Volume 2013, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426


Hospitals play a crucial role in providing communities with essential medical care during times of disasters. The emergency department is the most vital component of hospitals' inpatient business. In Iraq, at present, there are many casualties that cause a burden of work and the need for structural assessment, equipment updating and evaluation of process. To examine the current pragmatic functioning of the existing set-up of services of in-hospital emergency departments within some general hospitals in Baghdad and Mosul in order to establish a mechanism for future evaluation for the health services in our community. A cross-sectional study was employed to evaluate the structure, process and function of six major hospitals with emergency units: four major hospitals in Baghdad and two in Mosul. The six surveyed emergency units are distinct units within general hospitals that serve (collectively) one quarter of the total population. More than one third of these units feature observation unit beds, laboratory services, imaging facilities, pharmacies with safe storage, and ambulatory entrance. Operation room was found only in one hospital's reception and waiting area. Consultation/track area, cubicles for infection control, and discrete tutorial rooms were not available. Patient assessment was performed (although without adequate privacy). The emergency specialist, family medicine specialist and interested general practitioner exist in one-third of the surveyed units. Psychiatrist, physiotherapists, occupational therapists, and social work links are not available. The shortage in medication, urgent vaccines and vital facilities is an obvious problem. Our emergency unit's level and standards of care are underdeveloped. The inconsistent process and inappropriate environments need to be reconstructed. The lack of drugs, commodities, communication infrastructure, audit and training all require effective build up.


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  1. Emergency department entry. Wikipedia. May 2012. Available at: en.wikipedia.org/wiki/Emergency_department .
  2. Shiver JM. ED performance improvement: process changes hospitals can make now. Healthc Financ Manage. 2007; 61:12:7073.
    [Google Scholar]
  3. Alberti PSG. Emergency Assessment Units – A Checklist. London: Department of Health 2003;. Available at: http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4010048. Accessed April 27, 2013.
    [Google Scholar]
  4. WHO Report. Intercountry consultation on emergency medical services in the Eastern Mediterranean Region: developing guidelines for better performance. Cairo, Egypt, 14–17 November 2005. World Health Organization 2007: 1–55.
  5. Christopher G . 2004;. Reducing Patient Flow to help America's emergency departments. Urgent matters.
  6. WHO. Hospital Emergency Response Checklist. An All-Hazards Tool for Hospital Administrators and Emergency Managers. World Health Organization. Regional Office for Europe 2011;:426. Available at: http://www.euro.who.int/__data/assets/pdf_file/0020/14,8214/e95978.pdf. Accessed April 27, 2013.
    [Google Scholar]
  7. The role of psychological personnel in the emergency department, Psychology wiki. May 2011. Available at: http://psychology.wikia.com/wiki/Emergency_department?action = edi .
  8. Wood I, Rhodes M. Medical Assessment Units: The Initial Management of Acute Medical Patients. London: Wiley 2003.
    [Google Scholar]
  9. Mitchell AM, Garand L, Dean D, Panzak G, Taylor M. Suicide assessment in hospital emergency departments: implications for patient satisfaction and compliance. Top Emerg Med. 2005; 27:4:302312.
    [Google Scholar]
  10. Yale-New Haven Hospital and Hospital of Saint Raphael. http://www.ynhh.org/src/. Accessed April 28, 2013.
  11. Baugh CW, Bohan SJ, Venkatesh AK. Emergency department observation units: a clinical and financial benefit for hospitals. Health Care Manage Rev. 2011; 36:1:2837.
    [Google Scholar]
  12. Hall RW. Patient Flow: Reducing Delay in Healthcare Delivery. Los Angeles, CA: Springer 2006.
    [Google Scholar]
  13. Trial SL. Assessment of patient processing in emergency departments of hospitals. 2009;. MSc thesis. Texas State University, San Marcos. Available at: https://digital.library.txstate.edu/handle/10877/3489. Accessed April 28, 2013.
  14. Hall K, Kyriacou D, Handler JA, Adam JG. Impact of emergency department built environment on timeliness of physician assessment of patients with chest pain. Environ Behav. 2008; 40:2:233248, Available at: http://www.edra.org/content/impact-emergency-department-built-environment-timeliness-physician-assessment-patients-chest. Accessed April 28, 2013.
    [Google Scholar]
  15. EMTALA and on-call responsibility for emergency department patients. American College of Emergency Physicians (ACEP). Revised and approved April 2006. Available at: www.acep.org/MobileArticle.aspx?id = 29434. Accessed April 28, 2013.
  16. McGaig LF, Burt CW. 2001;. National hospital ambulatory medical care survey: 2001 emergency department summary. Advanced Data From Vital and Health Statistics. Center for Disease Control and Prevention. No. 335. 2003. Available at: http://www.cdc.gov/nchs/data/ad/ad335.pdf. Accessed April 28, 2013.
  17. Migita R, Del Beccaro M, Cotter D, Woodward GA. Emergency department overcrowding: developing emergency department capacity through process improvement. Clin Pediatr Emerg Med. 2011; 12:2:141150.
    [Google Scholar]
  18. Mafraq Hospital emergency room expansion almost triples capacity. Mafraq Hospital. Available at: http://www.mafraqhospital.ae/NewsItem.aspx?SectionID = 8&RefID = 194. Accessed April 28, 2013.
  19. Hertzum M. Electronic emergency-department whiteboards: a study of clinicians' expectations and experiences. Int J Med Inform. 2011; 80:9:618630.
    [Google Scholar]
  20. Health in Brazil. Wikipedia. Available at: http://en.wikipedia.org/wiki/Health_in_Brazil. Accessed April 28, 2013.

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  • Article Type: Research Article
Keyword(s): emergency departmentsemergency services and emergency units
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