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2013 | 8 | 1 | 90-95
Tytuł artykułu

Reaction times as indicators of the quality of expert work of belgrade municipal institutions for emergency medical services

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EN
Introduction. Methodological Instructions for Procedures of Healthcare Institution Reports on the Indicators of the Quality of Healthcare from 2007 also involve reaction times (RTs) I, II, I+II, III and IV, as the obligatory indicator of the quality of expert work of Emergency Medical Services (EMS). Objective. Evaluation of the quality of expert work of Belgrade EMS based on RTs. Methods. A retrospective analysis of priority 1 emergency calls in September 2009 vs September 2010, and RTs from I to IV as the recommended indicators of the quality of expert work of Belgrade EMS. Results. As detected, in 2010 there has been decrease in the total number of calls for physicians, and the total number of priority 1 emergency calls. By comparing RTs, the obtained data showed that in 2010 the time elapsed from when a priority 1 call was received until it was handed to the EMS team for implementation (RT I) was on average faster by 0.1 min (p<0.01), that the time elapsed from the dispatcher’s receipt of the call until the EMS team arrived to the patient (RT II) was faster on average by 0.42 min (p<0.05), and that the time for the team to reach the patient after the received call through the call centre (RT I+II) was faster by 0.15 min. Also, in 2010, RT III was shortened by 1.27 min and RT IV by 1.00 min. By summing RTs I, II and III, independently resolved level I emergency calls at the scene are obtained. In 2009, this time interval was, on average 38.02 min, and in 2010 it was an average of 36.23 min. By summing RTs I, II and IV, the time elapsed from the call received through the call centre until the patient’s hospital admission is obtained. In 2009 this time was average 31.08 min, and in 2010 it was average 29.16 min. Conclusion. One of the major advances in emergency medicine is providing assistance to a request for emergency medical care where this is produced. Therefore, the indicator of RTs may measure the quality of care provided by pre-hospital services.
Wydawca

Czasopismo
Rocznik
Tom
8
Numer
1
Strony
90-95
Opis fizyczny
Daty
wydano
2013-02-01
online
2012-12-08
Twórcy
  • Belgrade Municipal Institute for Emergency Medical Services, Belgrade, Serbia, novizivot@ptt.rs
  • Belgrade Municipal Institute for Emergency Medical Services, Belgrade, Serbia
  • Belgrade Municipal Institute for Emergency Medical Services, Belgrade, Serbia
Bibliografia
  • [1] Lakčević S., Đorđević Lj., Popović M., Milanković J., Ilić-Pešić M., Sekulić Lj., et al., Population, In: Milojić A. (Ed), Statistical yearbook of Serbia, 44th ed., Statistical Office of the Republic of Serbia Belgrade, 2011
  • [2] Živanović S., Razlika u vremenskoj raspodeli prvog i drugog reda hitnosti kod bola u grudima u Gradskom zavodu za hitnu medicinsku pomoć Beograd, Opšta medicina., 2011, 17(3–4), 136–140.
  • [3] Marković-Klipa S., Josifovski B., Call centar - bez čekanja na vezi 94, Unapređenje procesa rada upotrebom novih tehnologija, ABC časopis urgentne medicine., 2006, 6(1), 16–21
  • [4] The Norwegian Medical Association, Norsk indeks for medisnsk nødhjelp (The Norwegian index for medical emergencies), Aasmund S, Laerdal A/S, Stavanger, 1994
  • [5] Ivančević N., Anđelić S., Organizacija prijemnodistributivnog centra i trijažni algoritmi za prijem poziva u Gradskom zavodu za hitnu medicinsku pomoć Beograd, Liječ. vjesn., 2011, 133, Suppl. 5, 5–11
  • [6] Rossi R., The role of the dispatch centre in preclinical emergency medicine, Eur. J. Emerg. Med., 1994, 1, 27–30 http://dx.doi.org/10.1097/00063110-199403000-00006[Crossref]
  • [7] Culley L.L., Henwood D.K., Clark J.J., Eisenberg M.S., Horton C.H., Increasing the efficiency of emergency medical services by using criteria based dispatch, Ann. Emerg. Med., 1994, 24, 867–872 http://dx.doi.org/10.1016/S0196-0644(54)00223-5[Crossref]
  • [8] Huemer G., Pernerstorfer T., Mauritz W., Prehospital emergency medicine services in Europe: structure and equipment, Eur. J. Emerg. Med., 1994, 1, 62–68 http://dx.doi.org/10.1097/00063110-199406000-00003[Crossref]
  • [9] Zachariah B.S., Pepe P.E, The development of emergency medical dispatch in the USA: a historical perspective, Eur. J. Emerg. Med., 1995, 2, 109–112 http://dx.doi.org/10.1097/00063110-199509000-00001[Crossref]
  • [10] Cook M., Bridge P., Wilson S., Variation in emergency ambulance dispatch in Western Europe, Scand. J. Trauma. Emerg. Med., 2001, 9, 57–66
  • [11] Anđelić S., Petrović S., Merdović M., Žegarac D., A successful resuscitation guide order receiving-distributive centre, In: Radolović B. (Ed). Proceedings of the 5th International congress on prehospital emergiencies (21–23 April 2006, Poreč, Croatia), Sigra Porec, 2006, 83–89
  • [12] Vaillancourt C., Verma A., Trickett J., Crete D., Beaudoin T., Nesbitt L., et al., Effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions: Successes and challenges, Acad. Emerg. Med., 2006, 13(5), Suppl. 1, S65 http://dx.doi.org/10.1197/j.aem.2006.03.150[Crossref]
  • [13] Arnold J.L., International emergency medicine and the recent development of emergency medicine worldwide, Ann. Emerg. Med., 1999, 33, 97–103 http://dx.doi.org/10.1016/S0196-0644(99)70424-5[Crossref]
  • [14] Deakin C.D., Sherwood D.M., Smith A., Cassidy M., Does telephone triage of emergency (999) calls using advanced medical priority dispatch (AMPDS) with Department of Health (DH) call prioritisation effectively identify patients with an acute coronary syndrome? An audit of 42 657 emergency calls to Hampshire Ambulance Service NHS Trust, Emerg. Med. J., 2006, 23(3), 232–235 http://dx.doi.org/10.1136/emj.2004.022962[Crossref]
  • [15] Innes G., Murray M., Grafstein E., A consensusbased process to define standard national data elements for a Canadian Emergency Department Information System, Can. J. Emerg. Med., 2001, 3, 277–284
  • [16] Fredriksson M., Variation in outcome in studies of out-of-hospital cardiac arrest: a review of studies conforming to the Utstein guidelines, Am. J. Emerg. Med., 2003, 21(4), 276–281 http://dx.doi.org/10.1016/S0735-6757(03)00082-2[Crossref]
  • [17] Villavicencio L.M., Response times in paramedic ambulance service priority 1 and 2 emergencies, Emergencies., 2008, 20, 316–321
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-012-0102-0
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