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Małgorzata Sulej Piotr Puc Marta Kwiatoń Zbigniew Kopański Magdalena Żurowska-Wolak Stanisław Dyl Gregory Sianos

Abstract

Introduction. The tasks performed by hospital emergency departments (HED) are still an undefined area of the State Medical Emergency System. There are no clear regulations specifying the scope of health services to be provided as part of the implementation of the statutory provisions on assistance in emergencies, which prompted the authors to undertake their own research.
The aim of the study. Evaluation of medical procedures performed in HED taking into account clinical profile of received patients in the range of state suddenness, determined on the basis of priority of patients admissions - Triage and examination of influence of these procedures on HED functioning.
Materials and Methods. The retrospective analysis of the documentation of the hospital emergency department of the 5th Military Clinical Hospital in Cracow concerning the period from 1 January to 31 December 2017 was performed.
Results. Medical activities in the hospital emergency department were dominated by diagnostic procedures performed in patients with low priority of admission to HED. This situation resulted, among others, in prolonged stay of patients in HED and increased workload of HED staff.
Conclusions. Changes are necessary to clarify the tasks performed by HED, taking into account the urgency of emergency actions resulting from the clinical condition of patients admitted and actions aimed at improving access to diagnostics for patients requiring services other than emergency actions and enabling comprehensive treatment in outpatient conditions.

Keywords: hospital emergency department, medical procedures, triage

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