Eroglu Serkan E, Toprak Siddika N, Urgan Oguz, Onur Ozge E, Denizbasi Arzu, Akoglu Haldun, Ozpolat Cigdem, Akoglu Ebru
Department of Emergency, Marmara University Pendik Research and Training Hospital, Istanbul, Turkey.
Saudi Med J. 2012 Sep;33(9):967-72.
To identify the proportion of patients who were taken into the emergency room on the basis of legal regulations and non-urgent medical procedures.
This prospective study was conducted in the Emergency Department, Toros State Hospital, Mersin, Turkey. Data were collected over 4 weeks (January 2011) and then analyzed using the Kolmogorov-Smirnov, Analysis of Variance, and Kruskal-Wallis H tests.
During the study period, 21,014 patients visited the Emergency Department. The applications were measured during a 3-shift schedule (08-16, 16-00, 00-08 hours). The total number of ordinary emergency admissions was 16,370. Of the total, 4,644 (22.1%) of the visits were evaluated as inappropriate. According to our study, inappropriate use of the emergency department was 51.1% more frequent during the 08-16 hours shift than the others.
Inappropriate use of EDs with non-urgent applications makes it difficult to guarantee access for real emergency cases, decreases the readiness for care, and produces negative spillover effects on the quality of emergency services.
确定根据法律法规被送入急诊室的患者比例以及非紧急医疗程序的情况。
这项前瞻性研究在土耳其梅尔辛省托罗斯州立医院急诊科进行。于2011年1月的4周内收集数据，然后使用柯尔莫哥洛夫-斯米尔诺夫检验、方差分析和克鲁斯卡尔-沃利斯H检验进行分析。
在研究期间，有21,014名患者前往急诊科就诊。在三班制（08 - 16时、16 - 00时、00 - 08时）期间对就诊情况进行了统计。普通急诊入院总数为16,370例。其中，4,644例（22.1%）的就诊被评估为不恰当。根据我们的研究，08 - 16时班次的急诊科不恰当使用率比其他班次高出51.1%。
非紧急情况下不恰当地使用急诊科会使真正的急诊病例难以获得救治，降低护理准备程度，并对急诊服务质量产生负面溢出效应。
