Patient-focused medical care techniques in a hospital

Abstract

Objectives – to improve the organizational processes in the municipal hospital. Material and methods. The study was conducted in Samara City Clinical Hospital №1 named after N.I. Pirogov. The methods of organizational modeling and statistical analysis were applied. Results.The following patient-centered care techniques were introduced in the large multi-facility hospital: special logistics in the hospital admissions unit; models of "comfortable patient admission" and "friendly environment"; integrated information exchange with the emergency medical setting; modern equipment; new landscape; updated security and quality management systems. Routing in the admissions unit is organized according to a "3H" triage system – patients with different severity of conditions are sorted to "red', "yellow" and "green" zones. The "red" zone is intended for patients in extremely serious condition, with impaired vital functions. The "yellow" zone receives patients who are in a serious condition or in a state of moderate severity, with a violation of independent movement. The "green" zone accumulates patients whose health condition is not life threatening. The hospital's quality management system complies with the international standard ISO 9001:2015. Conclusion. Implemented patient-focused care techniques set the best level of quality, costs and time of medical care thus ensuring the persistent development of the institution. The international quality management standards contribute to the wide dissemination of new principles of hospital management – focus on the patient, on the quality of care.