Macgregor D M, Hiscox J A
Accident and Emergency Department, Royal Aberdeen Childrens Hospital.
Scott Med J. 1998 Jun;43(3):77-9. doi: 10.1177/003693309804300305.
Many schools refer children who have sustained an injury, directly to the local Accident & Emergency (A&E) department. This prospective study monitored these referrals for one school term (08.01.96-31.03.96). During this time 200 children under the age of 14 years presented from school to the A&E department of the Royal Aberdeen Childrens Hospital (RACH). The majority presented with trivial or mild injuries and 45% of parents felt that attending A&E was inappropriate. Half the accidents happened to unsupervised children. Rural children and children of working parents were less likely to attend A&E. In Grampian Region school referrals to A&E generate a significant workload for the A&E department with resultant cost implications. It would appear that a large number of these attendances are medically unnecessary and result from a desire by the school to avoid any complaint or litigation.
许多学校会将受伤的儿童直接转介到当地的 accident & Emergency（A&E）部门（急诊部）。这项前瞻性研究对一个学期（1996年1月8日至1996年3月31日）内的这些转介情况进行了监测。在此期间，200名14岁以下的儿童从学校被送到阿伯丁皇家儿童医院（RACH）的急诊部。大多数儿童受的是轻伤或轻微伤，45%的家长认为去急诊部就诊并不合适。一半的事故发生在无人监管的儿童身上。农村儿童以及父母有工作的儿童去急诊部就诊的可能性较小。在格兰扁地区，学校向急诊部的转介给急诊部带来了大量工作，进而产生了成本问题。看起来这些就诊中有很大一部分在医疗上是不必要的，是学校为了避免任何投诉或诉讼而导致的。
