CAJ | 학술논문

目的：探讨调度质量控制对救护车空返率的影响。方法2013年泉州市急救指挥中心启用新制定的调度质量实施方法，选取统计其2012年和2013年院前急救出车情况，并比较两年的救护车空返率和调度质量。结果2012年共出车13639车次，2013年共出车13245车次，其中2012年空返率高于2013年（19．80％ vs 17．98％），差异有统计学意义（χ2＝14．392，P＜0．001）；2012年调度员接警摘机平均反应时间（4．3 s vs 4．1 s），平均受理时间（56．3 s vs 48．0 s）均高于2013年，其中2013年的受理时间大于90 s的次数明显下降（χ2＝105．820，P＜0．001）。结论通过完善院前急救体制和加强实施中心调度员质量控制，可以有效地降低院前急救空返率、提高院前急救抢救效率。
목적：탐토조도질량공제대구호차공반솔적영향。방법2013년천주시급구지휘중심계용신제정적조도질량실시방법，선취통계기2012년화2013년원전급구출차정황，병비교량년적구호차공반솔화조도질량。결과2012년공출차13639차차，2013년공출차13245차차，기중2012년공반솔고우2013년（19．80％ vs 17．98％），차이유통계학의의（χ2＝14．392，P＜0．001）；2012년조도원접경적궤평균반응시간（4．3 s vs 4．1 s），평균수리시간（56．3 s vs 48．0 s）균고우2013년，기중2013년적수리시간대우90 s적차수명현하강（χ2＝105．820，P＜0．001）。결론통과완선원전급구체제화가강실시중심조도원질량공제，가이유효지강저원전급구공반솔、제고원전급구창구효솔。
Objective To investigate the effect of scheduling quality control on ambulance empty return rate in prehospital e-mergency care.Methods New formulation of scheduling quality implementation method is launched in 2013, the record of dispatc-hing prehospital emergency care ambulances in Quanzhou Emergency Command Center were selected, then empty return rate and scheduling quality of 2012 and 2013 were compared.Results In 2012, a total of 13 639 ambulances were dispatched.In 2013, a to-tal of 13 245 ambulances, empty return rate in 2012 was higher than in 2013(19.80% vs 17.98%), the difference was statistically significance(χ2 =14.392,P<0.001);The average response time(4.3 s vs 4.1 s) and processing time(56.3 s vs 48 s) of dispatch-ers’ answering alarm and off-hook in 2012 is higher than that in 2013, frequency of the processing time longer than 90 s was signifi-cantly declined in 2013(χ2 =105.820,P<0.001).Conclusions Through the improvement of prehospital emergency system, and strengthen the implementation of dispatchers’ quality control.It can effectively reduce the empty return rate, and improve the prehospi-tal emergency rescue efficiency.