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119 구급요청 거절 대상 환자의 이송 현황 분석

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

  • 문준영 (남부대학교 응급구조학과) ;
  • 최준원 (조선대학교병원 응급의료센터)
  • Mun, Jun-Young (Department of Emergency Medical Technician, Nambu University) ;
  • Choi, Jun-Won (Department of Emergency Medical Center, Chosun University Hospital)
  • 투고 : 2021.11.05
  • 심사 : 2021.12.28
  • 발행 : 2021.12.31

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.

키워드

참고문헌

  1. Kang KH. Unmet need and inappropriate use in emergency ambulance service. Health Policy and Management 2014;24(4):357-66. https://doi.org/10.4332/KJHPA.2014.24.4.357
  2. Bae HA, Lee SJ, Kim CW, Lee KH. Legal consideration of transfer refusal by 119 rescuers. Fire Science & Engineering 2005;19(4):47-56.
  3. Sung DW. A study on methods for decrease of non emergency cases in 119 EMS system. Unpublished master's thesis, Yonsei University 2010, Seoul, Korea
  4. Jung GS, Kim HD, Jo TJ. A study of patient-transfer step on 119 emergency aid team. Korean Review of Crisis & Emergency Management 2010;6(4):83-92.
  5. Ulsan Jeil news. 2019. October. 7. 119 non-emergency patients' refusal to be transported rapidly. Available at: http://www.ujeil.com/news/articleView.html?idxno=241121
  6. O'Cathain A, Jacques R, Stone T, Turner J. Why do ambulance services have different non-transport rates? A national cross sectional study. PLOS ONE 2018;13(9):e0204508. https://doi.org/10.1371/journal.pone.0204508
  7. Tohira H, Williams TA, Jacobs I, Bremner A, Finn J. The impact of new prehospital practitioners on ambulance transportation to the emergency department: a systematic review and meta-analysis. Emerg Med J 2014;31(e1):e88-e94. https://doi.org/10.1136/emermed-2013-202976