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119구급대를 통해 3차 병원으로 재이송된 환자분석

Analysis of patients retransferred to a tertiary hospital through paramedics

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Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

Abstract

Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

참고문헌 (10)

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  2. 최효정, "일개 대도시의 병원전 단계와 병원 단계의 중증도 분류체계 간의 결과 분석", 대한응급의학회지, 29(5), pp.391~398 (2018), 대한응급의학회
  3. 정중식, "서울시 119 구급대의 병원전 응급처치 적절성 평가", 대한응급의학회지, 19(3), pp.233~244 (2008), 대한응급의학회
  4. 배현아, "119 구급대 이용의 적절성에 관한 연구", 대한응급의학회지, 15(1), pp.36~46 (2004), 대한응급의학회
  5. 정기성, "119구급대의 환자 이송 단계에 관한 연구", Crisisonomy, 6(4), pp.83~92 (2010), (사)위기관리이론과실천
  6. "The number of emergency patient hospital retransmissions increased every year"[URL]
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  8. Cha MI, "A comparison study of triage results between prehospital and hospital settings", Master, pp.2017
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  10. 채연석, "상용치료원 여부에 따른 응급의료서비스 이용 및 응급과 비응급 환자의 특성: 한국 의료패널자료 분석연구", 대한응급의학회지, 26(2), pp.129~137 (2015), 대한응급의학회

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