Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting.

Bulletin of the World Health Organization
Elizabeth MolyneuxAnn Robertson

Abstract

Early assessment, prioritization for treatment and management of sick children attending a health service are critical to achieving good outcomes. Many hospitals in developing countries see large numbers of patients and have few staff, so patients often have to wait before being assessed and treated. We present the example of a busy Under-Fives Clinic that provided outpatient services, immunizations and treatment for medical emergencies. The clinic was providing an inadequate service resulting in some inappropriate admissions and a high case-fatality rate. We assessed the deficiencies and sought resources to improve services. A busy paediatric outpatient clinic in a public tertiary care hospital in Blantyre, Malawi. The main changes we made were to train staff in emergency care and triage, improve patient flow through the department and to develop close cooperation between inpatient and outpatient services. Training coincided with a restructuring of the physical layout of the department. The changes were put in place when the department reopened in January 2001. Improvements in the process and delivery of care and the ability to prioritize clinical management are essential to good practice. Making the changes described above ha...Continue Reading

Citations

Feb 22, 2012·Intensive Care Medicine·Martin W DünserUNKNOWN Global Intensive Care Working Group of European Society of Intensive Care Medicine
Sep 5, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·Elizabeth Molyneux
Jun 23, 2009·Transactions of the Royal Society of Tropical Medicine and Hygiene·Jamie RylanceDaniel Mashaga
Nov 30, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam C LevineKris Arnold
Oct 29, 2013·Annals of the American Thoracic Society·Srinivas Murthy, Neill K Adhikari
Apr 3, 2008·Pediatrics·Harry CampbellUNKNOWN Pediatric Hospital Improvement Group
Jul 5, 2008·BMC Emergency Medicine·Junaid A RazzakUzma R Khan
Sep 28, 2012·International Journal of Emergency Medicine·Lauren K WhitesideRebecca M Cunningham
Dec 6, 2007·Anaesthesia·S C HodgesA T Bösenberg
Sep 16, 2015·American Journal of Respiratory and Critical Care Medicine·Sarah J BeesleyPeter Kussin
Oct 20, 2015·Bulletin of the World Health Organization·Ziad ObermeyerUNKNOWN Acute Care Development Consortium
Jan 28, 2015·International Journal of Critical Illness and Injury Science·Amit AgrawalSankalp Dwivedi
Apr 18, 2013·BMC Health Services Research·Tim BakerDavid Konrad
Jan 5, 2017·Human Vaccines & Immunotherapeutics·Sachin G ThakkarZhengrong Cui
Jul 25, 2012·The American Journal of Tropical Medicine and Hygiene·Jorge Ron-RománRichard Douce
Jan 20, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bhakti HansotiUNKNOWN Global Emergency Medicine Think Tank Clinical Research Working Group
Mar 28, 2018·Journal of Paediatrics and Child Health·Katie R NielsenJoseph Zunt
Sep 28, 2016·Journal of Perinatal Medicine·Peymaneh Alizadeh TaheriMamak Shariat
May 5, 2018·Influenza and Other Respiratory Viruses·Janet V DiazUNKNOWN WHO Critical Care Training Short Course collaborators
Jan 10, 2018·Frontiers in Pediatrics·Amelie O von Saint André-von ArnimUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
Nov 2, 2015·International Journal of Emergency Medicine·Emily L AaronsonShada A Rouhani
Jun 15, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Megan CoxPeter A Meaney
Aug 30, 2011·Australian Health Review : a Publication of the Australian Hospital Association·Katherine E HardingSandra G Leggat
Dec 16, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Frederick M BurkleUNKNOWN Task Force for Pediatric Emergency Mass Critical Care
Feb 12, 2009·Tropical Medicine & International Health : TM & IH·Tim Baker
Jan 14, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Niranjan Kissoon
Jul 8, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Joseph A Carcillo, Niranjan Kissoon
Mar 14, 2019·Emergency Medicine Australasia : EMA·Lynne E WanefaleaGeorgina A Phillips
Jul 28, 2017·Prehospital and Disaster Medicine·Jimin KimCorey B Bills

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
Jeffrey A TornheimDaniel R Feikin
Annals of Vascular Surgery
Sergi Bellmunt MontoyaJosé Román Escudero Rodríguez
© 2022 Meta ULC. All rights reserved