Evidence map›Paper›PMID 30456061›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2016

Availability of resources for emergency care at a second-level hospital in Ghana: A mixed methods assessment.

Kennedy B Japiong, Godfried Asiamah, Ellis Owusu-Dabo, Peter Donkor, Barclay Stewart, Beth E Ebel, Charles N Mock

Abstract read
In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Building competence in emergency care: a proposed model for training Ghana's next generation of medical doctors.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. The National Ambulance Service of Ghana: Changes in capacity and utilization over 20 years.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Emergency preparedness capacity of a university hospital in Ghana: a cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  15. Review
  16. Article
  17. Emergency Services Capacity of a Rural Community in Guatemala.The western journal of emergency medicine · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kennedy B JapiongPolice Hospital, Accra, Ghana.
Godfried AsiamahPolice Hospital, Accra, Ghana.
Ellis Owusu-DaboDepartment of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Peter DonkorDepartment of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Barclay StewartDepartment of Surgery, University of Washington, Seattle, WA, USA.
Beth E EbelHarborview Injury Prevention & Research Center, Seattle, WA, USA.
Charles N MockHarborview Injury Prevention & Research Center, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmergency care is an essential component of health systems, particularly in low- and middle-income countries. We sought to assess the availability of resources to provide emergency care at a second-level hospital in Ghana. By doing so, deficits that could guide development of targeted intervention strategies to improve emergency care could be identified.

methodsA qualitative and quantitative assessment of capacity for care of emergency patients was performed at the Emergency Centre of the Police Hospital, a second-level hospital in Accra, Ghana. Direct inspection and job-specific survey of clinical, orderly, administrative and ambulance staff was performed. Responses to quantitative questions were described. Qualitative responses were examined by content analysis.

resultsAssessment revealed marked deficiencies in many essential items and services. However, several successes were identified, such as laboratory capacity. Among the unavailable essential items, some were of low-cost, such as basic airway supplies, chest tubes and several emergency medications. Themes from staff responses when asked how to improve emergency care included: provide periodic training, increase bed numbers in the emergency unit, ensure availability of essential items and make personal protective equipment available for all staff caring for patients.

conclusionThis study identified opportunities to improve the care of patients with emergency conditions at the Police Hospital in Ghana. Low-cost improvements in training, organization and planning could improve item and service availability, such as: developing a continuing education curriculum for staff in all areas of the emergency centre; holding in-service training on existing protocols for triage and emergency care; adding checklists to guide appropriate triage and safe transfer of patients; and perform a root cause analysis of item non-availability to develop targeted interventions.

Indexed as

CapacityDeveloping countryEmergencyGlobal surgeryQuality improvement

Identifiers

PMID30456061
PMCPMC6233235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.