Analysis of in-hospital stage of emergency medical care and 24-hour mortality in emergency patients

Z G Valeev; V G Belyakov; L Y Salyahova

doi:10.17816/KMJ1782

Kazan medical journal ›› 2013, Vol. 94 ›› Issue (1) : 111 -114. DOI: 10.17816/KMJ1782

Epidemiology and healthcare management

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Analysis of in-hospital stage of emergency medical care and 24-hour mortality in emergency patients

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Abstract

Aim. To reveal the management defects of timely and sufficient emergency care provision at emergency patient admission. Methods. The mortality among the adult Kazan city inhabitants who were urgently admitted to Municipal Emergency Hospital was examined in a retrospective cohort study. The retrospective analysis of in-patients medical charts, ambulance accompanying talons and autopsy protocols of 543 patients who has succumbed during the first 24 hours after being admitted to Municipal Emergency Hospital №1 Kazan, Russia since January 1st, 2009 to December 31, 2011, was performed, emergency medical care on the pre-hospital stage was analysed. Results. The number of patients who got the out-patient care in the admission department of the emergency hospital has increased during the last several years, distracting admission department staff form their primary job and causing errors in medical care. The number of errors due to the medical care mismanagement can be estimated as 23.3%. Low staff qualification, lack of subspecialty consultations or councils and lack of case monitoring are among the reasons. Conclusion. Providing high quality medical aid in out-patients clinics would allow Emergency hospitals to focus on admitting and treating patients with life-threatening emergencies.

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first 24-hours mortality / medical care errors

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Z G Valeev, V G Belyakov, L Y Salyahova. Analysis of in-hospital stage of emergency medical care and 24-hour mortality in emergency patients. Kazan medical journal, 2013, 94(1): 111-114 DOI:10.17816/KMJ1782

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[1]	Анцупов В.Н., Курцев А.В. Проблемы досуточной летальности в ургентном стационаре широкого профиля // Курск. науч.-практ. вестн. - 2000. - №5. - С. 24-30.

[2]	Верткин А.Л., Петрик Е.А., Аристархова О.Ю. Полиморбидность - причина диагностических ошибок и расхождения клинического и морфологического диагнозов // Врач скор. пом. - 2012. - №4. - С. 63-66.

[3]	Лукьянова А.Г., Белокриницкий В.И., Хусаинова Д.Ф. Преемственность в оказании экстренной медицинской помощи на до- и госпитальном этапах // Врач скор. пом. - 2012. - №4. - С. 4-8.

[4]	O’Brien E.C., Rose K.M., Shahar E., Rosamond W.D. Stroke mortality, clinical presentation and day of arrival: the Atherosclerosis Risk In Communities (ARIC) study // Stroke Res. Treat. - 2011. - Vol. 2011. - Р. 1-8.