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KMID : 0385920140250060715
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 6 p.715 ~ p.721
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Analysis of Factors Related to Delayed Answer in Interhospital Transfer Refer
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Choi Jong-Sik
Jung Woong
Lee Chang-Min
Park Sung-Hyuk
Park Hyun-Kyung
Kim Myung-Chun
Ko Young-Gwan
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Abstract
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Purpose: The purpose of this study is to determine the factorsrelated to delayed answer in interhospital transfer inorder to reduce the time required to determine interhospitaltransfer and to provide optimal care for emergency patients.
Methods: This was a retrospective observational study. Data on request for interhospital transfer of emergencypatients were collected from July, 2013 to October, 2013 inan urban emergency department with approximately40,000 annual visits. Time required for determination,receptionist’s department and position, decision maker’sdepartment and position, patient’s general characteristics,and requesting hospital’s characteristics were collected. The SPSS package with Student’s t-test, Chi-square, onewayANOVA, and multivariate logistic regression analysiswas used for analysis of the data.
Results: When the decision maker’s department wasemergency medicine, the time required to determine interhospitaltransfer was shortest (p<0.001), and position ofemergency medicine member was non-significant(p=0.109). When the decision maker’s department wasnon-emergency medicine, specialist had a shorter timerequired to determine interhospital transfer than resident(p<0.001), but influence of the position of receptionist wasnon-significant.
Conclusion: Decision maker for interhospital transferrequest should be an emergency medicine member. If onecannot make a decision, one should consult a specialist,not a resident. Hospitals should implement an organizedsystem to shorten the time for interhospital transfer.
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KEYWORD
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Emergency medical services, Telephone, Time, Emergency medicine
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