ДИНАМИКА ОБОСНОВАННОСТИ ГОСПИТАЛИЗАЦИИ В МНОГОПРОФИЛЬНОМ СТАЦИОНАРЕ ПОСЛЕ ВНЕДРЕНИЯ СТАЦИОНАРНОГО ОТДЕЛЕНИЯ СКОРОЙ МЕДИЦИНСКОЙ ПОМОЩИ

Introduction of an emergency department hospital to practice of a multi-disciplinary hospital allowed to increase the proportion of completed cases among them the most evident are the cases of the following ICD-10: «III»— in 10.95 times, and «XI»— 9,89 times, «IX»— in 6.19 times, «X»— in 6.15 times, «XIV»— in 5.96 time, «II»— in 5.35 times, «XIII»— 5.01 times. The analysis of diagnoses, markers of unreasonable hospitalization (K29, K86, N11)— in 13.3 times (p<0.05). This was achieved by means of quality Improvement activities (reduction of frequency of differences in diagnoses by 1.6 times from 24.6 to 15.4 cases per 100 cases) and of availability (reducing the waiting time of initial examination by1.93 times from 17.1 to 8.9 min).