DOI QR코드

DOI QR Code

119구급대를 통해 3차 병원으로 재이송된 환자분석

Analysis of patients retransferred to a tertiary hospital through paramedics

  • 최준원 (조선대학교병원 응급의료센터) ;
  • 문준영 (공주대학교 응급구조학과) ;
  • 최은숙 (공주대학교 응급구조학과)
  • Choi, Jun-Won (Department of Emergency Medical Center, Chosun University Hospital) ;
  • Mun, Jun-Young (Department of Emergency Medical Service, Kongju National University) ;
  • Choi, Eun-Sook (Department of Emergency Medical Service, Kongju National University)
  • 투고 : 2020.07.04
  • 심사 : 2020.08.14
  • 발행 : 2020.08.31

초록

Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

키워드

참고문헌

  1. Park SW, Lee BK, Ryu HH, Jeung KW, Heo T. Out-of-jurisdiction transport of patients by the 119 rescue group. J Korean Soc Emerg Med 2010;21(5):531-8.
  2. Choi HJ, Kim HJ, Lee HJ, Lee BR. Comparison with in-hospital Korean Triage and Acuity Scale (KTAS) and prehospital triage system in a metropolitan city. J Korean Soc Emerg Med 2018;29(5):391-8.
  3. Jeong JS, Hong KJ, Shin SD, Suh GJ, Song KJ. Evaluation of the appropriateness of prehospital emergency care by 119 rescue services in Seoul metropolitan area. J Korean Soc Emerg Med 2008;19(3):233-44.
  4. Bae HA, Ryu JY, Eo EK, Jung KY. Study of the appropriateness of 119 rescue usage. J Korean Soc Emerg Med 2004;15(1):36-44.
  5. Jeong GS, Kim HD, Cho TJ. A study of patient-transfer step in 119 emergency aid team. Crisisonomy 2010;6(4):83-92.
  6. The Korea pharmaceutical association news. The number of emergency patient hospital retransmissions increased every year. Available at: https://www.kpanews.co.kr/article/show.asp?idx=177087
  7. Yonhap news. The board of audit and inspection said, "He's not sick. He's retransmitted the emergency patient. ...36.5% False". Available at: https://www.yna.co.kr/view/AKR20180605079300001?input=1195m, 2018.
  8. Cha MI. A comparison study of triage results between prehospital and hospital settings. Unpublished master's thesis, Gachon University 2017, Incheon, Korea.
  9. Kim MJ. Non-emergency department models for pediatric after-hours care. PEMJ 2016;3(1):1-8. https://doi.org/10.22470/pemj.2016.3.1.1
  10. Chai YS, Lee JK, Park SS, Kim HJ, Kang IG, Kim HS et al. Use of emergency medical services and characteristics of urgent and non-urgent adult patients according to the usual source of care: A Korea medical expenditure panel study. J Korean Soc Emerg Med 2015;26(2):129-37.