Initial emergency medical dispatching and prehospital needs assessment:: a prospective study of the Swedish ambulance service

被引:0
|
作者
Hjalte, Lena
Suserud, Bjorn-Ove
Herlitz, Johan
Karlberg, Ingvar
机构
[1] Sahlgrens Univ Hosp, S-41345 Gothenburg, Sweden
[2] Sch Hlth Sci, Boras, Sweden
关键词
ambulance; dispatching; emergency medical services; needs assessment;
D O I
暂无
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives To evaluate the setting of priorities and patients' need for the ambulance service. Methods A prospective, consecutive study was conducted during a 6-week period. The ambulance staff completed a questionnaire assessing each patient's need for prehospital care. In addition to the questionnaire, data were extracted from the ambulance medical records for each case. Results The study included 1977 ambulance assignments. The results show that there is a substantial safety margin in the priority assessments made by the emergency medical dispatch operators, where the ambulance staff support the safety margin for initial priorities, despite the lack of at-the-scene confirmation. At-the-scene assessments indicated that 10% of all patients had potentially life-threatening conditions or no signs of life, but the advanced life support units were not systematically involved in these serious cases. The results even showed that one-third of the patients for whom an ambulance was assigned did not need the ambulance service according to the assessment made by the ambulance staff. Conclusion Using the criteria-based dispatch protocol, the personnel at the emergency medical dispatch centres work with a safety margin in their priority assessments for ambulance response. Generally, this 'overtriage' and safety margin for initial priority settings were supported as appropriate by the ambulance staff. According to the judgement of the ambulance staff, one-third of all the patients who were assigned an ambulance response did not require ambulance transport.
引用
收藏
页码:134 / 141
页数:8
相关论文
共 50 条
  • [1] Call dispatching in an emergency medical ambulance dispatching service
    Ripanu, A
    Stanciu, E
    [J]. MEDICON 2001: PROCEEDINGS OF THE INTERNATIONAL FEDERATION FOR MEDICAL & BIOLOGICAL ENGINEERING, PTS 1 AND 2, 2001, : 143 - 145
  • [2] Assessment of prehospital medical care for the patients transported to emergency department by ambulance
    Paker, Sehnaz Akin
    Dagar, Seda
    Gunay, Erkan
    Cebeci, Zeynep Temizyurek
    Aksay, Ersin
    [J]. TURKISH JOURNAL OF EMERGENCY MEDICINE, 2015, 15 (03): : 122 - 125
  • [3] A Prehospital Emergency Psychiatric Unit in an Ambulance Care Service from the Perspective of Prehospital Emergency Nurses: A Qualitative Study
    Todorova, Lizbet
    Johansson, Anders
    Ivarsson, Bodil
    [J]. HEALTHCARE, 2022, 10 (01)
  • [4] A cost-effectiveness study of transporting persons without medical needs by ambulance. A prospective study of ambulance service in Sweden
    Karlberg, H., I
    Beillon, L. M.
    Suserud, B. O.
    Herlitz, J.
    [J]. VALUE IN HEALTH, 2007, 10 (03) : A185 - A185
  • [5] Deployment and redeployment of Ambulance Vehicles in the management of a Prehospital Emergency Service
    Belanger, Valerie
    Ruiz, Angel
    Soriano, Patrick
    [J]. INFOR, 2012, 50 (01) : 1 - 30
  • [6] AMCARE MEMBERSHIP EMERGENCY MEDICAL AND AMBULANCE SERVICE
    HOLLOWAY, L
    [J]. EMERGENCY MEDICAL SERVICES, 1979, 8 (05): : 41 - 43
  • [7] The accuracy of predicting hospital admission by emergency medical service and emergency department personnel compared to the prehospital MEWS: a prospective multicenter study
    Veldhuis, Lars I.
    van der Weide, Laura
    Nanayakkara, Prabath
    Ludikhuize, Jeroen
    [J]. BMC EMERGENCY MEDICINE, 2024, 24 (01):
  • [8] Introduction of Prehospital Emergency Ultrasound into an Emergency Medical Service Area
    Weilbach, C.
    Kobiella, A.
    Rahe-Meyer, N.
    Johanning, K.
    [J]. ANAESTHESIST, 2017, 66 (01): : 21 - 27
  • [9] The medical Equipment for Child Emergency Care in the Ambulance Service
    Landsleitner, Bernd
    [J]. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2018, 59 : 608 - 618
  • [10] Ambulance response time in a Brazilian emergency medical service
    Colla, Marcos
    Santos, Gilson Ditzel
    Oliveira, Gilson Adamczuk
    de Vasconcelos, Renata Braga Berenguer
    [J]. SOCIO-ECONOMIC PLANNING SCIENCES, 2023, 85