The analysis of the patients taken to emergency service by 112 Emergency Healthcare Services: a prospective clinic study

Year 2017, Volume: 3 Issue: 2, 157 - 163, 04.07.2017

Mahmut Firat Kaynak , Sibel Gafurogullari Zulfi Engin Deniz , Havva Ozge Ozkan , Esra Askin Bas

https://doi.org/10.18621/eurj.292474

Abstract

Objectives.
The aim of this study was to analyze the cases transferred by 112 emergency
healthcare services (EHS) according to the triage criteria of Turkish Ministry
of Health. Methods. All of the patients brought to adult emergency service
unit of our hospital between April 01, 2015 and May 01, 2015 by 112 EHS have
been involved in this study. The triage tags of the patients have been
determined according to the criteria specified in T.R. Ministry of Health’s
“Procedures and principles of emergency health services in inpatient healthcare
facilities” dated October 16, 2009. The end of emergency service process has
been classified as discharge, hospitalization in service, transfer to another
healthcare center, and excitus. Results. A total of 1,101 patients
have been involved in this study. The mean age was 45.6 years. The age range
was 1-94 years. While 545 (49.50%) patients were female, 556 (50.49%) were
male. The portion of Red area was 15.16% (n=167), that of Yellow 1 area 34.60%
(n=381), that of Yellow 2 area 23.34% (n=279), and that of Green area 24.80%
(n=274). The distribution of the patients by treatment results was as follows;
discharge 86.46% (n=952), hospitalization in service 10.08% (n=111),
hospitalization in intensive care 2.27% (n=25), transfer to another healthcare
center 0.63% (n=7), excitus 0.5% (n=6). The total share of the 65 year-old or
older cases was 23.88% (n=263). The distribution of the red area patients by
triage was as the following; 47.30% (n=79) hospitalization in service, 10.7%
(n=18) hospitalization in intensive care unit, 33.53% (n=56) discharge, 3.59%
(n=6) exitus and 4.19% (n=7) transfer to another healthcare service. Conclusions.
The inappropriate use of 112 EHS is very common. Majority of the patients taken
into emergency service by 112 EHS does not require urgency. After the triage in
the ambulance, the patients can be directly transferred to an appropriate field
without creating a time and work load on emergency service. Moreover, after the
triage in ambulance, the patients requiring the hospitalization may be
transferred to the appropriate facility according to the available bed
capacity. 

Keywords

Emergency healthcare services, emergency department, ambulance

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