Title |
Emergency medicine in Zanzibar: the effect of system changes in the emergency department
|
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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
Geographical breakdown
Country | Count | As % |
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Puerto Rico | 2 | 50% |
South Africa | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 2 | 50% |
Practitioners (doctors, other healthcare professionals) | 2 | 50% |
Mendeley readers
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% |