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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Emergency trauma care for severe injuries in a Moroccan region: conformance to French and World Health Organization standards.
Journal for healthcare quality : official publication of the National Association for Healthcare Quality, Volume 33, No. 1, Year 2011
Notification
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Description
In Morocco, injuries account for 11% of total burden of disease. Better organization of emergency care can improve the outcome of trauma patients. In Morocco, these services have been reorganized recently, but were never evaluated. The objective was to assess actual structure and processes of emergency trauma care in a Moroccan region. This comparative qualitative study was carried out in the region of Fez. The process and structure of contacting emergency care and prehospital emergency care were compared with the French 2002 standards. Emergency care at the University Teaching Hospital (UTH) was compared with World Health Organization 2005 Essential Trauma Care guidelines. Predefined care items were categorized as conforming to the standards or not. An emergency call center with a dedicated dial-up number has been established in the region since January 2007. Compared with the standards, this center was not protected by any legislation and was run by interns only. The center was underutilized during triage to help transportation of severe trauma patients. At the prehospital care level, only 3 out of 15 ambulances were equipped with resuscitation equipment and were used rarely. Only one of the ambulance staff out of three was trained in required skills. At the UTH, emergency care equipment and staff was nearly adequate. This study identified several opportunities for improvement in organizing trauma care in Fez particularly at emergency call center and ambulance service. A quality assurance program would be useful to further identifying improvements in this system. © 2010 National Association for Healthcare Quality.
Authors & Co-Authors
Tachfouti, Nabil
Morocco, Fez
Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohamed Ben Abdellah
Bhatti, Junaid A.
Unknown Affiliation
Nejjari, Chakib
Unknown Affiliation
Kanjaâ, Nabil
Unknown Affiliation
Salmi, Louis Rachid
Unknown Affiliation
Statistics
Citations: 17
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1111/j.1945-1474.2010.00095.x
ISSN:
10622551
Research Areas
Health System And Policy
Violence And Injury
Study Approach
Qualitative
Study Locations
Morocco