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Consensus-based quality standards for emergency departments in Palestine.
Bani Odeh, Abed Alra'oof; Wallis, Lee A; Hamdan, Motasem; Stassen, Willem.
Afiliação
  • Bani Odeh AA; Emergency Medicine, University of Cape Town, Cape Town, Western Cape, South Africa abedsaleem@yahoo.com.
  • Wallis LA; Emergency Medicince, University of Cape Town, Cape Town, Western Cape, South Africa.
  • Hamdan M; Al-Quds University, Jerusalem, Palestine.
  • Stassen W; University of Cape Town Faculty of Health Sciences, Cape Town, Western Cape, South Africa.
BMJ Open Qual ; 13(1)2024 Mar 22.
Article em En | MEDLINE | ID: mdl-38519089
ABSTRACT

OBJECTIVES:

The present study aimed to establish appropriate quality standards for emergency departments (EDQS) in Palestine.

METHODS:

The study comprised four phases. First, a comprehensive literature review was conducted to develop a framework for assessing healthcare services in EDs. Second, the initial set of EDQS was developed based on the review findings. Third, local experts provided feedback on the EDQS, suggesting additional standards, and giving recommendations. This feedback was analysed to create a preliminary set of EDQS. Finally, an expanded group of local emergency care experts evaluated the preliminary set, providing feedback on content and structure to contribute to the final set of EDQS.

FINDINGS:

We identified quality domains in EDs and categorised them into clinical and administrative pathways. The clinical pathway comprises 39 standards across 7 subdomains triage, treatment, transportation, medication safety, patient flow and medical diagnostic services. Expert consensus was achieved on 87.5% of these standards. The administrative domain includes 64 consensus-based standards across 9 subdomains documentation, information management systems, access-location, design, leadership, management, workforce staffing, training, equipment, supplies, capacity-resuscitation rooms, resources for a safe working environment, performance indicators and patient safety-infection prevention and control programmes.

CONCLUSION:

This study employed a rigorous approach to identify QS for EDs in Palestine. The multiphase consensus process ensured the appropriateness of the developed EDQS. Inclusion of diverse perspectives enriched the content. Future studies will validate and refine the standards based on feedback. The EDQS has potential to enhance emergency care in Palestine and serve as a model for other regions facing similar challenges.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Serviço Hospitalar de Emergência Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Serviço Hospitalar de Emergência Idioma: En Ano de publicação: 2024 Tipo de documento: Article