Improving Care in Accident and Emergency Departments in Pakistan

Abstract

Introduction: Emergency departments (EDs) are perceived as 24/7 portals where a rapid and efficient diagnosis, urgent attention, primary care, and inpatient admission is provided for stabilizing seriously ill and wounded patients. Objectives: The main objective of the study is to analysed the improving care in accident and emergency departments. Material and methods: This analytical study was conducted in DHQ hospital, Sahiwal during 2020 to 2021. For this 5 hospitals were selected for the determination of improving care in accident and EDs. All hospitals were visited one by one and collect the data for the determination of mode of clinics and improving care. Number of patients and number of doctors were also counted. Results: Analysis of results was performed by comparing the data of hospitals with international standards. Patient case notes were checked for compliance with RCP 12 point generic medical record keeping standards on 5 point scale to stratify the level of compliance. Hospitals where case notes fulfilled all the 12 standards were placed at point 5. EDs safety scores were measured on 4 point scale and different hospitals were categorized according to grades A, B, C, D and F. Conclusion: It is concluded that the emergency service would be provided largely by doctors in middle grade or career grade posts supported by nurse practitioners, general practitioners, and senior house officers working under much closer supervision than at present.