Advanced units: quality measures in urgency and emergency care.

Autor: Viola DC; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Cordioli E; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Pedrotti CH; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Iervolino M; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Bastos Neto Ada S; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Almeida LR; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Neves HS; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Lottenberg CL; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2014 Oct-Dec; Vol. 12 (4), pp. 492-8.
DOI: 10.1590/S1679-45082014GS2894
Abstrakt: Objective: To evaluate, through care indicators, the quality of services rendered to patients considered urgency and emergency cases at an advanced emergency care unit.
Methods: We analyzed data from managerial reports of 64,891 medical visits performed in the Emergency Care Unit of the Ibirapuera Unit at Care during the period from June 1st, 2012 through May 31st, 2013. The proposed indicators for the assessment of care were rate of death in the emergency care unit; average length of stay of patients in the unit; rate of unplanned return visits; admission rate for patients screened as level 1 according to the Emergency Severity Index; rate of non-finalized medical consultations; rate of complaints; and door-to-electrocardiogram time.
Results: The rate of death in the emergency care unit was zero. Five of the 22 patients classified as Emergency Severity Index 1 (22.7%) arrived presenting cardiac arrest. All were treated with cardiopulmonary resuscitation and reestablishment of vital functions. The average length of stay of patients in the unit was 3 hours, 33 minutes, and 7 seconds. The rate of unscheduled return visits at the emergency care unit of the Ibirapuera unit was 13.64%. Rate of complaints was 2.8/1,000 patients seen during the period.
Conclusion: The model of urgency and emergency care in advanced units provides an efficient and efficaious service to patients. Both critically ill patients and those considered less complex can receive proper treatment for their needs.
Databáze: MEDLINE
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