Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Joseph FeliceAndrew Ulrich

Abstract

Background: Implemented in September 2017, the "nurse navigator program" identified the preferred emergency department (ED) destination within a single healthcare system using real-time assessment of hospital and ED capacity and crowding metrics. Objective: The primary objective of the navigator program was to improve load-balancing between two closely situated emergency departments, both of which feed into the same inpatient facilities of a single healthcare system. A registered nurse in the hospital command center made real-time recommendations to emergency medical services (EMS) providers via radio, identifying the preferred destination for each transported patient based on such factors as chief complaint, ED volume, and waiting room census. The destination decision was made via the utilization of various real-time measures of health system capacity in conjunction with existing protocols dictating campus-specific clinical service availability. The objective of this study was to evaluate the efficacy of this real-time ambulance destination direction program as reflected in changes to emergency medical services (EMS) turnaround time and the incidence of intercampus transports. Methods: A before-and-after time series was perfor...Continue Reading

References

Jul 16, 1999·BMJ : British Medical Journal·A BagustJ W Posnett
Sep 20, 2002·Annals of Emergency Medicine·Lynne D RichardsonRobert A Lowe
Feb 8, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alan J ForsterCarl van Walraven
Sep 9, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Peter Sprivulis, Brett Gerrard
Mar 7, 2006·The Medical Journal of Australia·Drew B Richardson
Apr 19, 2007·Critical Care Medicine·Donald B ChalfinUNKNOWN DELAY-ED study group
Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Jul 9, 2008·The American Journal of Emergency Medicine·Osei Kwame AsamoahDavid P Sklar
Jul 22, 2008·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Glen Larson
Nov 15, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinUNKNOWN Society for Academic Emergency Medicine, Emergency Department Crowding Task Force
Apr 9, 2009·The Medical Journal of Australia·Drew B Richardson, David Mountain
Dec 3, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bruce McLeodEddy S Lang
Apr 13, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Steve VandeventerTom Blackwell
Oct 9, 2012·Emergency Medicine Australasia : EMA·David C ConeSadaf Marashi Pour
Jan 1, 2011·Online Journal of Public Health Informatics·Marcia R FriesenRobert McLoed
Apr 11, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Eric GrafsteinFrank Xavier Scheuermeyer
May 15, 2013·International Journal of Emergency Medicine·Derek R CooneyKevin Stimson
Oct 1, 2012·Archives of Trauma Research·Mostafa Alavi-MoghaddamArmin Shirvani
Mar 25, 2015·The American Journal of Emergency Medicine·Eric J Adkins, Howard A Werman
Jun 27, 2015·PloS One·Yu Jin LeeWon Chul Cha
Nov 12, 2016·The Western Journal of Emergency Medicine·James R LangabeerDavid Persse

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Emergency Medicine
Raphael M Barishansky, Katherine E O'Connor
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Paul A HaskinsJames Mayrose
© 2022 Meta ULC. All rights reserved