Emergency care units (ECUs) in Nigeria are underutilized and often operate without standardised protocols, leading to suboptimal clinical outcomes. A longitudinal study will use mixed-methods approaches including surveys, observational studies, and interviews. Data on patient demographics, treatment efficacy, and resource utilization will be collected from ECU records in four major cities across Nigeria. Statistical analysis will employ a regression discontinuity design (RDD) to estimate the impact of standardised protocols on clinical outcomes. Within the first year of implementing the standardised protocols, there was a significant improvement in patient survival rates by 20% compared to pre-implementation levels, with confidence intervals indicating robustness around this effect size. The quasi-experimental design demonstrated the potential for improving clinical outcomes within ECUs through standardised care protocols. Future research should investigate scalability and sustainability of these interventions across different regions in Nigeria. Immediate implementation of standardised care protocols in all Nigerian ECU settings is recommended, followed by a long-term evaluation to assess sustained benefits. Emergency Care Units, Clinical Outcomes, Regression Discontinuity Design, Quasi-Experimental Study Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Ifokwu et al. (Wed,) studied this question.
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