Evaluation of emergency care education and triage implementation: an observational study at a hospital in rural Liberia
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Le résumé fourni par la source
INTRODUCTION: In Liberia, emergency care is still in its early development. In 2019, two emergency care and triage education sessions were done at J. J. Dossen Hospital in Southeastern Liberia. The observational study objectives evaluated key process outcomes before and after the educational interventions. METHODS: analyses were used to test for significance. ORs were calculated for key predetermined process measures. RESULTS: There were 8222 patient visits recorded that were included in our analysis. Patients in the post-intervention 1 group had higher odds of having a documented full set of vital signs compared with the baseline group (16% vs 3.5%, OR: 5.4 (95% CI: 4.3 to 6.7)). After triage implementation, patients who were triaged were 16 times more likely to have a full set of vitals compared with those who were not triaged. Similarly, compared with the baseline group, patients in the post-intervention 1 group had higher odds of having a glucose documented if they presented with altered mental status or a neurologic complaint (37% vs 30%, OR: 1.7 (95% CI: 1.3 to 2.2)), documented antibiotic administration if they had a presumed bacterial infection (87% vs 35%, OR: 12.8 (95% CI: 8.8 to 17.1)), documented malaria test if presenting with fever (76% vs 61%, OR: 2.05 (95% CI: 1.37 to 3.08)) or documented repeat set of vitals if presenting with shock (25% vs 6.6%, OR: 8.85 (95% CI: 1.67 to 14.06)). There was no significant difference in the above process outcomes between the education interventions. CONCLUSION: This study showed improvement in most process measures between the baseline and post-intervention 1 groups, benefits that persisted post-intervention 2, thus supporting the importance of short-course education interventions to durably improve facility-based care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Evaluation of emergency care education and triage implementation: an observational study at a hospital in rural Liberia
- Date Crossref
- 01/05/2023
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Partners In Health Libéria (pays nommé en fin d’affiliation)Organisation à but non lucratif
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Michigan Medicine pays non établi dans la noticeÉtablissement de santé
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University of Colorado Anschutz Anschutz Medical Campus pays non établi dans la noticeUniversité ou école supérieure
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University of Illinois Chicago Department of Emergency Medicine pays non établi dans la noticeUniversité ou école supérieure
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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McGill University pays non établi dans la noticeUniversité ou école supérieure
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Boston University pays non établi dans la noticeUniversité ou école supérieure
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Brigham and Women's Hospital Division of Pulmonary and Critical Care pays non établi dans la noticeÉtablissement de santé
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University of Michigan Division of Hospital Medicine pays non établi dans la noticeUniversité ou école supérieure
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Harvard Medical School pays non établi dans la noticeInstitution
Partners In Health (Libéria), Michigan Medicine et Anschutz Medical Campus — University of Colorado Anschutz, avec 7 autres affiliations. Pays d’affiliation : Libéria.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.