Summary

Register of short-stay units in Spain, the REGICE Project, study 1: location, organizational features, and staffing

Llopis Roca F, Juan Pastor A, Ferré Losa C, Martín Sánchez FJ, Llorens Soriano P, Sempere Montes G, Navarro Bustos C, Martínez Ortiz de Zárate M

Affiliation of the authors

Servicio de Urgencias, Unidad de Corta Estancia de Urgencias, Hospital Universitari de Bellvitge, LHospitalet de Llobregat, Barcelona, Spain. Servicio de Urgencias, Medicina Interna y Enfermedades infecciosas, Hospital Universitari Josep Trueta, Girona, Spain. Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain. Servicio de Urgencias, Unidad de Corta Estancia y Hospitalización a Domicilio, Hospital Universitario, Alicante, Spain. Servicio de Urgencias y Unidad de Corta Estancia, Hospital Universitario Dr. Peset, Valencia, Spain. Servicio de Urgencias, Hospital Virgen de la Macarena, Sevilla, Spain. Servicio de Urgencias, Hospital Universitario de Basurto, Bilbao, Spain.

DOI

Quote

Llopis Roca F, Juan Pastor A, Ferré Losa C, Martín Sánchez FJ, Llorens Soriano P, Sempere Montes G, et al. Register of short-stay units in Spain, the REGICE Project, study 1: location, organizational features, and staffing. Emergencias. 2014;26:57-60

Summary

Objective: The aim of the REGICE project is to describe the real situation of short-stay

units (SSU) in Spain. The project’s first study provided information on their

organizational structure, location, responsible hospital department, and staffing.

Methods: Cross-sectional study based on a survey of all Spanish hospitals listed on the

web page of the Ministry of Health in 2012. Hospital directors who reported that their

facilities had SSU were asked to provide information on how they were structured and

how staff were organized.

Results: Of the 591 hospitals surveyed, 67 (11.3%) had a SSU; 48 of them (71.6%) were

included in the database for the REGICE 1 study. Sixty-five percent of the units were

administered by the emergency department (ED), 23% by internal medicine and 12%

by another department. Fifty-two percent were located on a conventional hospital ward

and 44% in the ED area. The mean (SD) number of beds was 15.08 (6.34) (range, 5-30

beds). The ED chief was responsible for the unit in 60% of the hospitals and the internal

medicine department in 23%; 42% of the units had a chief of service other than the

head of the department the unit belonged to. The number of staff physicians and their

work scheduled varied greatly. The ratio of physicians to beds was 1:5.8 (range, 1:2-

1:12). Nursing staff was more similar across hospitals. Seventy percent of the short-stay

units participated in training resident physicians.

Conclusions: Only 11.3% of the surveyed hospitals have a SSU. These units usually

belong to the ED. Staff organization in these units varies greatly from hospital to

hospital.

 

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