ASSESSMENT OF THE OUTCOMES OF THE ZERO VACANCY PATIENT REMOVAL SYSTEM PERFORMED BY THE CITY OF RIO DE JANEIRO IN THE PRIMARY HEALTCARE UNITS (PCU)

In March 2013 it was developed an online platform to expedite the transport of patients from the Primary Care Units (PCU) who are in an emergency situation requiring service-level unit of higher complexity offered by the PCU. In this event called "zero vacancy" as it does not depend on space in the unit to receive the patient. In this platform, the Regulatory System of the City of Rio de Janeiro has real-time access to patient‘s condition to be able to regulate it to the health unit closest and with adequate resources to perform the service. The platform‘s implementation has improved the control times, release of ambulance and ambulance arrived on the requestor PCU, besides giving transparency to the process control / removal of patients seen in the PCU. In 2015, we identified a daily average of 43.6 requests removal of PCU, dais which 92.6% were for removal of basic ambulances and 7.4% in advanced. The average number of requests was higher in the second half of the month and time of day with the highest demand was the time between 10h and 12h a.m. p.m., representing 28.7% of the requests. the time from request to release the ambulance was 00: 15: 40h and time of arrival at PCU was 01: 19: 39h. Currently it intends to deploy patient removal service through the platform in all PCU the city, seen significant improvement in the timing of release and ambulance.