Development of Emergency Medicine as Academic and Distinct Clinical Discipline in Bosnia and Herzegovina

Salihefendić, Nizama; Zildžić, Muharem; Masic, Izet; Hadziahmetović, Z; Vasic, Dusko

doi:10.5455/medarh.2011.65.46-51

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…Sites without Internet access were invited to participate using a paper survey. Consistent with terminology used in NEDI-USA, an ED was defined as an emergency care facility accessible to the general public that is open 24 hours per day, 7 days per week [12]. A list of EDs was created by the country coordinator and verified with data obtained from the Ministry of Health.…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, a validated instrument to assess EDs worldwide does not exist. Questions from our survey have been used in the US [12] and several other countries [15,16], ensuring usability and that the wording of questions was appropriate for diverse contexts.…”

Section: Limitationsmentioning

confidence: 99%

“…A five-year training program is in place to train specialist physicians with core skills necessary for optimal emergency care delivery within the ED, joining a small number of other countries in Eastern Europe that have nascent EM training programs [11,12]. Moreover, there is now a Slovenian Society for Emergency Medicine [13].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Profile of Emergency Departments in Slovenia

Jaklic

Wen

Sullivan

et al. 2012

ISRN Emergency Medicine

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Objectives. Emergency departments (EDs) are the basic unit of emergency medicine (EM), but there is often significant heterogeneity and differences in ED organization. We sought to describe and characterize EDs in Slovenia. Methods. All EDs open 24/7 to the general public were surveyed using the National ED Inventories survey instrument. Staff were asked about ED characteristics with reference to calendar year 2007. Results. Fifty-five EDs participated (81% response). All EDs treated children and adults. Eleven (20%) of the EDs were hospital based and 44 (80%) were non-hospital based. The median number of annual visits for hospital-based EDs was 21,400 (interquartile range, 19,900-34,200) and 5,000 (interquartile range, 1,100-9,300) for nonhospital-based EDs. All hospital-based EDs had triage to service, and only one was an independent department. Most respondents (76%, 95% CI 64-89%) thought their ED was at good balance or capacity. While hospital-based EDs had high availability of technological resources and ability to treat virtually all emergency types 24/7, these characteristics were less frequent in nonhospital-based EDs. Conclusions. The organization of emergency care in Slovenia is complex, with some variation in the layout, characteristics, and capabilities of its EDs. This initial study establishes a benchmark for future investigations into intra-country comparisons of different types of EDs.

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Section: Methodsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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A Profile of Emergency Departments in Slovenia

Jaklic

Wen

Sullivan

et al. 2012

ISRN Emergency Medicine

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“…The World Health Organization (WHO) in a systematic review of 59 low- and middle- income countries emphasizes the ongoing need to strengthen triage as a crucial requirement for efficient resource allocation and effective emergency intervention [ 3 ]. In upper middle-income countries such as Serbia, Bosnia, Herzegovina, and the former Yugoslav Republic of Macedonia (FYROM), the demand for emergency care has been growing, and the need for continuous strengthening of emergency care systems has been recognized [ 4 , 5 , 6 ]. The Clinical Centre of Serbia (CCS) located in Belgrade is a 3500-bed medical university center that serves the population of Belgrade and larger Serbia.…”

Section: Introductionmentioning

confidence: 99%

Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe

Twomey¹,

Šijački

Krummrey

et al. 2018

IJERPH

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Emergency center visits are mostly unscheduled, undifferentiated, and unpredictable. A standardized triage process is an opportunity to obtain real-time data that paints a picture of the variation in acuity found in emergency centers. This is particularly pertinent as the influx of people seeking asylum or in transit mostly present with emergency care needs or first seek help at an emergency center. Triage not only reduces the risk of missing or losing a patient that may be deteriorating in the waiting room but also enables a time-critical response in the emergency care service provision. As part of a joint emergency care system strengthening and patient safety initiative, the Serbian Ministry of Health in collaboration with the Centre of Excellence in Emergency Medicine (CEEM) introduced a standardized triage process at the Clinical Centre of Serbia (CCS). This paper describes four crucial stages that were considered for the integration of a standardized triage process into acute care pathways.

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Who’s afraid of emergency physicians?

Orso

2019

Emerg Med J

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Development of Emergency Medicine as Academic and Distinct Clinical Discipline in Bosnia and Herzegovina

Cited by 3 publications

References 24 publications

A Profile of Emergency Departments in Slovenia

A Profile of Emergency Departments in Slovenia

Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe

Who’s afraid of emergency physicians?

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