Introduction: The State Emergency Medical System (PRM) exists to provide assistance to every person in state of sudden threat to their health or life, operates 24 hours a day, 7 days a week, all year round. The units of the system are hospital emergency departments (SOR) and emergency medical teams, including aviation emergency medical teams. The obvious purpose of the PRM System, which is to save life of human, as any complex activity, is sometimes put to the proof. Appearing and publicised by media cases of late medical attention, calls ignored by a dispatcher or sending emergency medical teams from hospital to hospital seriously undermine the reputation of healthcare service in Poland. The aim: Evaluation of organization of the PRM System in Poland by practitioners – medical staff of Hospital Emergency Departments, ambulance personnel and medical students. Material and methods: The material included a group of 138 interviewees from 768 participants of the 11th Emergency Medicine Conference Kopernik 2018. The research tool was the author’s survey consisting of 12 thematic questions, including one open question, and the part collecting sociodemographic data. The collected empirical material was given descriptive and statistical analysis using Microsoft Excel. The results were presented by calculating the arithmetic mean, median, dominant, standard deviation, coefficient of variation and% of responses respectively. Results: In the majority of respondents’ opinion the organization of the PRM system in Poland is average. The vast majority of respondents (64%) consider the two-people “P” teams to be insufficient. Problems the most often reported by the respondents were lack/or insufficient number of trainings, underfunding of the system, large salaries disparities, shortages of staff, hampered cooperation with other services. Conclusions: The analysis of selected items of the organization of the State Emergency Medical Service in Poland in opinion of practitioners points out the need to implement organizational changes which could improve the system.
Aim: To find out opinion of hospital management staff on impact of accreditation standards on management of medical entity. Material and methods: The study was conducted from March to April 2021 in one of hospital in Lodz. A total of 22 people (management, heads of hospital wards, heads of departments and ward nurses) were invited in the study, 16 people competed the questionnaire and submitted it for analysis. The study was conducted using the questionnaire, which was built of 19 quantitative and qualitative questions. Results: In opinion of the respondents, the most often used accreditation areas in management process are standards in area of Care Continuity, second in area of Patient Rights, and third in area of Patient Care. The majority of the respondents rated highly and very highly impact of the used standards on their management activities. Active participation of the process of continuous improvement of accreditation standards was confirmed by 12 respondents. In opinion of 11 respondents, the implementation and maintenance of accreditation standards affects the effectiveness of management tasks, while 5 people don’t agree with this influence. In the same way the respondents assessed impact of the implementation of accreditation on the quality and safety of provided health services (11 people indicate correlation; 5 people have a different opinion). Twelve out of sixteen respondents confirmed and justified that accreditation is needed in hospital. Conclusion: In opinion of the respondents performing managerial functions, the process of maintaining and continuous improvement of individual accreditation standards is understood and desirable among the management staff of the hospital.
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