基于120指挥系统下智慧调度平台的设计与应用  

Design and application of intelligent dispatching platform based on the 120 command system

作　　者：陈子红 姜泽伟 祝敏亚 李菊红 Chen Zihong;Jiang Zewei;Zhu Minya;Li Juhong(Departmentof Emergency,the Affiliated Hopitalf Jiaxing Unversity(the First Hopital of Jiaxing),Jiaxing 314000 Zhejiang,China;Jiaxing Emergency Center,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴大学附属医院(嘉兴市第一医院)急诊科,浙江嘉兴314000 [2]嘉兴市急救中心,浙江嘉兴314000

出　　处：《中国中西医结合急救杂志》2024年第5期596-599,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省嘉兴市急诊医学重点支持学科建设项目(2023-ZC-04)。

摘　　要：目的评估在“120”指挥系统下设计智慧调度平台的临床应用价值,为如何提升急救服务效率提供依据。方法采用便利抽样方法,选择2023年8月至2024年5月嘉兴市急救中心356例院前急救接警患者数据作为研究对象。将建立智慧调度平台前即2023年8月至12月接警的178例患者数据作为对照组,将建立智慧调度平台后即2024年1月至5月接警的178例患者数据作为观察组。对照组采用调度员手动选择最佳救护车并派遣的方法,观察组基于本研究团队联合计算机工程师设计智慧调度平台功能,包括多模态接警、精准呼叫定位、车载资源匹配和调度及区域协同管理功能,同时完善系统地理信息、医院信息、急救车辆信息等,实现区域统一调度、全程全域质量监控。比较智慧调度平台建立前(对照组)和建立后(观察组)城市与农村的急救反应时间、2min出车率、送医原则符合率及心肺复苏成功率的差异。结果观察组建立智慧调度平台后城市急救反应时间较对照组明显缩短(min:8.64土0.99比10.57±1.00,P<0.05),而观察组和对照组农村急救反应时间比较差异无统计学意义(min:11.66土1.49比11.94土1.70,P>0.05)。观察组2min出车率较对照组略提高[99.44%(177/178)比98.31%(175/178)],差异无统计学意义(P>0.05),送医原则符合率较对照组明显提高[98.88%(176/178)比89.89%(160/178),P<0.05];观察组心肺复苏成功率较对照组略有升高[18.92%(7/37)比13.51%(5/37)],但差异无统计学意义(P>0.05)。结论构建智慧调度平台,实现区域统一调度、资源协同管理、全程全域质量监控,可全面提升院前急救服务效率与效果,从而推动院前急救事业发展。Objective To evaluate the significant clinical value of an intelligent dispatching platform based on the 120 command system and provide the basis for improving emergency service efficiency.Methods Convenience sampling was used to choose 356 patients who received pre-hospital care in the Jiaxing Emergency Center from August 2023 to May 2024 as research objects.The 178 patients who made phone calls to the 120 center from August to December 2023(namely before the establishment of intelligent dispatching plaform)served as a control group,while another 178 cases who made phone calls to the 120 center from January to May 2024(namely after the establishment of intelligent dispatching platform)served as an observation group.The optimal ambulance was chosen and sent to receive the patients by the dispatcher himself in the control group,while the intelligent dispatching platform designed by the research team and computer engineers was used in the observation group.The plaform was made up of multimodal receipt of alarms,accurate location of phone call places,matching and dispatching of ambulance resources,and collaborative management functions within the region.At the same time,geographic information,hospital information,and emergency vehicle information were completed to achieve united dispatching and whole-process quality control all over the region.The emergency response time,2 minutes ambulance dispatching rate,coincidence rate of medical treatment principles,and success rate of cardiopulmonary resuscitation in cities and rural areas were compared between the control group(before the establishment of intelligent dispatching platform)and the observation group(after the establishment of intelligent dispatching platform).Results The emergency response time in the observation group after the establishment of intelligent dispatching platform was shorter than that in the control group in cities(minutes:8.64±0.99 vs.10.57±1.00,P<0.05),while there was no statistical significance between the observation group and the control g

关 键 词：院前急救 智慧 调度 

分 类 号：R47[医药卫生—护理学]