2017, Number 2
<< Back Next >>
Revista Cubana de Información en Ciencias de la Salud (ACIMED) 2017; 28 (2)
Servicios Médicos de Urgencia; aglomeración; eficiencia; tecnología de sensores remotos.
Morales JC, Aranda López-King JM, Cala GSM
Language: Spanish
References: 15
Page: 1-10
PDF size: 234.94 Kb.
ABSTRACT
A proposal is presented of a technological solution to overcrowding in emergency
departments of Bogotá. A diagnostic study was conducted at three emergency
departments of Bogotá during the first semester of the year 2015. The study revealed
that waiting times are long and there is information asymmetry between the various
actors in the system. It was also found that the primary care system is not well
coordinated with the emergency services, creating an incentive for patients to go
directly to the latter. The solution proposed is a non-invasive system to support the
emergency service, which is mainly composed of: 1) smart devices for the
measurement of vital signs, 2) a telecommunications system, 3) a server for data
processing and analysis, and alert generation. This solution is expected to contribute
to reduce information asymmetry.
REFERENCES
Gómez-Arias R, Nieto E. Colombia: ¿qué ha pasado con su reforma de salud? Rev Per Med Exp Salud Públ. 2014;31(4):733–9.
Londoño E, Molano P. Are Colombia's reforms enough for a health-care system in crisis? Lancet. 2015;385(9981):1943.
Bustos Y, Castro J, Wen LS, Sullivan AF, Chen DK, Camargo CA. Emergency department characteristics and capabilities in Bogotá, Colombia. Int J Emerg Med. 2015;8(1):79.
Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects and solutions. Ann Emerg Med. 2008;52(2):126-36.
Tudela P, Mòdol JM. La saturación en los servicios de urgencias hospitalarios. Emergencias. 2015;27(2):113-20.
Flores CR. La saturación de los servicios de urgencias: Una llamada a la unidad. Emergencias. 2011;23(1):59-64.
Espinel M, Romero M, Fernández L, Torres J, Maceiras S. Utilización por cuenta propia de los Servicios de Urgencias hospitalarias: razones que dan las personas con problemas de salud de baja complejidad para utilizar estos servicios. Polít Soc. 2011;48(2):329-52.
Braun T, García Castrillo-Riesgo L, Kraffta T, Díaz-Regañón Vilchesb G. Frecuentación del Servicio de Urgencias y factores sociodemográficos. Gac Sanit. 2002;16(2):139-44.
Tudela P, María Mòdol J, José Rego M, Bonet M, Vilaseca B, Tor J. Error diagnóstico en urgencias: relación con el motivo de consulta, mecanismos y trascendencia clínica. Med Clin (Barc). 2005;125(10):366-70.
Wiler JL, Gentle C, Halfpenny JM, Heins A, Mehrotra A, Mikhail MG, et al. Optimizing Emergency Department Front-End Operations. Ann Emerg Med. 2010;55(2):142-60.
Vezyridis P, Timmons S, Wharrad H. Going paperless at the emergency department: A socio-technical study of an information system for patient tracking. Int J Med Inform. 2011;80(7):455-65.
Pennathur PR, Cao D, Bisantz AM, Lin L, Fairbanks RJ, Wears RL, et al. Emergency department patient-tracking system evaluation. Int J Ind Ergon. 2011;41(4):360-9.
Jung SJ, Myllyla R, Chung WY. Wireless Machine-to-Machine Healthcare Solution Using Android Mobile Devices in Global Networks. IEEE Sens J. 2013;13(5):1419-24.
Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: An emerging threat to patient safety and public health. Emerg Med J. 2003;20:402-5.
Atzori L, Iera A, Morabito G. The Internet of Things: A survey. Comput Networks. 2010;54(15):2787-805.