Evaluation of an Emergency Treatment Unit in a District General Hospital Sri Lanka -A case Study| Stephy publishers

 


SOJ Medical and Clinical Case Reports - (SOJMCCR) | Stephy Publishers


Abstract
Emergency Treatment Unit of a hospital is the place where, acutely unwell patients admitted to the hospital, are given the immediate treatment in the critical stage. DGH – Gampaha – Sri Lanka is a tertiary care hospital with a bed strength of 795 with a well - recognized Emergency Treatment Unit. Objective of this study was to evaluate the Emergency Treatment Unit of District General Hospital, Gampaha, Sri Lanka. Data was collected through oobservations, key informant interviews and reviewing registers and records. Findings were subjected to SWOT analysis. 1) Identified strengths included accessibility, Infrastructure, ETU concept, 24 hour service, competent staff, availability of equipment and investigation facilities and Information management. 2) Some weaknesses identified were; shortage of staff, absenteeism, gaps in competency, shortage of equipment and inadequate quality management system. 3) Receiving priority attention by the provincial, regional and the hospital management, Administration Support Team, Hospital Management Committee, Hospital Clinical Society, Hospital Development Committee, Hospital Development Foundation and regular donations were recognized as opportunities. 4) Finally, Unnecessary transfers from peripheral hospitals, by pass of peripheral hospitals by patients, frequently changing of the management and delay in procurement, repairing and condemning processes were noted as threats. TOWS analysis using a TOWS matrix was performed and strategies were developed for further improvement.



Keywords: Hospital, Emergency treatment, Patients, SWOT

Introduction
Emergency treatment unit Emergency treatment unit of a hospital is the place where, acutely unwell patients admitted to the hospital, are given the immediate treatment in the critical stage. The survival rate of the patients are largely depend on the quality and efficiency of the services provided by ETUs. ETUs are expected to cope with increased amount of patients while securing delivery of high quality and efficiency. This target can be achieved by promotion of interdisciplinary teamwork, timely and high-quality treatment, early diagnosis and effective treatment of patients with comorbidities.

District General Hospital (DGH) gampaha District General Hospital (DGH) gampaha is a tertiary care hospital in the western province of Sri Lanka with a bed strength of 795; total admission per day of 286; bed occupancy rate of 70%; average length of stay of 2.33 days; and average daily census being 558. Emergency treatment is provided to acutely unwell patients, in the Preliminary Care Unit (PCU) established in the ground floor of the front most building complex.

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