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Emergency medicine in Zanzibar: the effect of system changes in the emergency department

Overview of attention for article published in International Journal of Emergency Medicine, July 2015
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  • Above-average Attention Score compared to outputs of the same age (54th percentile)

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43 Mendeley
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Title
Emergency medicine in Zanzibar: the effect of system changes in the emergency department
Published in
International Journal of Emergency Medicine, July 2015
DOI 10.1186/s12245-015-0072-5
Pubmed ID
Authors

Oyvind Thomassen, Clifford Mann, Juma Salum Mbwana, Guttorm Brattebo

Abstract

Mnazi Mmoja Hospital is a tertiary hospital in Zanzibar serving a population of 1.2 million. The emergency department was overcrowded and understaffed and the hospital management initiated a quality improvement project. The aim of this article is to describe the approach, methods and main results of this quality improvement process. The Plan-Do-Study-Act (PDSA) method was used in a five-circle process. In addition, a consensus-based approach was performed to identify areas of improvement. Over a period of 6 months, regular staff meetings were implemented, a registration system was developed and implemented, the numbers of patients with simple problems were reduced, a simple triage tool was developed and implemented and an emergency room was established. Change and improvement in health care are achievable despite limited financial resources if a comprehensive, robust and simple system is used. Involvement of all stakeholders from the start, identification and use of change agents, regular feedback and a focus on human resources rather than equipment have been key factors for the success of this project.

X Demographics

X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 16%
Student > Master 7 16%
Student > Bachelor 5 12%
Professor 2 5%
Student > Doctoral Student 2 5%
Other 7 16%
Unknown 13 30%
Readers by discipline Count As %
Medicine and Dentistry 11 26%
Nursing and Health Professions 6 14%
Business, Management and Accounting 3 7%
Philosophy 1 2%
Chemical Engineering 1 2%
Other 6 14%
Unknown 15 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 July 2015.
All research outputs
#12,930,368
of 22,816,807 outputs
Outputs from International Journal of Emergency Medicine
#312
of 602 outputs
Outputs of similar age
#116,083
of 262,658 outputs
Outputs of similar age from International Journal of Emergency Medicine
#12
of 16 outputs
Altmetric has tracked 22,816,807 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 602 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.5. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 262,658 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.