DISASTER MEDICINE No. 4•2021

https://doi.org/10.33266/2070-1004-2021-4

Simulation Modeling and Practice of Inpatient Emergency Department in COVID-19 Pandemic

Teplov V.M.1, Aleksanin S.S.2, Tsebrovskaya E.A.1, Lebedeva A.A.1, Burykina V.V.1, Kolomoytsev V.V.1, Belash V.A.1, Bagnenko S.F.1 

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1 Pavlov First St. Petersburg State Medical University, St. Petersburg, Russian Federation

2 The Nikiforov Russian Center of Emergency and Radiation Medicine of EMERCOM of Russian Federation, St. Petersburg, Russian Federation

UDC 004.94; 614.2:614.88: 578.834.1:616-036.2

Pp. 37-43

Abstract. The article presents the experience of using simulation modeling to optimize inpatient emergency department as an admission unit of a hospital — Center for treatment of patients with new coronavirus infection COVID-19.

It was noted that the inpatient emergency department effectively performed the functions of the inpatient department of the Center for treatment of patients with new COVID-19 coronavirus infection for a total of more than 7 months. A correct calculation of staffing and a competent use of the department “zones” ensured efficient and rapid reception of patients during both “waves” of the pandemic. The model also proved positive role of such departments with a large number of patients in a multimillion metropolis needed to be hospitalized on a daily basis.

Keywords: Center for treatment of patients with new coronavirus infection COVID-19, COVID-19 inpatient admission unit, inpatient emergency department, pandemic, simulation modeling

For citation: Teplov V.M., Aleksanin S.S., Tsebrovskaya E.A., Lebedeva A.A., Burykina V.V., Belash V.A. Simulation Modeling and Practice of Inpatient Emergency Department in COVID-19 Pandemic. Meditsina katastrof = Disaster Medicine. 2021;4:37-43 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-37-43

 

REFERENCES

  1. Kuznetsov A.V. Sotsial’nye Vzaimootnosheniya Vrachey, Patsiyentov i SMI v Protsesse Medikalizatsii = Social Relations Between Doctors, Patients and the Media in the Process of Medicalization. Extended Abstract of Candidate’s thesis in Sociological Sciences. Volgograd State Medical University. Volgograd Publ., 2009. 26 p. (In Russ.).
  2. Abashin N.N. Patient Satisfaction as an Indicator of the Quality of Medical Care. Problemy Sotsial’noy Gigiyeny i Istoriya Meditsiny = Problems of Social Hygiene and History of Medicine. 1998;5:31-33 (In Russ.).
  3. Shilova L.S. Samosokhranitel’noe Povedenie Patsientov v Usloviyakh Modernizatsii Rossiyskoy Pervichnoy Meditsinskoy Pomoshchi = Self-Preserving Behavior of Patients in the Context of Modernization of Russian Primary Health Care. Extended Abstract of Candidate’s thesis in Sociological Sciences 22.00.04. Moscow, Instiut Sotsiologii RAN Publ., 2012. 214 p. (In Russ.).
  4. RBK. Lenta Novostey. 03.05.2020. [ULR]: https://www.rbc.ru/society/03/05/2020/5eadd69f9a794764c16f25cc (In Russ.).
  5. Tumakova I. Novaya Gazeta. 24.04.2020. URL: https://novayagazeta-ru.turbopages.org/novayagazeta.ru/s/articles/2020/04/24/85073-my-priehali-i-v-ochered-vstali (In Russ.).
  6. Fontanka.ru. 11.06.2020. [URL] https://www.fontanka.ru/2020/06/11/69310015/ (In Russ.).
  7. Komsomol’skaya Pravda. 11.04.2020. URL: https://www.msk.kp.ru/daily/27116/4196181/ (In Russ.).
  8. Bagnenko S.F., et al. Organizatsiya Raboty Statsionarnogo Otdeleniya Skoroy Meditsinskoy Pomoshchi = Organization of Work of the Inpatient Department of Emergency Medical Care: Method. Moscow, GEOTAR-Media Publ., 2015. 80 p. (In Russ.)
  9. Teplov V.M., et al. In-Patient Emergency Department and Its Role the Optimization of Operation in Intensive Care Departments of Multi-Specialty Hospital. Vestnik Anesteziologii i Reanimatologii = Messenger of Anesthesiology and Resuscitation. 2017;14;3:5-9. https://doi.org/10.21292/2078-5658-2017-14-3-5-9 (In Russ.).
  10. Bagnenko S.F., Miroshnichenko A.G., Shlyafer S.I., Alimov R.R, Teplov V.M., Razumnyy N.V., Turov I.A. Results of Inpatient and Outpatient Emergency Care in the Russian Federation. Mediko-Biologicheskie i Sotsialno-Psikhologicheskie problemy Obespecheniya Bezopasnosti v Chrezvychaynykh situatsiyakh = Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2020;1:5-11 (In Russ.).
  11. Goncharov S.F., Bystrov M.V., Bobiy B.V. Topical Issues of the Organization of Emergency Medical Care in Different Modes of Activity. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2017;18;4:4-9 (In Russ.).
  12. Bagnenko S.F., Teplov V.M., Miroshnichenko A.G., Minnulin I.P., Komedev S.S., Tsebrovskaya E.A., Turov I.A. Experiece of Using of Pocket-Sized Visualization Tool in Emergency Department. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2017;18;2:69-72 https://doi.org/10.24884/2072-6716-2017-18-2-69-72 (In Russ.).
  13. Tsebrovskaya E.A., et al. Using FlexSim Healthcare in Optimizing the Performace of Hospital Emergency Departments. Imitatsionnoye Modelirovaniye. Teoriya i Praktika. IMMOD-2017 = Simulation Modeling. Theory and Practice. IMMOD-2017. Materials of Conference. St.Petersburg Publ., 2017. P. 592 (In Russ.).
  14. Teplov V.M. et al. The Use of Simulation Modeling to Optimize the Operation of an Inpatient Emergency in a Multidisciplinary Hospital in the Context of re-profiling a Medical Institution to Receive Patients with a New Corona Virus Infection. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2020;21;4:11-16. (In Russ.) https://doi.org/10.24884/2072-6716-2020-21-4-11-16
  15. Teplov V.M. et al., Simulation Modeling of a Three-Level System of Emergency Medical Care in the Chechen Republic. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. 2020;21;2:9-14 https://doi.org/10.24884/2072-6716-2020-21-2-9-14 (In Russ.).
  16. Zachariasse J.M., Seiger N., Rood P.P., et al. Validity of the Manchester Triage System in Emergency Care: A Prospective Observational Study. PLoS One. 2017;12;2: e0170811.
  17. World Health Organization. Infection Prevention and Control During Health Care when Novel Coronavirus (nCoV) Infection is Suspected or Confirmed. Available at: https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2020.4external icon. Accessed on July 27, 2020.
  18. World Health Organization. Clinical Management of COVID-19. [ULR] Available at: https://www.who.int/publications/i/item/clinical-management-of-covid-19external icon. Accessed on July 29, 2020.
  19. Interim Recommendations for the Prevention, Diagnosis and Treatment of the New Coronavirus Infection Covid-19. Version 8 of 09.03.2020. Ministry of Health of Russia. Moscow Publ., 2020 (In Russ.).

The material was received 20.04.21; the article after peer review procedure 22.11.21; the Editorial Board accepted the article for publication 13.12.21

 
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