Organización de un servicio de urgenciasanálisis de la actividad y de las medidas adoptadas para mejorar la calidad

Abstract

People usually think that hospital emergency departments are very difficult to manage, because they are "uncontrollable" and "unpredictable" external determinants (epidemics, socioeconomic status, climate change, social-sports events, etc.) to the service itself, are responsible for the common sense of chaos and saturation thereof. 2. OBJECTIVES To describe and analyze a number of demographic (age, sex, country of birth and residence population) and healthcare variables (number of patients evaluated by year and by month, number of patients evaluated by time of arrival and time period, distribution demand by severity, time of the first medical attendance in minutes depending on the severity and length of average stay in the emergency department) and some quality indicators (proportion of income, mortality rate, time delay for the first aid and emergency rate of return in 72 hours after discharge), established by the Spanish Society of Emergency Medicine (SEMES) of the population attended in the Emergency Department of the University Hospital Southeast of Arganda del Rey, since 2009 until 2014. Their knowledge will improve the hospital care process, assuming that the study of the activity of a Hospital Emergency Department (ED) is useful to propose measures for improvement from the standpoint of quality of care, clinical management and overall fit between demand and supply...