Viola Dan Carai Maia, Cordioli Eduardo, Pedrotti Carlos Henrique Sartorato, Iervolino Mauro, Bastos Neto Antonio da Silva, Almeida Luis Roberto Natel de, Neves Henrique Sutton de Sousa, Lottenberg Claudio Luiz
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2014 Oct-Dec;12(4):492-8. doi: 10.1590/S1679-45082014GS2894.
To evaluate, through care indicators, the quality of services rendered to patients considered urgency and emergency cases at an advanced emergency care unit.
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.
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.
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.
通过护理指标评估一家高级急救单位为急症和紧急情况患者提供的服务质量。
我们分析了2012年6月1日至2013年5月31日期间在伊比拉普埃拉护理单位急救室进行的64,891次就诊的管理报告数据。用于评估护理的拟议指标包括急救单位的死亡率；患者在该单位的平均住院时间；计划外复诊率；根据急诊严重程度指数被筛查为1级的患者入院率；未完成的医疗咨询率；投诉率；以及从进门到做心电图的时间。
急救单位的死亡率为零。在22名被归类为急诊严重程度指数1级的患者中，有5名（22.7%）就诊时出现心脏骤停。所有患者均接受了心肺复苏和生命功能恢复治疗。患者在该单位的平均住院时间为3小时33分7秒。伊比拉普埃拉单位急救室的计划外复诊率为13.64%。在此期间，每1000名就诊患者的投诉率为2.8。
高级单位的急症和急救护理模式为患者提供了高效且有效的服务。重症患者和那些病情不太复杂的患者都能根据自身需求得到适当治疗。
