Child Health Nursing Research
- Volume 14 Issue 1
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- Pages.5-13
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- 2008
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- 2287-9110(pISSN)
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- 2287-9129(eISSN)
Utilization Status of Emergency Medical Service for Children
아동의 응급의료서비스 이용실태
- Jeon, Hye-Jin (Emergency Room Nurse, Ewha Woman's University Mokdong Hospital) ;
- Kim, So-Sun (College of Nursing, Yonsei University) ;
- Bae, Hyun-A (College of Law, Ewha Woman's University) ;
- Yoo, Il-Young (Nursing Policy Research Institute, College of Nursing, Yonsei University)
- 전혜진 (이화여자대학교 의과대학부속 목동병원 응급실) ;
- 김소선 (연세대학교 간호대학 임상간호학과) ;
- 배현아 (이화여자대학교 법과대학 법학과) ;
- 유일영 (연세대학교 간호대학 가족건강관리학과, 간호정책연구소)
- Published : 2008.01.31
Abstract
Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.