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After hours case mix at George provincial hospital emergency centre: a descriptive study

Thesis (MFamMed)--Stellenbosch University, 2011.

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Main Author: Van Wyk, P. S.
Other Authors: Jenkins, Louis
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author Van Wyk, P. S.
author2 Jenkins, Louis
author_browse Jenkins, Louis
Van Wyk, P. S.
author_facet Jenkins, Louis
Van Wyk, P. S.
author_sort Van Wyk, P. S.
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2011.
format Thesis
id oai:scholar.sun.ac.za:10019.1/100691
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:54.752Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/100691 After hours case mix at George provincial hospital emergency centre: a descriptive study Van Wyk, P. S. Jenkins, Louis Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Family Medicine and Primary Care. Emergency medicine George (South Africa) Medical care -- Research UCTD Thesis (MFamMed)--Stellenbosch University, 2011. ENGLISH SUMMARY : Introduction: Emergency care of patients in South Africa has become a priority, with the establishment of emergency medicine as a specialty, developing a triage scoring system, and upgrading facilities and services. The Western Cape Comprehensive Service Plan stipulates that ninety percent of health care should be offered at level 1 (primary and district) health care, eight percent at level 2 (general specialist) care, and two percent at level 3 (super specialist) care. It is suspected that a significant proportion of primary health care patients are presenting after hours to level 2 facilities, like George hospital. Little is known about the nature or acuity levels of patients presenting after hours to the George provincial hospital Emergency Centre. A retrospective descriptive study was performed at George hospital in May 2010 to determine the afterhours case mix and workload. Methods: A total of 2560 patients presented afterhours at the emergency centre for the month of May 2010 that was triaged according to the Cape Triage Score (CTS). The case mix was analyzed according to a pre designed Microsoft Excel data sheet. Results: Three quarters of the case mix were adults and 25% were paediatric cases. Sixty five percent of patients were triaged green, followed by twenty seven percent yellow, five percent orange and two percent red (one percent absconded before doctors evaluation). Besides trauma related cases, respiratory and gastrointestinal problems were the most common presentations. The workload included on average fifty four patients per afterhours weekday, one hundred and thirty eight patients per 24-hour weekend days and one hundred and forty seven for the public holiday. Discussion: This study demonstrated that a significant number of the afterhours case mix presenting at George provincial hospital emergency centre consists of green and yellow level 1 cases which could be more appropriately managed at a level 1 health care facility. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2017-03-17T07:02:42Z 2017-03-17T07:02:42Z 2011-12 Thesis http://hdl.handle.net/10019.1/100691 en_ZA Stellenbosch University 21 pages ; illustrations, includes annexure application/pdf Stellenbosch : Stellenbosch University
spellingShingle Emergency medicine
George (South Africa)
Medical care -- Research
UCTD
Van Wyk, P. S.
After hours case mix at George provincial hospital emergency centre: a descriptive study
title After hours case mix at George provincial hospital emergency centre: a descriptive study
title_full After hours case mix at George provincial hospital emergency centre: a descriptive study
title_fullStr After hours case mix at George provincial hospital emergency centre: a descriptive study
title_full_unstemmed After hours case mix at George provincial hospital emergency centre: a descriptive study
title_short After hours case mix at George provincial hospital emergency centre: a descriptive study
title_sort after hours case mix at george provincial hospital emergency centre a descriptive study
topic Emergency medicine
George (South Africa)
Medical care -- Research
UCTD
url http://hdl.handle.net/10019.1/100691
work_keys_str_mv AT vanwykps afterhourscasemixatgeorgeprovincialhospitalemergencycentreadescriptivestudy