Intensification of use of resources of multi-field hospital through adoption of technologies of emergency department

Intensification of use of resources of multi-field hospital through adoption of technologies of emergency department (R.R. Alimov, V.E. Parfenov, S.F. Bagnenko, A.G. Miroshnichenko,  V.V. Stozharov, Yu.P. Linets)
Dzhanelidze Research Institute of Emergency Medicine, St.-Petersburg, Russia
State Medical University named after I.P. Pavlov, St.-Petersburg, Russia

North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, Russia

The article presents the product of research of multi-field hospital — Dzhanelidze Research Institute of Emergency Medicine after adoption of technologies of emergency department (further: ED) established on an order № 586n dated 02.August 2010 of the Ministry for Health and Social Development of the Russian Federation. The analysis of the periods before and after introduction of ED equipped with ED-beds is given in this article. Research suggest that during 2011-2012 the evidence grade of hospitalization of patients needed a special treatment has raised through increase the rate of out-patients (from 32,1% in 2010 г. to 53,4% in 2012) and reduction the number of bed days of short treatment patients (from 40% in 2007 г. to 23,7% in 2011).

Key words: intensification of work of multi-field hospital, emergency department, ED-beds, dynamic observation, short-term treatment, public health care.

Contact: R.R. Alimov, arr0303@mail.ru