启用非医疗背景人员对调度指挥工作的影响及策略分析  

Analysis of the impact and strategy of using non-medical personnel on 120 dispatch and command work

作　　者：杨南南 陈宇男 郝丽丽 高丁[1] 韩鹏达[1] YANG Nannan;CHEN Yunan;HAO Lili;GAO Ding;HAN Pengda(Beijing Emergency Medical Center,Beijing 100031,China)

机构地区：[1]北京急救中心,北京100031

出　　处：《中国急救复苏与灾害医学杂志》2024年第12期1572-1575,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：北京市高层次公共卫生技术人才建设项目(编号:学科骨干-02-10)。

摘　　要：目的通过对2023年北京急救中心外招非医学专业调度人员完成日常急救调派工作情况进行分析,探讨医学背景对院前急救调度人员开展日常调度指挥工作的重要性,为今后工作提供理论依据并积累经验,以更好地促进院前急救整体工作的开展。方法本研究为回顾性分析,以北京急救中心2023年4月—9月外招非医学专业调度人员10名作为观察组,并随机选取同时间段北京急救中心内部支援医学专业人员10名作为对照组,对两组电话受理任务情况、工作效率指标及调派能力情况进行对比研究。结果观察组年龄明显高于对照组(P<0.05);入职时笔试成绩观察组为(84.40±5.02)分,对照组为(92.30±2.16)分,比较有统计学差异(P<0.05);从接听量、派车量等效率质控指标上看,两组均能较好完成,但无统计学差异(P>0.05);优化派车率上观察组较对照组低,而在呼吸机任务平均调派时长分析中,观察组较对照组明显延长,比较有统计学差异(P<0.05)。结论非医学专业人员经过培训可以独立承担院前急救调度工作,但调派能力有限,应加强院前急救知识及相关流程、政策的模拟培训和指导,以保证院前急救调度指挥工作能够顺利开展。Objective To study and analyze the daily emergency dispatch work of non-medical professional dispatch personnel recruited from Beijing Emergency Medical Center in 2023,and to explore the importance of medical background in the daily dispatch and command work of pre-hospital emergency medical dispatch personnel.This will provide theoretical basis and accumulate experience for future work,in order to better promote the overall development of pre-hospital emergency work.Methods A retrospective analysis was conducted on 10 non-medical dispatch personnel recruited from Beijing Emergency Medical Center from April to September 2023 as the observation group,and 10 internal support medical professionals from Beijing Emergency Medical Center were randomly selected as the control group during the same period.The telephone reception task situation,work efficiency indicators,and dispatch ability of the two groups were collected for comparative analysis and research.Results There was a significant difference in age between the observation group and the control group;At the time of entry,the written test scores of the observation group were(84.40±5.02)points,while the control group was(92.30±2.16)points.There was a statistical difference between the two groups(P<0.05).In terms of the efficiency quality control indicators such as the amount of receiving and the number of car delivery,the two groups can complete it well without statistical difference(P<0.05).On the optimized dispatch rate,the observation group was lower than the control group,but in the analysis of the average dispatch time of the ventilator task,the observation group was significantly longer compared with the control group,with statistical differences between the two groups(P<0.05).Conclusion Non-medical professionals can independently undertake pre-hospital emergency dispatch work after training,but their dispatch ability is limited.Therefore,it is necessary to strengthen the simulation training and guidance of pre-hospital emergency knowledge,related process

关 键 词：急救中心 调度指挥 院前急救 医学背景 调派能力 

分 类 号：R197.6[医药卫生—卫生事业管理]