首页> 中文期刊> 《中华灾害救援医学》 >院前急救调度质量控制对救护车空返率的影响

院前急救调度质量控制对救护车空返率的影响

         

摘要

Objective To investigate the effect of scheduling quality control on ambulance empty return rate in prehospital e-mergency care.Methods New formulation of scheduling quality implementation method is launched in 2013, the record of dispatc-hing prehospital emergency care ambulances in Quanzhou Emergency Command Center were selected, then empty return rate and scheduling quality of 2012 and 2013 were compared.Results In 2012, a total of 13 639 ambulances were dispatched.In 2013, a to-tal of 13 245 ambulances, empty return rate in 2012 was higher than in 2013(19.80% vs 17.98%), the difference was statistically significance(χ2 =14.392,P<0.001);The average response time(4.3 s vs 4.1 s) and processing time(56.3 s vs 48 s) of dispatch-ers’ answering alarm and off-hook in 2012 is higher than that in 2013, frequency of the processing time longer than 90 s was signifi-cantly declined in 2013(χ2 =105.820,P<0.001).Conclusions Through the improvement of prehospital emergency system, and strengthen the implementation of dispatchers’ quality control.It can effectively reduce the empty return rate, and improve the prehospi-tal emergency rescue efficiency.%目的:探讨调度质量控制对救护车空返率的影响。方法2013年泉州市急救指挥中心启用新制定的调度质量实施方法,选取统计其2012年和2013年院前急救出车情况,并比较两年的救护车空返率和调度质量。结果2012年共出车13639车次,2013年共出车13245车次,其中2012年空返率高于2013年(19.80% vs 17.98%),差异有统计学意义(χ2=14.392,P<0.001);2012年调度员接警摘机平均反应时间(4.3 s vs 4.1 s),平均受理时间(56.3 s vs 48.0 s)均高于2013年,其中2013年的受理时间大于90 s的次数明显下降(χ2=105.820,P<0.001)。结论通过完善院前急救体制和加强实施中心调度员质量控制,可以有效地降低院前急救空返率、提高院前急救抢救效率。

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