id:"swepub:oai:DiVA.org:oru-64008"
Search: id:"swepub:oai:DiVA.org:oru-64008" > A comparison of two...
- 1 of 1
- Previous record
- Next record
- To hitlist
A comparison of two emergency medical dispatch protocols with respect to accuracy
-
- Torlén, Klara (author)
- Karolinska Institutet
-
- Kurland, Lisa, 1960- (author)
- Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Department of Emergency Medicine, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden,Örebro University Hospital
-
- Castrén, Maaret (author)
- Karolinska Institutet,Helsinki University Central Hospital
- show more...
- show less...
- (creator_code:org_t)
- 2017-12-29
- 2017
- English.
- In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. - London, United Kingdom : BioMed Central. - 1757-7241. ; 25:1
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- BACKGROUND: Emergency medical dispatching should be as accurate as possible in order to ensure patient safety and optimize the use of ambulance resources. This study aimed to compare the accuracy, measured as priority level, between two Swedish dispatch protocols - the three-graded priority protocol Medical Index and a newly developed prototype, the four-graded priority protocol, RETTS-A.METHODS: A simulation study was carried out at the Emergency Medical Communication Centre (EMCC) in Stockholm, Sweden, between October and March 2016. Fifty-three voluntary telecommunicators working at SOS Alarm were recruited nationally. Each telecommunicator handled 26 emergency medical calls, simulated by experienced standard patients. Manuscripts for the scenarios were based on recorded real-life calls, representing the six most common complaints. A cross-over design with 13 + 13 calls was used. Priority level and medical condition for each scenario was set through expert consensus and used as gold standard in the study.RESULTS: A total of 1293 calls were included in the analysis. For priority level, n = 349 (54.0%) of the calls were assessed correctly with Medical Index and n = 309 (48.0%) with RETTS-A (p = 0.012). Sensitivity for the highest priority level was 82.6% (95% confidence interval: 76.6-87.3%) in the Medical Index and 54.0% (44.3-63.4%) in RETTS-A. Overtriage was 37.9% (34.2-41.7%) in the Medical Index and 28.6% (25.2-32.2%) in RETTS-A. The corresponding proportion of undertriage was 6.3% (4.7-8.5%) and 23.4% (20.3-26.9%) respectively.CONCLUSION: In this simulation study we demonstrate that Medical Index had a higher accuracy for priority level and less undertriage than the new prototype RETTS-A. The overall accuracy of both protocols is to be considered as low. Overtriage challenges resource utilization while undertriage threatens patient safety. The results suggest that in order to improve patient safety both protocols need revisions in order to guarantee safe emergency medical dispatching.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Emergency medical dispatch
- Emergency medical services
- Dispatch protocol
- Medical order entry systems
- Patient safety
- Dispatch protocol
- Emergency medical dispatch
- Emergency medical services
- Medical order entry systems
- Patient safety
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Torlén, Klara
- Kurland, Lisa, 1 ...
- Castrén, Maaret
- Olanders, Knut
- Bohm, Katarina
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Health Sciences
- and Health Care Serv ...
- Articles in the publication
- Scandinavian Jou ...
- By the university
- Örebro University
- Lund University
- Karolinska Institutet
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
