chain of survival and its implementation in serbia

Aim: Analysis of the use and implementation of the Chain of Survival or Chain of Prevention in health institutions of Serbia (Clinical Centers, Regional Hospitals and Health Centers in areas with more than 100,000 inhabitants). Method: Data analysis obtained by questionnaire which was conducted in Clinical Centers, Regional Hospitals and Health Centers. The questionnaire included five questions. Each question is part of the Chain of Survival or Chain of Prevention. Results The results were obtained by the conducted survey, which includes five links of the Chain of Prevention defined by the recommendations back to 2010. The first question in the Chain of Prevention is: Education. The results indicate that even in any environment there is no clearly defined system of personnel education internal CME to work in the institution. The second link is: Monitoring. Monitoring comes down to the notation of a certain vital parameters twice a day and sometimes only once a day. There are no forms designed to monitor vital parameters of patients either as part of national indicators of quality of work or indicators that neither has the right to establish institutions - internal indicators of quality of work, in the prehospital conditions. Fourth link of chain: Call for help. In Serbia, there are no defined teams of rapid response, which intervene to begin a special intensive care of life threatening patient. The fifth link of the chain of prevention: Response. No specially designed team, there is no evidence or liabilities of data notation on a reactive time of response. Conclusion Chain of Prevention is not implemented in the health care system in the Republic of Serbia, and there are no currently efforts for its implementation.