scholarly journals Methodology of a Cross-sectional Study Evaluating the Impact of a Novel Mobile Care Team on the Prevalence of Ambulatory Care Sensitive Conditions Presenting to Emergency Medical Services

Cureus ◽  
2018 ◽  
Author(s):  
Ryan Brown ◽  
Alix Carter ◽  
Judah Goldstein ◽  
Jan L Jensen ◽  
Andrew H Travers
Keyword(s):  
Ambulatory Care ◽  
Emergency Medical Services ◽  
Cross Sectional Study ◽  
Care Team ◽  
Medical Services ◽  
Ambulatory Care Sensitive Conditions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
The Impact

scholarly journals Humanização da assistência: acolhimento e triagem na classificação de risco

2019 ◽  
Vol 13 (4) ◽  
pp. 997
Author(s):  
Alexandre Lins Werneck ◽  
Carla Fernanda Batista Paula ◽  
Rita de Cássia Helu Mendonça Ribeiro
Keyword(s):  
Emergency Medical Services ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Risk Classification ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Practical Implications

RESUMOObjetivo: estabelecer relações entre a humanização da assistência e o acolhimento e a triagem na classificação de risco pela enfermagem nos serviços médicos de emergência. Método: trata-se de um estudo quantitativo, analítico, transversal. Utilizou-se um questionário e entrevistaram-se 80 pacientes que estavam em consulta de enfermagem. Utilizaram-se a análise descritiva, médias, desvio padrão, mediana, mínimo e máximo, frequência e percentual. Apresentaram-se os resultados em forma de tabelas. Resultados: verificou-se que, dos 64 pacientes, a maioria era do sexo feminino, na faixa etária entre 21 a 40 anos e casada, e cinco pacientes esperaram mais que o tempo preconizado, sendo que a Ortopedia/Traumatologia foi a especialidade com maior número de pacientes atendidos. Conclusão: chegou-se à conclusão de que os usuários estão satisfeitos com a atuação da Enfermagem na humanização da assistência, no acolhimento e na triagem com classificação de risco, nos serviços médicos de emergência. Infere-se que as considerações sobre as implicações teóricas ou práticas dos resultados e a contribuição do estudo para o avanço do conhecimento científico são estabelecer relações entre a humanização da assistência e o acolhimento e a triagem com classificação de risco nos serviços médicos de emergência. Espera-se encontrar situações em que há falta de humanização e colocá-las em evidência, propondo mudanças. Descritores: Humanização da Assistência; Acolhimento; Triagem; Classificação; Risco; Enfermagem de Emergência.ABSTRACT Objective: to establish relations between the humanization of care and the reception and screening in risk classification by nursing in emergency medical services. Method: this is a quantitative, analytical, cross-sectional study. A questionnaire was used and 80 patients who were in nursing consultation were interviewed. Descriptive analysis, means, standard deviation, median, minimum and maximum, frequency and percentage were used. Results were presented in the form of tables. Results: it was verified that, of the 64 patients, the majority were female, between the ages of 21 and 40 years and married, and five patients waited longer than the recommended time, and Orthopedics/Traumatology was the specialty with greater number of patients attended. Conclusion: it was concluded that the users are satisfied with the Nursing performance in the humanization of care, in the reception and in the classification with risk classification, in emergency medical services. It is inferred that considerations about the theoretical or practical implications of the results and the contribution of the study to the advancement of scientific knowledge are to establish relations between the humanization of care and the reception and sorting with risk classification in emergency medical services. It is hoped to find situations in which there is a lack of humanization and to put them in evidence, proposing changes. Descriptors: Humanization of Care; Reception; Screening; Ranking; Risk; Emergency Nursing. RESUMEN Objetivo: establecer relaciones entre la humanización de la asistencia y la acogida y el tamizaje en la clasificación de riesgo por la enfermería en los servicios médicos de emergencia. Método: se trata de un estudio cuantitativo, analítico, transversal. Se utilizó un cuestionario y se entrevistaron a 80 pacientes que estaban en consulta de enfermería. Se utilizó el análisis descriptivo, promedios, desviación estándar, mediana, mínimo y máximo, frecuencia y porcentual. Se presentaron los resultados en forma de tablas. Resultados: se verificó que, de los 64 pacientes, la mayoría era del sexo femenino, en el grupo de edad entre 21 a 40 años y casada, y cinco pacientes esperaron más que el tiempo preconizado, siendo que la Ortopedia / Traumatología fue la especialidad con mayor el número de pacientes atendidos. Conclusión: se llegó a la conclusión de que los usuarios están satisfechos con la actuación de la Enfermería en la humanización de la asistencia, en la acogida y en el tamizaje con clasificación de riesgo, en los servicios médicos de emergencia. Se espera encontrar situaciones en que hay falta de humanización y ponerlas en evidencia, proponiendo cambios. Descriptores: Humanización de la Atención; Acogimiento; Triagem; Classificación; Risco; Enfermería de Urgencia.

scholarly journals P016: Evaluating the impact of a novel mobile care team (MCT) on the prevalence of ambulatory care sensitive conditions presenting to emergency medical services in Nova Scotia

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S83-S83 ◽  
Author(s):  
D.R. Brown ◽  
A. Carter ◽  
J. Goldstein ◽  
J. Jensen ◽  
A. Travers ◽  
...  
Keyword(s):  
Primary Care ◽  
Ambulatory Care ◽  
Emergency Medical Services ◽  
Care Provider ◽  
Primary Care Provider ◽  
Care Team ◽  
Medical Services ◽  
Ambulatory Care Sensitive Conditions ◽  
Emergency Medical ◽  
One Year

Introduction: Hospitalization due to ambulatory care sensitive conditions (ACSC) is a proxy measure for access to primary care. Emergency medical services (EMS) are increasingly called when primary care cannot be accessed. A novel paramedic-nurse EMS Mobile Care Team (MCT) was implemented in an under-serviced community. The MCT responds in a non-transport unit to bookings from EMS, emergency and primary care and to low-acuity 911 calls in a defined geographic region. Our objective was to compare the prevalence of ACSC in ground ambulance (GA) responses before and after the introduction of the MCT. Methods: A cross-sectional analysis of GA and MCT patients with ACSC (determined by chief complaint, clinical impression, treatment protocol and medical history) one year pre- and one year post-MCT implementation was conducted for the period Oct. 1, 2012 to Sept. 30, 2014. Demographics were described. Predictors of ACSC were identified via logistic regression. Prevalence was compared with chi-squared analysis. Results: There were 975 calls pre- and 1208 GA/95 MCT calls post-MCT. ACSC in GA patients pre- and post-MCT was similar: n=122, 12.5% vs. n=185, 15.3%; p=0.06. ACSC in patients seen by EMS (GA plus MCT) increased in the post-period: 122 (12.5%) vs. 204 (15.7%) p=0.04. Pre vs post, GA calls differed by sex (p=0.007) but not age (65.38 ± 15.12 vs. 62.51 ± 20.48; p=0.16). Post-MCT, prevalence of specific ACSC increased for GA: hypertension (p<0.001) and congestive heart failure (p=0.04). MCT patients with ACSC were less likely to have a primary care provider compared to GA (90.2% and 87.6% vs. 63.2%; p=0.003, p=0.004). Conclusion: The prevalence of ACSC did not decrease for GA with the introduction of the MCT, but ACSC in the overall patient population served by EMS increased. It is possible more patients with ACSC call or are referred to EMS for the new MCT service. Given that MCT patients were less likely to have a primary care provider this may represent an increase in access to care, or a shift away from other emergency/episodic care. These associations must be further studied to inform the ideal utility of adding such services to EMS and healthcare systems.

scholarly journals Using Routine Ambulance Inspection Report Application to Reduce Wasted Time in Emergency Medical Services

2021 ◽  
Vol 9 (E) ◽  
pp. 298-301
Author(s):  
Korakot Apiratwarakul ◽  
Kamonwon Ienghong ◽  
Takaaki Suzuki ◽  
Ismet Celebi ◽  
Vajarabhongsa Bhudhisawasdi ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Compliance Rate ◽  
Data Gathering ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Action Time

BACKGROUND: Ambulance inspections make up part of the emergency medical services (EMS) to keep operations running smoothly as well as to maximize and maintain the safety of vehicles used for delivery of both staff and patients. The EMS of Srinagarind Hospital has been using an ambulance inspection report application since January 2020. Nevertheless, there has been no comparative study of the benefits associated with the use of this specification. AIM: The aim of this study was to compare the advantages of an ambulance inspection report application and paper checklist. METHODS: This cross-sectional study was conducted amid the EMS at a university hospital in Thailand. Data gathering was carried out by employing the Srinagarind Hospital database and ambulance inspection report application throughout January 1, 2019, and December 31, 2020. RESULTS: A total of 2350 ambulance inspections were recorded during the 2-year study period. Recognition times for ambulance inspections incorporating paper checklist and inspection with application were 35.5 ± 9.4 min and 1.02 ± 0.5 min, respectively (P < 0.001). Action times were 25.2 ± 5.1 min and 1.04 ± 0.2 min, respectively. Ambulance inspection compliance rate with the application was 95.3% and 70.1% with a paper checklist. CONCLUSION: Ambulance inspections carried out with an application can reduce recognition and action time, and increase ambulance inspection compliance rate.

scholarly journals Neighborhood Influences on Emergency Medical Services Use for Acute Stroke: A Population-Based Cross-sectional Study

2016 ◽  
Vol 67 (3) ◽  
pp. 341-348.e4 ◽  
Author(s):  
William J. Meurer ◽  
Deborah A. Levine ◽  
Kevin A. Kerber ◽  
Darin B. Zahuranec ◽  
James Burke ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Emergency Medical Services ◽  
Population Based ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neighborhood Influences ◽  
Emergency Medical ◽  
Services Use

scholarly journals Attitudes and stressors related to the SARS-CoV-2 pandemic among emergency medical services workers in Germany: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annegret Dreher ◽  
Frank Flake ◽  
Reinhard Pietrowsky ◽  
Adrian Loerbroks
Keyword(s):  
Emergency Medical Services ◽  
Cross Sectional Study ◽  
Work Outcomes ◽  
Medical Services ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Older Employees ◽  
Personal Risk ◽  
Emergency Medical

Abstract Background The aim was to investigate attitudes and stressors related to the SARS-CoV-2 outbreak among emergency medical services (EMS) workers in Germany. We further aimed to detect possible changes within a 5-week period and potential determinants of attitudes and stressors. Methods We conducted two cross-sectional studies using an online questionnaire in early April 2020 (i.e., the first peak of the SARS-CoV-2 outbreak in Germany) and five weeks later. The study instrument comprised sociodemographic items, self-devised items on pandemic-related attitudes, stressors and work outcomes, and established instruments assessing depressive symptoms and symptoms of anxiety. Logistic regression was performed to identify possible determinants. Results Data of 1537 participants was included in the analysis (April: n = 1124, May: n = 413, 83.1% male, median age 32). Most participants agreed that their personal risk of infection was higher compared to the general population (April: 87.0% agreement, May: 78.9%). The greatest stressor was uncertainty about the pandemic’s temporal scope (82.0 and 80.9%, respectively). Most participants (69.9, 79.7%) felt sufficiently prepared for the pandemic and only few felt burdened by their financial situation (18.8, 13.3%). Agreement to all stressors decreased from April to May except related to the childcare situation. Regression analysis identified subgroups to be burdened more frequently such as older employees, those with SARS-CoV-2 cases among their colleagues, and those with lower paramedic training levels. Conclusions We identified key SARS-CoV-2-related stressors whose levels generally decreased within a 5-week period. Our results indicate that EMS workers are less affected by existential fears and rather worry about their personal infection risk.

scholarly journals Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

2020 ◽  
Vol 5 (4) ◽  
pp. 351-361
Author(s):  
Ane Bull Iversen ◽  
Rolf Ankerlund Blauenfeldt ◽  
Søren Paaske Johnsen ◽  
Birgitte F Sandal ◽  
Bo Christensen ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Help Seeking ◽  
Reperfusion Therapy ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Core Symptoms ◽  
Stroke Centre

Introduction Only a minority of patients with acute ischaemic stroke receive reperfusion treatment, primarily due to prehospital delay. We aimed to investigate predictors of a primary contact to the emergency medical services, arrival at stroke centre within 3 h of symptom onset and initiation of reperfusion therapy in patients with acute stroke. Patients and methods We conducted a cross-sectional study of consecutive patients with acute ischaemic stroke, intracerebral haemorrhage or transient ischaemic attack. Structured interviews of patients and bystanders were performed and combined with clinical information from the Danish Stroke Registry. Eligible patients were aged ≥18 years and were independent in activities of daily living before the stroke. Results We included 435 patients. Presence of a bystander at symptom onset and knowledge of ≥2 core symptoms of stroke were associated with a primary emergency medical services contact. Higher stroke severity and patients or bystanders perceiving the situation as very serious were associated with a primary emergency medical services contact (ORpatients 2.10; 95% CI 1.12–3.95 and ORbystanders 22.60; 95% CI 4.98–102.67), <3 h from onset to arrival (ORpatients 3.01; 95% CI 1.46–6.21 and ORbystanders 4.44; 95% CI 1.37–14.39) and initiation of reperfusion therapy (ORpatients 3.08; 95% CI 1.23–7.75 and ORbystanders 4.70; 95% CI 1.14–19.5). Conclusion: Having a bystander, knowledge of ≥2 core symptoms and understanding that stroke is a serious event are associated with appropriate help-seeking behaviour, shorter prehospital delay and higher chance of reperfusion therapy in acute stroke patients.

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