IN-PATIENT EMERGENCY DEPARTMENT AND ITS ROLE IN THE OPTIMIZATION OF OPERATION IN INTENSIVE CARE DEPARTMENTS OF A MULTI-SPECIALTY HOSPITAL

In-patient emergency department is a new division, being organized in medical units providing emergency care. In this country, its role and place within medical care system are not fully definite. Goal: to compare work of intensive care departments in hospitals providing care for emergency patients depending if an in-patient emergency department with the intensive care ward is available or absent. Materials. Summarized data on the patients admitted for emergency care to Dzhanilidze St. Petersburg Research Institute of Emergency Care (2010–2012) and Pavlov First Saint Petersburg State Medical University (2014–2016) where the in-patient emergency department is available. Results. Establishment of the in-patient emergency department with the intensive care ward results in the 2-fold reduction of patients' admission to the hospital intensive care department thus reducing the admission of patients with diseases beyond the hospital's specialization. Thus the excessive workload of the intensive care department personnel is reduced and care options are expanded since the duration of the patients' stay is increased while the number of beds remains the same. Conclusion: Adding the in-patient emergency department to the structure of a multi-specialty hospital allows changing the system of medical care, concentrating the efforts and funds on the treatment of patients with absolute indications for admission to the intensive care wards.

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