Client satisfaction on Emergency department services and quality of emergency medical care in Ethiopia: A systematic review

2019 ◽  
Vol 27 ◽  
pp. 23-31
Author(s):  
Addis Adera Gebru ◽  
Ali Mohammad Mosadeghrad ◽  
Ali Akbari Sari ◽  
Tadesse Bekele Tafesse ◽  
Woldegebriel Gebreegziabher Kahsay
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Medical Care ◽  
Client Satisfaction ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals P084: The sky is not the limit! Protocol for a rapid systematic review on the use of drones in emergency medicine

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S93-S94
Author(s):  
L. Lapointe ◽  
C. Buisson ◽  
R. Fleet
Keyword(s):  
Systematic Review ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Medical Care ◽  
Empirical Research ◽  
Search Strategy ◽  
Bibliographic Databases ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Literature Reviews

Introduction: Drones are already being used in medicine. They are employed to transport blood products and laboratory samples in rural and remote areas and they are increasingly being tested to deliver external defibrillators outside the hospital to patients with cardiac arrest. As this technology rapidly develops and attracts the attention of the scientific community, we present a rapid systematic review protocol that aims to synthesize the scientific evidence that has tested the use of drones to provide emergency medical care. Methods: A search strategy incorporating the concepts of ‘drone’ and ‘emergency medicine’ was launched in 52 bibliographic databases, including CINAHL and PubMed. Using the artificial intelligence module included in DistillerSR, a reviewer completed the first screening phase by reading the title and abstract of the retrieved articles. To be included, articles had to report empirical research projects that tested the potential uses of drones to improve the quality and accessibility of emergency medical care. These selection criteria were applied to the full text of the included articles during the second screening phase by a single reviewer. The results of these two screening phases will be validated by a second independent reviewer. The bibliography of included studies, relevant scientific journals and literature reviews will be manually searched for relevant articles. Results: The search strategy retrieved 1809 articles, of which 22 met our inclusion criteria in the first and second screening phases. Of these, one study used an empirical research design (qualitative interviews) to evaluate the usefulness of drones in emergency medicine, 17 used simulations or scenarios, and four were comprehensive literature reviews on the use of drones to provide healthcare. The final review will synthesize evidence related to the use of drones in emergency medicine and its impact on emergency medical services: nature of the emergency situation (cardiac arrest, blood transfusion), type of drone (fixed wing, quadcopter), tasks performed by drones (transport, surveillance), improvement in access or quality of care (patient's health, time saved in providing services). Conclusion: Drone technology is evolving rapidly and the indications for its use in providing emergency care is increasing. This rapid systematic review will focus on scientific studies aimed at testing the effectiveness of drones to improve the quality and access to emergency medical care.

scholarly journals The New Japanese Postgraduate Medical Education and Quality of Emergency Medical Care

2012 ◽  
Vol 43 (3) ◽  
pp. 494-501 ◽  
Author(s):  
Yasuharu Tokuda ◽  
Eiji Goto ◽  
Junji Otaki ◽  
Fumio Omata ◽  
Mina Shapiro ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Care ◽  
Postgraduate Medical Education ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals Medical quest as a method of distance simulation training

2021 ◽  
pp. 64-67
Author(s):  
S. V. Khodus ◽  
Vladimir S Oleksik
Keyword(s):  
Medical Care ◽  
Simulation Training ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Before And After ◽  
Simulation Scenario

A study was conducted among 76 students who passed the Olympiad competitions on practical medical skills in an innovative remote format. The data obtained indicate the effectiveness of distance simulation training, which was evaluated by students answering test questions before and after passing the competition task, as well as by evaluating the actions of students during the remote passage of the simulation scenario. The proposed method of remote simulation allowed to increase the quality of knowledge of certain issues of emergency medical care.

scholarly journals The choice of the method of patients triage in the system of emergency medicine

2021 ◽  
Vol 22 (2) ◽  
pp. 17-24
Author(s):  
L. T. Mirvarisova ◽  
Kh. E. Anvarov
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Care System

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.

scholarly journals Client’s satisfaction towards emergency medical care at Ayder comprehensive specialized hospital, Mekelle, Ethiopia

2020 ◽  
Author(s):  
Goitom Molalign Takele ◽  
Negash Abreha Weldesenbet ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Emergency Room ◽  
Medical Care ◽  
Emergency Department Patient ◽  
Family Satisfaction ◽  
Emergency Medical Care ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Emergency Medical

Abstract Background: As assessing client’s experience are important guide towards services improvement, providers will need to fully understand patient satisfaction level and their determinants. This study was aimed to assess the level of satisfaction towards the emergency medical care and associated factors at emergency department of Ayder specialized comprehensive hospital, Mekelle, Ethiopia.Methods: A cross-sectional study was conducted from March 1–30, 2019. Systematic random sampling method was used to enroll study participants. Data was collected using a standard Brief Emergency Department Patient Satisfaction Scale questionnaire by trained data collectors. Data was entered into EpiData 3.1 then exported and analyzed by SPSS version 22. Binary and multiple logistic regression was used to assess the predictor’s patient satisfaction.Results: A total of 299 participants were enrolled in the study with a response rate of 99.3%. The overall client’s satisfaction was 81.9%. The lowest satisfaction rate was reported towards emergency room environment, and patient family satisfaction 37.5%, and 49.8% respectively. Educational status those who were able to read and write (AOR = 3.9, 95% CI: 1.4, 10, P = 0.008), those who arrived during the morning shift of the day (AOR = 3.6, 95% CI: 1.6, 8.7, p = 0.002), those who waited < 15 minutes to be seen by a doctor (AOR = 1.3, 95% CI: 1.003, 1.4), having felt discriminated (AOR = 1.5, 95% CI: 1.003, 1.4) were significantly associated determinants of client satisfaction.Conclusions: The overall client’s satisfaction in this study was found to be good. There is a low satisfaction towards emergency room environment and patient’s family courtesy. It is important to readjust emergency room services to improve client’s courtesy, avoid feeling of discrimination by clients and overall to improve the quality of care in the emergency department.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

The emergency medical system

2015 ◽  
Author(s):  
Marc Sabbe ◽  
K Bronselaer ◽  
O Hoogmartens
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical Care ◽  
Hospital Emergency ◽  
High Quality Research ◽  
Emergency Medical ◽  
System P ◽  
Quality Of Medical Care

The mission of the emergency medical services is to promote and support a system that provides timely, professional, and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time or location and at any phase of the emergency incident. These phases include lay people’s prevention and preparedness, occurrence of the problem, its detection, alarming of trained responders, help provided by bystanders and trained pre-hospital providers, transport to the appropriate hospital, and, if necessary, admission or transfer to a more appropriate hospital. In order to meet the goal outlined, emergency medical services must work closely with local and state officials—fire and rescue departments, other ambulance providers, hospitals, and other agencies—to foster a smooth functioning network. The term emergency medical services evolved to reflect a change from a simple system of ambulances, providing only transportation, to a system in which actual medical care is given at the scene and during transport. Medical supervision and/or participation of emergency medicine physicians in the emergency medical services systems contribute to the quality of medical care. This emergency medical services network must be capable of responding instantly and reliably around the clock, with well-trained, well-equipped personnel linked, as needed, through a strong communication system. Research plays an important role in conserving resources and improving the delivery of health care. This chapter gives an overview of the different aspects of emergency medical services and calls for high-quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.

scholarly journals Breadth of Emergency Medical Training in Pakistan

2013 ◽  
Vol 28 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Janet Y. Lin ◽  
Saroosh Ahmed ◽  
Caroline Brander
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Chart Review ◽  
Medical Training ◽  
University Hospital ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Medical Education And Training ◽  
Medical Discipline

AbstractIntroductionEmergency medical care in Pakistan has not been a priority of medical education and training because of the country's need to address its lack of primary care. Resources and trained personnel are scarce. Despite these challenges, the value of emergency medical care is gaining attention. The objective of this study was to explore the breadth of Emergency Medicine training in Pakistan through an analysis of an Emergency Medicine residency in a teaching hospital. The Aga Khan University Hospital in Karachi is a teaching institution with the only Emergency Medicine residency program in the region. It was started in 2000, led by US-trained physicians, and it laid the foundation for Emergency Medicine in the country.MethodsThe study was conducted over a four-week period in January of 2009. Data collection consisted of three components: (1) a survey of the Emergency Department and hospital services; (2) a survey of the Emergency Medicine training curriculum; and (3) a retrospective chart review of every tenth patient seen in the Aga Khan Emergency Department from December 1-14, 2008.ResultsThe training program is similar to that of the US models. Of the 153 patients selected for the chart review, the majority presented with GI complaints. Of these, 51 (33%) were admitted to the hospital; 20% (n = 15) left against medical advice; the remaining 57% (n = 87) were discharged.Discussion/ConclusionThe hospital admitted patients with complaints that were expected in the region. Although Aga Khan University Hospital is a pioneer in establishing Emergency Medicine as an official medical discipline in the region, the hospital's obstetrics and gynecology, trauma, toxicology and prehospital services training do not meet current curriculum standards set forth by the Society of Academic Emergency Medicine and the Council of Emergency Medicine Residency Directors. Nevertheless, the review provides a snapshot of the development of Emergency Medical Services in a developing nation. This information may assist other nations that are interested in developing such programs.LinJY, AhmedS, BranderC. Breadth of emergency medical training in Pakistan. Prehosp Disaster Med. 2013;28(2):1-5.

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