Acil servis konsültasyonlarında çağrı ve telefon sistemlerinin etkinlikleri ile danışılan hastaların acilde kalış sürelerinin karşılaştırmalı çalışması

Yıl 2019, Cilt: 10 Sayı: 1, 12 - 17, 21.03.2019

Sevilay Vural , Ferhat İçme , Havva Şahin Kavaklı , Fatih Tanrıverdi , Onur Karakayalı

https://doi.org/10.18663/tjcl.336946

Cited By: 1

Öz

Amaç:
Tüm dünyada Acil Servis Hekimleri konsültasyon istemlerini gerçekleştirmek için
farklı araçlar ya da sistemler kullanmaktadır. Dahili telefonlar, çağrı
cihazları, konsültasyon istasyonları, cep telefonları ve akıllı telefonlar sık
kullanılan örneklerdir. Bu tercihleri pratikte zaman ve teknoloji ile değişen
bir eğilim izlemektedir. Biz bu çalışmada konsültasyonlarda kullanılan dâhili
telefonlar ile çağrı cihazlarının etkinliklerini değerlendirdik ve üçüncü
basamak bir Eğitim ve Araştırma hastanesinde hastaların acil serviste bekleme
süreleri (ABS) üzerine etkilerini araştırdık.

 

Gereç ve Yöntemler: Çalışma prospektif ve tanımlayıcı olarak planlanmıştır.
AS'de konsültasyon istenen hastalar çalışma grubu olarak seçilmiştir. Dahili
telefonlar ve merkezi işletim sistemli çağrı cihazları ayrı ayrı ve sırasıyla
AS konsültasyon istemleri için 2 haftalık periyotlar halinde kullanılmıştır.
ABS ve konsültasyon cevaplama süreleri (KCS) değerlendirilmiştir.

 

Bulgular:
Toplam 228 hastadan 318 konsültasyon istenmiştir. En çok konsültasyon istenen
bölümler Kardiyoloji (17.6%), Genel Cerrahi (14.2%) ve Ortopedi'dir (13.5%).
Telefon ve çağrı cihazları bölümlerden bağımsız olarak karşılaştırıldıklarında,
telefonla tespit edilen KCS değerleri çağrı cihazlarına göre belirgin uzun
tespit edilmiştir (52 dk vs. 18 dk; p=0.56, p=0.04). ABS telefon için 353 dk
iken çağrı cihazı için 314 dk olarak bulundu ancak bu sonuçlar istatistiksel
olarak anlamlı değildi(p>0.05).

Sonuç:
Çağrı cihazlar AS hekimleri için konsültasyon istemleri için zaman ve enerjiden
tasarruf ettiren bir seçenektir. Ek olarak aciliyeti yüksek hastalar için
KCS'yi kısaltmaktadır. Ancak AKS açısından iki yöntemle ilgili anlamlı bir fark
tespit edilememiştir.

Anahtar Kelimeler

Acil Servis, Konsültasyon, iletişim, Çağrı cihazı, Telefon

A comparison study on the effectiveness of pager and telephone systems during emergency department consultations and length of stay of consulted emergency department patients

Öz

Aim: Emergency department
(ED) physicians use different tools and modalities to communicate with
consulted clinical divisions in all over the world. Domestic phones, pagers,
consultation stations, mobile phones and smart phone applications are commonly
used examples. They have a changing trend over time and technology in practice.
We evaluated the effectiveness of the consultations conducted by telephone and
pager systems, compared the functionality of both systems and investigated
their effects on length of stay (LOS) of the patients in the ED of a tertiary
teaching hospital.

Material and methods: The study was planned
as prospective and descriptive. The consulted patients in ED were assigned for
the study group. The domestic telephones and pagers with central operating system
were used as an ED consultation tool for a two-week period, respectively and separately.
LOS and consultation response time (CRT) were evaluated.

Results: Three hundred eighteen
consultations were requested for a total of 228 patients. The most frequently
requested consultations were from Cardiology (17.6%), General Surgery (14.2%)
and Orthopaedics (13.5%). When the telephone and pager systems were compared
independently from the departments, CRT was found significantly longer via telephone
compared to pager (52 min vs. 18 min; p=0.56, p=0.04). The LOS was 353 min for
telephone, 314 min for pager but these results were not statistically
significant (p>0.05).

Conclusion: The pager system
for consultation request is a time and energy reducing option for ED physicians.
In addition, it shortens CRT for the patients with high urgency levels. However
there is no significant difference between both methods on LOS.

Anahtar Kelimeler

emergency department, consultation, communication, pager, telephone

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