Enhancing high performance of emergency unit by improving the management emergency team system of the Plateau State Specialist Hospital Nigeria

Abstract

There are challenges with the management of the emergency units of healthcare organizations in Nigeria; these have been observed from the high mortality rate, high level of left before examination (LBE) of the patients, low response time to acute care patients and poor turnaround time by the healthcare givers to address emergency situations. Therefore there is an urgent need to address the situation and solve the problems best ways possible by improving the management emergency team (MET) system of the healthcare organization. These was achieved by quantitative methodology application through the distribution of questionnaires, interviews and personal observation of the situation, hence improving the quality and quantity of the man power which is the human resources with qualified and well trained medical personnel, adding also to the management emergency team are police protocol officers who can give police report immediately for unconscious accident victims on arrival for emergency treatment, eliminating need for unavailable consent form before treatment, adding intensive training programs for MET system, emergency hotlines and ambulance assistance for patients, adequate supplies of oxygen and facilities that are up-to-date for the emergency unit. These solutions have increased the stability of the emergency unit, lower mortality rate, increased the efficiency of the team, improved response time, higher survival rate, improving the staff efficiency and effectiveness, after which it is observed that the emergency unit is on high-performance level, with good survey feedback by patients and their relatives.