台中市某醫學中心急診會診時間之研究

Analysis of Response Time of Consultants in the Emergency Department of a Medical Center in Taichung, Taiwan

劉文斌(Wen-Pin Liu) ； 林正介(Cheng-Chieh Lin) ； 劉興潮(Shing-Chaur Liu) ； 王國哲(Kuo-Che Wang) ； 賴世偉(Shih-Wei Lai) ； 莊錦銘(Chin-Min Chuang) ； 陳維恭(Wei-Kung Chen) ； 劉秋忪(Chiu-Shong Liu)

《Mid-Taiwan Journal of Medicine》 5卷2期 (2000/06) Pp. 115-119

https://doi.org/10.6558/MTJM.2000.5(2).7

摘要

Background. In the Emergency Department, consultation plays an important role in patient care and further follow-up. The aim of this study was to attain statistical analyses of response time of consultants, specialties of consultants, and conditions of patients. Methods. We retrospectively collected data of 1030 patients from a medical center in Taichung, Taiwan from August 1999 through December 1999. We contacted the consulting physicians by pager or telephone. Data ollection included basic medical information of patients, name and specialty of each consultant, patients conditions, and response time of consultants. Results. The results showed the mean interval from the first page to each consultant’s answer by telephone (T1) was 3.9 ± 8.4 minutes and the mean interval from the first page to arrival in emergency room (T2) was 14.7±23.8 minutes. The consultants included attending physicians and residents. The mean T1 of attending physicians and residents were 5.2±8.5 minutes and 3.5±8.3 minutes, respectively (p＜0.05). The mean T2 of attending physicicans and residents were 24.3±31.8 minutes and 12.6±21.1 minutes, respectively (p＜0.01). The consultants from the Neurology Department had the fastest T1 response (1.8±2.0 minutes) and the consultants from the Obstetrics and Gynecology Department had the slowest T1 response (7.2±15.7 minutes, p＜0.01). The consultants from the Orthopedic Department had the fastest T2 response (5.5±5.4 minutes) and the consultants from the Internal Medicine Department had the slowest T2 response (22.2 ±46.3 minutes, p＜0.01). There were no significant differences in T1 and T2 among patients with different conditions. Conclusions. In our study, the response of consultants was influenced by the consultants specialty and individual behavior, but no significant differences were seen regarding patients conditions.

關鍵字

會診；急診；會診回應時間

並列摘要

Background. In the Emergency Department, consultation plays an important role in patient care and further follow-up. The aim of this study was to attain statistical analyses of response time of consultants, specialties of consultants, and conditions of patients. Methods. We retrospectively collected data of 1030 patients from a medical center in Taichung, Taiwan from August 1999 through December 1999. We contacted the consulting physicians by pager or telephone. Data ollection included basic medical information of patients, name and specialty of each consultant, patients conditions, and response time of consultants. Results. The results showed the mean interval from the first page to each consultant’s answer by telephone (T1) was 3.9 ± 8.4 minutes and the mean interval from the first page to arrival in emergency room (T2) was 14.7±23.8 minutes. The consultants included attending physicians and residents. The mean T1 of attending physicians and residents were 5.2±8.5 minutes and 3.5±8.3 minutes, respectively (p＜0.05). The mean T2 of attending physicicans and residents were 24.3±31.8 minutes and 12.6±21.1 minutes, respectively (p＜0.01). The consultants from the Neurology Department had the fastest T1 response (1.8±2.0 minutes) and the consultants from the Obstetrics and Gynecology Department had the slowest T1 response (7.2±15.7 minutes, p＜0.01). The consultants from the Orthopedic Department had the fastest T2 response (5.5±5.4 minutes) and the consultants from the Internal Medicine Department had the slowest T2 response (22.2 ±46.3 minutes, p＜0.01). There were no significant differences in T1 and T2 among patients with different conditions. Conclusions. In our study, the response of consultants was influenced by the consultants specialty and individual behavior, but no significant differences were seen regarding patients conditions.

並列關鍵字

consultation；emergency；response time of consultant