2023-03-22-世界卫生组织-WHO_Tools_for_strengthening_emergency_care_systems_2页_134kb

WHO Tools for Strengthening Emergency Care Systems

Systematic Assessments

These tools support structured evaluation of emergency care systems at various levels:

• Emergency Care Systems Assessment (ECSA): A Ministry-driven process at the national level to appraise essential components for emergency care, including injury management. Available in English, French, Spanish, and Arabic.
• Hospital Emergency Unit Assessment Tool (HEAT): Designed to evaluate the structure and key functions of emergency units or dedicated intake areas for acutely ill and injured patients.

Clinical Care Training

Courses aimed at improving clinical skills and management for healthcare providers:

• WHO-ICRC Basic Emergency Care course: An open-access training for frontline providers managing acute conditions with limited resources; available as PDF and PowerPoint slides; upcoming translations in multiple languages.
• WHO Emergency Unit Management (EUM) Course: Teaches a systematic approach to improve quality of care in emergency units, covering leadership, patient safety, and other key skills for clinical staff such as nurses and specialists.

Clinical Process Tools

Resources to ensure timely interventions and standardize care processes:

• Trauma Care Checklist: A tool to prevent missed life-threatening conditions and promote life-saving interventions.
• Integrated Interagency Triage Tool: Developed with ICRC and MSF to evaluate triage in emergency situations; accompanying manual and tool upcoming.
• Standardized Clinical Forms: Available for trauma and medical emergency cases to ensure consistent data capture.
• Resuscitation Area Designation: Provides guidance on setting up critical care areas with necessary resources.
• WHO Prehospital Standards and Protocols: Sets standards for system governance and protocols for key clinical processes.
• Essential Resources for Emergency Care (EREC) manual: Offers guidance on essential services, medications, and supplies across health system levels.

Tools for Strengthening Data and Quality Improvement

Resources to enhance data collection and quality assurance:

• Minimum Dataset for Injury (DSI) and Minimum Dataset for Emergency Care (DSEC): Standardized variables for data aggregation and comparison.
• International Registry for Trauma and Emergency Care (IRTEC): A web-based platform for analyzing case-based data to identify care gaps and target improvements.
• Guidelines for Trauma Quality Improvement Programmes (2009): Reviews common quality improvement methods and techniques applicable globally.

Additional Resources and Documents

• Resolution 72.16: From the 72nd World Health Assembly, emphasizing emergency and trauma care as part of universal health coverage.
• WHO Director-General’s report on Emergency and trauma care: Outlining resolutions and recommendations for strengthening emergency systems.