Digital transformation of the Emergency Department: efficiency and traceability through MEDPROJECT and SIAAMS systems

Abstract

Background. The digitalization of emergency medical services is becoming essential in the context of the increase in the volume of patients and the complexity of the cases treated. The integration of information systems contributes significantly to the efficiency of triage, clinical decisions and documentation. Objective(s). Assessing the impact of implementing the MEDPROJECT and SIAAMS information systems in the Emergency Department activity, with a focus on operational efficiency and medical act traceability. Materials and methods. The study was based on the comparative analysis of the functionality and results of the implementation of the MEDPROJECT (electronic triage, document generation, automatic request for investigations) and SIAAMS (results’ visualization, interdisciplinary consultations). The IT flows and integration with connected medical equipment were monitored. Results. In 2024, 85060 referrals were registered within the ED, which corresponds to an average volume of 233 patients/day. The distribution by triage codes was estimated as follows: red code – 6%, yellow code – 28%, green code – 56%, blue code – 10%. The time to register a patient decreased from 6–10 minutes (classical system) to 2–4 minutes (through MEDPROJECT), Resulting in a daily gain of over 15 hours in total. The administrative error rate was reduced from 4,7% to under 1% after the implementation of the digital system. Requesting and carrying out interdisciplinary consultations became more efficient with the average time under 10 minutes. Conclusion(s). The complete digitalization of the triage process and the patient's path contributes significantly to the efficiency of clinical decision-making, reduces reaction times and improves the quality of the medical act. The digitalization of the ED is a fundamental pillar in contemporary medicine.