable role of MRI in surgical planning, and the importance of tailored approaches ranging from fertility-sparing techniques to definitive surgery. Both instances underscore the necessity of meticulous preoperative preparation, including ureteral protection strategies, and demonstrate how individualized management based on patient age, symptoms, and reproductive goals can lead to successful outcomes despite the anatomical challenges inherent to these rare tumors.
Postoperative acute painless parotid gland swelling, which is a rare complication has been reported after caesarian section (CS) under neuraxial anaesthesia. Here, we present a parturient who suffered from acute parotitis, which developed after elective repeat CS under spinal anaesthesia.
Although leiomyomas are common this case is being reported due to its uniqueness as it posed challenges at all levels of pathological rarity and management. Symplastic leiomyoma is an unusual benign variant of leiomyoma with less likelihood of malignant transformation. In our case report we present a 28-year-old nulligravida who presented to our OPD with Fibroid uterus detected on scan and myomectomy specimen done revealed a rare pathological diagnosis of symplastic leiomyoma and her followup.
