:: Volume 14, Issue 1 (March-April 2019) ::
IJNR 2019, 14(1): 72-77 Back to browse issues page
Determining the Telephony Triage Outcome in Patients with Chest Pain in Emergency Center in 115 provinces of Qom according to the New Jersey Modified Protocol in the first half of 1396
Masomeh Abam , Fatemeh Pashaei sabet * , Mohammad Parvaresh masoud , Somayeh Momenian
Qom University of Medical Sciences, Qom, Iran , pashaii1392@gmail.com
Abstract:   (1707 Views)
Introduction: The most common complaint of heart patients is pain and chest discomfort. The delay in transmitting patients from the onset of symptoms to reaching a treatment center is one of the most important reasons for the deaths of these patients. There is a direct relationship between the early services provided by the pre-hospital emergency room with positive therapeutic outcomes and the reduction of mortality. By using telephony triangulation protocol, delayed call center experts dispatch ambulances to patients at higher risk and job misconduct.
Purpose: The purpose of this study was to investigate the outcome of telephony triage in patients with complaint of pain and chest discomfort in the first half of 1996 in the Qom province of Qom according to the modified protocol of New Jersey.
methods: In this descriptive-analytical study, 550 callers with 115 emergency services in the first half of 1396 were selected through a random sampling method, with a complaint of pain and chest discomfort. Data were collected using valid and reliable checklist The data were analyzed using descriptive statistics (frequency distribution, mean and standard deviation) and inferential statistics (Chi-square and independent tests).
Results:from 550 registered cases, 202 people were transferred to the hospital by ambulance and 347 were not sent by ambulance, and 347 of them were contacted by 196 people, and the result of the absence of ambulance was questioned. Ultimately, experts from the Qom Emergency Center in Triage suggested patients with chest pain complained of in accordance with the New Jersey protocol in the 68/39% correct and 36/31% wrong.
According to lateral findings, there was no significant relationship between sex and work shift with triage method, but there was a significant relationship between age and contact history with triage modthod.
Conclusion: Experts at the Qom Emergency Center using the New Jersey Protocol have performed non-urgent trials by maintaining the safety of patients at a desirable level, but there is a need for careful consideration in identifying urgent cases.
Keywords: Telephony triage - Pre-hospital emergency-Chest pain
Full-Text [PDF 553 kb]   (420 Downloads)    
Type of Study: Critical Care Nursing | Subject: nursing
Received: 2018/12/2

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Volume 14, Issue 1 (March-April 2019) Back to browse issues page