Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2004     Volumen 29     Number 4
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UDK 616-083.98 ISSN 0350-2899, 29(2004) 4 p.231-234
Original paper

Time - a Key Factor of Efficiency in the Emergency Department

Mirjana Milićević (1), Miljan Jović (1), Bojan Šarčević (1), Emil Vlajić (2)
(1) Emergency Department, (2) Neuropsychiatry Department,  Medical Centre Zajecar



Emergency Medical Aid is a multidisciplinary branch of medicine which requires swift implementation of good knowledge of medical facts in a very short period of time, impeccable special skills and procedures in setting up a diagnosis and therapy whose order is most often changed and adapted to the situation. The main aim is to see the efficiency of the emergency department in Zaječar. We analysed 242 field outgoings in 25 days (from 1st April till 25th April 2004). A retrograde analysis was used for processing the data from the urgent protocol used for field teams. The data were analysed according to sex, urgency, the time that passes between the call being received and the team setting out and the team arriving on the spot.
The urgency list was formed according to the Input Information Score – orders for urgent medical interventions. Time as a factor of efficiency was measured in minutes. From the call-receiving moment to the starting-team moment, for the highest priority cases we run in five minutes in town in 76,41%, and for the cases in villages in 77,42%. On-the-spot time for the highest priority cases was needed 10 minutes in 78,30% for the cases in town, and in 35,49% in village. Speaking in minutes, time from patient call to arriving on-the-spot was 15,55 minutes in town, and 26,03 minutes in village. The efficiency of the Emergency Department in Zaječar is satisfactory, considering that we have only one Ambulance which is active at the moment. In order to increase the efficiency even more, better education of the staff is necessary. It is also necessary to educate the public about giving the first aid, why and when the Emergency Department is to be called for help, as well as finding means for sanctioning the abuse of the department.

Key words: emergency department, urgency, patient interview, efficiency.

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
  Corresponding Address:
Mirjana Milićević
Sokobanjska 1a, 19000 Zaječar
e-mail: mmilicevic@ptt.yu

Paper received: 14.06.2004
Paper accepted: 03.10.2004
Published online: 20.01.2005
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