Development and implementation of the concept of new organizational technology in the inpatient department for emergency medical care at the Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
https://doi.org/10.25016/2541-7487-2015-0-2-54-60
Abstract
Standard and legal basis, and also experience of introducing modern technologies in inpatient department of emergency medical care of the Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine are presented. Relevance of results from hospitalization growth and chronic overload of hospital receptions; this threatens availability, efficiency and quality of health care. The new model is connected with specific architectural and planning decisions (zoning, modern territorially available round-the-clock diagnostic service, beds of ambulance) and based on the principles of sorting patients by severity with flows (red, yellow, green areas), expeditious diagnostics in order to reduce unreasonable hospitalization and effectively use specialized beds. The first results of work showed effective performance in new conditions, revealed problem zones and also helped to develop recommendations on activity arrangements.
About the Authors
V. E. Parfenov
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Dr. Med. Sci. Prof., Director, Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine (Russia, 192242, Saint-Petersburg, Budapeshtskaja Str., 3)
I. M. Barsukova
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
PhD Med. Sci., head of the Department for Organization of Emergency Medical Care, Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine (Russia, 192242, Saint-Petersburg, Budapeshtskaja Str., 3)
A. G. Miroshnichenko
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Dr. Med. Sci. Prof., Head of Department of Emergency Medical Care North-Western State Medical University named after I.I. Mechnikov (Russia, 191015, Saint-Petersburg, Kirochnaya Str. 41)
References
1. Stozharov V.V., Alimov R.R., Barsukova I.M. [et al.]. Organizatsiya raboty statsionarnogo otdeleniya skoroi meditsinskoi pomoshchi [Organization of the inpatient emergency care]. Sankt-Peterburg. 2012. 56 p. (In Russ.)
2. Miroshnichenko A.G., Parfenov V.E., Barsukova I.M. [et al.]. Organizatsiya deyatel’nosti otdeleniya skoroi meditsinskoi pomoshchi kratkosrochnogo prebyvaniya mnogoprofil’nogo statsionara [Organization of the activities of the emergency department for short stay in general hospital:]. Sankt-Peterburg. 2015. 25 p. (In Russ.)
3. Skoraya meditsinskaya pomoshch’ [Emergency medical care]. Eds.: S.F. Bagnenko, M.Sh. Khubutiya, A.G. Miroshnichenko, I.P. Minnullin. Moskva. 2015. 888 p. (In Russ.)
Review
For citations:
Parfenov V.E., Barsukova I.M., Miroshnichenko A.G. Development and implementation of the concept of new organizational technology in the inpatient department for emergency medical care at the Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(2):54-60. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-2-54-60
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