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超越911报警电话——不列颠哥伦比亚省紧急医疗服务部门为改善及时获得紧急护理所采取的措施。

Going Beyond the 9-1-1 Call - What BC Emergency Health Services is Doing to Improve Timely Access to Emergency Care.

作者信息

Campbell Kerry, Jaiven Jessica, Banfield Kimberly, Begg Corinne, Butler Janice, Thain Leanne

机构信息

Leader in Quality, Patient Safety and Accreditation for BC Emergency Health Services.

Director of Quality, Patient Safety and Accreditation for BC Emergency Health Services.

出版信息

Healthc Q. 2017;20(3):72-77. doi: 10.12927/hcq.2017.25283.

DOI:10.12927/hcq.2017.25283
PMID:29132455
Abstract

British Columbia Emergency Health Services (BCEHS) uses an internationally recognized Medical Priority Dispatch System to assign appropriate responses to 9-1-1 calls based on patients' clinical acuity. In 2015, 71% of Omega calls (classified as calls involving low acuity injuries) were assigned an ambulance. To better meet patients' needs, BCEHS collaborated with HealthLink BC's Nursing Services (HLBC NS) to audit over 2,000 calls. Based on the results, three Plan, Do, Study, Act (PDSA) cycles were implemented, yielding a 35% decrease in ambulances assigned and a 173% increase in referrals to HLBC NS to provide more suitable support. Ultimately, the interventions allowed these ambulances to be reallocated to more critical patients.

摘要

不列颠哥伦比亚省紧急医疗服务(BCEHS)采用国际认可的医疗优先调度系统,根据患者的临床严重程度对911呼叫进行适当响应。2015年,71%的欧米伽呼叫(归类为低严重程度损伤呼叫)被分配了救护车。为了更好地满足患者需求,BCEHS与卑诗省健康热线护理服务(HLBC NS)合作,对2000多个呼叫进行了审核。根据结果,实施了三个计划-执行-研究-行动(PDSA)循环,使分配的救护车减少了35%,转介到HLBC NS以提供更合适支持的数量增加了173%。最终,这些干预措施使这些救护车能够重新分配给更危急的患者。

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