影响紧急医疗通信中心通信时间的因素
Melisande Bensoussan1, Mathilde Vannier1, Thomas Loeb1
1Samu des Hauts-de-Seine, Assistance Publique-Hôpitaux de Paris, Hôpital Raymond Poincaré, Garches, 92380, France.
Scandinavian journal of trauma, resuscitation and emergency medicine
|January 13, 2025
概括
紧急医疗通信中心 (EMCC) 面临长时间的呼叫时间由于精神病原因,老年患者和夜间呼叫. 优化这些因素可以提高紧急护理的可访问性和效率.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 紧急医疗通信中心 (EMCC) 对于通过电话分拣及时提供紧急护理至关重要.
- 在EMCC中延长通信时间可能会对可访问性,患者分拣和临床决策产生负面影响.
- 确定影响通信时间的因素对于提高EMCC运营效率至关重要.
研究的目的:
- 识别与EMCC内部延长通信时间相关的时间,人类和上下文因素.
- 分析影响电话持续时间的因素,当医生在EMCC进行决策时.
主要方法:
- 一项回顾性观察研究分析了2019年3月至12月对法国EMCC的108,548个电话.
- 检查了总和医疗通信时间,不包括来自医疗人员或医院的电话.
- 双变量和多变量后勤回归确定了与延长通信持续时间相关的因素.
主要成果:
- 总通信时间的中位数是7分钟;医疗通信时间的中位数是3分钟.
- 精神病原因 (OR=1.75),老年患者 (OR=1.58) 和寻求医疗建议的呼叫 (OR=1.48) 与时间较长有关.
- 周末/夜间电话的持续时间增加了,而创伤电话,养老院电话和医生处理减少了.
结论:
- 电子电气中心的通信时间受到各种因素的复杂相互作用的影响.
- 患者人口统计学,呼叫性质和时间方面显著影响呼叫时间.
- 了解这些因素可以指导改善EMCC响应时间和效率的策略.
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