Department of Anesthesiology and Intensive Care Medicine, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan.
Department of Environmental Medicine, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan.
J Anesth. 2021 Apr;35(2):315-318. doi: 10.1007/s00540-021-02906-y. Epub 2021 Feb 8.
The use of standardized internal hospital phone numbers for cardiac arrest is advocated in Europe. We evaluated the current status of variations in medical emergency call numbers for in-hospital patients in Japan and whether anesthesiologists would approve a standardized number. From June 2018 to August 2018, a questionnaire survey was mailed to anesthesiologists in 1373 Japanese Society of Anesthesiologists (JSA)-accredited hospitals. The basis for opinions on using a standardized cardiac arrest call number in all Japanese hospitals was evaluated. Of 1373 facilities (response rate, 58%, n = 800), 741/776 (96%) reported a response system for in-hospital cardiac arrest; 638/710 (90%) responded to cardiac arrest through loudspeaker broadcast, audible to both patients and staff; 346/777 (48%) used a number between one and five digits long, four-digit numbers being the most common. Across Japan, 370 different numbers were reported. Only 385/688 (56%) of respondents had the emergency number memorized. Finally, 423/776 (55%) respondents approved standardizing a hospital telephone number for summoning help. Multivariate analysis showed that facilities where the anesthesiologists already memorized the call number were the only reason identified for opposition to the standardization. Although 96% of JSA-accredited hospitals had a response system for in-hospital cardiac arrests, discussions for standardization of a unified number need to be encouraged for improved emergency response.
在欧洲，提倡使用标准化的内部医院电话号码用于心脏骤停。我们评估了日本医院内部患者医疗急救电话号码的变化现状，以及麻醉师是否会批准使用标准化号码。从 2018 年 6 月至 2018 年 8 月，我们向日本麻醉师学会（JSA）认可的 1373 家医院的麻醉师邮寄了一份问卷调查。评估了在所有日本医院使用标准化心脏骤停呼叫号码的意见基础。在 1373 家机构中（回复率为 58%，n=800），776 家中有 741 家（96%）报告了医院内心脏骤停的响应系统；710 家中有 638 家（90%）通过扬声器广播对心脏骤停做出响应，可同时被患者和工作人员听到；777 家中有 346 家（48%）使用一到五位数字的号码，其中四位数字最常见。日本各地报告了 370 个不同的号码。只有 688 家的 385 家（56%）受访者记住了紧急号码。最后，776 家的 423 家（55%）受访者批准对医院电话号码进行标准化，以便召唤帮助。多变量分析显示，麻醉师已经记住了呼叫号码的设施是反对标准化的唯一原因。尽管 96%的 JSA 认可的医院都有医院内心脏骤停的响应系统，但需要鼓励对统一号码进行标准化的讨论，以改善应急响应。
