Yıl: 2019 Cilt: 10 Sayı: 1 Sayfa Aralığı: 12 - 17 Metin Dili: İngilizce DOI: 10.18663/tjcl.336946 İndeks Tarihi: 27-05-2021

A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients

Öz:
Aim: Emergency department (ED) physicians use different tools and modalities to communicate with consulted clinical divisions in all over the world. Domestic phones, pagers, consultation stations, mobile phones and smart phone applications are commonly used examples. They have a changing trend over time and technology in practice. We evaluated the effectiveness of the consultations conducted by telephone and pager systems, compared the functionality of both systems and investigated their effects on length of stay (LOS) of the patients in the ED of a tertiary teaching hospital.Material and methods: The study was planned as prospective and descriptive. The consulted patients in ED were assigned for the study group. The domestic telephones and pagers with central operating system were used as an ED consultation tool for a two-week period, respectively and separately. LOS and consultation response time (CRT) were evaluated.Results: Three hundred eighteen consultations were requested for a total of 228 patients. The most frequently requested consultations were from Cardiology (17.6%), General Surgery (14.2%) and Orthopaedics (13.5%). When the telephone and pager systems were compared independently from the departments, CRT was found significantly longer via telephone compared to pager (52 min vs. 18 min; p=0.56, p=0.04). The LOS was 353 min for telephone, 314 min for pager but these results were not statistically significant (p>0.05).Conclusion: The pager system for consultation request is a time and energy reducing option for ED physicians. In addition, it shortens CRT for the patients with high urgency levels. However there is no significant difference between both methods on LOS.
Anahtar Kelime:

Acil servis konsültasyonlarında çağrı ve telefon sistemlerinin etkinlikleri ile danışılan hastaların acilde kalış sürelerinin karşılaştırmalı çalışması

Öz:
Amaç: Tüm dünyada Acil Servis Hekimleri konsültasyon istemlerini gerçekleştirmek için farklı araçlar ya da sistemlerkullanmaktadır. Dahili telefonlar, çağrı cihazları, konsültasyon istasyonları, cep telefonları ve akıllı telefonlar sık kullanılanörneklerdir. Bu tercihleri pratikte zaman ve teknoloji ile değişen bir eğilim izlemektedir. Biz bu çalışmada konsültasyonlardakullanılan dâhili telefonlar ile çağrı cihazlarının etkinliklerini değerlendirdik ve üçüncü basamak bir Eğitim ve Araştırmahastanesinde hastaların acil serviste bekleme süreleri (ABS) üzerine etkilerini araştırdık. Gereç ve Yöntemler: Çalışma prospektif ve tanımlayıcı olarak planlanmıştır. AS'de konsültasyon istenen hastalar çalışmagrubu olarak seçilmiştir. Dahili telefonlar ve merkezi işletim sistemli çağrı cihazları ayrı ayrı ve sırasıyla AS konsültasyonistemleri için 2 haftalık periyotlar halinde kullanılmıştır. ABS ve konsültasyon cevaplama süreleri (KCS) değerlendirilmiştir.Bulgular: Toplam 228 hastadan 318 konsültasyon istenmiştir. En çok konsültasyon istenen bölümler Kardiyoloji (17.6%),Genel Cerrahi (14.2%) ve Ortopedi'dir (13.5%). Telefon ve çağrı cihazları bölümlerden bağımsız olarak karşılaştırıldıklarında,telefonla tespit edilen KCS değerleri çağrı cihazlarına göre belirgin uzun tespit edilmiştir (52 dk vs. 18 dk; p=0.56, p=0.04). ABStelefon için 353 dk iken çağrı cihazı için 314 dk olarak bulundu ancak bu sonuçlar istatistiksel olarak anlamlı değildi(p>0.05). Sonuç: Çağrı cihazlar AS hekimleri için konsültasyon istemleri için zaman ve enerjiden tasarruf ettiren bir seçenektir. Ek olarakaciliyeti yüksek hastalar için KCS'yi kısaltmaktadır. Ancak AKS açısından iki yöntemle ilgili anlamlı bir fark tespit edilememiştir
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Vural S, İÇME F, KAVAKLI H, Tanrıverdi F, karakayali o (2019). A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. , 12 - 17. 10.18663/tjcl.336946
Chicago Vural Sevilay,İÇME FERHAT,KAVAKLI Havva Sahin,Tanrıverdi Fatih,karakayali onur A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. (2019): 12 - 17. 10.18663/tjcl.336946
MLA Vural Sevilay,İÇME FERHAT,KAVAKLI Havva Sahin,Tanrıverdi Fatih,karakayali onur A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. , 2019, ss.12 - 17. 10.18663/tjcl.336946
AMA Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. . 2019; 12 - 17. 10.18663/tjcl.336946
Vancouver Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. . 2019; 12 - 17. 10.18663/tjcl.336946
IEEE Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o "A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients." , ss.12 - 17, 2019. 10.18663/tjcl.336946
ISNAD Vural, Sevilay vd. "A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients". (2019), 12-17. https://doi.org/10.18663/tjcl.336946
APA Vural S, İÇME F, KAVAKLI H, Tanrıverdi F, karakayali o (2019). A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. Turkish Journal of Clinics and Laboratory, 10(1), 12 - 17. 10.18663/tjcl.336946
Chicago Vural Sevilay,İÇME FERHAT,KAVAKLI Havva Sahin,Tanrıverdi Fatih,karakayali onur A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. Turkish Journal of Clinics and Laboratory 10, no.1 (2019): 12 - 17. 10.18663/tjcl.336946
MLA Vural Sevilay,İÇME FERHAT,KAVAKLI Havva Sahin,Tanrıverdi Fatih,karakayali onur A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. Turkish Journal of Clinics and Laboratory, vol.10, no.1, 2019, ss.12 - 17. 10.18663/tjcl.336946
AMA Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. Turkish Journal of Clinics and Laboratory. 2019; 10(1): 12 - 17. 10.18663/tjcl.336946
Vancouver Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients. Turkish Journal of Clinics and Laboratory. 2019; 10(1): 12 - 17. 10.18663/tjcl.336946
IEEE Vural S,İÇME F,KAVAKLI H,Tanrıverdi F,karakayali o "A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients." Turkish Journal of Clinics and Laboratory, 10, ss.12 - 17, 2019. 10.18663/tjcl.336946
ISNAD Vural, Sevilay vd. "A comparison study on the effectiveness of pager and telephonesystems during emergency department consultations and length ofstay of consulted emergency department patients". Turkish Journal of Clinics and Laboratory 10/1 (2019), 12-17. https://doi.org/10.18663/tjcl.336946