# Preparedness for treating injured patients at a single-centre trauma hospital in Ethiopia: a qualitative study

## TL;DR

This study explores challenges in treating injured patients at a hospital in Ethiopia, highlighting gaps in resources, decision-making delays, and lack of trauma protocols.

## Contribution

The study identifies specific preparedness gaps in a single-centre trauma hospital in Ethiopia and emphasizes the need for structured protocols and better resource management.

## Key findings

- Delays in decision-making by resident doctors hinder timely patient care.
- Shortages of medical equipment and inconsistent supplies worsen hospital preparedness.
- Lack of standardized trauma response teams and protocols affects clinical outcomes.

## Abstract

Across the world, a disproportionate amount (90%) of injury-related deaths and disabilities occur in Global South countries where one-third of injury deaths could be prevented. In most Global South countries, there is varying availability of resources, and many hospitals lack important equipment, some of which is inexpensive.

To explore the perceptions of the staff regarding the preparedness of handling traumatic injuries at Addis Ababa Burn Emergency and Trauma Hospital in Ethiopia.

A qualitative, exploratory study was conducted using semi-structured interviews. The sample pool included a diverse group of professionals who work in various roles within the hospital where the interview and data generation were conducted in early 2023. The interviews were analyzed using the reflexive thematic analysis approach outlined by Braun and Clarke.

Resident doctors, who bear the primary responsibility for patient care, often face delays in decision-making, which contribute to procedural backlogs and extended patient stays. A significant challenge was identified in the availability, maintenance, and procurement of medical equipment, alongside shortages and inconsistencies in the supply of medicines and materials. A notable knowledge and skill gap among healthcare professionals was observed, compounded by the absence of a standardized trauma response team. Furthermore, the interview clarifies that there is a substantial gap and significant challenges in quality of service and standardization.

There are significant gaps in terms of hospital preparedness for caring for injured patients, and these lacks can lead to delays in treatment and poor clinical outcomes.

Main findings:
Gaps in hospital preparedness, delays in decision-making, equipment shortages,
inconsistent supplies, and lack of structured trauma protocols hinder effective
patient care.Added knowledge: The dedication and goodwill of healthcare professionals are vital in delivering
quality care despite limited resources, emphasizing the need to use available
assets effectively.Global health impact for policy and action: It is important to implement structured protocols,
establish dedicated trauma teams, conduct regular training, and improve
equipment and supply management systems to enhance patient care.

Main findings:
Gaps in hospital preparedness, delays in decision-making, equipment shortages,
inconsistent supplies, and lack of structured trauma protocols hinder effective
patient care.

Added knowledge: The dedication and goodwill of healthcare professionals are vital in delivering
quality care despite limited resources, emphasizing the need to use available
assets effectively.

Global health impact for policy and action: It is important to implement structured protocols,
establish dedicated trauma teams, conduct regular training, and improve
equipment and supply management systems to enhance patient care.