紧急救护服务是否被滥用？
Is the emergency ambulance service abused?
作者信息
Morris D L, Cross A B
出版信息
Br Med J. 1980 Jul 12;281(6233):121-3. doi: 10.1136/bmj.281.6233.121.
Abstract
Analysis of 1000 consecutive patients brought to the accident and emergency department of a busy district general hospital by ambulance after emergency "999" telephone calls showed that 51.7% of these journeys were unnecessary. Medical cases accounted for a greater percentage of necessary calls than did trauma and surgical cases. Medical education of the public is essential if the number of these calls is to be cut.
摘要
对一家繁忙的地区综合医院急诊部接收的1000例连续患者进行分析，这些患者均是在拨打急救电话“999”后由救护车送来的。结果显示，其中51.7%的转运是不必要的。与创伤和外科病例相比，医疗病例在必要呼叫中所占比例更大。如果要减少此类呼叫的数量，对公众进行医学教育至关重要。
相似文献
1
Is the emergency ambulance service abused?紧急救护服务是否被滥用？
Br Med J. 1980 Jul 12;281(6233):121-3. doi: 10.1136/bmj.281.6233.121.
2
Computer assisted assessment and advice for "non-serious" 999 ambulance service callers: the potential impact on ambulance despatch.针对“非紧急”999急救服务呼叫者的计算机辅助评估与建议：对救护车调度的潜在影响
Emerg Med J. 2003 Mar;20(2):178-83. doi: 10.1136/emj.20.2.178.
3
Use of the emergency ambulance service to an inner city accident and emergency department--a comparison of general practitioner and '999' calls.使用紧急救护服务前往市中心的事故与急救部门——全科医生呼叫与“999”呼叫的比较。
J R Soc Med. 1991 Dec;84(12):726-7. doi: 10.1177/014107689108401211.
4
Outcomes for Patients Who Contact the Emergency Ambulance Service and Are Not Transported to the Emergency Department: A Data Linkage Study.未被送往急诊科的拨打急救车服务电话的患者的结局：一项数据链接研究。
Prehosp Emerg Care. 2019 Jul-Aug;23(4):566-577. doi: 10.1080/10903127.2018.1549628. Epub 2019 Jan 7.
5
The use and abuse of the emergency ambulance service: some of the factors affecting the decision whether to call an emergency ambulance.紧急救护车服务的使用与滥用：影响是否呼叫紧急救护车决策的一些因素。
Arch Emerg Med. 1990 Jun;7(2):81-9. doi: 10.1136/emj.7.2.81.
6
Ambulance alerting of paediatric emergencies to a general hospital.向综合医院发出儿科急诊救护车警报。
Resuscitation. 2004 Dec;63(3):321-5. doi: 10.1016/j.resuscitation.2004.06.001.
7
Misuse of the London ambulance service: How much and why?伦敦救护车服务的滥用情况：程度如何？原因何在？
J Accid Emerg Med. 1998 Nov;15(6):368-70. doi: 10.1136/emj.15.6.368.
8
Eight months of emergency services by ambulance (with doctor on board) of the Emergency Department of Prato, Italy.意大利普拉托急诊科配备医生的救护车提供八个月的紧急服务。
Minerva Anestesiol. 2002 Nov;68(11):849-52, 852-4.
9
Why are people without medical needs transported by ambulance? A study of indications for pre-hospital care.为何无医疗需求的人会被救护车运送？一项关于院前护理指征的研究。
Eur J Emerg Med. 2007 Jun;14(3):151-6. doi: 10.1097/MEJ.0b013e3280146508.
10
A multisite survey of factors contributing to medically unnecessary ambulance transports.一项关于导致医疗上不必要的救护车转运因素的多地点调查。
Acad Emerg Med. 1996 Nov;3(11):1046-52. doi: 10.1111/j.1553-2712.1996.tb03352.x.
引用本文的文献
1
Examination of the transport characteristics of pediatric trauma patients.儿科创伤患者的转运特征研究。
Turk J Med Sci. 2024 Jun 11;54(4):847-857. doi: 10.55730/1300-0144.5856. eCollection 2024.
2
The Economic Impact of Community Paramedics Within Emergency Medical Services: A Systematic Review.社区急救员在紧急医疗服务中的经济影响：系统评价。
Appl Health Econ Health Policy. 2024 Sep;22(5):665-684. doi: 10.1007/s40258-024-00902-3. Epub 2024 Jul 17.
3
Non-1st seizure was less severe than 1st seizure with non-urgent level among suspected seizures transferred by ambulance.疑似发作的患者经救护车转院时，非首次发作的严重程度不如首次发作紧急。
PLoS One. 2023 Aug 29;18(8):e0290783. doi: 10.1371/journal.pone.0290783. eCollection 2023.
4
Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System.2016年至2018年韩国急诊室就诊患者的院前急救医疗服务使用充足性分析：来自国家急诊室信息系统的数据
Emerg Med Int. 2021 Apr 16;2021:6647149. doi: 10.1155/2021/6647149. eCollection 2021.
5
Assessment of Inadequate Use of Pediatric Emergency Medical Transport Services: The Pediatric Emergency and Ambulance Critical Evaluation (PEACE) Study.儿科紧急医疗运输服务使用不足的评估：儿科紧急与救护车关键评估（PEACE）研究
Front Pediatr. 2019 Oct 25;7:442. doi: 10.3389/fped.2019.00442. eCollection 2019.
6
Unnecessary emergency medical services transport associated with alcohol intoxication.与酒精中毒相关的不必要的紧急医疗服务运输。
J Int Med Res. 2018 Jan;46(1):33-43. doi: 10.1177/0300060517718116. Epub 2017 Jun 27.
7
Inappropriate Ambulance Use: A Qualitative Study of Paramedics' Views.不适当的救护车使用：一项关于护理人员观点的定性研究。
Healthc Policy. 2016 Feb;11(3):67-79.
8
The barbados emergency ambulance service: high frequency of nontransported calls.巴巴多斯紧急救护服务：未转运呼叫的高频率
Emerg Med Int. 2012;2012:659392. doi: 10.1155/2012/659392. Epub 2012 Nov 7.
9
Variations in ambulance use in the United States: the role of health insurance.美国救护车使用情况的变化：医疗保险的作用。
Acad Emerg Med. 2011 Oct;18(10):1036-44. doi: 10.1111/j.1553-2712.2011.01163.x.
10
Towards primary care for non-serious 999 callers: results of a controlled study of "Treat and Refer" protocols for ambulance crews.面向非重症999呼叫者的初级护理：一项针对救护人员“治疗与转诊”方案的对照研究结果
Qual Saf Health Care. 2004 Dec;13(6):435-43. doi: 10.1136/qhc.13.6.435.
本文引用的文献
1
Accidents, emergencies, and ambulances: a survey in Portsmouth.事故、紧急情况与救护车：朴茨茅斯的一项调查
Br Med J. 1968 Feb 10;1(5588):369-72. doi: 10.1136/bmj.1.5588.369.
2
A different approach to accident and emergency services--the French experience.急诊服务的一种不同方法——法国的经验。
Hosp Health Serv Rev. 1978 May;74(5):152-6.
3
Accident services today. Accident services in America.今日的事故服务。美国的事故服务。
Injury. 1972 Nov;4(2):95-101. doi: 10.1016/0020-1383(72)90002-2.
4
Accident and emergency services in Russia.俄罗斯的事故与急救服务。
Br Med J. 1975 Feb 22;1(5955):445-7. doi: 10.1136/bmj.1.5955.445.
5
Emergency medical services in crisis: an Italian case study.危机中的紧急医疗服务：一项意大利案例研究。
Milbank Mem Fund Q Health Soc. 1975 Summer;53(3):377-401.
Zotero 插件