"2012" . . . "S" . . "RIV/00216208:11240/12:10132890" . "Quality; Care; Impact; Region; Bohemian; Central; Service; Medical; Emergency; Centers; Dispatch; Centralization"@en . "11240" . . "[1C364132E33A]" . "RIV/00216208:11240/12:10132890!RIV13-MSM-11240___" . "6"^^ . . . "The first phase of centralization of emergency medical dispatch centres in the Central Bohemian region went through during the first half of 2011. Four local emergency medical dispatch centres were gradually brought together into one entity. The aim of the research was to evaluate impacts of the organizational change on key quality parameters. The observational retrospective study consists of two groups of data, collected from identical area during two equivalent periods. Group A contains data from the period of six months before and group B contains data from the period of six months after the centralization. Key quality indicators were compared in both groups: response time; call processing times; safety of classification and indication of calls; use of dispatch life support and advice and appropriate use ambulances in areas around former district boarders. After the centralization of four local emergency medical dispatch centres into one entity both answering and call processing times shortened, classification of most serious calls enhanced, sensitivity to dispatching of appropriate level of ambulance to most serious calls increased, sensitivity to implementation of dispatch life support increased, sensitivity to implementation of advice and support increased, and the total time of ALS reaction in areas along former district boarders decreased. Results obtained during the study shows that the quality of care of the emergency medical dispatch centre of the Emergency Medical Service of the Central Bohemian region increased rapidly after the first phase of its centralization."@en . . . "Centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje: vlivy na kvalitu p\u00E9\u010De"@cs . . . . "V pr\u016Fb\u011Bhu prvn\u00EDho pololet\u00ED 2011 byla provedena prvn\u00ED f\u00E1ze centralizace \u0161esti oblastn\u00EDch zdravotnick\u00FDch opera\u010Dn\u00EDch st\u0159edisek Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje. Postupn\u011B byla do jednoho pracovi\u0161t\u011B slou\u010Dena \u010Dty\u0159i oblastn\u00ED zdravotnick\u00E1 opera\u010Dn\u00ED st\u0159ediska. C\u00EDlem v\u00FDzkumu bylo zjistit, jak se tato zm\u011Bna projevila na kvalit\u011B poskytovan\u00E9 p\u00E9\u010De. Observa\u010Dn\u00ED retrospektivn\u00ED studie zahrnuje data, z\u00EDskan\u00E1 na identick\u00E9m \u00FAzem\u00ED za dv\u011B ekvivalentn\u00ED \u010Dasov\u00E1 obdob\u00ED. Skupina A obsahuje data z obdob\u00ED p\u016Fl roku p\u0159ed a skupina B data z obdob\u00ED p\u016Fl roku po centralizaci. V obou skupin\u00E1ch byly porovn\u00E1ny kl\u00ED\u010Dov\u00E9 parametry kvality: doba \u010Dek\u00E1n\u00ED volaj\u00EDc\u00EDho na obslou\u017Een\u00ED; doba zpracov\u00E1n\u00ED t\u00EDs\u0148ov\u00E9 v\u00FDzvy; bezpe\u010Dnost klasifikace a indikace t\u00EDs\u0148ov\u00FDch v\u00FDzev; poskytov\u00E1n\u00ED telefonick\u00FDch instrukc\u00ED volaj\u00EDc\u00EDm a vhodn\u00E9 vyu\u017E\u00EDv\u00E1n\u00ED v\u00FDjezdov\u00FDch skupin v okol\u00ED b\u00FDval\u00FDch hranic slou\u010Den\u00FDch oblast\u00ED. Z proveden\u00E9ho v\u00FDzkumu vyplynulo, \u017Ee po proveden\u00ED syst\u00E9mov\u00E9 zm\u011Bny - centralizaci \u010Dty\u0159 oblastn\u00EDch zdravotnick\u00FDch opera\u010Dn\u00EDch st\u0159edisek - se zkr\u00E1tila doba \u010Dek\u00E1n\u00ED na obslou\u017Een\u00ED t\u00EDs\u0148ov\u00E9ho hovoru, zkr\u00E1til se interval zpracov\u00E1n\u00ED t\u00EDs\u0148ov\u00E9 v\u00FDzvy, zlep\u0161ila se klasifikace nejz\u00E1va\u017En\u011Bj\u0161\u00EDch stav\u016F, zv\u00FD\u0161ila se senzitivita k vysl\u00E1n\u00ED odpov\u00EDdaj\u00EDc\u00ED odbornosti v\u00FDjezdov\u00E9 skupiny, zv\u00FD\u0161ila se senzitivita k poskytov\u00E1n\u00ED instrukc\u00ED po telefonu a sn\u00ED\u017Eil se \u010Das celkov\u00E9 reakce v\u00FDjezdov\u00FDch skupin rychl\u00E9 l\u00E9ka\u0159sk\u00E9 pomoci v oblastech okolo b\u00FDval\u00FDch hranic oblast\u00ED. Ze zji\u0161t\u011Bn\u00FDch v\u00FDsledk\u016F vypl\u00FDv\u00E1, \u017Ee kvalita p\u00E9\u010De, poskytovan\u00E9 zdravotnick\u00FDm opera\u010Dn\u00EDm st\u0159ediskem, se po prvn\u00ED f\u00E1zi centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje na dan\u00E9m \u00FAzem\u00ED nejen nezhor\u0161ila, ale naopak v\u00FDrazn\u011B zlep\u0161ila." . "Urgentn\u00ED medic\u00EDna" . . "1"^^ . "Centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje: vlivy na kvalitu p\u00E9\u010De"@cs . "Centralization of Dispatch Centers of Emergency Medical Service in Central Bohemian Region: Impact on Care Quality"@en . . "126293" . . "Bradna, Jan" . "Centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje: vlivy na kvalitu p\u00E9\u010De" . "V pr\u016Fb\u011Bhu prvn\u00EDho pololet\u00ED 2011 byla provedena prvn\u00ED f\u00E1ze centralizace \u0161esti oblastn\u00EDch zdravotnick\u00FDch opera\u010Dn\u00EDch st\u0159edisek Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje. Postupn\u011B byla do jednoho pracovi\u0161t\u011B slou\u010Dena \u010Dty\u0159i oblastn\u00ED zdravotnick\u00E1 opera\u010Dn\u00ED st\u0159ediska. C\u00EDlem v\u00FDzkumu bylo zjistit, jak se tato zm\u011Bna projevila na kvalit\u011B poskytovan\u00E9 p\u00E9\u010De. Observa\u010Dn\u00ED retrospektivn\u00ED studie zahrnuje data, z\u00EDskan\u00E1 na identick\u00E9m \u00FAzem\u00ED za dv\u011B ekvivalentn\u00ED \u010Dasov\u00E1 obdob\u00ED. Skupina A obsahuje data z obdob\u00ED p\u016Fl roku p\u0159ed a skupina B data z obdob\u00ED p\u016Fl roku po centralizaci. V obou skupin\u00E1ch byly porovn\u00E1ny kl\u00ED\u010Dov\u00E9 parametry kvality: doba \u010Dek\u00E1n\u00ED volaj\u00EDc\u00EDho na obslou\u017Een\u00ED; doba zpracov\u00E1n\u00ED t\u00EDs\u0148ov\u00E9 v\u00FDzvy; bezpe\u010Dnost klasifikace a indikace t\u00EDs\u0148ov\u00FDch v\u00FDzev; poskytov\u00E1n\u00ED telefonick\u00FDch instrukc\u00ED volaj\u00EDc\u00EDm a vhodn\u00E9 vyu\u017E\u00EDv\u00E1n\u00ED v\u00FDjezdov\u00FDch skupin v okol\u00ED b\u00FDval\u00FDch hranic slou\u010Den\u00FDch oblast\u00ED. Z proveden\u00E9ho v\u00FDzkumu vyplynulo, \u017Ee po proveden\u00ED syst\u00E9mov\u00E9 zm\u011Bny - centralizaci \u010Dty\u0159 oblastn\u00EDch zdravotnick\u00FDch opera\u010Dn\u00EDch st\u0159edisek - se zkr\u00E1tila doba \u010Dek\u00E1n\u00ED na obslou\u017Een\u00ED t\u00EDs\u0148ov\u00E9ho hovoru, zkr\u00E1til se interval zpracov\u00E1n\u00ED t\u00EDs\u0148ov\u00E9 v\u00FDzvy, zlep\u0161ila se klasifikace nejz\u00E1va\u017En\u011Bj\u0161\u00EDch stav\u016F, zv\u00FD\u0161ila se senzitivita k vysl\u00E1n\u00ED odpov\u00EDdaj\u00EDc\u00ED odbornosti v\u00FDjezdov\u00E9 skupiny, zv\u00FD\u0161ila se senzitivita k poskytov\u00E1n\u00ED instrukc\u00ED po telefonu a sn\u00ED\u017Eil se \u010Das celkov\u00E9 reakce v\u00FDjezdov\u00FDch skupin rychl\u00E9 l\u00E9ka\u0159sk\u00E9 pomoci v oblastech okolo b\u00FDval\u00FDch hranic oblast\u00ED. Ze zji\u0161t\u011Bn\u00FDch v\u00FDsledk\u016F vypl\u00FDv\u00E1, \u017Ee kvalita p\u00E9\u010De, poskytovan\u00E9 zdravotnick\u00FDm opera\u010Dn\u00EDm st\u0159ediskem, se po prvn\u00ED f\u00E1zi centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje na dan\u00E9m \u00FAzem\u00ED nejen nezhor\u0161ila, ale naopak v\u00FDrazn\u011B zlep\u0161ila."@cs . "4" . "1"^^ . "Centralizace opera\u010Dn\u00EDho \u0159\u00EDzen\u00ED Zdravotnick\u00E9 z\u00E1chrann\u00E9 slu\u017Eby St\u0159edo\u010Desk\u00E9ho kraje: vlivy na kvalitu p\u00E9\u010De" . . . "CZ - \u010Cesk\u00E1 republika" . . "1212-1924" . . . . . . . . "Centralization of Dispatch Centers of Emergency Medical Service in Central Bohemian Region: Impact on Care Quality"@en .