Quality improvement cycles that reduced waiting times at Tshwane District Hospital Emergency Department

Rauf, W.; Blitz, Julia; Geyser, Mimi; Rauf, Abdul

doi:10.1080/20786204.2008.10873781

Cited by 13 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies ( n = 30, 35.3%) that addressed empowerment-enhancing practices considered one empowerment-related practice combined with other practices. Eleven studies researched empowerment-enhancing practices (e.g., team work, supervision) combined with motivation-enhancing practices (e.g., compensation, scheduling) [ 70 , 78 , 99 , 105 , 110 , 115 , 117 , 127 , 136 , 140 , 163 ]. These studies mostly reported improvement on employee outcomes (e.g., satisfaction, retention, performance).…”

Section: Resultsmentioning

confidence: 99%

The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review

2018

View full text Add to dashboard Cite

Hospitals in Sub-Saharan Africa (SSA) face major workforce challenges while having to deal with extraordinary high burdens of disease. The effectiveness of human resource management (HRM) is therefore of particular interest for these SSA hospitals. While, in general, the relationship between HRM and hospital performance is extensively investigated, most of the underlying empirical evidence is from western countries and may have limited validity in SSA. Evidence on this relationship for SSA hospitals is scarce and scattered. We present a systematic review of empirical studies investigating the relationship between HRM and performance in SSA hospitals.Following the PRISMA protocol, searching in seven databases (i.e., Embase, MEDLINE, Web of Science, Cochrane, PubMed, CINAHL, Google Scholar) yielded 2252 hits and a total of 111 included studies that represent 19 out of 48 SSA countries.From a HRM perspective, most studies researched HRM bundles that combined practices from motivation-enhancing, skills-enhancing, and empowerment-enhancing domains. Motivation-enhancing practices were most frequently researched, followed by skills-enhancing practices and empowerment-enhancing practices. Few studies focused on single HRM practices (instead of bundles). Training and education were the most researched single practices, followed by task shifting.From a performance perspective, our review reveals that employee outcomes and organizational outcomes are frequently researched, whereas team outcomes and patient outcomes are significantly less researched. Most studies report HRM interventions to have positively impacted performance in one way or another. As researchers have studied a wide variety of (bundled) interventions and outcomes, our analysis does not allow to present a structured set of effective one-to-one relationships between specific HRM interventions and performance measures. Instead, we find that specific outcome improvements can be accomplished by different HRM interventions and conversely that similar HRM interventions are reported to affect different outcome measures.In view of the high burden of disease, our review identified remarkable little evidence on the relationship between HRM and patient outcomes. Moreover, the presented evidence often fails to provide contextual characteristics which are likely to induce variety in the performance effects of HRM interventions. Coordinated research efforts to advance the evidence base are called for.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0298-4) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review

2018

View full text Add to dashboard Cite

show abstract

“…Primary health care (PHC) centers or clinics vary in terms of resources and infrastructure. A commonly cited problem within the South African public health sector is that of duration of waiting times [ 12 , 13 ]. A study in a South African district hospital showed the average waiting time for stable patients (from arrival of the patient until the start of the consultation by the medical practitioner) was 545 min (~9 h) [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…A commonly cited problem within the South African public health sector is that of duration of waiting times [ 12 , 13 ]. A study in a South African district hospital showed the average waiting time for stable patients (from arrival of the patient until the start of the consultation by the medical practitioner) was 545 min (~9 h) [ 13 ]. Sitting for hours in a clinic waiting room may pose health risks, particularly when the temperatures and relative humidity (RH) of such waiting rooms are elevated.…”

Section: Introductionmentioning

confidence: 99%

Indoor Temperatures in Patient Waiting Rooms in Eight Rural Primary Health Care Centers in Northern South Africa and the Related Potential Risks to Human Health and Wellbeing

Wright

Street

Cele

et al. 2017

IJERPH

View full text Add to dashboard Cite

Increased temperatures affect human health and vulnerable groups including infants, children, the elderly and people with pre-existing diseases. In the southern African region climate models predict increases in ambient temperature twice that of the global average temperature increase. Poor ventilation and lack of air conditioning in primary health care clinics, where duration of waiting time may be as long as several hours, pose a possible threat to patients seeking primary health care. Drawing on information measured by temperature loggers installed in eight clinics in Giyani, Limpopo Province of South Africa, we were able to determine indoor temperatures of waiting rooms in eight rural primary health care facilities. Mean monthly temperature measurements inside the clinics were warmer during the summer months of December, January and February, and cooler during the autumn months of March, April and May. The highest mean monthly temperature of 31.4 ± 2.7 °C was recorded in one clinic during February 2016. Maximum daily indoor clinic temperatures exceeded 38 °C in some clinics. Indoor temperatures were compared to ambient (outdoor) temperatures and the mean difference between the two showed clinic waiting room temperatures were higher by 2–4 °C on average. Apparent temperature (AT) incorporating relative humidity readings made in the clinics showed ‘realfeel’ temperatures were >4 °C higher than measured indoor temperature, suggesting a feeling of ‘stuffiness’ and discomfort may have been experienced in the waiting room areas. During typical clinic operational hours of 8h00 to 16h00, mean ATs fell into temperature ranges associated with heat–health impact warning categories of ‘caution’ and ‘extreme caution’.

show abstract

“…3 The average time to treatment of 59 minutes in this study is within the national Department of Health target of 120 minutes. 20 It could only be established that 16.2% of cases were seen outside the recommended time but this data item should be interpreted with caution due to the large percentage of undocumented times. This is worrying, in the context of escalating medical litigation in the public sector.…”

Section: Discussionmentioning

confidence: 96%

An evaluation of the use of the South African Triage Scale in an urban district hospital in Durban, South Africa

Soogun

Naidoo

2017

South African Family Practice

View full text Add to dashboard Cite

Background: Emergency centres in South Africa are among the busiest in the world and serve as entry points for hospital care for most of the population. The South African Triage Scale (SATS) is a validated tool introduced nationally in 2006 and intended to increase the efficiency of emergency centres through a process of prioritisation of the severely ill patient. The objective of this study was to evaluate the use of the SATS in a busy urban district hospital in Durban, South Africa. Methods: A chart review of triaged patients was performed. The hospital uses a one-page SATS sheet and manages both medical and surgical patients. The triage history, physiological parameters, application of discriminator lists, final triage code and outcome was audited and compared with findings from the patients' clinical records. Results: The mean triage early warning score was 1.50 (95% CI 1-2) and average time to treatment was 59 min (95% CI 51-67). Essential bedside investigations were missing on some very ill patients, there was poor documentation in many fields and confirmed time to treatment was within recommended timescales for only 48% of patients. Use of the discriminator list resulted in over-triage of 66.7% and an under-triage of 14%. Some 76% of patients were discharged from the emergency centre, 15% were admitted and 5.5% were transferred out. Conclusion: Nurse-led triage has been successfully implemented at the emergency centre of this hospital using SATS but some notable gaps were identified.

show abstract

Quality improvement cycles that reduced waiting times at Tshwane District Hospital Emergency Department

Cited by 13 publications

References 14 publications

The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review

The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review

Indoor Temperatures in Patient Waiting Rooms in Eight Rural Primary Health Care Centers in Northern South Africa and the Related Potential Risks to Human Health and Wellbeing

An evaluation of the use of the South African Triage Scale in an urban district hospital in Durban, South Africa

Contact Info

Product

Resources

About