Análisis del sistema de triaje de un Hospital para la mejora de la eficacia en el departamento de urgencias

Abstract

[EN] The emergency department (ED) is the initial medical care service for patients with health problems that put at risk the function of their organs, mental health or their lives, and therefore require immediate medical attention.It is a multidisciplinary service, in which patients need very different care.With a level of severity and / or urgency that varies and which will decide the waiting time of the patient.For this reason, a high degree of agility is required for the handling of patients who arrive, since the emergency department attends to a high volume of patients twenty-four hours a day.For this reason, it is necessary to have an extreme organization that provides this department with maximum efficiency and fast and correct patient care.A service that saves the lives of those patients who arrive at risk of mortality in the emergency department and that does not neglect those who come for less urgent reasons that also require attention.In view of the above, there are many people investigating how to improve this department. The emergence of Information and Communication Technologies (ICT) and the possibility of integrating them into health services meant a change and consequent improvement in medical care, information security and access to it, thus favouring clinical management, and speeding up the respective procedures. Hospital emergency services deal with urgent health problems, so they work under pressure and must work quickly and efficiently, sometimes with limited resources.Therefore a quick obtaining of the necessary patient information is a very important point for the electronic history of emergencies. When it comes to optimizing time, the rapid classification of the patient after arrival is a key point. This classification, through which the level of urgency is determined, is triage, which is becoming a crucial part of the Emergency Department (ED), in every single hospital, as a way to better distribute hospital resources.

[ES] La mejora del departamento de urgencias es un punto clave para la mejora del sistema hospitalario en España, la mejora de tiempos de espera así como la optimización de recursos. El objetivo de este trabajo es conocer la gestión en hospìtales del flujo de los pacientes y los diferentes métodos empleadops para gestionarlo.