Critical Care Service Transformation at the ALERT Comprehensive Specialized Hospital, A Case Study.

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yared boru firissa

Abstract

Background
The intensive care unit (ICU) is a specialized department within a hospital that
provides care for critically ill patients requiring close monitoring, multidisciplinary
intervention, and advanced life support. It is a resource-intensive healthcare
service, with the patient outcome determined by the adequate utilization of human
resources, supplies, technologies, and infrastructure. ALERT Hospital is one of the
largest referral hospitals that provides critical care services for both adult and
pediatric patients. This case study narrates the establishment and transformation
of critical care services at ALERT Hospital over the last five years.
Objective
To describe the transformation of critical care services at ALERT Comprehensive
Specialized Hospital from the beginning of the service to the current state
Methods
A descriptive case study design was applied to narrate critical care service
transformation at ALERT Comprehensive Specialized Hospital. Data was gathered
from desk reviews of the emergency department, ICU, quality directorate, hospital
data management unit, and the annual audit report.
Result
ALERT Hospital provides services for about 4.2 million people, encompassing 22
health centers, 8 hospitals, and other private health facilities within its catchment
area. The ALERT Trauma Center, established in 2015, had only 3 ICU beds with two
functional mechanical ventilators and a few trained nurses, with an annual hospital
and emergency patient flow of 328,242 and 13,642, respectively. The critical care
service expansion at ALERT Hospital encountered various obstacles concerning
infrastructure, personnel, and supplies. Therefore, the hospital administration and
clinicians designed and implemented different strategies to transform the service
into the current picture. Accordingly, after intensive facilitation of all required
inputs a general ICU with seven beds and five mechanical ventilators was initially
established in 2018. During the second phase of the service expansion in 2022, the
hospital has established a large ICU with twelve beds, providing more specialized
services for over 349 critical patients annually.

 

Article Details

How to Cite
firissa, yared boru. (2024). Critical Care Service Transformation at the ALERT Comprehensive Specialized Hospital, A Case Study. Pan African Journal of Emergency Medicine and Critical Care, 2(1). https://doi.org/10.58904/2024/82
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Articles