Improving Adherence of Ethiopian Hospital Reform Implementation Guideline Patient flow Standard in Adigrat General Hospital, Tigray, Ethiopia
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Date
2013-10
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Addis Abeba Universty
Abstract
Problem statement: assessment of patient flow standard met is too low in Adigrat general
hospital.
Objective: Increasing the number of completed (met) patient flow standards in Adigrat
general hospital in order to improve patient outcome.
Result: The percentage of patient flow standards showed an improvement from 23% to
85%. Patients triage within five minute also increased from 40% to 90% as the result of
this improvement emergency mortality rate decreased from 0.3% to 0.1 %.
Method: pre-post intervention study was conducted in Adigrat general hospital which is
located in Adigrat town, Tigray Northern Ethiopia. Paired sample t-test pre-post used to
determine whether statistical difference exists between pre and post intervention result.
Conclusion: provision of training on emergency case management can plays great role in
reduction of mortality in emergency Room.
Moreover, establishing patient flow team has a great impact for adopting different type of
protocols and procedures according the contexts of the hospital and also adherence to the
Ethiopian hospitals reform implementation guide line can result significant ( p value .001)
improvement in patient flow standards in Health facility.
Recommendation: Full Implementation of the Ethiopian Hospital Reform
Implementation Guide line (EHRIG) strategies should be made and it is better to establish
patient flow standard teams from different departments and professions.
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Improving Adherence of Ethiopian Hospital Reform