Acil Servise Bir Yılda Başvuran Hastalarda Mükerrer Başvuruların İncelenmesi ve Çözüm Önerileri
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda acil servise bir yılda başvuran hastalarda mükerrer başvuruların incelenmesi ve çözümönerilerinin sunulması amaçlanmıştır.Gereç ve Yöntemler: Acil Servise Ekim 2018-Ekim 2019 tarihleri arasında başvuran hastalara ait veriler retrospektifolarak incelendi. Hastaların sosyodemografik özellikleri, başvuru tanıları, yatış ve konsültasyon bilgileri yanı sıra ilkbaşvurudan sonraki bir ay içinde tekrar başvuru oranları, yatış durumu, sevk edilme durumu, reçete verilme durumu vetanıları incelendi.Bulgular: Bir yıl içinde acil servise 75622 hasta başvurmuş olup %54,5'i kadın ve %45,5’i erkekti; hastaların yaşortalaması 40,3±20,2 (0-108) idi. Acil servise gelen hastaların %17,2’si bir ay içinde bir kez gelen hastalardı. Bir aydabirden fazla kez gelen hastaların ortalama gelme sayısı 2,54±1,6’dır. Bir yıl içinde acil hastaların %8,4’üne yatış işlemiyapılırken, %0,4'ü sevk edilmiştir. Bir ay içinde tekrar başvuruların %16,4 yatış yapılmıştır. Bir yıl içinde acil servisbirimine gelen hastaların %53,7’sine reçete yazılmıştır. En sık başvuru tanısı ağrı ve üst solunum yolu enfeksiyonlarıolarak bulunmuştur.Sonuç: Sağlık kuruluşlarının en önemli vizyon göstergelerinden biri olan acil sağlık hizmetlerinin verildiği acilservislere tekrar başvuru sayılarını azaltmak için eğitim ile arttırıp sağlık okur yazarlık seviyesini arttırmamız, birincibasamak sistemini etkin kullandırmak, sevk zincirini aktifleştirmek ve acil servis benzeri 7/24 çalışan genel polikliniksistemi üzerinde çalışmak çözüm önerileri olabilir.
Aim: The aim of our study is to examine the repeating applications and to offer solution proposals for patients admitted to the emergency department in one year. Material and Methods: The data of the patients who applied to the Emergency Department between October 2018 and October 2019 were analyzed retrospectively. The patients’ sociodemographic characteristics, application diagnoses, hospitalization and consultation information, as well as re-application rates, hospitalization, referral status, prescribing status and diagnoses were examined within one month after the first application. Results: Within one year, 75622 patients applied to the emergency department, 54.5% were women and 45.5% were men; the average age of the patients was 40.3±20.2 (0-108). 17.2% of the patients who came to the emergency room were patients who came once in a month. The average number of arrivals of patients who come more than once in a month is 2.54±1.6.While 8.4% of the emergency patients were hospitalized with in a year, 0.4% were referred. 16.4% of admissions were made within one month. Prescriptions were made to 53.7% of the patients who came to the emergency department within a year. The most common admission diagnosis was pain and upper respiratory tract infections. Conclusions: In order to reduce the number of re-applications to the emergency services where emergency health services, which are one of the most important vision indicators of health institutions; Increasing the level of health literacy with education, using the primary care system effectively, activating the referral chain, and working on a 24/7 general polyclinic system like emergency services may be solutions.
Aim: The aim of our study is to examine the repeating applications and to offer solution proposals for patients admitted to the emergency department in one year. Material and Methods: The data of the patients who applied to the Emergency Department between October 2018 and October 2019 were analyzed retrospectively. The patients’ sociodemographic characteristics, application diagnoses, hospitalization and consultation information, as well as re-application rates, hospitalization, referral status, prescribing status and diagnoses were examined within one month after the first application. Results: Within one year, 75622 patients applied to the emergency department, 54.5% were women and 45.5% were men; the average age of the patients was 40.3±20.2 (0-108). 17.2% of the patients who came to the emergency room were patients who came once in a month. The average number of arrivals of patients who come more than once in a month is 2.54±1.6.While 8.4% of the emergency patients were hospitalized with in a year, 0.4% were referred. 16.4% of admissions were made within one month. Prescriptions were made to 53.7% of the patients who came to the emergency department within a year. The most common admission diagnosis was pain and upper respiratory tract infections. Conclusions: In order to reduce the number of re-applications to the emergency services where emergency health services, which are one of the most important vision indicators of health institutions; Increasing the level of health literacy with education, using the primary care system effectively, activating the referral chain, and working on a 24/7 general polyclinic system like emergency services may be solutions.
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Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
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11
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1
