Abstract
Amaç: Günümüzde acil servislerin hizmet yükünü çoğunlukla tıbbi anlamda acil olmayan ve diğer polikliniklerde kolaylıkla çözümlenebilecek problemlere sahip hastaların oluşturması gerek hizmet kalitesi ve sunumu gerekse çalışan memnuniyetini olumsuz derecede etkilemektedir. Ülkemiz koşullarında acil servis kullanımının özelliklerinin bilinmesi, etkin ve kaliteli bir acil sağlık sisteminin oluşturulmasına yönelik verilerin elde edilmesine kaynak oluşturacaktır. Bu çalışmada, üç aylık bir süre içerisinde bir eğitim araştırma hastanesi çocuk acil kliniğine yapılan başvuruların incelenmesi amaçlanmıştır.Gereç ve Yöntemler: Şubat 2013-Nisan 2013 tarihleri arasında çocuk acil kliniğimize başvuran 14536 olgu geriye dönük olarak incelendi.Bulgular: Acil servise en sık başvuru nedeni üst solunum yolu enfeksiyonlarıydı. En sık başvuru sayısı nisan ayında iken, hastaların acil servise başvurduğu en sık zaman dilimi saat 16.00-24.00 arası olarak kaydedildi. Başvuran hastaların sadece %1.6’sının yatışı yapılmış olup % 66.7’sinin reçete verilerek taburcu edildiği görüldü.Sonuç: Çalışmamızın sonucunda, hastaların acil servisi tıbbi aciliyetten ziyade, kolay erişebilme, hızlı hizmet alımı gibi faktörlerin sonucunda birinci basamak sağlık kuruluşlarında kolaylıkla çözümlenebilecek acil olmayan nedenlerle kullandıkları görüldü.
Keywords
References
- Liu T, Sayre MR, Carleton SC. Emergency medical care: Types, trends, and factors related to non urgent visits. Acad Emerg Med 1999;6: 1147-52.
- Brousseau DC, Mistry RD, Alessandrini EA. Methods of categorizing emergency department visit urgency: A survey of pediatric emergency medicine physicians. Pediatr Emerg Care 2006; 22: 635-9.
- Pope D, Fernandes C, Bouthillette F, Etherington J. Frequentusers of the emergency department: A program to improve care and reduce visits. CMAJ 2000; 162: 1017-20.
- Derlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identifi cation and triage of non emergency patients out of an emergency department: A 5-year study. Ann Emerg Med 1995; 25: 215-23.
- Afi lalo M, Guttman A, Colacone A, Dankoff J, Tselios C, Beaudet M, et al. Emergency department use and misuse. J Emerg Med 1995; 13: 259-64.
- Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 1991;20:980-6
- Baker DW, Stevens CD, Brook RH. Patients who leave a public hospital emergency department without being seen by a physician. Causes and consequences. JAMA1991;266:1085-90.
An Evaluation of Cases Presenting to the Pediatric Emergency Department of a Training and Research Hospita
Abstract
Objective: Much of the emergency departments’ current workload consists of medically non urgent patients who may also easily be cured in other outpatient departments. This has a major negative effect on not only service quality but also service presentation and staff satisfaction. There is a need for more information on emergency department usage characteristics in order to obtain essential data to put together an effi cient and superior emergency health framework in our country. The aim of this study was to evaluate the patients who presented to the pediatric emergency department of a training and research hospital within a three-month period.Material and Methods: A total of 14536 cases that presented to our pediatric emergency department between February and April 2013 were investigated retrospectively.Results: The most frequent reason for presenting to the emergency department was upper respiratory infections. April was the month with the highest number of presentations, and 16.00 to 24.00 was the shift when most patients presented. Only 1.6% of the patients were hospitalized while 66.7% received a prescription. Conclusion: Patients do not use the emergency departments with an urgent problem. They prefer emergency departments because of their accessibility and administrational features, even if using the primary care service is more appropriate
Keywords
References
- Liu T, Sayre MR, Carleton SC. Emergency medical care: Types, trends, and factors related to non urgent visits. Acad Emerg Med 1999;6: 1147-52.
- Brousseau DC, Mistry RD, Alessandrini EA. Methods of categorizing emergency department visit urgency: A survey of pediatric emergency medicine physicians. Pediatr Emerg Care 2006; 22: 635-9.
- Pope D, Fernandes C, Bouthillette F, Etherington J. Frequentusers of the emergency department: A program to improve care and reduce visits. CMAJ 2000; 162: 1017-20.
- Derlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identifi cation and triage of non emergency patients out of an emergency department: A 5-year study. Ann Emerg Med 1995; 25: 215-23.
- Afi lalo M, Guttman A, Colacone A, Dankoff J, Tselios C, Beaudet M, et al. Emergency department use and misuse. J Emerg Med 1995; 13: 259-64.
- Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 1991;20:980-6
- Baker DW, Stevens CD, Brook RH. Patients who leave a public hospital emergency department without being seen by a physician. Causes and consequences. JAMA1991;266:1085-90.
Details
| Other ID | JA27RU74UA |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | April 1, 2015 |
| Submission Date | April 1, 2015 |
| Published in Issue | Year 2015 Volume: 9 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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