Activity of Hospital Emergency Services

Abstract

The emergency department is often the front line in the patient’s
contact with the health service, with a growing affluence
and increased quality requirements along with the
need for cost reduction.
The implementation of strategies for the sustainability of
the system cannot focus only on cost containment itself. It is
necessary to understand the big picture by the user’s point
of view, with all its expectations and emotions, according to
its conditions of physical and economic accessibility; and
from the standpoint of health professionals as multidisciplinary
work team elements, in a dynamic area in constant
exchange, with ambitions and frustrations, under pressure
and conflicts and with the need for constant, universal and
effective communication. The entire system is subject to the
policy of the managers who must have a proactive and not
reactive role, accepting their insecurities towards this, difficult
to control, hospital entryway.
Any intervention in this field must always take into account
the physical deployment of emergency services,
their accessibility, responsiveness in critical situations and
working conditions, pillars that will determine the level of
care provided there and consequent demand.
In this chaotic environment, good leadership is essential,
in which the leader is not only an example of character,
respect and justice, but also a manager and a communicator,
which creates conditions for an adaptive and expansive
learning, which can contribute to improving care.