About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU -

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow 4 2016 (50) arrow EXPERIENCE IN NEONATAL TRANSPORTATION TO THE SECOND-LEVEL HEALTH CARE FACILITY IN MOSCOW
EXPERIENCE IN NEONATAL TRANSPORTATION TO THE SECOND-LEVEL HEALTH CARE FACILITY IN MOSCOW Print
Tuesday, 26 July 2016

DOI: 10.21045/2071-5021-2016-50-4-7

Nizamova E.R.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Contacts: Elvira R. Nizamova, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

Significance. Medical transportation is an important step in care delivery to neonates and preterm babies and directly affects survival of children at successive levels of care delivery. The purpose of the work is to assess compliance of practices to transport neonates from the first to the second level health care facility with the current standards.

Materials and Methods. The article presents data on 519 transportations of neonates and preterm babies to the second level care facility in Moscow in April 2015. The article also outlines structure of the childrens morbidity, quality assessment of medical records used by the mobile resuscitation team, describes major drawbacks in care organization during transportation.

Results. The study identified the following problems: lack of the uniform medical documentation of mobile resuscitation teams, lack of the standard approach to score severity of the patient's condition that prevents quality assessment of the transportation service, timely referral due to underestimation of the threatening conditions. The study also detected cases of simultaneous transportation of several children, incomplete membership of mobile teams, lack of infusion therapy, non-use of infant incubators, cases of leaving the patient at the first level facility because agreement of transfer was not made, which increases the risk of complications in patients, and violates the principle of care continuity.

Conclusions. Use of standard medical documentation and organization of the internal quality management of care during transportation of neonates and preterm babies reduces the risk of complications during transportation, and ensures continuity of care between all levels of care delivery.

Evacuation of preterm and severe ill neonates in incubators with monitoring of vital functions and maintaining homeostasis improves survival rates.

Dispatcher center handles the following issues: meeting deadlines for transfer, rational routing of patient with due regard to severity of the condition, diagnosis, availability of beds at the second level facility of care delivery, provision of information to manage quality of care during transportation.
Results can be used to improve transportation of neonates and preterm babies in the Russian Federation.

. ; ; ; .

Keywords. Transportation of newborn and premature babies; second level of care delivery; ambulance; emergency care in neonatology.

References

  1. Ivanov D.O., Evtyukov G.M. Intensivnaya terapiya i transportirovka novorozhdennykh detey. [Intensive care and transportation of newborns]. St.Petersburg: Izdatel'stvo Chelovek; 2009. 612 p. (In Russian).
  2. Ivanov D.O., Petrenko Yu.V., editors. Sovremennye aspekty organizatsii neonatal'noy pomoshchi. Rukovodstvo dlya vrachey. [Contemporary aspects of the organization of neonatal care. Guide for Physicians.]. St. Petersburg: OOO Izdatel'stvo N-L; 2011. 464 p. (In Russian).
  3. Kurnosov Yu.V., Merzlova N.B., Vinokurova L.N. Glubokonedonoshennye novorozhdennye s ochen' nizkoy i ekstremal'no nizkoy massoy tela, perenesshie transportirovku v rannie i pozdnie sroki iz otdalennykh rayonov (na primere Permskogo kraya). [Extremely premature infants with very low and extremely low birth weight who have undergone transportation from remote districts in the early and later terms (based on the Perm territory experience)]. Fundamental'nye issledovaniya 2012; (8-1): 107-110. (In Russian).
  4. Leonov S.A., Tsybul'skaya I.S., Nizamova E.R. Analiz zabolevaemosti detey Rossii za period 2009-2013 gg. [Analysis of child morbidity rate in the Russian Federation within the period 2009-2013]. Menedzher zdravookhraneniya 2014; (10): 20-32. (In Russian).
  5. Merzlova N.B., Kurnosov Yu.V., Vinokurova L.N., Baturin V.I. Metodologicheskie podkhody k transportirovke novorozhdennykh s ochen' nizkoy i ekstremal'no nizkoy massoy tela. [Methodological approaches to transportation of newborns with very low and extremely low birth weight]. Voprosy sovremennoy pediatrii 2012; (6): 88-91. (In Russian).
  6. Mukhametshin R.F. Optimizatsiyaetapa mezhgospital'noy transportirovki novorozhdennykh v kriticheskom sostoyanii. [Optimization of inter-hospital transportation of the newborns in critical condition]. Cand.Med.Sci [thesis]. Yekaterinburg. 2009. 107 p.
  7. Nizamova E.R., Oprishchenko D.S. Problemy transportirovki nedonoshennykh i tyazhelobol'nykh novorozhdennykh na primere goroda Moskvy. [Challenge of the transportation of premature and critically ill infants, example of Moscow city]. In: Chuchalin A.G., chief editor. Sbornik materialov XXIII Rossiyskogo natsional'nogo kongressa Chelovek i lekarstvo. Moscow; 2016; p.104 (In Russian).
  8. Nizamova E.R., Roshchin D.O. Analiz normativnogo regulirovaniya meditsinskoy transportirovki novorozhdennykh v Rossiyskoy Federatsii. [Analysis of normative regulation of newborns medical transportation in the Russian Federation]. In: Kutaev Sh.K., Serferbekov R.I., El'darov E.M, Semilyak V.I., editors. Sbornik materialov X Mezhdunarodnoy nauchno-prakticheskoy konferentsii Aktual'nye problemy sovremennoy nauki v 21 veke, Makhachkala, 2016 Apr 30. Makhachkala, 2016; p. 231-234. (In Russian).
  9. Ob organizatsii vyezdnoy reanimatsionnoy neonatal'noy brigady na baze Gorodskoy bol'nitsy N 8 [On the organization of neonatal intensive care ambulance based in the City Hospital N 8]. Prikaz Departamenta zdravookhraneniya goroda Moskvy ot 10.04.2007 153. [Online] [cited 2016 Jun 06]. Available from: http://www. http://base.garant.ru/387382/. (In Russian).
  10. Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi po profilyu Neonatologiya [Approval of the Order for providing medical care in Neonatology]. Prikaz Minzdrava Rossii ot 15.11.2012 921n. [Online] [cited 2016 Jun 06]. Available from: http://www.consultant.ru/document/cons_doc_LAW_140656/ (In Russian).
  11. Ob utverzhdenii Poryadka okazaniya skoroy, v tom chisle skoroy spetsializirovannoy, meditsinskoy pomoshchi [Approval of the Order for providing emergency medical care, including specialized care]. Prikaz Minzdrava Rossii ot 20.06.2013 388n. [Online] [cited 2016 Jun 06]. Available from: http://www.consultant.ru/document/cons_doc_LAW_151082/ (In Russian).
  12. Roshchin D.O. Sovershenstvovanie dokumentarnogo obespecheniya protsessa gospitalizatsii po kanalu skoroy meditsinskoy pomoshchi. [Improving documentary maintenance for patient admission to a hospital through ambulance]. Menedzher zdravookhraneniya 2014, (1): 24-29. (In Russian).

Views: 5519

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Thursday, 28 July 2016 )
< Prev   Next >
home contact search contact search