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University Clinical Hospital Center „Dr Dragisa Misovic-Dedinje“, Belgrade Serbia Basic information about the institution Prerequisites for Pain Medicine General Manager Prof. dr R Scepanovic

„Dr Dragisa Misovic Dedinje“, Belgrade Serbiahepmp.med.bg.ac.rs/wp-content/uploads/2017/12/University...„Dr Dragisa Misovic-Dedinje“, Belgrade Serbia Basic information about

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  • University Clinical Hospital Center

    „Dr Dragisa Misovic-Dedinje“, Belgrade

    Serbia

    Basic information about the institution

    Prerequisites for Pain Medicine

    General Manager

    Prof. dr R Scepanovic

  • ACTIVITY

    Specialist-consultative and stationary

    Scientific/research

    Educational

    ORGANIZATION

    Clinics 4

    Hospitals 5

    Medical Services 6

    Non-medical services

    SPACE

    24,000 m2 (in function 14,000m2)

    BEDS

    546 (in function 387)

    CADRE

    1085 total

    191 doctors

    637 nurses

    228 adm. and technical staff

    20 specialist disciplines

    14 subspecialist

    1 Pain specialist

    TERTIARY AND SECONDARY HEALTH

    CARE INSTITUTION

    (UNIVERSITY HOSPITAL)

  • ACCREDITATION

    2011-2014, 2015-2022

    INFORMATION SUPPORT!

    - MEDICAL PROCESSES

    - BUSINESS PROCESSES

    IMPROVED QUALITY AND EFFICIENCY

    INDICATORS

    R E D U C E D C A P A C I T Y C O N D I T I O N S

    T H E F I R S T A M O N G T H E I N S T I T U T I O N S O F T E R T I A R Y

    P R O T E C T I O N I N S E R B I A

  • REDUCED CAPACITY CONDITIONS

    SPACE: FROM 24000 TO 14000 M2

    DOCTORS: 220 - 191

    BEDS 546 - 387

    According to plan BEDS IN THE FUNCTION

    Internal Medicine Clinic 130 90

    " According to plan BEDS IN THE FUNCTION

    Surgery Clinic 119 15

    Urology Clinic 38 23

    Ginecology and obstetric Clinic 50 50

    ORL Hospital 39 39

    TOTAL BEDS 246 127

  • INCREASE IN NUMBER OF EXAMS AND NUMBER OF

    PATIENTS TREATED

    179742 188676

    214175

    243129

    267251

    292332 276402

    262224

    245393

    0

    50000

    100000

    150000

    200000

    250000

    300000

    350000

    2008. 2009. 2010. 2011. 2012. 2013. 2014. 2015. 2016.

    Broj specijalističkih pregleda Number of specialist examinations Average length of treatment

  • INCREASE IN NUMBER OF OPERATIONS - DECREASE IN

    AVERAGE LOS

  • ANESTHESIA

    Anesthesiology and intensive care Clinic I-XII 2016.

    Epidural 1388

    Anesthesia for Endoscopic procedures 245

    General anesthesia / RA (80/20%) 8080

    Total 9713

  • QUALITY INDICATORS 2008.-2016.

    Average LOS

    Average number of preoperative

    treatment days

  • QUALITY INDICATORS 2011.-2016.

    Sectio Caesarea Epidural delivery

  • ACHIEVED RESULTS

    ACHIEVE NEW CLINICAL EFFICIENCY STANDARDS

    One day surgery

    Minimal invasive procedures

    - Laparoscopic surgery (gall blader, Colon Hernia; Thyreoid gland...)

    Operative program in two shifts

    Averige LOS: 1,5- 1,7 days

    Operations No/Beds = 176,7

  • CONDITIONS FOR PAIN THERAPY

    2701 oncological patient/year

    Increasing geriatric beds to 33

    Improving conditions for palliative care

    Opening an ambulance for pain therapy

    Acute pain service

  • THANK YOU FOR YOUR ATTENTION