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OPERATIONS THROUGHPUT AS A DETERMINANT OF GOLDEN-HOUR IN MASS-GATHERING MEDICINE
| dc.creator | Khan, I. D. | |
| dc.creator | Asima, B. | |
| dc.creator | Khan, Sh. A. | |
| dc.date | 2017-07-12 | |
| dc.date.accessioned | 2020-07-03T09:39:53Z | |
| dc.date.available | 2020-07-03T09:39:53Z | |
| dc.identifier | https://ojs.tdmu.edu.ua/index.php/ijmr/article/view/7804 | |
| dc.identifier | 10.11603/ijmmr.2413-6077.2017.1.7804 | |
| dc.identifier.uri | https://repository.tdmu.edu.ua/handle/123456789/16432 | |
| dc.description | BACKGROUNDGolden-hour, a time-tested concept for trauma-care, involves a systems approach encompassing healthcare, logistics, geographical, environmental and temporal variables. Golden-hour paradigm in mass-gathering-medicine such as the Hajj-pilgrimage entwines along healthcare availability, accessibility, efficiency and interoperability; expanding from the patient-centric to public-health centric approach. The realm of mass-gathering-medicine invokes an opportunity for incorporating operations-throughput as a determinant of golden-hour for overall capacity-building and interoperability.METHODSGolden-hour was evaluated during the Indian-Medical-Mission operations for Hajj-2016; which established, operated and coordinated a strategic network of round-the-clock medical operations. Throughput was evaluated as deliverables/time, against established Standard-Operating-Procedures for various clinical, investigation, drug-dispensing and patient-transfer algorithms. Patient encounter-time, waiting-time, turnaround-time were assessed throughout echeloned healthcare under a patient-centric healthcare-delivery model. Dynamic evaluation was carried out to cater for variation and heterogeneity.RESULTSMassive surge of 3,94,013 patients comprising 2,25,103 males (57.1%) and 1,68,910 females (42.9%) overwhelmed the throughput capacities of outpatient attendance, pharmacy, laboratory, imaging, ambulance, referrals and documentation. There was delay in attendance, suspicion, diagnosis and isolation of patients with communicable infections. The situational-analysis of operations-throughput highlights wasted turnaround-time due to mobilization of medical-team, diverting critical healthcare resources away from emergency situations.CONCLUSIONTime being a crucial factor in the complexity of medical-care, operations-throughput remains an important determinant towards interoperability of bottlenecks, thereby being a determinant of golden-hour in mass-gathering-medicine. Early transportation of patient to definitive-care reduces treatment initiation-time, notwithstanding logistics of communication, evacuation, terrain and weather being deterministic in outcome. Golden-hour needs to be emphasized under a population-based approach targeting the clientele towards administering first-aid and reaching out to hospital within the golden-hour. | en-US |
| dc.format | application/pdf | |
| dc.language | eng | |
| dc.publisher | I. Horbachevsky Ternopil National Medical University | en-US |
| dc.relation | https://ojs.tdmu.edu.ua/index.php/ijmr/article/view/7804/7347 | |
| dc.source | International Journal of Medicine and Medical Research; Vol. 3 No. 1 (2017): International Journal of Medicine and Medical Research; 53-59 | en-US |
| dc.source | International Journal of Medicine and Medical Research; Том 3 № 1 (2017): International Journal of Medicine and Medical Research; 53-59 | ru-RU |
| dc.source | International Journal of Medicine and Medical Research; Том 3 № 1 (2017): International Journal of Medicine and Medical Research; 53-59 | uk-UA |
| dc.source | 2414-9985 | |
| dc.source | 2413-6077 | |
| dc.source | 10.11603/ijmmr.2413-6077.2017.1 | |
| dc.subject | Golden-hour | en-US |
| dc.subject | operations throughput | en-US |
| dc.subject | Mass-gathering medicine | en-US |
| dc.subject | Turnaround-time | en-US |
| dc.subject | Definitive-care | en-US |
| dc.subject | population-based approach | en-US |
| dc.title | OPERATIONS THROUGHPUT AS A DETERMINANT OF GOLDEN-HOUR IN MASS-GATHERING MEDICINE | en-US |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion |
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