Reception and diagnostic service and inpatient emergency departments – the current state of the issue (Literature review)

Introduction. The creation of conditions for the provision of high-quality emergency medical care based on the introduction of new approaches, innovative technologies and optimization of the bed stock contribute to improving the efficiency of a multidisciplinary hospital and expanding the range of services provided. The purpose of the study: based on the analysis of periodical literature devoted to the organization of the activities of diagnostic and emergency departments and inpatient departments, to identify current problematic issues and identify ways to solve them. Materials and methods. The databases PubMed, Scopus, Medline, and eLibrary searched for publications on the organization of medical care at the stage of emergency departments and inpatient emergency departments of multidisciplinary hospitals, of which 45 articles were used in this study. The analysis of large amounts of data was carried out based on the Microsoft Excel program and the artificial intelligence platform YandexGPT 3. Results. The main problematic issues are overcrowding, the quality of communication between staff and patients, the need to implement the principles of digital transformation and lean manufacturing, interaction with other parts of medical care, and infrastructure development. Conclusion. The administration of patient flows should prevent overcrowding and crowding, ensure interaction with other medical organizations in non-core cases, and help attract additional resources if necessary. In the organization of work, an important aspect is the observance of patient safety rules. In addition to solving the main task of providing qualified medical care to patients with emergency and urgent conditions, the functioning of the service helps manage the flow of hospitalization to hospital departments, as well as ensures continuity between outpatient and hospital units. 

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