Verdile V P, Paris P M, Stewart R D, Verdile L A
Division of Emergency Medicine, University of Pittsburgh School of Medicine, Pennsylvania.
Ann Emerg Med. 1989 Mar;18(3):278-82. doi: 10.1016/s0196-0644(89)80414-7.
Emergency department personnel are frequently asked to give advice to members of the community who telephone for advice or information about a wide variety of medical problems. A study was designed to determine the consistency and accuracy of directions given to adults who call EDs seeking advice about a problem. Forty-six EDs were selected and telephoned for advice by a research assistant who presented a scenario that could have reasonably been interpreted as a patient experiencing myocardial ischemia. Nine percent of the calls were answered and managed only by ED unit secretaries. Fifty-six percent of the respondents failed to ask the caller any questions about the patient or the chief complaint. Only four ED respondents instructed the caller to call 911 and have the patient brought to the ED. The data suggest that telephone advice given by some EDs is nonstandardized and may be inadequate to the point of jeopardizing the welfare of the caller.
急诊科工作人员经常会接到社区成员打来的电话，他们会就各种各样的医疗问题寻求建议或信息。一项研究旨在确定向拨打急诊科电话寻求问题建议的成年人提供的指导的一致性和准确性。研究助理选择了46个急诊科并打电话咨询，提出了一个可能合理地被解释为患者经历心肌缺血的场景。9%的电话仅由急诊科的单位秘书接听和处理。56%的受访者没有询问来电者关于患者或主要诉求的任何问题。只有4名急诊科受访者指示来电者拨打911并将患者送往急诊科。数据表明，一些急诊科提供的电话建议不规范，可能不足以保障来电者的健康。
