ehealth digital library

Digital library of
the Tanzania

Emergency Medicine in Zanzibar: the Effect of System Changes in the Emergency Department

Thomassen, O., Mann, C., Mbwana, J. S. and Brattebo, G. (2015) Emergency Medicine in Zanzibar: the Effect of System Changes in the Emergency Department. International Journal of Emergency, 8. ISSN 1865-1372


Download (770kB)


Mnazi Mmoja Hospital is a tertiary hospital in Zanzibar serving a population of 1.2 million. The emergency department was overcrowded and understaffed and the hospital management initiated a quality improvement project. The aim of this article is to describe the approach, methods and main results of this quality improvement process. The Plan-Do-Study-Act (PDSA) method was used in a five-circle process. In addition, a consensus-based approach was performed to identify areas of improvement. Over a period of 6 months, regular staff meetings were implemented, a registration system was developed and implemented, the numbers of patients with simple problems were reduced, a simple triage tool was developed and implemented and an emergency room was established. Change and improvement in health care are achievable despite limited financial resources if a comprehensive, robust and simple system is used. Involvement of all stakeholders from the start, identification and use of change agents, regular feedback and a focus on human resources rather than equipment have been key factors for the success of this project.

Item Type: Article
Keywords: medicine, emergency, Low-income countries, Zanzibar, Mnazi mmoja, Tanzania
Subjects: Health Systems > Surveillance, monitoring & evaluation
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 05 Aug 2015 06:56
Last Modified: 05 Aug 2015 06:56

Actions (login required)

Edit Item Edit Item


Downloads per month over past year

View more statistics