This article is the first intent to solve the problems of saturation and low efficiency in the emergency department of a high complexity level hospital, using the technological surveillance as a tool that finds options who solve the problem. The presented approach seeks to obtain clear, impressive, reliable and timely technological information for the Hospital, and from this make decisions that respond to its issues. In order to fulfill the actions in matters of science, technology and innovation, an implementation exercise regarding technological surveillance and competitive intelligence has been developed for the Hospital. Thus, it is achieved the identification based in health information technologies and the automation of processes that provide the promptly, safety and timely attention of patients.