EVALUATION OF FACTORS AFFECTING DELAYED EMERGENCY SERVICES FROM VIEWS OF PREHOSPITAL EMERGENCY STAFFS IN NORTHEAST OF FARS IN 2016
Hasan Rahimi, Abbas Yazdanpanah* and Abbas Ghavam
ABSTRACT
The present research aims to study factors affecting delayed emergency services from views of prehospital emergency staffs in northeast of Fars in 2016. The research was done qualitatively. A target sampling was done among key individuals, managers of emergency department, telephone answering operators, technicians and rescuer who had some experiences in emergency department. The size of participants will be based on theoretical saturation. Results identified following factors: long distance, heavy traffic, taking wrong address from dispatch, wrong travel of ambulance, wireless failure of ambulance or the station, lack of wireless antenna in some regions, wrong information given by patient's companions, prank call and busy lines, ambulance dispatch from regions other than the main regions of the station due to lack of ambulances, delayed dispatch of ambulance, no dispatch of ambulance in case of wrong calls, bad weather, corrupted access way, dangerous road, lack of up-to-date rescue & relief equipment, worn out ambulance, insufficient equipment in case of crises, lack of amenities in standard stations, lack of professional skill of some personnel, physical ability of personnel, the job morality and spirit, station's welfare services such as beds, cooling and heating facilities, lack of equipment for sport and physical activities, lack of thinking center for personnel, lack of educational materials and periods as well as lack of international competitions. Concerning research importance, some Delphi questionnaires were completed by semi-structured interviews. The interview is semi-structured and conceptual (such interview aims to explain and describe conceptually an event or a subject). The interviewer is going to illustrate the conceptual structure of concepts related to an event. The questions will explore the conceptual dimensions and meaning of central words, their place and relations with conceptual networks. In addition, factors related to the main components of the research were identified by interviewing with many emergency managers and rescuers who are still working in emergency department. Totally, ten main sources which play role in delayed emergency are as follows: 1- travel of ambulance in a wrong address, 2- long distance 3- dispatch of ambulance from regions other than the main regions of the station due to lack of ambulances 4- heavy traffic 5- bad weather 6- corrupted access way 7- dangerous road 8- taking a wrong address from dispatch 9- worn out ambulance 10- insufficient equipment in case of crisis.
[Full Text Article] [Download Certificate]