DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA

This study deals with the causes of delay in answering yellow codes in a private service of medical emergencies in the city of Cordoba. The levels of services are differentiated by codes according to risk of life and/or answering time in: Green (consultation or delay up to 3 hours), Yellow (urgencie...

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Autores principales: Alvarez, Ricardo Eutimio, Andromaco, Marta Iris
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2016
Materias:
Urgency
Answering Time
Yellow Code
Answering Capacity
Prehospital System
Urgencia
Tiempo de respuesta
código amarillo
capacidad respuesta
Sistema Prehospitalario
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/14541
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Revista de Salud Pública de Universidad Nacional de Córdoba
id I10-R360-article-14541
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Urgency
Answering Time
Yellow Code
Answering Capacity
Prehospital System
Urgencia
Tiempo de respuesta
código amarillo
capacidad respuesta
Sistema Prehospitalario
spellingShingle Urgency
Answering Time
Yellow Code
Answering Capacity
Prehospital System
Urgencia
Tiempo de respuesta
código amarillo
capacidad respuesta
Sistema Prehospitalario
Alvarez, Ricardo Eutimio
Andromaco, Marta Iris
DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
topic_facet Urgency
Answering Time
Yellow Code
Answering Capacity
Prehospital System
Urgencia
Tiempo de respuesta
código amarillo
capacidad respuesta
Sistema Prehospitalario
author Alvarez, Ricardo Eutimio
Andromaco, Marta Iris
author_facet Alvarez, Ricardo Eutimio
Andromaco, Marta Iris
author_sort Alvarez, Ricardo Eutimio
title DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
title_short DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
title_full DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
title_fullStr DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
title_full_unstemmed DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA
title_sort delay in answering yellow codes in a medical emergency service in the city of cordoba
description This study deals with the causes of delay in answering yellow codes in a private service of medical emergencies in the city of Cordoba. The levels of services are differentiated by codes according to risk of life and/or answering time in: Green (consultation or delay up to 3 hours), Yellow (urgencies or delay up to 20 minutes), Red (emergencies or delay up to 12 minutes), Blue (transfer of patients, no delay established). As the company agreements are not observed regarding answering time to yellow code, the stages of the process are analyzed, dispatching room and operative vehicles are observed and surveys and interviews to key participants are carried out. Total average Answering Time (AT) was 42:26 minutes; AT outside the area of influence of the vehicle (OA) was 50:23. If we consider AT in incoming call pick hour from 9am to 2 pm, it was 37:42 minutes; in the same timetable AT OA was 44:55 minutes. In peak hour from 6pm to 10pm AT found was 46:36 and OA   53:27 minutes. A 12.32 minutes delay was found in dispatching and 6.20 minutes in vehicle departure taking up 43% of Total Answering Time. The largest delay takes place during incoming call peak hours having a bimodal curve during the day; this delay is emphasized when vehicles are assigned outside the influence area.  Delay in dispatch is put down to lack of availability of vehicles, commercial green and yellow codes are assigned so that the vehicle complies with productivity generating less answering capacity because vehicles are busy. Delay in vehicle departure is due to discomfort of operative staff who besides, does not take answering time as a priority. Adaptation of operative offer to larger demand of yellow codes by agreements was not shown.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2016
url https://revistas.unc.edu.ar/index.php/RSD/article/view/14541
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last_indexed 2025-05-10T05:19:14Z
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spelling I10-R360-article-145412025-04-03T12:06:36Z DELAY IN ANSWERING YELLOW CODES IN A MEDICAL EMERGENCY SERVICE IN THE CITY OF CORDOBA Demora en tiempos de respuestas a códigos amarillos en un servicio de emergencias médicas de la ciudad de Córdoba DEMORA NOS TEMPOS DE RESPOSTA AO CÓDIGO AMARELO EM UM SERVIÇO DE EMERGÊNCIA MÉDICA NA CIDADE DE CÓRDOBA Alvarez, Ricardo Eutimio Andromaco, Marta Iris Urgency Answering Time Yellow Code Answering Capacity Prehospital System Urgencia Tiempo de respuesta código amarillo capacidad respuesta Sistema Prehospitalario This study deals with the causes of delay in answering yellow codes in a private service of medical emergencies in the city of Cordoba. The levels of services are differentiated by codes according to risk of life and/or answering time in: Green (consultation or delay up to 3 hours), Yellow (urgencies or delay up to 20 minutes), Red (emergencies or delay up to 12 minutes), Blue (transfer of patients, no delay established). As the company agreements are not observed regarding answering time to yellow code, the stages of the process are analyzed, dispatching room and operative vehicles are observed and surveys and interviews to key participants are carried out. Total average Answering Time (AT) was 42:26 minutes; AT outside the area of influence of the vehicle (OA) was 50:23. If we consider AT in incoming call pick hour from 9am to 2 pm, it was 37:42 minutes; in the same timetable AT OA was 44:55 minutes. In peak hour from 6pm to 10pm AT found was 46:36 and OA   53:27 minutes. A 12.32 minutes delay was found in dispatching and 6.20 minutes in vehicle departure taking up 43% of Total Answering Time. The largest delay takes place during incoming call peak hours having a bimodal curve during the day; this delay is emphasized when vehicles are assigned outside the influence area.  Delay in dispatch is put down to lack of availability of vehicles, commercial green and yellow codes are assigned so that the vehicle complies with productivity generating less answering capacity because vehicles are busy. Delay in vehicle departure is due to discomfort of operative staff who besides, does not take answering time as a priority. Adaptation of operative offer to larger demand of yellow codes by agreements was not shown. Este estudio investiga las causas de demora en los tiempos de respuestas a códigos Amarillos en un servicio privado de emergencias médicas de la ciudad de Córdoba. Los niveles de prestaciones son diferenciados por códigos según riesgo de vida y/o por tiempo de respuesta en: Verdes (consultas o demora hasta 3 horas), Amarillos (urgencias o demora hasta 20 minutos), Rojos (emergencias o demora hasta 12 minutos) Azul (Traslados, sin demora establecida). Como no se cumplen los convenios realizados por la empresa en Tiempo de Respuesta al código amarillo, se analizan las etapas del proceso, se observan sala de despacho y móviles operativos, se realizan encuestas y entrevistas a los actores claves. El tiempo de Respuesta (TR) promedio total fue de 42:26 minutos, los TR fuera de zona de influencia del móvil (FZ) 50:23, si tomamos T.R. en horario de picos de llamadas, de 09 a 14 hs. este fue de 37:42 minutos, en el mismo horario los T.R. FZ fue de 44:55 minutos, en horario pico de 18 a 22 hs T.R. encontrado 46:36 minutos y F.Z. 53:27 minutos. Se encuentra demora en el despacho de 12,32 minutos y la salida de móvil de 6,20 minutos consumiendo entre ambos el 43% del Tiempo de Respuesta total. La mayor demora ocurre durante los horarios picos de llamadas que tiene una curva bimodal en el transcurso del día, acentuando esa demora cuando son asignados a móviles fuera de su zona de influencia. La demora en el despacho se atribuye a la falta de disponibilidad de móviles, se asignan códigos verdes y amarillos comerciales para que el móvil cumpla con productividad lo que genera menor capacidad de respuesta al tener los móviles ocupados. La demora en salida del móvil se debe al malestar del personal operativo que además no toma el tiempo de respuesta como prioridad. No se evidenció una adaptación de la oferta operativa a la mayor demanda de códigos Amarillos por convenios. Este estudo trata das causas de atraso no tempo de resposta aos códigos amarelos em um serviço privativo de emergência médica na cidade de Córdoba. Os níveis de desempenho são diferenciados por códigos segundo o risco de vida e / ou tempo de resposta: Verde (consulta ou demora de até 3 horas), Amarelo (emergencia ou demora de até 20 minutos), Vermelho (emergencia ou demora de até 12 minutos), Azul (Traslados, sem demora estabelecida). Sendo que os acordos feitos pela empresa para os Tempos de Resposta ao código amarelo não foram cumpridos, as etapas do proceso são analisadas, telefones de escritório e sala de operação são observados, enquetes e entrevistas são conduzidas com os atores- chave. O tempo de Resposta (TR) médio total foi de 42:26 minutos, os TR fora zona de influência do veículo de transporte (FZ) 50:23, se considerarmos o TR em horas de pico dos requerimentos, de 09 a 14 horas. Este foi de 37:42 minutos, no mesmo horário, o  T.R. FZ foi de 44:55 minutos, no horário de pico de 18 a 22 hs o T. R. achado foi de 46:36 minutos e o  F.Z. de 53:27 minutos. Acha-se demora  no despacho de 12,32 minutos e na saída do veículo de 6,20 minutos que  consomem entre ambos os dois um 43% do Tempo de Resposta Total. A maior demora ocorre durante horários de pico de requerimentos que apresenta uma curva bimodal no curso do dia, enfatizando-se o dito atraso no caso de veículos fora da sua área de influência. O atraso no despacho é atribuído à falta de disponibilidade de veículos, códigos verdes e amarelos comerciais são atribuídos para o veículo cumprir com sua produtividade o qual gera menor capacidade de resposta por causa de os móveis ficarem ocupados. A demora na saída do veículo  é devida ao desconforto do pessoal de operação por desconsiderar o tempo para responder como sendo uma prioridade. Não foi evidenciada uma adaptação da oferta operacional para o aumento da procura de códigos Amarelos por convênios. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2016-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/14541 10.31052/1853.1180.v20.n3.14541 Revista de Salud Pública; Vol. 20 Núm. 3 (2016); 48-58 1852-9429 1853-1180 10.31052/1853.1180.v20.n3 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/14541/15583 Derechos de autor 2016 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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