{"id":32704,"date":"2022-12-15T18:00:00","date_gmt":"2022-12-15T15:00:00","guid":{"rendered":"https:\/\/tatd.org.tr\/?p=32704"},"modified":"2022-12-28T14:52:56","modified_gmt":"2022-12-28T11:52:56","slug":"asiri-kalabalik-acil-servislere-iliskin-durum-beyani","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/en\/genel\/asiri-kalabalik-acil-servislere-iliskin-durum-beyani\/","title":{"rendered":"A\u015f\u0131r\u0131 Kalabal\u0131kAcil Servislere \u0130li\u015fkin Durum Beyan\u0131"},"content":{"rendered":"

Sorry, this entry is only available in Turkish<\/a>.<\/p>

Aral\u0131k 2022<\/strong><\/h3>\n\n\n\n

Uluslararas\u0131 Acil t\u0131p Federasyonu (International Federation for Emergency Medicine \u2013 IFEM) D\u00fcnya\u2019n\u0131n d\u00f6rt bir yan\u0131ndaki t\u00fcm ulusal ve b\u00f6lgesel Acil T\u0131p uzmanl\u0131\u011f\u0131n\u0131 temsil eden profesyonel kurulu\u015flar\u0131n federasyonudur. Acil t\u0131p bran\u015f\u0131nda \u00e7al\u0131\u015fan doktor ve ekiplerin ba\u011flant\u0131s\u0131n\u0131 sa\u011flar.<\/p>\n\n\n\n

IFEM\u2019in vizyonu, t\u00fcm \u00fclkelerdeki insanlar\u0131n y\u00fcksek kalitede acil t\u0131bbi bak\u0131ma eri\u015febildi\u011fi bir D\u00fcnya yaratmakt\u0131r.<\/p>\n\n\n\n

Bir hastanenin Acil Servisi, ani bir hastal\u0131\u011fa veya yaralanmaya maruz kalan hastalar\u0131n kabul\u00fcne ayr\u0131lan aland\u0131r. Acil t\u0131p uzmanl\u0131\u011f\u0131 e\u011fitimine sahip t\u0131bbi ve hem\u015firelik personeli, g\u00fcn\u00fcn 24 saati hastalara te\u015fhis koymak, tedavi etmek, taburcu etmek, hayata d\u00f6nd\u00fcrmek ve hastaneye yatmas\u0131 gerekli hastalar\u0131 stabilize etmek i\u00e7in \u00e7al\u0131\u015f\u0131r.<\/p>\n\n\n\n

Acil servis \u201cKalabal\u0131kl\u0131\u011f\u0131<\/strong>\u201d, hasta talebinde, acil servisin verimli \u00e7al\u0131\u015fabilme kapasitesinde ve\/veya yat\u0131\u015f gereklili\u011fi olan hastalar i\u00e7in hastane i\u00e7indeki yatak kapasitesinde bir dengesizlik oldu\u011funda ortaya \u00e7\u0131kar. Acil serviste kalabal\u0131kl\u0131\u011f\u0131 d\u00fcnya \u00e7ap\u0131nda t\u00fcm sa\u011fl\u0131k sistemlerinde mevcuttur ve durum Covid-19 salg\u0131n\u0131n\u0131n ard\u0131ndan her zamankinden daha k\u00f6t\u00fc hale gelmi\u015ftir. Kas\u0131m 2022 de 41 IFEM \u00fcyesi \u00fclkenin kat\u0131ld\u0131\u011f\u0131 bir anketin sonucunda, kat\u0131l\u0131mc\u0131lar\u0131n %100\u2019\u00fc acil servis kalabal\u0131kl\u0131\u011f\u0131 bildirmi\u015ftir.<\/p>\n\n\n\n

K\u00fcresel olarak bir\u00e7ok \u00fclkede hastanelerin Acil Servislerinde ya\u015fanan a\u015f\u0131r\u0131 kalabal\u0131k, hasta g\u00fcvenli\u011fine y\u00f6nelik kabul edilemez ve \u00f6nlenebilir bir tehdittir ve derhal ele al\u0131nmal\u0131d\u0131r.<\/strong><\/p>\n\n\n\n

Kalabal\u0131kl\u0131\u011f\u0131n nedenleri nelerdir?<\/strong><\/h3>\n\n\n\n
    \n
  1. Acil servise ba\u015fvuran hasta say\u0131s\u0131n\u0131n fazlal\u0131\u011f\u0131 (genellikle alternatif se\u00e7enekler mevcut olmad\u0131\u011f\u0131ndan veya acil olmayan sa\u011fl\u0131k bak\u0131m\u0131 talebin kar\u015f\u0131lamada ba\u015far\u0131s\u0131zl\u0131k)<\/li>\n\n\n\n
  2. Acil serviste malzeme, personel veya verimli s\u00fcre\u00e7 a\u00e7\u0131s\u0131ndan yetersizlik<\/li>\n\n\n\n
  3. Acil servis hastalar\u0131n\u0131n talebini kar\u015f\u0131layacak hastane yata\u011f\u0131n\u0131n \u00e7ok az olmas\u0131, bu nedenle hastalar\u0131n acil servisten ayr\u0131lmas\u0131 engellendi\u011fi i\u00e7in acil servisin kilitlenmesi<\/li>\n<\/ol>\n\n\n\n

    Hastalar\u0131n acil servisten di\u011fer yatakl\u0131 servislere transferindeki gecikmeler en yayg\u0131n sorundur. Bazen \u00fc\u00e7 fakt\u00f6r de problem olmaktad\u0131r.<\/p>\n\n\n\n

    Tehlikeler nelerdir?<\/strong><\/h3>\n\n\n\n

    Ara\u015ft\u0131rmalar, kalabal\u0131k, kaotik ve stresli acil servislerde artm\u0131\u015f i\u015f y\u00fck\u00fcn\u00fcn gecikme ve hatalara neden oldu\u011funu, hastalar\u0131n zarar g\u00f6rd\u00fc\u011f\u00fcn\u00fc hatta \u00f6l\u00fcmlerin meydana geldi\u011fini g\u00f6stermi\u015ftir. Hastalar veya yak\u0131nlar\u0131 acil servis personeline kar\u015f\u0131 sald\u0131rgan olabilir. Bu s\u00fcre\u00e7te sa\u011fl\u0131k personelinin morali bozulur ve durum g\u00fcnden g\u00fcne devam ederken t\u00fckenmi\u015flik meydana gelir. Personelin ayr\u0131lmas\u0131 halinde durum daha da k\u00f6t\u00fcle\u015fir.<\/p>\n\n\n\n

    Bir\u00e7ok \u00fclkede ambulanslar Acil Servis kalabal\u0131kl\u0131\u011f\u0131ndan dolay\u0131 hastalar\u0131 ambulans sedyesinden indiremez ve acil servisin d\u0131\u015f\u0131nda beklemek zorunda kal\u0131r. Bu durum ambulanslar\u0131n bir sonraki acil vakaya zaman\u0131nda ula\u015fma ve m\u00fcdahale imkan\u0131na engel olur.<\/p>\n\n\n\n

    Hastalar\u0131n zarar g\u00f6rmemesi i\u00e7in neler yap\u0131labilir?<\/strong><\/h3>\n\n\n\n

    Acil Servis kalabal\u0131kl\u0131\u011f\u0131 \u00f6nlenebilir. \u015eeffafl\u0131k gereklidir ve elde edilen veriler o b\u00f6lgedeki yo\u011funluk hakk\u0131nda yol g\u00f6sterici olacakt\u0131r. Acil Servisleri ve hastalar\u0131 mevcut durumun zararlar\u0131ndan korumak i\u00e7in ulusal ve yerel politikalar olu\u015fturulmal\u0131d\u0131r.<\/p>\n\n\n\n

    Acil servis kalabal\u0131kl\u0131\u011f\u0131n\u0131n \u201cnormal\u201d veya her g\u00fcn kabul edilebilir oldu\u011fu g\u00f6r\u00fc\u015f\u00fcne kar\u015f\u0131 \u00e7\u0131kmak i\u00e7in siyasi irade gereklidir. Hastane i\u00e7indeki di\u011fer alanlarda da (servisler, poliklinikler gibi) a\u015f\u0131r\u0131 kalabal\u0131k kabul edilemez. Ko\u015fullar acil servisin, \u00e7ok hasta durumdaki ki\u015fileri zaman\u0131nda de\u011ferlendirme ve tedavi sa\u011flayacak durumda olmas\u0131na izin vermelidir. \u201cYeniden Ba\u015flatma (Reset) d\u00fc\u011fmesine basmam\u0131z\u201d gerekiyor.<\/strong><\/p>\n\n\n\n

    #ResetEmergencyCare #NoMoreLivesLostWaiting<\/strong><\/p>\n\n\n\n

    Acil Servis Kalabal\u0131kl\u0131\u011f\u0131 \u00f6nlenebilir ve \u015fimdi sona ermeli.<\/strong><\/p>\n\n\n\n

    IFEM, bu g\u00fcvensiz ve savunulamaz durumu \u00e7\u00f6zmek i\u00e7in h\u00fck\u00fcmetlerin, sa\u011fl\u0131k bak\u0131m sistemi liderlerinin ve hastane y\u00f6neticilerinin i\u015finde uzman yerel hastane acil t\u0131p liderleriyle ortak \u00e7al\u0131\u015fmas\u0131 gerekti\u011fini savunuyor. Sa\u011fl\u0131k sistemleri genelinde h\u0131zl\u0131 ve etkili eylemler uygulanmal\u0131d\u0131r.<\/strong><\/p>\n\n\n\n

    Acil hastalara g\u00fcvenli bak\u0131m sunabilmeliyiz.<\/em><\/strong><\/p>","protected":false},"excerpt":{"rendered":"

    Sorry, this entry is only available in Turkish. Aral\u0131k 2022 Uluslararas\u0131 Acil t\u0131p Federasyonu (International Federation for Emergency Medicine \u2013 IFEM) D\u00fcnya\u2019n\u0131n d\u00f6rt bir yan\u0131ndaki t\u00fcm ulusal ve b\u00f6lgesel Acil…<\/p>\n","protected":false},"author":870,"featured_media":32705,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_angie_page":false,"_lmt_disableupdate":"","_lmt_disable":"","_tatd_show_on_main_site":"","page_builder":"","footnotes":""},"categories":[1,10011],"tags":[10133,10272,10118,10183],"class_list":["post-32704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","category-haber-ve-duyuru","tag-acil-servis","tag-ifem","tag-kalabalik","tag-tatd"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts\/32704","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/users\/870"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/comments?post=32704"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts\/32704\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/media\/32705"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/media?parent=32704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/categories?post=32704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/tags?post=32704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}