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.
