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Identifying Patient Safety and The Healthcare Environment in Puntland, Somalia
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH).
2018 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Kartläggning av Patientsäkerheten och Vårdmiljön i Puntland, Somalia (Swedish)
Abstract [en]

Independent on where in the world one is, patient safety is regarded as one of the most important aspects in the healthcare industry. On the contrary, depending on where you are, the patient safety will differ and is therefore location dependent. The patient safety in a developing country will therefore be evaluated in a different way compared to a developed country. This study, therefore aimed to identify the patient safety in Puntland, Somalia and with it, its healthcare environment in the hospitals. The goal was to identify the main factors that affected the patient safety.

To investigate this, a field study to the region of interest was made and subsequently interviews with staff at the site were conducted as well as observations in the concerned hospitals. The obtained results were analysed using the method of Qualitative Content Analysis. At a later stage, the results could be thematized into four categories; “​Need​”, “​Device​”, “​Training​” and “​Knowledge​”, which pinpointed the main issues.

The study show that there was a common transversal issue of a inherent lack of devices, training and knowledge which in turn could severely affect the patients and their safety in ways such as misdiagnosis, delayed treatment and in worst cases death. Furthermore, it was evident that rather than the lack of actual devices, the absence of knowledge was more prevalent. 

Abstract [sv]

Oberoende på var än i världen man befinner sig, anses patientsäkerhet vara en av de viktigaste aspekterna i sjukvården. Å andra sidan, helt beroende på var man befinner sig kommer patientsäkerheten skilja sig och är därför lägesberoende. Patientsäkerheten i ett utvecklingsland kommer därför uppfattas på ett annat sätt i jämförelse med ett I-land. Denna studie syftar till att identifiera patientsäkerheten i Puntland, Somalia och med det dess vårdmiljö i sjukhusen. Målet var att identifiera huvudfaktorerna som påverkar patientsäkerheten.

För att undersöka detta utfördes en fältstudie i den valda regionen Puntland, därefter gjordes intervjuer med personal på plats i sjukhusen och dessutom utfördes observationer. De erhållna resultaten analyserades med hjälp av metoden “Qualitative Content Analysis”. Vid ett senare skede tematiseras resultaten till fyra kategorier; “​Behov​”, “​Apparat​”, “​Utbildning​” och “​Kunskap​”, vilka visade på de huvudsakliga problemen.

Studien visade slutligen på att det fanns ett gemensamt genomgående problem av brist på apparater, utbildning och kunskap, vilket i sin tur skulle kunna påverka patienter och deras säkerhet på sätt såsom feldiagnoser, försenad behandling och i värsta fall döden. Vidare fastställdes att snarare än bristen på apparater, var avsaknaden av kunskap mer påtaglig. 

Place, publisher, year, edition, pages
2018. , p. 107
Series
TRITA-CBH-GRU ; 2018:29
Keywords [en]
Somalia, Patient safety, Healthcare
Keywords [sv]
Somalia, Patientsäkerhet, Vård
National Category
Medical Engineering
Identifiers
URN: urn:nbn:se:kth:diva-232039OAI: oai:DiVA.org:kth-232039DiVA, id: diva2:1231799
Educational program
Master of Science in Engineering - Medical Engineering
Supervisors
Examiners
Available from: 2018-12-20 Created: 2018-07-09 Last updated: 2018-12-20Bibliographically approved

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