Managing the Patient Evidence Base Through Trauma Cases in Military University Hospital of Albania.
AJTES Vol 2, No 2, July 2018
Full Text PDF


Military University Hospital
health trauma management
quality of trauma patients

How to Cite

Degjoni, R. (2018). Managing the Patient Evidence Base Through Trauma Cases in Military University Hospital of Albania. Albanian Journal of Trauma and Emergency Surgery, 2(2), 189-196.


The level of management of traumatic health care services in Albania as a service of the Military University Hospital in Emergency Care differs in relation to other university hospitals across the country, mainly due to changes in the public health of the population. The article aims to present the management of traumatic patients at the Military Hospital in Albania, providing examples of the number of cases that have been addressed in the spread of this disease as epidemiology in Albania. The literature review and data statistics will be carried out by using the hospital records that will be used for further research in Albania. In addition, there is a study of international reports on Trauma management issues, trauma care and quality in Trauma. Much of the results consider the necessity of adopting a comprehensive traumatic system, focusing on quality management and improving trauma care to increase survival and reduce complications to the wounded. Urban conditions and public health policies are the most important factors in developing and implementing programs to improve emergency trauma care services. The heterogeneity of the population and its geographical distribution, the complexity of road accidents, are challenging factors for quantitative research on trauma management and the effectiveness of its care. Staff training in all areas, combined with the existence of modern vehicles and equipment, means of communication and timely transfer of the ambulance, contribute to the treatment of patients with urgent trauma, life saving and prevention of all types of disabilities.
Full Text PDF


Anand S., Hanson K. DALYs: Efficiency Versus Equity. World Development. 1998;26(2):307–10.

Barendregt J. J., van Oortmarssen G. J., Vos T., Murray C. J. L. A Generic Model for the Assessment of Disease Epidemiology: The Computational Basis of DisMod II. Population Health Metrics. 2003;1(1):e4. [PMC free article] [PubMed]

Baskent University. 2005. Burden of Disease Final Report. Ankara, Turkey: Baskent University and the School of Public Health, Refik Saydam Hygiene Center, Ministry of Health.

A Conceptual Model for Assessing Quality of Care for Patients Boarding in the Emergency Department: Structure-Process- Outcome. Cameron P, Scown P, Campbell D. Managing access block. Aust Health Rev. 2002;25(4):59–68. [PubMed]

Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35(6):1477–83. [PubMed]

Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743–8. [PubMed]

Dickson EW, Anguelov Z, Vetterick D, Eller A, Singh S. Use of lean in the emergency department: a case series of 4 hospitals. Ann Emerg Med. 2009;54(4):504–10. [PubMed]

European Commission, Annual Accident Report. European Commission, Directorate General for Transport, June 2016.

European Commission, 2016, Road Safety Statistics: What is behind the figures; March 2017 Hughes KM, et al. Am J Emerg Med. (1995), Equestrian related trauma, AJEM Journal, July 1995, Volume 13, Issue 4, Pages 485-487.

Murray L. et al., Measuring the Global Burden of Disease and Risk Factors, 1990–2001

McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45. [PubMed]

Moloney ED, Bennett K, O’Riordan D, Silke B. Emergency department census of patients awaiting admission following reorganisation of an admissions process. Emerg Med J. 2006;23(5):363– 7. [PMC free article][PubMed]

McConnell KJ, Richards CF, Daya M, Bernell SL, Weathers CC, Lowe RA. Effect of increased ICU capacity on emergency department length of stay and ambulance diversion. Ann Emerg Med. 2005;45(5):471

Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann Emerg Med. 2009;54(3):381–5.[PubMed]

Wiler JL, Gentle C, Halfpenny JM, et al. Optimizing emergency department front- endoperations. Ann Emerg

Med. 2009;55(2):142–60. [PubMed]

Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust.2006;184(5):208–12. [PubMed]

Schull MJ, Vermeulen M, Slaughter G,Morrison L, Daly P. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med. 2004;44(6):577–85. [PubMed]

Shan W. Liu, MD, MPH, Sara J. Singer,PhD, Benjamin C. Sun, MD, MPP, and Carlos A. Camargo, Jr., MD, DrPHPines JM, Iyer S, Disbot M, Hollander JE, Shofer FS, Datner EM. The effect of emergency department crowding on patient satisfaction for admitted patients. Acad Emerg Med. 2008;15:825–31. [PubMed]

Richardson DB. The access-block effect: relationship between delay to reaching an inpatient bed and inpatient length of stay. Med J Aust. 2002;177(9):492–5. [PubMed]

Viccellio A, Santora C, Singer AJ, Thode HC, Jr, Henry MC. The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. Ann Emerg Med. 2009;54(4):487–91. [PubMed]

NSV Health, 2012, Emergency Department Models of Care July 2012, World Health Organization (WHO). Global Status Report on Road Safety 2016: Supporting A decade of action, Geneva: WHO; 2016

INSTAT Albania, Ministry of Transportation and Infrastructure, Annual Report on Road Safety, 2013 OECD, Health policies, a list of latest publications, 2015.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.