Poland plans to expand ER data transparency with new TOPSOR system regulations in 2026.
New SOR Queue Data for 2026: Registration, Triage, and Patient Numbers on Screen
The amendment expands and organizes the catalog of data that the TOPSOR system should measure and present. This includes not only the time until the first contact with a doctor, but also:
In other words – not just “when will I see the doctor,” but also “how long does the pre-doctor stage take” and “how overloaded is the department as a whole.” Previously, patients mainly saw the end result – now they should see the structure of the entire process.
Who Really Determines Priority in the ER? Changes to the ESI Algorithm and Staff Role
The project also clarifies issues related to medical triage. The regulation no longer specifies a specific version of the ESI algorithm (previously it was version 4.0). It is replaced by a general reference to the current guidelines of the methodology creator. This is a technical solution, but it has practical implications – it allows for frequent amendments to be avoided when medical standards change.
At the same time, the justification clearly states that the TOPSOR system does not automatically perform medical triage, but only enables it to be carried out by staff. The order of admission is still decided by a medical professional. The system is to be a tool, not an arbiter.
Hospitals Must Integrate Systems. New TOPSOR Obligations and Data Reporting
The project does not only concern displays and waiting times. It also introduces the obligation to ensure two-way communication between the TOPSOR system and the hospital’s IT system.
The OSR indicated that this should:
Additionally, the obligation to perform local data backups has been clarified. For hospitals, this means specific organizational and technical tasks. For patients – potentially more consistent data in the system.
Will Public Queue Information Reduce ER Waiting Times?
The most important question remains open. The project does not change ER funding, does not increase the number of doctors or nurses, and does not introduce new admission time standards. It does, however, strengthen transparency.
Public information does not automatically reduce queues, but it may increase pressure on work organization, enable comparison of departmental workload, and provide data for the debate on funding for emergency medical services. The difference therefore is not that queues will disappear, but that they will be measured and presented more accurately.
When Will New ER Rules Take Effect? Entry into Force of the Regulation
According to the project, the regulation is to enter into force 14 days after its announcement. Previously, the project will go through public consultations, in which, among others, local governments, professional organizations, patient organizations, and the NFZ will participate.
