Emergency Medicine
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Browsing Emergency Medicine by Author "Achamyelesh Tadele"
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Item Reason for Emergency Department Visit, Disposition and Associated Factors of Pediatric Oncology Patients in Tikur Anbesa Specialized Hospital Addis Ababa, Ethiopia.202(Addis Ababa University, 2024-06-19) Alem Adamu; Achamyelesh TadeleOncologic emergencies are acute, potentially life-threatening events related to a patient's malignancy or its treatment. Pediatric oncologic patients visit the emergency department for various reasons, including acute complications of their cancer or treatment-related side effects. The medical team assesses each case to decide on admission, treatment adjustment, or discharge with follow-up. This study aims to assess the reasons for emergency department visits, disposition, and associated factors in pediatric oncologic patientsItem Utilization and Associated Factors of Electronic Medical Record Systems Among Health Professionals at Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia, 2025: An Institution Based Cross Sectional Study.(Addis Ababa University, 2025-06-28) Mishame Elias; Birhanu Melaku; Achamyelesh TadeleBackground: - An electronic medical record system is a digital alternative to traditional paper charts, designed to store detailed patient health information. Its' implementation has the potential to improve healthcare quality and patient safety. The successful utilization of the system largely depends on the knowledge and attitudes of health professionals and other influencing factors. Objective: - to assess utilization and associated factors of electronic medical record systems among health professionals Tikur Anbessa specialized hospital Addis Ababa, Ethiopia, 2025. Methods: -An institution-based cross-sectional study was conducted from March 10 to 30, 2025. Study participants were selected using a simple random sampling technique, with the sample size proportionally allocated based on profession. Data was collected using a pretested, structured questionnaire through the Kobo Toolbox application. Statistical analysis was performed using the Statistical Package for Social Sciences version 25. Multivariable logistic regression was employed to identify factors associated with electronic medical record system utilization, using adjusted odds ratios with 95% confidence intervals, and a significance level set at p < 0.05. Result: - A total of 410 respondents participated in the study, with a response rate of 97%. The overall utilization, good knowledge, and favorable attitude toward Electronic Medical Record System was 88%, 73.2%, and 75.4% respectively. Being male (AOR=2.254; 95%CI = 1.127, 4.509), used the system for > 2 years (AOR=3.320; 95% CI=1.594, 6.916), having part-time in private hospitals (AOR=2.308; 95%CI=1.029, 5.180), departmental enforcement (AOR=2.051; 95%CI=1.041, 4.040), favorable attitude (AOR=2.212; 95%CI= 1.046, 4.678), and good knowledge (AOR=3.255; 95%CI=1.046,10.131) were significantly associated factors with utilization of the system. Conclusion: -The utilization of Electronic Medical Record Systems was found to be high, supported by good knowledge and a favorable attitude. Strengthening ongoing training, technical support, and consistent system enforcement is recommended. These actions can enhance healthcare quality and improve patient data management efficiency.