본문 바로가기
KERD
논문KCI 등재

119 구급요청 거절 대상 환자의 이송 현황 분석

Analysis of the patient who were rejected by 119 emergency requests transferred

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Purpose: The study aimed to collect data from patients who were rejected by emergency requests for transfer to a tertiary hospital through 119 EMT and to analyze the data in the hospital to improve the plan. Methods: We analyzed 4,702 cases of emergency requests made by patients who were rejected by 119 emergency assistance out of the 22,568 patients who visited the emergency medical center in the C area of G metropolitan city from January 2018 through December 2020. The collected data were analyzed using IBM SPSS Statistics Version XX (IBM Corp., Armonk, N.Y., USA). Results: The major medical department with the largest number of such cases was the department of emergency medicine, with 2,519 cases (53.6%). Simple bruises were the most common diagnosis, with 2,819 cases (61.2%). KTAS classification was the highest with 3,562 patients (75.8%) in grade 4. As for the results, 4,084 patients (86.9%) were discharged from the hospital. Conclusion: Most of the patients who were rejected by emergency requests were non-emergency patients and were discharged from the hospital. emergency requests must be rejected at public relations and sites. In addition, the law should be amended to specifically present the reasons for refusal of emergency requests.

Abstract

Purpose: The study aimed to collect data from patients who were rejected by emergency requests for transfer to a tertiary hospital through 119 EMT and to analyze the data in the hospital to improve the plan. Methods: We analyzed 4,702 cases of emergency requests made by patients who were rejected by 119 emergency assistance out of the 22,568 patients who visited the emergency medical center in the C area of G metropolitan city from January 2018 through December 2020. The collected data were analyzed using IBM SPSS Statistics Version XX (IBM Corp., Armonk, N.Y., USA). Results: The major medical department with the largest number of such cases was the department of emergency medicine, with 2,519 cases (53.6%). Simple bruises were the most common diagnosis, with 2,819 cases (61.2%). KTAS classification was the highest with 3,562 patients (75.8%) in grade 4. As for the results, 4,084 patients (86.9%) were discharged from the hospital. Conclusion: Most of the patients who were rejected by emergency requests were non-emergency patients and were discharged from the hospital. emergency requests must be rejected at public relations and sites. In addition, the law should be amended to specifically present the reasons for refusal of emergency requests.

참고문헌 (7)

  1. 강경희, "응급 환자 이송서비스의 적절성: 미충족 의료와 부적절한 이용", 보건행정학회지, 24(4), pp.357~366 (2014), 한국보건행정학회[DOI]
  2. 배현아, "119 구급대의 이송거절 및 거부에 대한 법적 고찰", 한국화재소방학회 논문지, 19(4), pp.47~56 (2005), 한국화재소방학회
  3. Sung DW, "A study on methods for decrease of non emergency cases in 119 EMS system", master, pp.2010
  4. 정기성, "119구급대의 환자 이송 단계에 관한 연구", Crisisonomy, 6(4), pp.83~92 (2010), 위기관리 이론과 실천
  5. "119non-emergency patients' refusal to be transported rapidly" (2019)[URL]
  6. Alicia O’Cathain, "Why do ambulance services have different non-transport rates? A national cross sectional study", PLOS ONE, 13(9), pp.e0204508~ (2018), Public Library of Science (PLoS)[DOI]
  7. Hideo Tohira, "The impact of new prehospital practitioners on ambulance transportation to the emergency department: a systematic review and meta-analysis", Emergency Medicine Journal, 31(e1), pp.e88~e94 (2014), BMJ[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (13건)