구급활동일지는 얼마나 제출되고 기재되는가?

Abstract

Purpose: The prehospital ambulance run report function’s as a legal and billing document, a unit of database for emergency medical service system quality improvement and community resources allocation. We examined how much ambulance run report is collected, contents are checked and whether there is a hospital-wise difference. Methods: Prehospital run report of patients who visited the emergency department of Severance hospital, YongDong Severance hospital and Ilsan hospital by ambulance during the month of August in 2003 were collected. The items in run report were grouped according to relevancy in 11categories including 6 essential cetegories. The scores of each item was calculated as follows; 1 point if completed, 0 point if not checked and 0.5 point if incomplete. The categorical score, total score and essential score was consisted of corresponding scores. Results: There was 1,339 (13.5%) 119 ambulance transportation in 9,946 total visit and 783 (58.5%) reports were collected with no statistical difference among hospitals. Overall score completed 100 point scale was in total 54.43 in total score, 70.61 in essential score. In essential categories, transportation category score (78.26) was higher than EMS information (73.04), rand & signature category (72.73) and patient condition & care category (45.20) scores. Among hospitals, YongDong Severance hospital showed significantly higher total and essential score than others. In essential categories, YongDong Severance hospital in EMS information, patient condition & care, rank & signature categories and Ilsan hospital in transportation category had higher score than others with significant differences. Conclusion: In this study, the collection rate and completion score of prehospital 119 run report were disappointedly low and differed among hospitals. To improve present status, we prepare urgent need redesign of run report, was of uniform data set and proper education of emergency medical personnel.