Innovation Skills Assessment and Variation among Healthcare Employees in the Emergency Department: A Cross-sectional Study

Abstract

Aim: Innovation is vital in emergency departments (EDs), advancing diagnostics, triage, communication, and personalized treatment to save lives and improve patient outcomes. This study aims to assess the self-perceived innovation capacities of employees in the ED of a major quaternary care hospital in Karachi, Pakistan, to establish a baseline and identify areas for improvement. Materials and Methods: This study employed a descriptive cross-sectional design to assess the innovation skills of employees in the Department of Emergency Medicine and the 24/7 Emergency and Acute Care Service Line at the Aga Khan University Hospital in Karachi, Pakistan. The sample size of 130 employees was determined using non-probability purposive sampling. The study used the Innovation Skills Assessment, a close-ended structured questionnaire, to measure employees’ self-perceived strengths and weaknesses in the four pillars of innovation skills. Descriptive statistics and visualizations were used for data analysis. Ethical approval and informed consent were obtained beforehand. Results: The study showed that employees generally had a positive self-assessment of their innovation skills. There were differences between genders, with males scoring slightly higher. Young employees did not perceive themselves as more innovative, whereas older employees scored lower. Postgraduates and nurses self-assessed higher innovation capacities. Overall, employees showed strengths in idea generation and relationship building but had room for improvement in risk-taking and entrepreneurship. Conclusion: This study emphasizes the importance of fostering innovation in EDs in low-resource settings to improve patient outcomes. These findings can inform targeted interventions to enhance innovation skills and promote a culture of innovation and entrepreneurship in EDs globally, and in healthcare organizations overall. Further research is needed to explore the relationship between self-assessed and actual innovation performance.

Keywords

• innovation
• creativity
• entrepreneurship
• low and middle income
• healthcare delivery
• emergency department