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Time Analysis in Emergency Medical Service Reporting Unit


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1 Marija Ruklić

2,3Adriano Friganović


1 Department of emergency Medicine of Zagreb County, Zagreb, Croatia

2 Department of Anesthesiology and intensive Medicine, University Hospital Centre Zagreb, Zagreb, Croatia

3 University of Applied Health Sciences, Zagreb, Croatia



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Article received: 01.02.2021.


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Article accepted: 07.04.2021.


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Author for correspondence:

Adriano Friganović

department of Anesthesiology and intensive Medicine, University Hospital centre Zagreb, Kišpatićeva 12, Zagreb, croatia

University of Applied Health Sciences, Zagreb, croatia e-mail: adriano@hdmsarist.hr


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https://doi.org/10.24141/2/5/1/4


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keywords: analysis, emergency call, medical dispatcher, mobilisation time, response time


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Abstract


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Aim. The aim of this paper was to determine whether there are any differences in the time of mobilisation and response time of the emergency medical service (eMS) team with respect to the location of the emer- gency call.

Methods. The data for this paper was collected and analysed in detail using the program “e-hitna” (“e-emergency”). The sample consists of all calls received in the period between 1 January and 31 december 2019 in the Medical reporting Unit of the department of emergency Medicine of Zagreb county (deMZc; Zavod za hitnu medicinu zagrebačke županije). This paper presents the number, catego- ry, place of intervention, time of mobilisation of the emergency medical service team, and the response time of the emergency services team to emergency calls designated as priority 1 (A).

Results. A total of 47,060 calls were recorded in the “e-hitna” system. We found that out of the total num- ber of calls received, 49% (23,235) were related to emergency interventions. in 38% (8,841) of calls, the medical dispatcher opted for priority 1 (A). According to the place of emergency, 53% (4,691) of priority 1 (A) cases take place in the apartment, while 46% (4,071) occur in a public place. The average mobilisa- tion time of an eMS team for priority 1 (A) cases for apartments is 1.87 ± 1.27, while for public places it is 1.92 ± 0.78 min. (Mann Whitney U test, p<0.001). The average response time of an eMS team for prior- ity 1 (A) cases for apartments is 11.02 ± 4.27, and for public places it is 6.57 ± 3.78 min. The response

time was on average much shorter for calls related to emergencies in public places (Mann Whitney U test, p<0,001).

Conclusion. The collected data showed that the department of emergency Medicine of the Zagreb county effectively aligns their working processes as well as resources with the needs of the population regarding emergency medical care. creativity, imagi- nation, and constant time analysis are the determi- nants of the work of a medical dispatcher.