温州市应急联动系统“四台合一”后120现状与分析  

Situation and analysis after"four-in-one"in Wenzhou emergency linkage system

作　　者：周波 蔡文伟 史玲强 周易 李晓 Zhou Bo;Cai Wen - wei;Shi Ling - qiang;Zhou Yi;Li Xiao(Wenzhou Emergency Center,Wenzhou 325000,China)

机构地区：[1]温州市急救中心,浙江温州325000 [2]浙江省急救指挥中心,浙江杭州310014

出　　处：《中国急救医学》2019年第4期318-322,共5页Chinese Journal of Critical Care Medicine

摘　　要：目的比较“四台合一”与“非四台合一”院前急救指挥系统优缺点,为不同地区选择合适接处警模式提供借鉴。方法收集2011-2017年间相关急救数据,对“四台合一”前后接处警模式、流程、有效接警率、反应时间等指标进行分析对比。结果“四台合一”后,报警流程明显简化;120有效接警率从“四台合一”前不足10%提升至“四台合一”后80%左右;平均调度时间从2011年140秒缩短至2017年57.45秒,减少59%;平均出车时间从2011年2.6分钟缩短至2017年1.24分钟,减少46.2%;平均到达时间从2011年22.1分钟缩短至2017年12.37分钟,减少44%;平均送达医院时间从2011年23.32分钟缩短至2017年14.09分钟,减少39.6%。结论“四台合一”能明显提高接处警效率、缩短急救反应时间、提升城市综合应急反应处置水平,但也存在系统安全隐患增加、空车率攀升等问题,需进一步改善。Objective To compare the advantages and disadvantages of the“four in one”and“non-four in one”pre-hospital emergency command system,and to provide reference for selecting suitable police mode in different regions.Methods Collect relevant emergency data from 2011 to 1.24 minutes in 2017,a 46.2%decrease;and analyze and compare the indicators of the police,process,effective alarm rate and response time before and after the“four in one”.Results After“four in one”,the alarm process was obviously simplified;120 effective alarm rate was increased from less than 10%before“four in one”to 80%after“four in one”;the average dispatch time was reduced from 140 seconds in 2011 to 57.45 seconds in 2017,a 59%decrease;the average departure time was shortened from 2.6 minutes in 2011 to 2017.The average arrival time was reduced from 22.1 minutes in 2011 to 12.37 minutes in 2017,a decrease of 44%;the average delivery time was shortened jfrom 23.32 minutes in 2011 to 14.09 minutes in 2017,a decrease of 39.6%.Conclusion The“four in one”can significantly improve the efficiency of the police,shorten the emergency response time,and improve the level of comprehensive emergency response and disposal of the city.However,there are also problems such as increased system safety hazards and rising air traffic rates,which need further improvement.

关 键 词：四台合一 联动 急救 

分 类 号：R459.7[医药卫生—急诊医学]