Analysis of the Organizational Aspects of a Clinical Emergency Department: A Study in a General Hospital in Ribeirao Preto, SP, Brazil

Abstract

Demand for the Emergency Department (ED) has increased, making the organization of work difficult. This quantitative, descriptive and documental study identifies and analyzes the characteristics of clinical care in the ED of a General Hospital in Ribeirão Preto, SP, in 2007, according to organizational variables. The study population included all clinical care consultations registered in the Hospital Management Information System. Data were analyzed through descriptive statistics and discussed considering the theoretical framework of the Single Health System (SUS). A total of 5,285 consultations were registered in the period, which were more frequent in patients from the city itself, in January (10%), on Mondays (16%), from 12pm to 12am (67.1%). The main reason for discharge from the unit was hospitalization (63.8%) and the predominant length of stay in the unit was less than six hours (39.8%). The results support the management of human resources, materials and equipment, indicating the desirability of reorganizing emergency care in the hospital.

Evaluation of care for traffic accidents victims made by on duty emergency physicians and surgeons in the emergency room

“…In another study conducted in Ribeirão Preto, Coelho et al 20 reported that 39.8% of patients remained for less than six hours and 27.4%, between 24 and 30 hours, with no mention to the type of specialty. Statistical analysis showed that there was an association between length of stay and surgical specialty (Tables 1 and 2).…”

Evaluation Of The Quality Of Assistance In An Pre-Hospital Mobile Emergency Service

“…Studies [19,20] have stated that emergency teams are constantly in contact with the unpredictability, This article is available at: www.intarchmed.com and www.medbrary.com the severity of patients´ situations and the limitation of human, material and structural resources, greatly influencing the quality of care provided.…”

Estratégias utilizadas pelos enfermeiros para promover o trabalho em equipe em um serviço de emergência

“…In this sense, teamwork that is cohesive and integrates the members from conception to execution is an efficient means to obtain high quality, safe care for patients (10)(11)(12) . However, teamwork within the context of the particularities of emergency hospital services is a challenge for nurses (11,(13)(14) . Even with the advancement of healthcare policies that establish the organization of an emergency care system in Brazil, hospital services continue to be the first point of entry of people in emergency situations (13)(14)(15) .…”