medigraphic.com
ISSN 2007-3194 (Print)
Órgano de difusión oficial del Instituto Materno Infantil del Estado de México

2011, Number 1

<< Back Next >>

Arch Inv Mat Inf 2011; 3 (1)

Relación de urgencias reales y sentidas en un Servicio de Urgencias Pediátricas

Vázquez CI, Fuentes CMC

Language: Spanish
References: 15
Page: 19-23
PDF size: 184.18 Kb.


ABSTRACT

It is important that the patient who presents to the emergency outpatient HPN of IMIEM recognize what is real urgency. Objective: To determine the frequency and felt real emergency consultations issued in the emergency outpatient IMIEM HPN in the period of May, June and July 2008. Material and methods: Descriptive, transversal, prospective. Information was collected from 500 patients attending the outpatient Emergency Department at Children’s Hospital For IMIEM. Getting information from the doctor blade of a survey to parents of the patient. For the analysis of information obtained, we used descriptive statistical techniques. Results: Codes based on the diagnosis made by the doctor were 262 green (52.4%), 188 yellow (37.6), and 50 cells (10%). Conclusions: The finding in research that 52.4% were green codes, gives an overview of how our health system. We suggest: 1. Improving waiting times when the patient arrives until it is served, 2. Timely detection of conditions that endanger life or function, 3. Prevent saturation in demand for consultation in the Emergency Department, 4. A quick referral to specialties like orthopedics and surgery, 5. Influence the perception of people about the emergency services.


REFERENCES

  1. Hernández GLE. Relación Médico-paciente y la calidad de la atención médica Rev. CONAMED 2001; 9 (20): 25-29.

  2. Cook S, Sinclair D. Emergency Department Triage: a program assessment using the tools of continuous quality improvement. The Journal of Emergency Medicine, 1993; 15 (6): 889-894.

  3. American College of Surgeons. Advanced Trauma Life Support 1997; 23-26.

  4. Fajardo G. Servicio de Urgencias. En: Atención médica: teoría y prácticas administrativas, 1ª ed. México, Editorial Mexicana, 1983; 481-90.

  5. Corbett SW, White PD, Wittlake WA. Benefits of an informal videotape for Emergency Department patients. Am J Emerg Med 2000; 18: 67-71.

  6. Ramírez TJ, Nájera AP, Nigueda LG. Percepción de localidad de la atención de los Servicios de Salud en Mexico: Perspectiva de los usuarios. Salud Pública de México, 1998; 40, No 001:pp. 1-10.

  7. Cook S, Sinclair D. Emergency Department Triage: a program assessment using the tools of continuous quality improvement. The Journal of Emergency Medicine. 1993; 15 (6): 889-894.

  8. American College of Surgeons. Advanced Trauma Life Support 1997; 23-26.

  9. Blumer J. Cuidados Intensivos en Pediatría. 1993; anexo.34. Wells-Mackie J. Clinical assessment and priority setting. Nursing Clinics of North America 1981; 16 (1): 3-11.

  10. “Creación y validación de una escala de Triage en un Servicio de Urgencias Pediátricas”, http://www.seup.org/seup/html/becas/pdf/IVBecaCasenFleet.pdf

  11. Ampalis J, Lavoie A, Williams J et al. Impact of onsite care, prehospital time and level of in hospital care on survival in severity injured patients. The Journal of Trauma 1993; 34 (2): 252-261.

  12. “Sistema Español de Triage”, ISBN 84-87450-86-5.

  13. “Triage de Urgencias Hospitalarias. Grupo de Triage Manchester”, ISBN 84-609-5536-2.

  14. “Emergencias y Desastres en el Perú”, ISBN 9972-33-309-4.

  15. Burbinski B, Nasser M. Reflexiones acerca de las relaciones médico-paciente. Arch Argent Pediat 1990; 97 (11): 43-6.




2020     |     www.medigraphic.com