Abstract：
BACKGROUND:Dispatching centres were fused into one of the 112 entity, which caused concerns regarding whether the medical calls could be processed effectively also in the new centre. We evaluated the effects of the reform on key performance criteria in medical calls. METHODS:This observational study in the Helsinki Dispatching Centre consisted of two periods: Period I 2 years before the reform and Period II 2 years after. The main outcome measures were answering and call processing times, accuracy of risk assessment and appropriate use of ambulances. RESULTS:In Period I (n=574,276), 92.2% of all incoming phone calls were answered within 10 s and in Period II (n=758,022) 82.8% (P<0.0001). Time to dispatch a first responding fire unit increased from 98 to 113 s (P<0.0001) and an advanced life support unit in category A calls increased from 73 to 84 s (P<0.0001). In Period I 47.7%, 34.8% and 17.5% of phone calls were completed in <3, 3-5 and >5 min and in Period II 29.8%, 36.1% and 34.1% (P<0.0001). The number of three studied non-transportation call types and unnecessary lights-and-siren responses increased significantly (P<0.0001 and 0.0001, respectively). Neither the accuracy of risk assessment in the three studied call types nor the rate of telephone-guided cardiopulmonary resuscitation changed. CONCLUSIONS:The reform increased the total number of ambulance dispatches, prolonged answering and call processing times and had a negative effect on the appropriate use of ambulances. The accuracy of risk assessment was not affected. Evidence-based data should be the basis for the future as dispatching centre processes are shown to be vulnerable during organisational reforms.
journal_name
Acta Anaesthesiol Scandjournal_title
Acta anaesthesiologica Scandinavicaauthors
Määttä T,Kuisma M,Väyrynen T,Nousila-Wiik M,Porthan K,Boyd J,Kuosmanen J,Räsänen Pdoi
10.1111/j.1399-6576.2010.02243.xsubject
Has Abstractpub_date
2010-07-01 00:00:00pages
689-95issue
6eissn
0001-5172issn
1399-6576pii
AAS2243journal_volume
54pub_type
杂志文章abstract：BACKGROUND:Prevention of hypotension during spinal anaesthesia is commonly achieved using fluid preloading. This may result in a substantial amount of excess free water retained in the body after spinal anaesthesia. We aimed to evaluate the effects of 7.5% hypertonic saline on extracellular water volume and haemodynami...
journal_title：Acta anaesthesiologica Scandinavica
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：BACKGROUND:Hysterectomy is often carried out as same-day surgery. Treatment of postoperative pain is, therefore, of utmost importance to ensure timely discharge from hospital. Methadone has several desirable pharmacological features, including a long elimination half-life. Theoretically, a single intraoperative dose co...
journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章,随机对照试验
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 临床试验,杂志文章
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更新日期：1982-04-01 00:00:00
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章
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journal_title：Acta anaesthesiologica Scandinavica
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journal_title：Acta anaesthesiologica Scandinavica
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journal_title：Acta anaesthesiologica Scandinavica
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章,随机对照试验
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journal_title：Acta anaesthesiologica Scandinavica
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doi：10.1111/j.1399-6576.2006.00912.x
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journal_title：Acta anaesthesiologica Scandinavica
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章,随机对照试验
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 杂志文章
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journal_title：Acta anaesthesiologica Scandinavica
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 杂志文章,评审
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更新日期：2008-07-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-10-01 00:00:00
