Improving quality of pre-hospital and hospital emergency services

Project completed

The project improves the quality of emergency care services in Romania through strengthening the current Continuous Education system for Emergency Care and provide training for emergency response teams and managers of emergency departments.

Country/region Topic Period Budget
Improving social security
01.01.2014 - 31.12.2016
CHF  732’948
Target groups

Emergency teams and manag-ers and professional associa-tions


A training needs assessment will reveal the number of pos-sible participants per hospital (medical doctors and nurses), training capacity of regional training centers (facilities, trainers, existent and needed training equipment). Training centres will procure necessary training equipment to complement the regional training centers (12-15) where appropriate. Clinical Practice Guidelines will be updated and where necessary, developed corresponding to EU standards. Development of training curricula will follow, structured in training modules according to the selected training subjects; a trainer and trainee kit will be developed; a translation of the latest edition of the Tintinalli manual will be attempted. Train of Trainers & step down training will be implemented. Out-come oriented project progress monitoring will be done through an M&E system following the defined indicators. 


Achieved results:  

Training centres for emergency services have training capacities as follows:

  • 13 pre-hospital equipped training centres for paramedics;
  • 18 pre-hospital training centres for ambulances and emergency units;
  • 11 hospital training centres for emergency units;
  • 25 doctors and 14 nurses ToT in ER Dept. management;
  • 133 nurses trained for the new triaj protocol;
  • 30 doctors trained for algorithms;
  • ToT curriculum developed;
  • Training materials for ER Dept. management, triage and guidelines;
  • Tintinalli’s Emergency Medicine (500 copies), Sheey’s Nursing (2500 copies), Manual for Paramedics +DVD (2500 copies) and Triaj protocol ed.2017 (2500 copies) – translated, printed and distributed;
  • Discharge instructions, 9 for paediatrics and 20 for adults;
  • 437 participants in all courses;
  • 225 medical managers (doctors, nurses, admin) from 75 hospitals, trained in 5 courses of management;
  • 50 doctors and residents trained in scientific research and articles;
  • Workshops of representatives of 13 training centres for young doctors; training plan and methodology updated;
  • 24 algorithms and 3 practice recommendations elaborated;
  • 14 algorithms for resuscitation;
  • 75 hospitals equipped with TVs to continue present algorithms;
  • Quality indicators for service standards included in the CPGs

The project has been completed at an operational level.

Directorate/federal office responsible SDC
Credit area Swiss Contribution to the enlarged EU
Project partners Contract partner
Swiss Academic and Research Institution
  • Swiss Tropical and Public Health Institute

Other partners

Swiss Center for Health Policies and Services CPSS and CRED Romania

Budget Current phase Swiss budget CHF    732’948 Swiss disbursement to date CHF    265’164
Project phases Phase 6 01.12.2017 - 15.07.2019   (Completed) Phase 5 08.02.2016 - 30.06.2019   (Completed) Phase 4 15.07.2015 - 30.04.2019   (Completed)

Phase 2 01.01.2014 - 31.12.2016   (Completed)

Phase 1 01.03.2014 - 29.02.2016   (Completed)