Jafari Mehdi, Mahmoudian Payam, Ebrahimipour Hossein, Vafaee-Nezhad Reza, Vafaee-Najar Ali, Hosseini Seyede-Elahe, Haghighi Hajar
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Med J Islam Repub Iran. 2021 Oct 27;35:142. doi: 10.47176/mjiri.35.142. eCollection 2021.
The response time is considered as one of the most important criteria for the quality of given care to the injured. This research aimed to investigate the frequency and causes of prehospital emergency delays in the 115 emergency center, in city of Mashhad, in 2015. In this cross-sectional study, 21,142 missions performed in 2015 were investigated, from among which 640 missions with delays in systematic sampling were recognized. For data analysis purposes, descriptive statistics (frequency, mean and SD) in Excel 2013 software was implemented. Nearly 60% of the injured were men, 23% women, and the gender of 17% was not recorded in their profiles. The mean age of the injured was 29.8+15.9 years and 30% of the injured were in the age group of 16 to 25. The mean response time was 9:01+2:46. The most prevalent causes related to missions out of the operational zone (29.3%) and the second cause has been related to traffic groups (24.2%). Establishing new bases and completing the number of ambulances and human recourses, intervention in traffic causing factors, and training the public about emergency cases can be effective in reducing the number of missions and the pace and quality of services provided to the injured.
响应时间被视为衡量对伤者给予特定护理质量的最重要标准之一。本研究旨在调查2015年马什哈德市115急救中心院前急救延迟的频率及原因。在这项横断面研究中，对2015年执行的21142次任务进行了调查，通过系统抽样识别出640次有延迟的任务。为进行数据分析，在Excel 2013软件中实施了描述性统计（频率、均值和标准差）。近60%的伤者为男性，23%为女性，17%伤者的性别在其档案中未记录。伤者的平均年龄为29.8±15.9岁，30%的伤者年龄在16至25岁之间。平均响应时间为9:01±2:46。最常见的原因与行动区域外的任务有关（29.3%），第二个原因与交通拥堵有关（24.2%）。建立新基地、增加救护车数量和人力资源、干预造成交通拥堵的因素以及对公众进行急救知识培训，可能有助于减少任务数量，并提高为伤者提供服务的速度和质量。
