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January 14, 2022, 09:01

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Photo by M. Mishin. Press Service of the Mayor and the Government of Moscow

Five reserve hospitals have been operating since October 2020. Each of them is a full-fledged infection center with modern equipment.

In 2021, more than 141,000 patients with COVID-19 received comprehensive medical care in five reserve hospitals. Over 172,000 people have been treated there for the entire period of operation of the institutions.

“The creation of reserve hospitals has become a timely and effective solution in a pandemic. These are unique institutions not only in terms of scale, but also in terms of the level of medical equipment, which is not inferior to hospitals. Hospitals have also become a platform for the introduction of new digital services into the practice of doctors that improve the quality of medical care. At the same time, they provide comfortable conditions for the stay of patients and the work of medical personnel,” said the Deputy Head

Department of Health of the city of Moscow Alexey Tokarev.

He also noted that reserve hospitals will continue to work in the city in 2022.

Reserve hospitals and digital technologies

Patients with COVID-19 in Moscow receive five reserve hospitals. They are open in the Krylatskoye Ice Palace, the Sokolniki Congress and Exhibition Center, the Moscow Automobile Shopping Center, Pavilion No. 75 at VDNKh, and on the territory of the medical complex in Kommunarka. Each reserve hospital is attached to one of the multidisciplinary hospitals. At the same time they can accept up to seven thousand patients.

The institutions have been operating since October 2020. Their creation made it possible to significantly reduce the load on multidisciplinary hospitals and maintain the availability of planned and emergency medical care in city hospitals.

Laboratory capacity of the reserve hospital in Sokolniki increased 10 timesSpecial equipment against the formation of blood clots appeared in the reserve hospital at VDNKh

Reserve hospitals are full-fledged infection centers. They have a full set of diagnostic and resuscitation equipment, their own laboratories. The layout of hospitals takes into account all the requirements of epidemiological safety.

All reserve hospitals are connected to the unified digital healthcare system of Moscow. In addition, a digital algorithm based on the international NEWS2 scale (National Early Warning Score) is used. It helps doctors assess not only the severity of the diseased condition, but also the possible risks of clinical deterioration.

Digital technologies make it possible to automate many processes and pay more attention to patients. Thanks to the service of the Unified Medical Information and Analytical System (EMIAS), doctors see the entire clinical picture of the disease when a person enters the emergency department. This helps to determine further tactics of diagnosis and treatment. The standard hospitalization procedure takes half an hour, during which time the necessary examinations and tests are carried out.

Reserve hospitals do not use paper media – all medical documentation is created electronically and stored in the EMIAS service. Doctors have tablets connected to this system, and patients are given identification bracelets with QR codes. Doctors read information from the bracelets and get instant access to the News2 service and the therapy prescribed for patients. Thanks to the integration of the service with EMIAS, the results of assessing the risk of deterioration in the patient’s condition are reflected in his electronic medical record and are available to all specialists in the institution from any workplace. This allows doctors of various specialties to get acquainted with both the current state of the patient and the indicators in dynamics.

After recovery, the patient receives a discharge summary, which is available at electronic medical record on mos.ru and in the EMIAS.INFO mobile application.

In reserve hospitals, each bed is equipped with an individual call button for medical staff and an oxygen supply valve. Wireless internet is also available on site.

A single digital platform has been developed and is being developed jointly by the capital’s complex of social development andDepartment of Information Technology.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

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