Carlström Eric, Fredén Lars
University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, PO Box 457, SE-405 30 Gothenburg, Sweden.
University West, Fyrbodals Health Academy, 461 86 Trollhättan, Sweden.
Int Emerg Nurs. 2017 May;32:15-19. doi: 10.1016/j.ienj.2016.05.003. Epub 2016 Jun 6.
Single responder (SR) systems have been implemented in several countries. When the very first SR system in Sweden was planned, it was criticised because of concerns about sending single emergency nurses out on alerts. In the present study, the first Swedish SR unit was studied in order to register waiting times and assess the working environment.
Quantitative data were collected from the ambulance dispatch register. Data on the working environment were collected using a questionnaire sent to the SR staff.
The SR system reduced the average patient waiting time from 26 to 13min. It also reduced the number of ambulance transports by 35% following triage of patient(s) priority determined by the SR. The staff perceived the working environment to be adequate.
The SR unit was successful in that it reduced waiting times to prehospital health care. Contrary to expectations, it proved to be an adequate working environment. There is good reason to believe that SR systems will spread throughout the country. In order to enhance in depth the statistical analysis, additional should be collected over a longer time period and from more than one SR unit.
单响应者（SR）系统已在多个国家实施。瑞典规划首个SR系统时，因担心派单名急救护士出警而受到批评。在本研究中，对瑞典首个SR单位进行了研究，以记录等待时间并评估工作环境。
从救护车调度登记处收集定量数据。通过向SR工作人员发放问卷收集工作环境数据。
SR系统将患者平均等待时间从26分钟缩短至13分钟。在SR确定患者优先级进行分诊后，救护车运输次数也减少了35%。工作人员认为工作环境适宜。
SR单位很成功，因为它缩短了院前医疗护理的等待时间。与预期相反，事实证明它是一个适宜的工作环境。有充分理由相信SR系统将在全国推广。为了更深入地进行统计分析，应在更长时间内从多个SR单位收集更多数据。
